Malcolm Bliss Mental Health Center, through the Outreach Service, provides psychiatric care for the residents of the Model Cities area of the City of St. Louis. The program was started three years ago, but was actually in full operation for about one and a half years. The services to children are a part of the total program and it is difficult to separate them without speaking about the rest of the program. The goals of the Outreach Services are: (1) to make mental health services easily accessible to all residents; (2) to establish programs with high-risk populations to prevent the development of psychiatric disabilities; and, (3) to educate neighborhood residents about mental health, psychiatric illness, and the various services available to them. In terms of these goals, five clinics were successfully established in five areas, and a higher percentage of the population there is being reached when compared to the rest of the catchment area. Some preventive programs have been started and work continues on the education of the neighborhood residents with some success. These programs are even more difficult to evaluate and only long-term studies will probably provide the answer about success or failure in this respect. One of the main obstacles to this work has been the low priority of mental health and mental disease for the poverty stricken residents of the inner city. (Author/JM)