By the year 2000 between 72,000 and 125,000 children and teenagers in the United States will have lost their mothers to the Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS). An additional 60,000 young adults (18 and older) will also have lost their mothers. The hardest hit cities are New York City (New York), Newark (New Jersey), Miami (Florida), San Juan (Puerto Rico), Los Angeles (California), and Washington, DC. These major urban areas are expected to account for nearly 60 percent of the projected number of orphans. This report offers recommendations for programs formulated at a conference of The Orphan Project to meet the needs of orphaned youngsters, their families, and their new guardians. Recommendations are discussed in the areas of (1) services; (2) training and professional development; (3) public policies; (4) legal standards; (5) further research needs; and (6) issues for future policy analysis. Areas where conference participants were not able to agree, particularly with regard to HIV disclosure policies, funding, and child care decisions, are reviewed. An appendix lists conference participants from the Orphans Project Meeting, June 3-4, 1993. (SLD)