This study reports results from a national survey of education and community professionals regarding secondary level students with disabilities who were experiencing mental health concerns. A total of 648 professionals from 49 states completed the on-line survey. Respondents reported that almost half (48%) of their students with disabilities were experiencing some mental health concerns and that these concerns were not always addressed through the Individualized Education Program (IEP) and transition planning process provided under federal law. Major barriers to providing effective services included: (a) limited availability of resources; (b) challenging student behaviors; (c) family characteristics and involvement; (d) lack of collaboration between stakeholders; and, (e) need for professional development. Key strategies to improve outcomes included: (a) increasing access to services; (b) developing student skills; (c) involving parents and families; (d) building positive student/teacher relationship; and (e) increasing training and professional development opportunities.