The number of students with mental health challenges has increased significantly in public schools during the past 10 years. Despite school and community efforts many students remain underserved, specifically at-risk populations. At-risk youth are more likely to experience adverse life outcomes such as performing poorly in school, dropping out of school, acting violently, and facing higher instances of mental health challenges when compared to peers with fewer risk factors. The purpose of this qualitative study was to examine specialized instructional support personnel's attitudes and willingness to implement a change model, ISF, to support at-risk youth in the public school system. A secondary aim of this study was to answer the question of the attitudes of specialized instructional support personnel to provide insight for decision makers considering adopting this change model. The research question posed was: What are specialized instructional support personnel's attitudes toward implementing a mental health change model, ISF, in their school district? This study also contributed to furthering the knowledge of a complex service delivery system intended to enhance student performance by identifying support structures that promote student wellness. The results of this study indicated the specialized instructional support personnel interviewed would be willing to support elements of the ISF. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]