Focusing on community service programs for the cerebral palsied, organizational patterns considered are program implementation, a state advisory and evaluation board, a program committee, continuing staff education, staff training at state schools for the retarded, training sub-professional volunteers, state legislation, and financial support. Various patterns of care are discussed and include a high risk mothers program, interdisciplinary clinics, rural satellite centers, the Rochester Rehabilitation Complex, agreement with the Visiting Nurses Association, the development of dental services, home service programs, day care programs, plans for a residential care facility, and therapy program. Prevention and early care, infant, prenursery, and nursery programs, and services to parents of preschool children are presented as aspects of early care. Adult and teen programs described are the small business enterprises program, sheltered workshops, continuous care for the severely handicapped, a work activity center, and the evolution of an activities program. (RJ)