PEDIATRICS Vol. 79 No. 3 March 1987, pp. 441-445
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Head Start: Evolution of a Successful Comprehensive Child Development Program

MILTON KOTELCHUCK PHD, MPH1 and JULIUS B. RICHMOND MD1

1 Division of Health Policy Research and Education, Harvard University, Boston

The commentary by Besharov and Hartle1 concludes that disadvantaged children deserve better than what they are getting. Indeed, it is our view—along with virtually all Americans—that all of our children deserve better. The improvement of the health, education, and welfare of all children is a never ending quest.

Perhaps the frustration with the Head Start program that permeates the Besharov and Hartle commentary is due to a fundamental misconception of the goals of the Head Start program. From its inception, Head Start has been a comprehensive child development program and not a program focused solely on long-term cognitive gains.