The purpose of this publication is to focus on issues in development and implementation of comprehensive guidance programs. To achieve this purpose a list of 10 of the most important issues was composed. The top 10 issues, in order of frequency of concern of leaders, are: (1) displacement of non-guidance tasks, including school counselors' appropriate role in standardized testing programs; (2) program accountability; (3) accountability for the quality of school counselor performance; (4) program advocacy; (5) leader empowerment; (6) enhancement of an existing comprehensive guidance program; (7) appropriate use of technology; (8) parent involvement, including responding to parents who are critical of the program; (9) program development process; and (10) enhancement of the cross-cultural competence of school counselors. This book includes monographs from 20 authors who helped identify the top issues in comprehensive guidance programs. In these monographs, the authors share specific examples of how they have responded or are responding to some aspect of a particular issue. The book concludes with a discussion of the catalysts for change identified in the monographs. Then, themes are identified that recur in the achievement of successful results. Lastly, implications are drawn from the leaders' empirical lessons. (Contains 2 appendixes, 3 tables, 8 figures, and 98 references.) (ADT)