Medical factors were assessed in 20 children (grades 1 to 10) with behavior and learning problems, and an educational program was subsequently offered. All 20 had their case histories taken, were given pediatric and open electroencephalograph examinations, and were evaluated by psychological tests. One team of physicians found no clearly defined neurological abnormalities; another team rated 10 of the 20 records as evidencing neurological impairment. Two pairs of psychologists also differed in their diagnoses. The ratings of the medical and psychological diagnoses were found to differ significantly (p=.01). The educational program included the following: a special class, with individualized instruction for eight to 12 children, taught by a regular teacher assisted by a mental health specialist and the school guidance and curriculum staff; a learning disabilities group, providing a specialist's instruction in remedial work for two to eight children; an activity group, structured as a club with craft and play sessions, conducted after school for six to eight children; and group counseling for the junior and senior high school students in groups of 10. Reading and achievement scores taken over a 2-year period indicated an average gain for the group as a whole exceeding what would be expected from pupils in regular classes. (JW)