A pilot program was designed to address the special problems of children of substance abusers. The program was established at the Child Development and Family Guidance Center by Operation PAR, a nationally recognized substance abuse treatment and prevention program. The staff are well-trained preschool professionals who have received special training in substance abuse prevention by Operation PAR. Children, primarily preschoolers, are enrolled in the center after case managers have admitted the abusing parent to case management services. Screening with the Hawaii Early Learning Profile (HELP) has shown that the center children tend to exhibit delays in fine motor development, language development, and social skills. They also have emotional and physical care needs. A typical preschool program was modified to allow for the children's developmental stages. In view of the children's lack of a stable adult relationship, center staff decided that their initial goals when dealing with the children would be to provide patience, love, and acceptance. Typical characteristics of the children include withdrawn and fearful behaviors; temper tantrums; frequent colds, coughs, and fevers; and scabies, head lice, impetigo, and ring worms. It is difficult to involve parents in their child's preschool experience and to encourage them to get the immunizations needed for their children. (RJC)