Social competence takes into account the interrelatedness of cognitive and intellectual development. physical and mental health. nutritional needs. and other factors that enable a developmental approach to helping children achieve social competence. Since its inception in 1965. Head Start has provided educational. social. medical. dental. nutritional. and mental health services to more than 11 million children and their families across the Nation. Since 1965. Head Start has become a fullyear program servicing more than 450.970 children each year in urban and rural areas of all 50 States. the District of Columbia. and the U.S. Territories. Including many Indian and migrant children. In San Bernardino County alone. 45.000 children and their families have been served in the past 25 years. Since 1965.