The authors describe their experience operating a health careers program in a disadvantaged urban area. They feel that this type of mental health service is ideal for such a setting. The health careers strategy is designed to: 1) provide the manpower for its program; 2) develop personnel so as to establish more effective collaboration with allied health programs; 3) effect psychosocial change in residents of the community exposed to the program; and 4) make an effective contribution to aspects of the community's development that are closely related to the mental health of its citizens.Abstract Teaser