What supports do children need? What lessons have been learned over the past decade to provide complementary services? For policymaker and practitioner perspectives on these questions, we turned to experts in the Ohio Department of Education: Dr. Wendy Grove, the director of the Office of Early Learning and School Readiness; and Jennifer Vargo, the former director of the Office of Whole Child Supports. To identify children’s needs, Ohio has developed processes to elevate and learn from families’ voices and lived experiences. Those insights have contributed to Ohio’s cross-agency collaborations to support whole-child approaches both through policymaking and integrated data systems. Collaborations also point toward areas of ongoing need, including more investment in early childhood supports and preschool. The conversation, led by Susan Moffitt, occurred on December 2, 2022, and has been edited for length.