The need to provide support for the mental health needs of children and young people is not in dispute. However, there does exist confusion as to the most appropriate means and methods of providing such support. This confusion is particularly evident among those who work closely in providing daily for the mental health needs of children and young people, yet who lack specific mental health training. The confusion is heightened by the fact that those who have developed expertise in mental health cannot offer a consensual approach. This article discusses this confusion and its implications for other sectors by considering some of the theoretical and practical debates in the psychological literature concerning the most effective approaches to mental health interventions. Some commonsense recommendations from this literature for those working with children are offered.