This document is intended to assist schools in developing a comprehensive and multifaceted continuum of mental health programs and services. Following an introductory discussion of the scope of the problem, part 1 examines definitional concerns that must be resolved over time. Part 2 provides a general rationale for mental health services in schools. Part 3 outlines a set of guidelines to clarify the nature and scope of a comprehensive, multifaceted approach to mental health in schools. Part 4 offers an overview of the ways in which mental health and psychosocial concerns are currently addressed in schools. Various delivery mechanisms and formats are described, including school-financed student support services, the school district mental health unit, formal connections with community mental health services, classroom-based curriculum and special pull-out interventions, and the recommended comprehensive, multifaceted, and integrated approach. Part 5 discusses matters related to advancing the field in the context of key concerns. This section focuses on the creation of new capacity building mechanisms; readily accessible resources for materials, technical assistance, and training; and rethinking roles, functions, development, and credentialing of pupil services personnel. Five appendices provide a variety of supportive documents and sources for materials, technical assistance, and training. (Contains approximately 125 references.) (DB)