The goal of providing early intervention services is to decrease costs to society by decreasing the need for special services in school and beyond (Carpenter, 2007; Jacob, Hartshorne, 2007). Purpose. The purpose of this study was to compare the perceived importance of infant mental health services and the perceived performance of these services as provided in the United States and Lithuania. Material and methods. A questionnaire was created by the researcher and comparisons were made for importance and performance as rated by Lithuanian students as compared to that rated by students and practitioners in the United States. Results. Results indicated that both Lithuanian and American respondents rated significant differences between importance and performance of services. When groups were compared, Lithuanian students rated “services provided in the appropriate environment” significantly higher in importance than American respondents. American students and practitioners rated “services being coordinated by a single agency” as being performed signifiantly better than Lithuanian students’ ratings. Conclusion. This study brings awareness to the international differences that exist when providing early intervention services to students.