“…In this study, enhanced school MH capacity was a key finding, as this represents changes that have been made to the participating schools' systems, procedures, and protocols to better address students' social, emotional, and behavioral health. Such changes, along with school leadership support, access to ongoing professional development for school staff, data‐driven shared decision‐making, aligning programs with the mission of schools, and providing adequate resources, are known key factors for long‐term sustainability of MH programming in schools . In addition to the hospital and school district partnerships created for this program, other collaborations, such as with community‐based MH agencies to provide billable clinical services, will continue to be needed to achieve sustainability of the full MTSS model.…”