Students who received mental health services at a Linkages to Learning (LTL) site showed improvement on some measures of well-being and school engagement, including self-ratings of self-concept and attendance. Families who received case management services showed improvement on multiple areas of self-sufficiency, and large percentages of parents/guardians agreed that LTL had helped them support their students' education and feel a part of the school. Recommendations include the following: (1) Utilize technology to strengthen the process for therapists and case managers to receive daily feedback about the attendance of students with whom they are working; (2) Explore ways to increase systematic collaboration between LTL service providers and teachers; (3) Explore additional ways to support families in areas that appear most challenging to impact; (4) Institute more regular and consistent administration of LTL program assessments; and (5) Increase means for feedback from students participating in LTL services. Appended are: (1) Logic Model of Linkages to Learning; (2) Table of Services and Activities Offered at Linkages Sites; (3) Linkages to Learning and Collaborative Structure; (4) Calculation of Effect Sizes; and (5) Tables E1-E3; and (6) Table F-1.