This article provides results from a qualitative study on the efforts of school-based mental health providers (SBMHPs) who serve students in urban, suburban, and ethnically diverse settings to help families access quality mental health services. School-based mental health plays a key role in the provision of direct and indirect intervention services to support life skills and social emotional development. A cohort of school psychology graduate trainees enrolled in a counseling course conducted 39 semi-structured interviews with school based mental-health providers (i.e., 36 schools psychologists, two therapists, and one school counselor). Findings indicate SBMHP's efforts to promote minority access are often hindered by culturally-related factors, and that more careful data-based tracking and decision making is necessary to improve mental health services, especially for minority youth. Additionally, increased designated mental health staff as well as more professional development and training are needed to improve service delivery.