Directors of entry-level occupational therapy (OT) programs were surveyed regarding how their programs prepare students to become mental health practitioners in schools. Analysis of quantitative data included descriptive statistics to examine participants' ratings of their program's ability to prepare students for mental health practice. We found that OT education programs address the role of school-based occupational therapists but provide limited didactic and experiential learning opportunities relating to OT's role in mental health promotion, prevention, and intervention in schools.