This report presents findings about emerging approaches to enhance the well-being of young children and families in the context of welfare reform. Information on programs and initiatives was obtained from nomination forms sent to over 300 key informants, including child care officials, Head Start collaboration directors, governors' early childhood policy advisors, national organizations, researchers, and welfare, child welfare, and mental health administrators. Thirty-five programs and initiatives were nominated, 11 of which were studied in depth. In-depth conversations were held with staff from these 11 programs and initiatives, and with policymakers, foundation officers, and others involved with these efforts. The report is organized in four sections. Section 1 sets the context, describing the importance and the challenge of integrating child and family development strategies with welfare policies and practices. Section 2 presents the findings in three parts: (1) describing six overall approaches to integrating child development and family support with welfare reform; (2) analyzing specific strategies that emerged across the sites; and (3) presenting an overview of common themes and concerns. Section 3 of the report offers some reflections and observations based on insights of the informants. Section 4 draws out the implications of the findings and observations for TANF administrators, early childhood program leaders, staff, and others seeking to enhance outcomes for young children and to implement welfare reform effectively. The report's three appendices summarize the characteristics of the programs and initiatives studied, provide profiles of individual programs and initiatives, and list resources for programs and agencies. (Contains approximately 20 references.) (KB)