Speech and language are central to the human experience; they are the vital means by which people convey and receive knowledge, thoughts, feelings, and other internal experiences. Acquisition of communication skills begins early in childhood and is foundational to the ability to gain access to culturally transmitted knowledge, organize and share thoughts and feelings, and participate in social interactions and relationships. Thus, speech disorders and language disorders-disruptions in communication development-can have wide-ranging and adverse impacts on the ability to communicate and also to acquire new knowledge and fully participate in society. Severe disruptions in speech or language acquisition have both direct and indirect consequences for child and adolescent development, not only in communication, but also in associated abilities such as reading and academic achievement that depend on speech and language skills. The Supplemental Security Income (SSI) program for children provides financial assistance to children from low-income, resource-limited families who are determined to have conditions that meet the disability standard required under law. Between 2000 and 2010, there was an unprecedented rise in the number of applications and the number of children found to meet the disability criteria. The factors that contribute to these changes are a primary focus of this report. Speech and Language Disorders in Children provides an overview of the current status of the diagnosis and treatment of speech and language disorders and levels of impairment in the U.S. population under age 18. This study identifies past and current trends in the prevalence and persistence of speech disorders and language disorders for the general U.S. population under age 18 and compares those trends to trends in the SSI childhood disability population. Table of Contents Front Matter Summary 1 Introduction 2 Childhood Speech and Language Disorders in the General U.S. Population 3 Treatment and Persistence of Speech and Language Disorders in Children 4 Supplemental Security Income for Children with Speech and Language Disorders 5 Comparison of Trends in Childhood Speech and Language Disorders in the General Population and the Supplemental Security Income Program Population 6 Overall Conclusions Appendix A: Glossary of Key Terms Appendix B: Descriptions of Data Sources Appendix C: Population and Administrative/Service Data for Speech and Language Disorders Appendix D: Description of Methods Used to Calculate Trends in National Survey Data Appendix E: Review of Social Security Administration Case Files Appendix F: Workshop Agendas Appendix G: Summary of *Mental Disorders and Disabilities Among Low-Income Children* Appendix H: Committee Member Biographies

Bullying - long tolerated as just a part of growing up - finally has been recognized as a substantial and preventable health problem. Bullying is associated with anxiety, depression, poor school performance, and future delinquent behavior among its targets, and reports regularly surface of youth who have committed suicide at least in part because of intolerable bullying. Bullying also can have harmful effects on children who bully, on bystanders, on school climates, and on society at large. Bullying can occur at all ages, from before elementary school to after high school. It can take the form of physical violence, verbal attacks, social isolation, spreading rumors, or cyberbullying. Increased concern about bullying has led 49 states and the District of Columbia to enact anti-bullying legislation since 1999. In addition, research on the causes, consequences, and prevention of bullying has expanded greatly in recent decades. However, major gaps still exist in the understanding of bullying and of interventions that can prevent or mitigate the effects of bullying. Building Capacity to Reduce Bullying is the summary of a workshop convened by the Board on Children, Youth, and Families of the Institute of Medicine and National Research Council in April 2014 to identify the conceptual models and interventions that have proven effective in decreasing bullying, examine models that could increase protective factors and mitigate the negative effects of bullying, and explore the appropriate roles of different groups in preventing bullying. This report reviews research on bullying prevention and intervention efforts as well as efforts in related areas of research and practice, implemented in a range of contexts and settings, including schools, peers, families, communities, laws and public policies, and technology. Building Capacity to Reduce Bullying considers how involvement or lack of involvement by these sectors influences opportunities for bullying, and appropriate roles for these sectors in preventing bullying. This report highlights current research on bullying prevention, considers what works and what does not work, and derives lessons learned.

Every day in the United States, children and adolescents are victims of commercial sexual exploitation and sex trafficking. Despite the serious and long-term consequences for victims as well as their families, communities, and society, efforts to prevent, identify, and respond to these crimes are largely under supported, inefficient, uncoordinated, and unevaluated. Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States examines commercial sexual exploitation and sex trafficking of U.S. citizens and lawful permanent residents of the United States under age 18. According to this report, efforts to prevent, identify, and respond to these crimes require better collaborative approaches that build upon the capabilities of people and entities from a range of sectors. In addition, such efforts need to confront demand and the individuals who commit and benefit from these crimes. The report recommends increased awareness and understanding, strengthening of the law's response, strengthening of research to advance understanding and to support the development of prevention and intervention strategies, support for multi-sector and interagency collaboration, and creation of a digital information-sharing platform. A nation that is unaware of these problems or disengaged from solutions unwittingly contributes to the ongoing abuse of minors. If acted upon in a coordinated and comprehensive manner, the recommendations of Confronting Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States can help advance and strengthen the nation's emerging efforts to prevent, identify, and respond to commercial sexual exploitation and sex trafficking of minors in the United States. Table of Contents Front Matter Summary Part I: Understanding Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States 1 Introduction 2 The Nature and Extent of Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States 3 Risk Factors for and Consequences of Commercial Sexual Exploitation and Sex Trafficking of Minors 4 Legal Framework Part II: Current and Emerging Strategies 5 The Legal System 6 Victim and Support Services 7 Health and Health Care 8 The Education Sector 9 The Commercial Sector 10 Multisector and Interagency Collaboration Part III: Recommendations 11 Overall Conclusions and Recommendations Appendixes Appendix A: Disentangling the Language of Commercial Sexual Exploitation and Sex Trafficking of Minors in the United States Appendix B: Lessons Learned from International Efforts to Respond to Commercial Sexual Exploitation and Sex Trafficking of Minors Appendix C: Site Visit Methodology and Summaries Appendix D: Workshop and Site Visit Agendas Appendix E: Biosketches of Committee Members and Staff Index