This report profiles state efforts to develop comprehensive programs and policies for young children and families, presents indicators of child and family well-being, and describes state investments in young children and families. Chapter 1, "Overview of Findings and Implications," identifies the research questions, describes data collection procedures, summarizes findings, identifies trends and implications, and concludes that states are making progress focusing on young children and families, but neither state leadership nor investment is deep enough across all the states. Chapter 2, "The State of the States: Program and Policy Initiatives for Young Children and Families--Trends, Issues and Challenges," describes the kinds of programs and policy initiatives that states are supporting, highlighting overall trends, and illustrating state exemplars. Chapter 3, "The State of the States: A National Perspective on State-by-State Indicators," provides a national perspective on state indicators of well-being and investments and illustrates how indicators might be used more strategically in program and policy development to achieve better outcomes. Chapter 4, "Profiles of Individual States," contains state-by-state summaries of: (1) program initiatives to promote the well-being of young children and families, focusing on comprehensive programs, systems development, community mobilization, and linking welfare reform with child initiatives; (2) indicators of state investments and supports in early care and education, child health, TANF provisions, and income maintenance; and (3) indicators of child and family well-being, including poverty rates, family structure, prenatal care, vaccination rates, incidence of low birthweight, and infant mortality rate. Six appendices include indicator summary tables, state contacts, and a glossary. (KB)