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The overarching goal of this report is to document the critical components of effective school mental health programs utilizing the best current thinking and practice so that programs developed with this guidance in mind can withstand the political, economic, and social pressures that frequently erode best-practice models. To this end, the report recommends a number of roles, functions, and activities for the DC Department of Mental Health within five areas: organizational management, program development and evidence-based practices, training and professional development, financing, and program evaluation and outcomes research.