Over the past decade, district and community leaders have been collaborating in a deliberate effort to improve the mental health of all students by aligning and integrating the effective delivery of social-emotional-behavioral (SEB) interventions. The issue of confidentiality is often cited as a concern and, therefore, a barrier to clinicians and educators working together to better support students' mental health. This guide provides recommendations and strategies for addressing confidentiality as teams support students' SEB needs through an interconnected system within schools. In addition, district and community leaders can use the recommendations and strategies in this guide to facilitate discussion and decision making to ensure confidentiality issues do not become barriers to building a single system of SEB support for all students.