Based on a North Carolina feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with programming school mental health in Vance and Franklin counties. Detailing both successes and failures, this booklet presents the following program activities: (1) Some Learnings about School Mental Health Strategy (importance of a combined clinical and non-clinical approach, up-to-date administrative briefings, acceptance of school mores and mission, etc.); (2) Key Factors in Teaching Behavior Guidance in the Classroom (school-centered approach, inter-system personnel contacts, continuity facilitators, etc.); (3) Olders Tutor Youngers (high school students as tutors for elementary students in a rural and an urban pilot program); (4) Youth Talks It Over (discussion groups); (5) Analysis and Learnings from a Consultation to Teachers Program; (6) Workshops to Teach Behavior Modification for Head Start Teachers, Elementary School Training Consultants, and Elementary School Teacher Enrichment; (7) Initiating a Speech Therapy Program; (8) Group Consultations with Non-Teaching Personnel; (9) A Workshop on Relationship Building for School Administrators (an unsuccessful attempt to deal with emotional problems related to desegregation); (10) Evolution of a Mental Health School System Relationship (from contact to contractual relationship). (JC)