Research suggests that culturally and linguistically diverse (CLD) youths are underserved by mental health systems; CLD youths are less likely to receive mental health services and more likely to receive services that are inappropriate or inadequate. The lack of well-established treatments for CLD youths has been cited as one contributing factor to this problem. Consequently, it has been suggested that therapists should incorporate cultural awareness frameworks into their practice and adapt interventions in order to best serve youths from this population. The purpose of this literature review is to present established models that incorporate principles of cultural awareness and systematic intervention adaptation. Related studies that describe the applications of these models are also reviewed. Commonalities between different culturally responsive adaptation models are discussed, and implications for school-based practice are explored.