Starting Early Together, a program of Allegheny County’s System of Care Initiative, was designed to serve children under six with serious emotional disturbances, and their families, in four high-need Allegheny County communities. The program combined service coordination with formal family supports, and was intended to transform the mental health system for children and families and its relationship to early intervention, child welfare, child care and family support. Focus groups were held to determine the strengths of the program as well as any service gaps. The results of the focus groups, and related recommendations, are included in this report.