Each of the 13 Appalachian states has described its overall program for children as well as some particularly innovative projects funded with assistance from the Appalachian Regional Commission. Reports are presented alphabetically by state with introductory comments from the state's governor prefacing each report. The programs for children, designed to meet the perceived needs of local communities, cover a wide range of concerns including nutrition, health care, soundness of child care, psychological well-being, early intervention and detection of physically or mentally handicapping conditions, and information and referral activities. Among the sponsoring agencies are associations for retarded children, community action agencies, local nonprofit child development councils, child care agencies, county departments of health, county departments of social services, and boards of cooperative educational services. Specific goals and accomplishments are summarized for exemplary projects in each state. These projects include a program to prevent foster child drift, a computerized referral system, a program of comprehensive services for teenage parents, and a library project for preschoolers and the parents and child care providers responsible for their development. Reports include information on funding, involvement of local citizens, and administrative roles of various agencies. (JH)