The effectiveness of Health Services Occupation (HSO) programs was studied by an assessment of the academic achievement and attitudes of current students and by a followup survey of program graduates. Data were collected and analyzed from three classes of program graduates (1979-81) and current students (grades 9 through 12) at four schools. In general, while current students and program graduates indicated a high level of satisfaction with HSO programs, other outcome indicators pointed to major problems with program goals and objectives and curriculum structure. Counselors and HSO staff found it difficult to recruit adequate numbers of students. Students received little formal counseling regarding shop choice. There were no achievement score differences between HSO and non-HSO students, and achievement levels remained consistent in grades 9 through 12. The HSO curriculum was, in fact, a nurses' aide curriculum and did not meet student needs. A low percentage of graduates were actively pursuing health careers, and only 53 percent expected to be employed in a health occupation in 5 years. A large number of graduates had received no job placement assistance. Large numbers of HSO and non-HSO students believed HSO fields were more suited to women. (Appendixes include survey instruments, advisory committee minutes, and data tables.) (YLB)