This report synthesizes the presentations and discussions from a 1993 symposium on comprehensive school health and safety into a blueprint for urban action. The first part of the report summarizes the nature of health and safety problems in urban schools and discusses some of the barriers that hinder integrated solutions. The second part describes some model programs highlighted during the symposium because of the comprehensive strategies they employ to address poor health, youth violence, or both. The third part lays out a working definition of a comprehensive school health and safety effort and its components. Essential elements of the blueprint include: (1) locally developed solutions, (2) community involvement and support, (3) interagency collaboration, (4) public education and awareness, (5) effective administrative structures, (6) true integration of activities, (7) a supportive school environment, (8) school-based services, (9) funding and resources, and (10) Federal support. (SLD)