The present study investigated the influence of a school-based mental health counseling intervention (SBMHCI) on elementary school students' (N = 49) behavioral and emotional problems and school attendance at two Title I elementary schools. The study used a single-group, pretest–posttest design to examine change in the participants' scores after participating in the five-week SBMHCI. The results identified that participants' internalizing and total problem scores exhibited significant improvement over time, per parent report. In addition, participants' school attendance significantly improved over time, from the previous academic year, following the SBMHCI.