How do you adopt, sustain and scale-up effective practices in school mental health? Setting the right foundations for high-quality evidence-informed mental health promotion and prevention programming is a critical first step. This Leadership Guide offers a Top 10 List of Organizational Conditions that should form the foundation for high-quality mental health practices in boards and schools. This brief Guide includes some key questions for reflection that can help you in assessing your board or school progress in this regard. Have questions about the Organizational Conditions in your board? Ask your Mental Health Leader!