TY - JOUR AU - T. Raviv AU - M. Snider AU - S. Elahi AU - M. Smith AU - R. Ilyumzhinova AU - K. Calderon AU - T. DeClemente AU - K. Ramirez-Mercado AU - A. Sontag AU - C. Cicchetti A1 - AB - Amid the alarming prevalence of youth mental health concerns and limited capacities of communities to provide adequate mental health services, there is an urgent need for increased collaboration between education and health sectors to effectively address the mental health needs of students in the U.S. This paper describes a cross-sector approach to integrating individually operating behavioral health service delivery systems across public health, education, and community mental health partners in Chicago, Illinois to establish a coordinated city-wide school mental health service system. A primary component of this work was a comprehensive landscape analysis comprised of literature reviews, service agreement reviews, survey data, structured interviews and listening sessions with strategically selected individuals from key departments and agencies across the city. Findings from the landscape analysis identified gaps and opportunities for increased efficiency between sectors. The foundation for a collaborative working relationship was also laid between the city school district and the department of public health to facilitate a pilot of implementation plans that emerged from the landscape analysis. In addition to elucidating our learnings from the landscape analysis procedures and findings, this paper summarizes generalizable recommendations to inform leaders in health and education who are committed to promoting integrated behavioral health service delivery systems in their own communities. AD - Center for Childhood Resilience, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. traviv@luriechildrens.org.; Department of Psychiatry & Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. traviv@luriechildrens.org.; Lurie Children's Hospital, 225 E Chicago Avenue, Box 153, Chicago, IL, 60614, USA. traviv@luriechildrens.org.; Center for Childhood Resilience, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.; Department of Psychiatry & Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; Chicago Department of Public Health, Chicago, IL, USA.; Office of Student Health and Wellness, Chicago Public Schools, Chicago, IL, USA. AN - 41572084 BT - Adm Policy Ment Health C5 - Healthcare Disparities; Education & Workforce CP - 2 DA - Mar DO - 10.1007/s10488-025-01486-3 DP - NLM ET - 20260123 IS - 2 JF - Adm Policy Ment Health LA - eng N2 - Amid the alarming prevalence of youth mental health concerns and limited capacities of communities to provide adequate mental health services, there is an urgent need for increased collaboration between education and health sectors to effectively address the mental health needs of students in the U.S. This paper describes a cross-sector approach to integrating individually operating behavioral health service delivery systems across public health, education, and community mental health partners in Chicago, Illinois to establish a coordinated city-wide school mental health service system. A primary component of this work was a comprehensive landscape analysis comprised of literature reviews, service agreement reviews, survey data, structured interviews and listening sessions with strategically selected individuals from key departments and agencies across the city. Findings from the landscape analysis identified gaps and opportunities for increased efficiency between sectors. The foundation for a collaborative working relationship was also laid between the city school district and the department of public health to facilitate a pilot of implementation plans that emerged from the landscape analysis. In addition to elucidating our learnings from the landscape analysis procedures and findings, this paper summarizes generalizable recommendations to inform leaders in health and education who are committed to promoting integrated behavioral health service delivery systems in their own communities. PY - 2026 SN - 0894-587x SP - 156 EP - 172+ ST - Transforming Mental Health Service Delivery in Schools: Recommendations for Implementation of a Cross-System Collaborative Approach T1 - Transforming Mental Health Service Delivery in Schools: Recommendations for Implementation of a Cross-System Collaborative Approach T2 - Adm Policy Ment Health TI - Transforming Mental Health Service Delivery in Schools: Recommendations for Implementation of a Cross-System Collaborative Approach U1 - Healthcare Disparities; Education & Workforce U3 - 10.1007/s10488-025-01486-3 VL - 53 VO - 0894-587x Y1 - 2026 ER -