The report describes the development and accomplishments of the Early Start Preschool Program (Vineland, New Jersey), a project to overcome developmental delays in communication and learning through a structured curriculum, parent training and participation, and a model nutrition program. Six outcome objectives, including objectives of gain in areas of deficit and communication skills, and prospective placement in a less restrictive environment are evaluated. Among conclusions, implications, and recommendations listed are that structure, discipline, and routine in the school program appeared to be important in achieving developmental objectives; that deficits in communication, speech, and learning exhibited by preschoolers of average intelligence may be largely remediated by a well planned, carefully structured intervention program; and that successful training for parents may require many opportunities scheduled each month to accommodate families. (CL)