Pilot programs for comprehensive health screening have been implemented in Texas public schools since the 1977-78 school year. This was the first year state funds were appropriated for programs designed for the purpose of screening children for health problems. Students to be screened in the program were limited to kindergarten, grade six, and those in grade one who had not been part of the screened population in kindergarten. Kindergarten and first grade students were selected as a primary target group because of the possibility of identifying health problems at an early stage. The inclusion of sixth graders in the target population was determined to be appropriate due to the possibility of developmental problems which children encounter at about this age. The report focuses upon seven questions which examine the implementation processes, outcomes of the pilot programs, and availability of other health services for children. Relevant findings and observations pertinent to each question are presented. (JN)