This paper reports on initial implementation of a state required process for determining eligibility of children and adolescents for Massachusetts Department of Mental Health Programs. Three criteria are used for determining eligibility: a diagnosable mental, behavior, or emotional disorder; impairment of one year's duration; and establishment of functional impairment, as documented by the Child and Adolescent Functional Assessment Scale (CAFAS). Review of the program's first six months involved analysis of data on 333 children and adolescents who applied and were assessed for services during this period. Data summarized cover age, gender, race/ethnicity, and diagnostic category. Findings indicated: (1) as age increased, the percentage of youth accepted increased; (2) race did not appear to be a factor in the eligibility determination process; (3) place of residence was related to eligibility status; (4) applicants with diagnoses of behavior disorders were less likely than others to be found eligible; (5) 89 percent were determined eligible; and (6) more than 90 percent of diagnoses were for psychotic disorders, behavioral disorders, or anxiety disorders. (DB)