This paper, published in Psychology in Schools, provides a deep dive on how comprehensive school based dialectical behavior therapy (CSB-DBT) is a critical component to the DBT services continuum provided in schools. We are so grateful for the years of research and hard work contributed by CBC staff Alec Miller and Kelly Graling and many others at CBC as well as our collaborators and co-authors Nora Gerardi, James J. Mazza, Elizabeth Dexter-Mazza and Jill H. Rathus.