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Head Start was launched in 1965 as a comprehensive child development program for low-income and disadvantaged children ages three to five. President Lyndon B. Johnson's War on Poverty and its desire to improve intellectual capacity and school performance of poor children provided the impetus for the creation of Head Start. It has been one of the government's most successful programs, serving millions of poor children and ensuring, according to a set of performance standards developed for Head Start, that every child enrolled has a medical home (immunizations, health care, and dental care), social and psychological services, parental involvement in the program, and an educational program designed to meet his or her individual needs. Class size and space are closely monitored, and meals provided to the children are monitored for their nutritional value.

Each community in the United States applies for grant monies from the Head Start Bureau, which is housed in the Administration on Children, Youth and Families (ACYF) in the U.S. Department of Health and Human Services (DHHS) in Washington, D.C. Grants are awarded by DHHS regional offices, except for the American Indian and Migrant programs, which are administered in Washington, D.C. Programs that receive funding must follow the Performance Standards Regulations developed for Head Start. Federal monitors review programs every three years to see whether programs are in compliance with the regulations. Poor programs that are out of compliance with many of the performance standards are shut down because research has shown that poor Head Start programs, like poor day care, can harm children.

Research has demonstrated that Head Start not only raises the self-esteem and motivation of children but also improves their health. In addition, fewer of the children in Head Start require special education, and more lowincome parents receive an education and become involved in Head Start as volunteers or employees.

Early Head Start

Recognizing that earlier intervention is needed for low-income families and their children, Early Head Start was begun in 1994 under President Bill Clinton. Early Head Start (EHS) is a comprehensive, twogeneration program that provides intensive services that begin with the pregnant mother and work with the family and child during the critical first three years of life. The EHS programs look for improved outcomes in four domains:

  • Child development: health, secure attachments, social competence, and cognitive and language development
  • Family development: parenting, home environment, family functioning, family health and mental health, economic sufficiency, and parent involvement
  • Staff development: professional development and relationships with parents and children
  • Community development: enhanced child care quality, community collaboration, and integration of services to support families with young children

Early Head Start programs, like Head Start programs, are guided by the Revised Head Start Performance Standards, which were published in 1996 and became effective in January 1998. Early Head Start programs, like Head Start programs, are monitored to ensure compliance with the federal regulations.

The Impact of Early Head Start

A seven-year study requested by the chief of the ACYF to assess the impact of EHS followed 3,000 EHS and control group families. Results demonstrated that EHS had a positive impact on outcomes for low-income families with infants and toddlers. Although EHS children scored below national norms on language screening tests (mean score of 100), they still scored higher than children in the control group. The social and emotional development of EHS children showed positive gains: They were not as aggressive as children in the control group, they engaged their parents more, and they were more attentive to games and educational objects. Parenting outcomes were also favorable: The parents read more to their children than control group parents, and they were less negative and more supportive in their behavior toward their children. The parents also participated more in job training activities or working toward their GED diploma than control parents.

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