The purpose of this study is to examine the readiness of school districts in Suffolk County, New York, to implement a trauma-informed system to address the growing needs of mental health interventions in student populations. A review of the literature showed a historical prevalence of mental health providers and individual student interventions within school buildings or in partnership with community agencies. Recent literature revealed an increase in school-related issues that have origins in student trauma or adverse childhood experiences. This study examined mental health issues in schools by conducting a mixed method analysis, using a survey instrument and focus group interviews, from members of the Suffolk Directors of Guidance. The study may help districts where leaders want to implement a systematic and districtwide approach to mitigating trauma-related student issues by examining current readiness and gaps to implement the National Dropout Prevention Center's Trauma-Skilled Schools Model.