It has become increasingly important to collect information on the health care problems of students in Title 1 public schools. Information to help fill this need is provided here. The study opens with a discussion of children's and adolescents' health care needs. It describes how health care in public schools is delivered on a national level, focusing on a particular K-8 Title 1 public school district in the Southwest United States as a representative district. The report provides information on the health-related problems experienced by Title 1 students and gives information on the preparedness of school administrators to assist providers in delivering needed health-care services. The findings indicate that principals and health care providers correlate students' health with students' likely success in school, that principals find it necessary to provide and to assist in providing health care at their sites, and that the principals interviewed were knowledgeable of the health-care problems experienced by their students. Findings also indicate that the capacity of administrators to provide help on health-care-related issues was weak, that health-care staff were underutilized, and that administrators and health-care providers differed in their orientation to health-care delivery. Questions regarding accountability, ethical issues, and other concerns are raised. (Contains 35 references.) (RJM)