Information for planners, administrators, and advocates on the promotion of comprehensive services for preschool handicapped children is presented in seven papers. The first chapter, "The Process of Change" (G. Lambour, Ed., et al.) discusses steps for institutionalizing educational innovations and is based on four meetings of the Invisible College on the Institutionalization of Change (New York City, March, 1980). Change in local education agencies and the contribution of the private nonprofit agency are addressed in Chapters 2 and 3, respectively: "Local Change through Policy Development" (B. Smith) and "Change at a Private Nonprofit Agency" (C. Garland). Programmatic innovations in hospitals and the unique elements of state agencies and governments are considered in Chapters 4 and 5, respectively: "Changes in Health Care Settings" (A. Kaluzny) and "The State Education Agency and the Change Process" (R. Mayo, A. Taylor). The sixth chapter, "Change Strategies for Institutions of Higher Education" (N. Carlson), argues for a core group of planners within the college structure and assesses alternative change efforts. Finally, Chapter 7, "Planning for Dissemination" (P. Trohanis), considers the dissemination of products, ideas, programs, and practices. A bibliography (R. Etheridge, Comp.) contains 45 references covering hospitals, public schools, state government, and universities. (SEW)