The percentage of Japanese public primary, elementary, middle, and high schools with special needs education committees that regularly hold meetings is 99.2% (Ministry of Education, Culture, Sports, Science and Technology, 2015), and thus, effective organization and operation of these committees and meetings will be crucial in the future. Thus in this study, the author targeted the special needs education coordinators in the public primary, elementary, middle, and high schools, and aimed to grasp the reality, accomplishments, and the challenges of the committee in each schools, and to clarify the special needs education coordinators’ efforts and the points to remember in furthering the committees. As the result, the study revealed that efforts such as enhancing the flexibility of the committees’ member composition, thorough preparation, structuration of progress of meetings, and facilitating the PDCA (plan-do-check-act) cycle of support, are crucial conditions for functionalization. In addition, special needs education coordinators need the qualities and abilities that allow them to contribute in structuring a cooperative in-school support system where the teaching staffs can realize that “the support nurtures the children,” by fully utilizing their ability to gather and send out information and to coordinate human relationships, and their expertise on special needs education.