This document describes the work of the Pupil Services Branch of the Maryland State Department of Education in its efforts to assist school districts and individual schools in the state in examining the causes of student disruption and in developing programs that are aimed at impacting disruptive students and creating more effective schools. A section on the historical background of state efforts to help disruptive youth briefly describes pilot programs which focused on long-term direct interventions (Alternative Programs); short-term direct interventions (Extended Pupil Services Programs); and long-term indirect interventions (Total School Intervention Programs) aimed at providing training and technical assistance to administrators, department heads, teachers, and guidance counselors in improving instruction and school climate in order to reduce student disruption. Total School Intervention Programming is explained and two model Total School Intervention Programs are described: the Instructional Leadership Project (ILP) and the Teacher Decision Making (TDM) Project. Five ways that the ILP staff provides services to meet system, school, and individual needs are listed, and four ways that the TDM facilitators provide services to participating schools are given. Evaluation of the two programs and dissemination of Total School Intervention Programs are discussed. (NB)