This report summarizes and analyzes information on nine 1993 community integrated service system (CISS) projects to promote physical, psychological, and social well-being for all pregnant women and children, adolescents, and their families; provide individualized attention to their special health care needs; and link health care and services with other services and programs including early intervention, educational, vocational, and mental health services. These projects emphasize the creation of service systems incorporating 10 principles of care: (1) family-centered; (2) community-based; (3) coordinated; (4) culturally-competent; (5) comprehensive; (6) collaborative; (7) universal; (8) accessible; (9) developmentally appropriate; and (10) accountable. Information is based on a review of project proposals, the project continuation requests, and first year reports. The nine projects are located in Connecticut, Florida, Minnesota, Mississippi, Nebraska, Oregon, Wisconsin, and Washington, and serve primarily low-income, minority families. The major finding is that the principles of care called for by the 1993 CISS guidance continue to be identified as important elements in the design and implementation of the projects. However, there is considerable variability among the projects in their reports of how they are integrating these principles into practice. Recommendations are that project directors be provided with opportunities for more interaction with each other; more assistance with training, technical assistance, supervision, and evaluation; and that they receive additional information in implementing the principles of care. (Contains 21 references.) (Author/KB)