Using urban schools to provide a pivotal platform from which to launch mental health services, the target population in this study was a group of students (n=41), ages 5-13, with serious emotional disturbances and their families at two elementary schools in Cleveland, Ohio. The children were referred for school-based mental health services by their teachers. A private, non-profit agency provided intensive mental health services, including diagnostic assessment, individual and group therapy, in-home family therapy, family support groups, comprehensive case management, intensive summer therapeutic programming, and classroom support and consultation to the teachers. Overall, 95.6 percent of the parents or caretakers were happy with the services provided though the school-based mental health program. Approximately 95.7 percent felt that their child was doing better since starting the program and they were happy with the progress that their child and family made. The children evidenced similar positive responses on their portion of the client satisfaction surveys. Results indicated that 76.4 percent of the teachers (n=18) found the consultations with the school-based mental health staff helpful, 50 percent felt their students improved attendance, 44 percent felt their students improved academically, and 39 percent felt their students' disruptive behavior improved. (CR)