Abstract
In 1995, the Ohio Department of Health, in conjunction with the Ohio Family and Children First Initiative, designed and implemented an initiative called “Ohio Early Start” that was designed to prevent later developmental problems in infants and toddlers. Ohio Early Start was coordinated with the existing part C early intervention program and other birth-to-three efforts to ensure a comprehensive, community-based, and family-friendly network of child development, health, and self-sufficiency resources. Successful experiences of this large-scale program implementation and evaluation, as well as the challenges faced at the state and local level, are described.
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