Adolescents living in both rural and urban settings experience the same mental health care needs at similar rates, but those living in rural environments experience exacerbated consequences because of localized barriers to receiving support. These barriers are often summarized as the three A's: availability, accessibility, and acceptability. Because Canada has many rural and remote communities, it is important to implement effective interventions that address these barriers within the community context. Tiered intervention at the school level is one such intervention framework that produces positive results.