TAC conducted a comprehensive review of the Delaware Division of Prevention and Behavioral Health Services (DPBHS) mental health and substance use service system for children and youth, analyzing quantitative and qualitative data and conducting focus groups and key informant interviews with stakeholders. The result was a detailed report documenting the strengths and challenges of the current system and recommending concrete action steps for system improvement. More recently, DPBHS has retained TAC to conduct a comprehensive review of its care management system for youth with behavioral health challenges. The DPBHS care management program is part of its nationally accredited public managed care organization, which serves youth with Medicaid and uninsured or underinsured youth in need of intensive mental health or substance use treatment services.