The purpose of this project was to inform debate over early intervention programs for children and families. The project involved a rigorous study measuring the impact of a multiple intervention program over the long term on at-risk children and families in a Canadian context. Calgary Urban Projects Society (CUPS) is a non-profit organization dedicated to helping families overcome poverty. The CUPS intervention focuses on providing access to a broad range of supports and services, including counseling to prevent Fetal Alcohol Spectrum Disorder, prenatal and post-natal health services, parenting and life skills education, early childhood education, drop-in child care, teacher and social worker home visitation and a general health care clinic tailored to individual need.