After 15 years of evaluation, this report focused on: 1) The demographic, social, and economic trends in Itasca County since Invest Early’s inception; 2) The state of early childhood programming internationally; and 3) What makes Invest Early successful, and what improvements are needed. Wilder Research conducted a literature review, a review of indicators of child and family characteristics and well-being, qualitative interviews with Invest Early parents, an analysis of key evaluation data, and a facilitated discussion with community partners.