The purpose of this paper is to demonstrate how Conjoint Behavioral Consultation (CBC) can be used by school behavioral health programs within the Interactive Systems Framework (ISF) as a tool for developing and supporting intervention plans that integrate mental health evidence-based practices (EBPs). External behavioral health consultants trained and supported school personnel from two low-income urban K-8 schools in the implementation of CBC with EBPs employing ISF. Three cases highlight how the ISF can inform modifications to CBC to increase the fit between EBPs, urban school settings, and children living in low-income urban environments to implement with fidelity and produce positive outcomes. Case study data suggest that CBC can be used to support implementation of EBPs, and that interventions can be effective and acceptable.