Bourbon County Schools, an Elementary and Secondary School Counseling grant recipient, provides its students with a series of mental health services and supports using grant funding. These services include individual and group sessions, addressing intrapersonal and interpersonal relationships with peers and adults, academics, managing stressful and inter-familial challenges, and bullying prevention.

An Erlanger School District elementary school counseling team is featured in a case study, sponsored by the American School Counseling Association, to demonstrate their exemplary program promoting college and career readiness (CCR).

In Virginia, school-based mental health services are provided primarily by school mental health providers: school counselors, school psychologists, and school social workers. Their capacity to offer mental health services depends greatly on the needs of the school division, their responsibilities within the LEA, and ratios of provider-to-student populations.