Title XI of the Elementary and Secondary Education Act as amended by the Improving America's Schools Act of 1994 allows the Dallas (Texas) public schools to redirect up to 5% of each appropriation received through the Act for the purpose of providing a comprehensive approach to meeting the educational, health, social service, and other needs of children and families. As a result, nine Youth and Family Centers were opened. Each provided coordinated, integrated physical health, mental health, and other support services. In all, 3,407 students received services, for a total of 3,686 physical health visits and 2,677 mental health visits. In addition, 1,485 visits were for support services. Results of the questionnaire completed by 75 principals were positive and showed that principals felt that centers provided quality services, had a positive reputation, and were valuable to the students. Responses to the Family Satisfaction Questionnaire from 273 parents were strongly positive and showed that families were pleased with services, staff, and knowledge they had gained. Students referred to the Youth and Family Centers had fewer discipline referrals, course failures, absences, and nurse visits in the school year. Although these results were statistically significant, they were not of practical significance. Results on the Texas Assessment of Academic Skills improved, but results from the Iowa Tests of Basic Skills did not. When the district's Student Effectiveness Indices were calculated and concomitant variables were controlled, students were at expectations on both standardized tests. (Contains 11 tables and 10 references.) (Author/SLD)