Expanded school mental health (ESMH) programs offer a comprehensive range o
f mental health services (evaluation, therapy case management) to youth in
special and regular education. Research is needed to document that these pr
ograms are in fact providing quality care to youth and leading to enhanced
outcomes. In this exploratory study, focus groups were conducted with high
school students receiving mental health services and students not receiving
services, therapists, parents, administrators, and health care staff to ga
uge the quality and effectiveness of an ESMH program. It was difficult to s
chedule parents for group sessions; thus, interviews also were conducted wi
th this group. Focus groups and interviews were effective methods for under
standing strengths, areas for improvement, and outcomes for our ESMH progra
m. Participants reported that therapy sewed as a protective factor; enhanci
ng physical and mental health and reducing risk for teenagers. Ideas for im
proving clinical practice were developed from study results.