This presentation covers the challenges of providing mental health services in schools to immigrant and refugee students as well as suggestions for cultural adaptations that ensure interventions provided in schools are culturally reflective and responsive. Additional resources are also given. The Role of School Health Based on the Robert Wood Johnson Foundation funded demonstration project, Caring Across Communities, this presentation covers the challenges of providing mental health services in schools to immigrant and refugee students as well as suggestions for cultural adaptations that ensure interventions provided in schools are culturally reflective and responsive.