This report discusses the outcomes of a study that reviewed activities to ensure quality of care for adolescents receiving mental health services in the School Mental Health Program (SMHP), based in the Department of Psychiatry at the University of Maryland School of Medicine. For this program a team of clinicians, as well as trainees in each area, provide services in Baltimore City public schools. Services provided include individual, group, and family therapies; case management; collaboration, such as developing wraparound service plans; and primary, secondary and tertiary prevention activities, which include conducting mental health educational activities in school. Quality improvement activities for the SMHP were conducted in three phases: a structural appraisal, an evaluation of the treatment process, and an examination of treatment outcomes. Results indicate: (1) stakeholders were satisfied with services, however, all groups recognized a supply and demand problem; (2) students were commonly coping with bereavement and loss issues and needed to learn skills to manage anger, improve self-esteem, or to improve their coping skills in the classroom or in peer relationships; and (3) students were highly satisfied with the mental health services they received and valued the therapeutic relationship and skills they learned during therapy. (Contains 16 references.) (CR)