In this article, we report on a multiyear consultation project between a consulting team based in the United States and the Ministry of Education in Trinidad and Tobago. The project was initiated with a request for training in counseling for secondary school students but ended with the training of personnel from the Ministry of Education in diagnosis and assessment at the elementary school level. Outcomes included manuals with national norms on phonemic awareness, oral reading fluency, and parent and teacher rating scales for the elementary-age students in Trinidad and Tobago and on a depression screener and an anxiety measure for secondary school students. Details on the consultation process are discussed as are lessons learned.