This report explores how services in Baltimore City might meet the needs of families with young children more effectively. We examine how families and children use early childhood services. We then look at how those services impact children’s progress in school. We hope this report inspires us all to help Baltimore City’s children succeed. This report will help service providers reach and serve those who need support, track how each family with young children is doing, make their services even better, and improve children’s outcomes for the long term. We analyzed children’s outcomes and how they used services from birth to kindergarten. (author abstract)