Once a school district has decided to implement comprehensive school-based mental health services, the goal is to tackle this effort following best practices. However, some schools and school districts are not yet ready to tackle this effort and may want instead to review what they are doing, move more slowly, and make improvements in what is already in place. There are a number of ways to approach either task, and both will require some to a great deal of change in a school. Change is not easy in any system. Both approaches are considered.