This paper describes the history and development of the Jersey City Public Schools creative arts therapy program. Creative arts therapists contributed examples of their work throughout the district that provide a window into their respective school settings. Examples include technology-based art therapy, an extended school year program, collaborations with school-based mental health workers, professional development, music therapy integrated with academics, community arts events, short term behavioral programs, and internship opportunities. The challenges of establishing and sustaining a creative arts therapy program in a large urban school district are addressed. The article affirms that creative arts therapists develop effective school programs through innovation, research, and collaborative efforts among peers and other professionals. (Contains 2 figures.)