Introduction. Background of the study : the current context for school health programs : the comprehensive school health program : major issues and questions considered by the committee : organization of the remainder of this report -- Evolution of school health programs. Historical overview : the comprehensive school health program : summary -- Education. The role of physical education in comprehensive school health programs : the role of health education in comprehensive school health programs : summary of findings and conclusions : recommendations -- School health services. Introduction : overview of basic school services : extended services : research on school health services : matching level of services to needs : confidentiality of students' health and education records : financing of school health services : first steps for a community in establishing school services : summary of findings and conclusions : recommendations -- Building the infrastructure for comprehensive school health programs. The national infrastructure : the state and local infrastructure : summary of findings and conclusions : recommendations -- Challenges in school health research and evaluation. Overview of research and evaluation : methodological challenges : challenges and future directions for school health education research : summary of findings and conclusions : recommendations -- The path to the future. The unique position of the school : moving school health programs into the future : aAn investment in the future : concluding remarks.