Head Start is the largest program providing comprehensive educational,
health, and social services to young children and their families in p
overty and is an important player in the early childhood service deliv
ery system. This article summarizes the results of a needs assessment
of Head Start programs in one region in the nation. Three important ch
allenges were identified: (a) serving young children with emotional-be
havior issues, (b) working with families, and (c) working with communi
ty institutions. The paper focuses on a midwestern state, presenting i
nterview information that confirms trends found in survey data from th
e whole region. As collaboration between early childhood programs serv
ing children with disabilities becomes more prevalent, the challenges
facing Head Start are a concern for the early childhood community.