Rural Health Outreach is a federal program of demonstration grants designed to encourage organizations to cooperate in delivering health care services to rural Americans. Thirteen programs utilizing innovative collaborations between state agencies, schools, nonprofit organizations, hospitals, volunteers, and the private sector are described a year into their work. On Virginia's Delmarva Peninsula, check-ups were provided to middle school students at school. In North Dakota, ambulance volunteers received training. A consortium of community mental health centers in 13 Oregon counties accessed help from specialists via satellite. Mobile prenatal care was provided in two northwestern Pennsylvania counties. Alaska Natives were trained to be physician assistants in their rural villages. In- and out-patient hospice services were established in Grundy County, Iowa. An Ohio school district provided mental health counseling to students and families at school or home. A family planning service was upgraded to provide full-time primary care service at two sites on Oahu (Hawaii). Financial counseling and aid was provided at public health sites throughout western Wisconsin. A new telecommunications network enabled physicians at Maine health centers to update their learning and consult one another. Native American culture was incorporated into mental health therapy addressing high alcoholism and school dropout rates in a New Mexico town. A northeast Oklahoma consortium coordinated and complemented the region's elderly services. Health education programs in schools combated teen pregnancy and a new van transported clients to clinics for prenatal care in two Alabama counties. (TD)