Bridget Underdahl has been an educator and teacher of teachers on systems-based frameworks for nearly 20 years. In recent years she has overseen the work of School Based Mental Health Systems at The Office of Superintendent of Public Instruction in Washington. This work encompasses grant and program funding to create innovative pathways forward to transform schools from the inside out. These efforts are far-reaching, span many agencies and communities, and have positively impacted the lives of thousands of students and their families. She is with you here today to share lessons learned from the work and share recommendations towards building and growing equitable school-based mental health systems that prioritize community connections, youth voice, adult wellness and sustainable pathways.