This report is the fourth and final in a series on Self-Regulation and Toxic Stress; it is targeted specifically towards program administrators and practitioners. This report reviews the key concepts for understanding self-regulation, including the relationship between stress and self-regulation. Additionally, it summarizes principal findings from a comprehensive review of self-regulation interventions. Finally and most importantly, it addresses how current theory and knowledge of self-regulation may apply to programs and practitioners serving children and youth in different developmental groups from birth through young adulthood.

Key conclusions from the report indicate that:

• A variety of self-regulation interventions result in meaningful positive effects on cognitive, emotional, and behavioral self-regulation, as well as broader outcomes across development in functional domains like mental health and academic achievement.
• Many promising intervention approaches exist for supporting self-regulation development that could be incorporated into existing ACF programs.
• Care is needed in selecting interventions that may be a good “fit” for relevant populations and settings.
• Given the profound impacts that self-regulation can have across areas of functioning into adulthood, a self-regulation framework to support the well-being of children and families living in adversity may have great value. (Author abstract)

Health services have been a priority for Head Start since its inception and remain a core need for the more than 1 million children enrolled in Head Start and Early Head Start programs each year.

Drawing on survey data from 73% of Head Start and Early Head Start program health managers, the 2012-2013 Head Start Health Manager Descriptive Study explores the context and delivery of health-related activities and programming for Head Start and Early Head Start programs. This is the first study to look at the role of the health manager in nearly 20 years.

The report also reveals the insights and needs of staff who implement health components. Health managers are well-credentialed, with two-thirds holding at least a bachelor's degree and 86% reporting a health-related educational background. They describe their work as demanding but fulfilling, requiring coordination with program staff and community stakeholders, as well as the trust of Head Start families. Most cite a need for ongoing training and professional development in evidence-based health services and more streamlined access to standards and resources. These and other insights should help inform program managers to better support these front-line professionals. (author abstract)

This video from the 2016 Research and Evaluation Conference on Self-Sufficiency (RECS) describes the Work Support Strategies (WSS) initiative and reviews outcomes and implementation experiences from the multistate evaluation. WSS is designed to streamline the delivery of work supports to eligible families.

This video from the 2016 Research and Evaluation Conference on Self-Sufficiency (RECS) reviews replication studies of evidence-based policies and programs managed by the New York City Center for Economic Opportunity and the Office of Adolescent Health through the Teen Pregnancy Prevention Program. The interventions discussed include Jobs-Plus, the CUNY Accelerated Study in Associate Programs, ¡Cuídate!, Reducing the Risk, and the Safer Sex Intervention.

This video from the 2016 Research and Evaluation Conference on Self-Sufficiency (RECS) describes the Family Options Study, which is a random assignment study examining the impact of housing and services for homeless families in twelve communities across the United States. Topics covered include the study design, findings from the first 18 months, and the services needs of the families involved in the study.