The purpose of this quantitative study was threefold: first, to measure high school principal preparedness to meet the increased mental health needs of students; second, to determine principal perceptions of mental health frameworks and needs; and third, to assist with creating a better understanding of what high school principals may need to meet the mental health concerns of their students. The study was completed using a survey titled Meeting the Mental Health Needs of Students: High School Principal Survey. The survey was designed from the Project Cal-Well Statewide Principals Survey Template utilized in California. Additional survey questions were created to assist with measuring the research's connection to social cognitive theory. Through this study, a total of 14 of 32 public high school principals from five counties located in central and eastern North Carolina responded to the survey. Three themes emerged from the survey results: (1) High school principals need additional training and professional development to meet the mental health needs of their students; (2) there is a need for expansion of mental health supports and resources within schools; and (3) high school principals could benefit from the establishment of mental health frameworks from their school districts. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]