This document describes Hawai'i's Healthy Start Program, a statewide, multisite home visitation program designed to screen, identify, and work with at-risk families of newborns. Goals of the program include: (1) reducing family stress; (2) improving family functioning; (3) enhancing child health and development; and (4) preventing abuse and neglect. The Hawai'i Health Start model includes early intervention, following a child from (or before) birth through age 5; home visitations; and ongoing evaluation. Families enrolled in the program are most often young (parents under 24 years old), with one or both parents unemployed (or underemployed) and undereducated. In 1994, about 65 percent of the women participating in the program were single mothers. The program seeks to meet needs in a variety of ways, including: (1) interagency coordination and referrals; (2) a toy-lending library; (3) parent support groups; (4) a male home visitor who works with fathers; and (5) parent-child play sessions. Between July 1987 and June 1991, the program served over 2,254 families. Ninety percent of the two-year-olds enrolled in the program were immunized. Eight-five percent of the enrolled children were at an appropriate stage of development. Additionally, no instance of domestic homicide had been reported in this time frame. Contains 20 notes. (JW)