Since 2006, the Developmental Pathways Research Program has provided support to developing and implementing the Middle School Support Project (MSSP). MSSP is a program funded by the local Nesholm Family Foundation. Four care coordinator, who are master’s level child mental health professionals employed by a local mental health agency, are each assigned to a Seattle middle school. Students who have mental health needs, are involved in multiple systems, and are having academic problems are referred by principals to MSSP. Care coordinators facilitate wrap around services, coordinating with student, family, teachers, counselors, and other professionals to plan and implement a strong foundation of support for the students. Program goals are improved school performance and mental health. DPRP conducts the MSSP program evaluation.