Serving children with mental health needs in public schools, particularly in rural areas, remains a challenge. Initiating, developing, and maintaining innovative programs can be difficult, especially for diverse minority communities in the United States. Creative partnerships have the potential to mutually enhance each partner’s ability to secure resources for, provide needed services to, and improve the academic and social-emotional well-being of diverse, rural public education students. This article describes the ̀Ike Pilialoha (bonds of knowledge, friendship, and love) Program—a school-consultation pilot program that uses resources from a local nonprofit health organization, the local state Department of Education, and the federal government. Positive evaluation outcomes for the overall evaluation program are provided, as well as information on educational resources, implications, and lessons learned that may benefit other rural students and families.

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