Introduction: Occupational therapists are qualified to treat mental health concerns within the school system. Many students have diagnoses of mental health conditions, especially adolescents with autism spectrum disorder (ASD) (Cage et al., 2018). Poor mental well being of a student can greatly affect their ability to engage in school occupations and create meaningful relationships. Methodology: Participants for this study were recruited via stratified sampling from a collective pool of occupational therapists practicing in school-based settings across the state of Indiana. A survey was sent to all participants whose emails were collected. Inclusion criteria for participants was determined prior to beginning the interviews. Results: 42 participants completed the survey and five participants were selected to complete two interviews. Ten interviews were recorded and transcripts were used to generate codes and themes between interviews in order to analyze and draw findings. Four main themes were determined and used to organize findings for this study: barriers, collaboration, mental health interventions and student support. Discussion: Interviews were used to understand what mental health interventions occupational therapists are currently using in the school setting and the obstacles that prevent the interventions from being delivered formally. Conclusion: Occupational therapists can administer interventions to treat mental health concerns and increase mental well being; however, occupational therapists are not being utilized in their fullest capacity. An increased understanding in occupational therapy (OT)’s role and reduced caseload would allow occupational therapists to devote more time to address mental health needs. Keywords: Mental health, ASD, school setting, occupational therapy, interventions