Recent decades witnessed a significant movement in child and adolescent mental health toward the implementation of school-based services (Weist, 1997). Recognizing that schools alone cannot address student emotional and behavioral problems and that many, if not most, youth in need of services fail to access school and community services, many community agencies (e.g., mental health centers and health departments) partnered with schools to improve access to and quality of mental health care for youth (Kutash & Rivera, 1996;Weist, Myers, Hastings, Ghuman, & Han, 1999). We call this collaborative effort to develop a full array of schoolbased, mental health services expanded school mental health (ESMH). Although many local efforts may be less ambitious than those described as ESMH, the lessons of ESMH apply to most school-based, mental health services. Schools usually have their own staff, including school counselors,
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