Objective: To conduct a descriptive analysis on the first cohort of families enrolled in the Comprehensive Community Mental Health Services Program in ten northeast Iowa counties. This Project is an analysis of preliminary data from a community mental health services initiative serving children and their families in northeast Iowa. Two general theories, social causation theory and social selection theory, attempt to describe the relationship between socioeconomic status (SES) and health (La Veist 171). Offering different perspectives, these theories may help explain the socioeconomic disparities in mental health outcomes for youth. The Comprehensive Community Mental Health Services for Children and Their Families Program (CMHS) Provides mental health and related services to children with serious emotional Disturbances and their Families. This program is designed to reach children and families in need, regardless of SES. CMHS' national program had been existence for 12 years. The local program serving 10 counties in NE Iowa opened the first of its four clinics in January 2008, and has been collecting data since August 2008. The University of Iowa, College of Public heath research team conduct extensive, in-person interviews with caregivers and youth over 11 years of age. The interview collects information on demographic characteristics, behaviors, mental health, caregiver strains, and living situations. Univariate and bivariate analyses were conducted to describe the data set. We crated diagnostic categories and developed an SES composite variable to approximate social class based on income and education. Cross-tabulations with the chi-square statistics were used to examine the relationships between diagnoses and SES.