Reviews the changes managed health care has brought to the delivery and use of medical services and recommends specific steps that will make the existing system more responsive to the needs of children. Systemwide health care reforms must give children stable medical care that emphasizes preventive health and developmental services. (SLD)

Describes goals, beneficiaries, offerings, locations, and providers of six current school-linked service efforts. Identifies several integrating elements needed for systemic reforms to make school-linked services produce more successful outcomes for children and families. Programmatic initiatives must complement deep-reaching changes in ways…