Meeting the needs of gifted students is particularly challenging for school counselors. This practitioner action research study examined the effectiveness of implementing complete universal mental health screening with early college high school students. Using a complete mental health approach, we classified students into need-based groups. The groups were then aligned with the school's multitiered system of supports (MTSS) and results identified 64 students (20.1%) as needing services beyond Tier 1. The correlational analysis demonstrated a strong negative correlation between social/emotional well-being and internalizing psychopathology (r = -0.579, p < 0.05). These findings further support the gifted population's need for tailored identification and can be used to support the expansion of targeted school counseling services, because this group often is overlooked due to their high functioning in certain areas.