Despite innovations in the screening and early identification of students who may benefit from school mental health services, many schools struggle to link screening to intervention decisions, particularly at the Tier 2 level. Universal complete mental health screening, which measures strengths along with risk factors, is a strength-based approach that enables identification of students who do not report active mental health risk yet have limited psychosocial strengths. These languishing students are ideal candidates for Tier 2 interventions. Using a case study to link screening to intervention, the present article describes a contemporary approach to complete mental health screening, identify candidates for Tier 2 intervention, select appropriate interventions, and monitor student outcomes. Implications and challenges for school psychologists are discussed.