This study examines the perspectives of school psychologists as they expand their role to provide a comprehensive range of behavioral health services. Participants were in the first cohort of schools within an urban district that implemented this model of expanded service and were studied using mixed methods of semistructured interviews and scaled ratings. Five themes emerged highlighting strategies for focus: (a) the need for planful and collaborative efforts, (b) benefits of role clarity and increased capacity, (c) recognition of the support provided by colleagues and training resources, (d) expressions of personal and professional growth, and (e) self-perceptions of leading systems change. Overall, the school psychologists felt knowledgeable, confident, and capable of implementing systems change, and they highlighted the importance of support from district leaders in navigating systemic barriers. Recommendations for school psychologists are explored based on these findings.