Expanded school mental health programs provide a full range of mental healt
h services (assessment, treatment, case management, prevention) to youth in
regular and special education, and typically involve close collaboration b
etween schools and community agencies. A major challenge for these programs
is documenting that provided services are of high quality and leading to e
nhanced outcomes for the youth and schools served by them. Dimensions of sc
hool mental health evaluations and a step-by-step process for conducting th
em are presented, using the example of a well established program in Baltim
ore. Challenges to such evaluation and strategies for overcoming challenges
are also presented.