In this brief, the authors explore how state-level decisions in New Hampshire and Vermont manifest in the early childhood education and care sector, through the lens of the interstate Upper Valley region. They demonstrate the significant differences in the reach and adequacy of child care financial assistance programs ("child care…

The Case of Top Beginnings and the Missing Child Outcomes is a fictionalized case study of a set of evaluation challenges faced in evaluating comprehensive initiatives that are seeking to build systems. In this case, the issue is a multistate foundation-funded early learning system building initiative that has to date primarily employed a case…

Newborn screening and genetic technologies are expanding and changing rapidly, increasing the demand for genetic specialty services. Because of the scarcity and geographic maldistribution of genetic specialty services, access to these services is a critical issue. This article discusses some of the efforts initiated by the Maternal and Child…

While the transfer of policy between state governments is a well-researched practice, little is known about the state-to-state spread of programs generated and implemented by nonprofit organizations. In 1990, the nonprofit Child Care Services Association in North Carolina began an education and compensation scholarship program for 21 child care…

This monograph highlights and compares approaches of six demonstration grant projects designed to promote collaboration between state Child Support Enforcement, Child Care, and Head Start programs. These demonstration grant projects were awarded to Alaska, Connecticut, Illinois, Maryland, Minnesota, and Missouri. These three-year projects were…