Elementary Options (EO) is a behavior support program in rural southeast Idaho for students in grades K-5 with emotional or behavioral difficulties. Instead of imposing curriculum or classroom strategies, EO works in conjunction with the Department of Health and Welfare to offer a systematic approach to managing problem behaviors with existing school personnel. Maintaining students in general education environments is its strongest goal. Program participation is triggered when the teacher requests support and submits observations and data. Additional information determines the appropriate level of service, after which intervention and monitoring begin. The program uses a five-step plan of escalating levels of support. The first four levels of support are delivered in the student's regular school setting and consist of classroom support, counseling, coaching and tracking, and service learning, respectively. The fifth level is placement in a half-day alternative classroom. The student's counselor, parents, principal, general education teacher, observer, coach, special education teacher, and the EO coordinator meet regularly to discuss the student's behavior and ongoing assessment. Since September 2000, students demonstrated average monthly increases of 5 percent in their ability to use independent learning behaviors, 2 percent in social skills, and 6 percent in ability to meet target academic and social behaviors. School discipline incidents dropped from 1.6 per student per month to 0.3. (TD)