This document reports on a symposium that was held to begin to shape a national policy on delivery of services to children at risk and their families, and to develop guidelines for future collaborative efforts between representatives from the health and education professional communities. The symposium explored innovative ways to integrate and enhance the delivery of services. The symposium was opened with a keynote address by former U.S. Surgeon General, Dr. C. Everett Koop, which charged that existing service delivery systems do not function in ways that cherish and provide for children and their families. Symposium participants cited social changes impacting on service providers, such as the rise of poverty, homelessness, teenage parents, and substance abuse. Efforts toward collaborative service delivery were viewed as resulting in greater cooperation but falling short of creating the attitudinal and systemic changes necessary. Issues in service provision include determining which children and families should be the focus of future efforts, expanding and replicating successful integrated service delivery approaches, overcoming "turf" and attitudinal obstacles, and creating new professional training opportunities. Symposium participants proposed strategies such as coalition building, calling for a congressional hearing, identifying and promoting collaborative models that work, and articulating guidelines for collaborative professional practice. A list of conference participants, with addresses, is included. (JDD)