This article reports on a scoping review of the academic and related literature published between 2000 and 2015 that addressed the education provision for secondary aged pupils with social, emotional and/or mental health difficulties (SEMH) conducted over a six week period in 2015. A total of 168 documents met the inclusion criteria for the review, including 110 peer reviewed journal articles. The authors found an emerging evidence base to support more effective provision for pupils with SEMH, but there remains, particularly at the group and individual level a dearth of literature. Underpinning all the successful programmes in this review was a positive approach adopted by teachers and school leaders to pupils with SEMH. There was an overlap in practice between approaches used at universal, group and individual level but the majority of effective approaches were common to mainstream and specialist settings.