In 2005, the U.S. Department of Education implemented a grant program for the Integration of Schools and Mental Health Systems. As described on the Department's website, "this program provides grants to SEAs, LEAs, and Indian tribes for the purpose of increasing student access to quality mental health care by developing innovative programs that link school systems with local mental health systems." A funded program must: (1) Enhance, improve, or develop collaborative efforts between school-based service systems and mental health service systems to provide, enhance, or improve prevention, diagnosis, and treatment services to students; (2) Enhance the availability of crisis intervention services, appropriate referrals for students potentially in need of mental health services, and ongoing mental health services; (3) Provide training for the school personnel and mental health professionals who will participate in the program; (4) Provide technical assistance and consultation to school systems and mental health agencies, and families participating in the program; (5) Provide linguistically appropriate and culturally competent services; and (6) Evaluate the effectiveness of the program in increasing student access to quality mental health services, and making recommendations to the secretary of education about sustainability of the program. This report summarizes the work from each of the eight state level projects funded in 2005 (Arkansas, Ohio, Maryland), 2006 (Illinois, Utah) and 2007 (Michigan, South Carolina, Delaware.) As each project ends its period of federal support, the expectation is that the work will be sustained and can become a catalyst for work in districts across the state. The degree to which these expectations are met in the eight states discussed in this report should be evaluated. Related References and Resources are included. Three appendices include: (1) Center for Mental Health in Schools at UCLA Meeting with Nine Teams from the First Cohort; (2)Washington County (OR) Partnership for Student Success; and (3) Berkeley CA Integrated Resources Initiative. (Contains 10 figures.)