The Illinois Social and Emotional Health of Infants, Toddlers and Their Families Committee hosted the Early Childhood Mental Health Regional Summit 2000 in November of 2000. Building on the momentum of the U.S. Surgeon General's first report on mental health, which underscores the importance of early preventive mental health services, this summit brought together approximately 100 leaders from Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin to discuss strategies for developing comprehensive statewide systems to meet the social and emotional needs of children birth to age five. Discussions focused on: (1) service delivery; (2) training and workforce development; and (3) policy and funding. Each state was represented by a delegation including early childhood mental health experts, state agency personnel, advocates, trainers, and Head Start and Early Head Start staff. This report summarizes many of the common challenges and strategies that were discussed during the summit and highlights innovative approaches being used in each of the states. The report concludes with a summary of the next steps identified by each state delegation and for the region as a whole. (KB)