Objective: To examine the use of a school-based mental health program that works to prevent drug and alcohol problems and promote student mental health.
Methods: Students' presenting concerns, services used, service format and people to whom students were referred for services were investigated. Student use among schools was compared using chi-square analyses.
Results: The program was highly used, with a range of concerns differentiated by school type. Student concerns, service format, and student referral and follow-up varied significantly.
Conclusion: Student use is a product of student need, school structure, and mental health educator.