The Healthy Start Initiative is a national 5-year demonstration program that uses a broad range of community-driven, system development approaches to reduce infant mortality and improve the health and well-being of women, infants, children, and families. This volume, fourth in the series, deals with the topic of community outreach and is based on the National Forum for Community Perinatal Outreach Workers. This book serves as a "how-to" manual, but rather than explain how to do outreach work, it suggests how to improve the outreach process. This report has four chapters. The first chapter, "Reaching Out: How To Improve Service," suggests how to improve services to clients, how to improve awareness of cultural differences and fathers' potential involvement, and how to care for outreach workers' own needs. The second chapter, "Reaching Up: How To Mentor Outreach Workers through Training and Supervision," suggests that outreach programs need to clearly define their roles, use effective recruiting processes, and supervise, mentor, and train outreach workers. The third chapter, "Reaching Across: How To Build Partnerships with Other Organizations," presents the lessons that outreach workers and their programs have learned as they reach across communities and resources. The fourth chapter, "Reaching In: How To Learn from Research and Evaluation," points out that outreach workers need to be familiar with existing research and to have systems to collect data and evaluate their own programs. Two appendices containing a speakers list and resources for fundraising and sustainability are included. (LPP)