B R I G H T F U T U R E S G U I D E L I N E S F O R H E A LT H S U P E RV I S I O N O F I N FA N T S , C H I L DR E N , A N D A D O L E S C E N T S
What Is Bright Futures?
Bright Futures is a set of principles, strategies, and tools that are theory based and systems ori-
ented that can be used to improve the health and well-being of all children through culturally
appropriate interventions that address the current and emerging health promotion needs at
the family, clinical practice, community, health system, and policy levels.
Bright Futures Mission
The mission of Bright Futures is to promote and improve the health, education, and well-being
of infants, children, adolescents, families, and communities.
Development of Bright Futures
The Bright Futures projects was initiated in 1990 by the Health Resources and Services
Administration’s (HRSA) Maternal and Child Health Bureau (MCHB), with additional pro-
gram support from the Medicaid Bureau of the Health Care Financing Administration
(now the Centers for Medicare & Medicaid Services).
The first edition of Bright Futures: Guidelines for Health Supervision of Infants, Children,
and Adolescents was published in 1994. The second edition was published in 2000 and
was revised in 2002. Both editions were published under the auspices of the National
Center for Eduction in Maternal and Child Health (NCEMCH).
This Bright Futures: Guidelines for Health Supervision of Infants, Children and
Adolescents, 3rd Edition, was published in 2008.
This edition updates and revises the guidelines, incorporating current scientific knowledge
in health practice.
This edition was developed through the collaboration of 4 multidisciplinary panels of
experts in infancy, early childhood, middle childhood, and adolescent health.
This edition was reviewed by more than 1,000 health care and public health profession-
als, educators, parents, and child health advocates throughout the United States.
Funding of Bright Futures
Since its inception in 1990, Bright Futures has been funded by the US Department of Health
and Human Services, Health Resources and Services Administration, Maternal and Child Health