The North End Outreach Network (NEON) is a small but vital community-based health organization in Springfield, Massachusetts. Rather than focus on a single social issue, NEON uses a holistic approach, responding to the wide variety of interrelated challenges that real families face. NEON has engaged Policy Development to help it expand. In just a few months, we have developed a new urban environmental health project, a criminal justice system and community health services “bridge project,” and a health insurance enrollment project. Policy Development is also helping NEON plan increased institutional capacity that is needed to keep pace with additional programmatic activities.