This report summarizes key activities and contributions and offers recommendations for project operations. The pilot project was very successful in building a solid foundation for the Early Childhood Mental Health (ECMH) Consultation Program. Practitioners and other regional stakeholders clearly indicated that the project is providing a much needed and valued service. At a specific level, ECMH has met the needs of many young children, families, and practitioners through consultation, referrals, and sharing of resources. At a broader level ECMH has increased the awareness and access across regions through the development of resource libraries, provision of networking and educational opportunities, and participation in or facilitation of systems building efforts. Appended are: (1) Summary of 2006/2007 Survey and Interviews; (2) Summary of Outreach and Systems Building Activities; (3) Summary of Consultation Records; (4) Summary of Practitioners' Perspectives of ECMH Consultation Services; (5) Summary of Stakeholders' Perceptions of the Project's Impact on the Northwest, South Central, and Southwest Regional Keys. (Contains 3 figures, 12 tables, and 11 footnotes.)