This report provides a synthesis of three reports from a multi-phased examination of the connections between the child care and welfare systems for TANF families. It contains 12 overarching findings that emerged from the study about the complex interaction between the two systems and discusses the implications of these findings for agencies, TANF clients, and policymakers. It highlights different cross-system approaches, identifies strategies that can minimize administrative duplication and client burden, and sets a framework to help policymakers, administrators, and others interested in designing more effective service delivery systems to help families with child care needs move from welfare to work.