Describes Hawaii's Healthy Start Program (HST), its ongoing evaluation study, and evaluation findings at the end of two of a planned three years of family-program participation and follow-up. HST uses home visitors to help prevent abusive and neglectful parenting. Found significant differences in program implementation among the three…

Using specific examples, describes key features of current comprehensive community initiatives to improve the lives of children and considers the limitations of efforts to evaluate them and factors contributing to their success or failure. Comprehensive community initiatives use multifaceted approaches to strengthen communities and improve the…

Identifies the following basic issues involved in planning and implementing school-linked services: (1) planning; (2) targeting; (3) governance; (4) information systems; and (5) staffing. Effective planning requires a policy-minded team of equals from various agencies. Strategies that community teams can use to address each issue are discussed.…

Examines the relationship between government programs and individuals within the family context, describing past and present efforts of the federal government toward integrated services. Emphasis is on initiatives of the Department of Health and Human Services. Current shifts in primary responsibility are translated into increasing state and local…