Practitioners, school leaders, and policymakers serving the needs of youth and their families in New Mexico gathered in Albuquerque in June 2009 for four Roundtable discussions on sustaining integrated health, extended learning, and other social services in middle schools across the state that are a part of the Elev8 New Mexico initiative. Elev8 New Mexico sites function as full-service community schools combining educational and youth development best practices with in-house health, extended learning, and social services to assure that young people are prepared to learn and succeed. This statewide initiative is part of a larger national effort to bring together middle school students' extended learning, comprehensive school-based health, and direct family supports into a comprehensive and holistic program. This "Practitioner Insights" brief builds on three previous Roundtable discussions held on the topic in May 2008. This brief outlines the benefits, challenges and strategies for implementing school-based services that were discussed in the June 2009 Roundtables and shares the Roundtable participants' suggested improvements for sustaining these services. (Contains 1 footnote.)