Rural schools face unique challenges when addressing the mental health of students. This presentation will describe a Communities of Practice (CoP) Model pilot project targeting implementation of a multi-tiered approach to address school mental health in six rural schools across three states. Presenters will describe: a) unique features of rural schools; b) CoP practice approach utilized; c) strengths and weaknesses of the CoP process, and d) identified strengths and barriers to implementing a multi-tiered approach in rural settings.