Background: With over 222 million youth below the age of 15 in China, the need for psychological services in schools is receiving increasing attention. School mental health education has been developing over the past 20 years to meet this need, and evidence shows it is being implemented, particularly in urban areas. However, no empirical studies have explored the profession from the view of practitioners. Aims: The purpose of the present study was to conduct the first systematic survey of practitioners regarding the current practice of mental health education in Beijing. Sample: This study surveyed 292 mental health educators in elementary and secondary schools in 6 of the 14 districts in Beijing. Method: Participants completed a 52-item questionnaire assessing their demographics and job responsibilities including teaching, assessment, counseling, professional organization involvement, supervision, and training needs. Results: Participants were predominantly females with undergraduate degrees in psychology or education. Most of the participants reported that mental health education was only part of their full-time job as educators. Participants reported spending time counseling students, consulting with parents and teachers, and assessing students. Participants mentioned a lack of a professional organization, too many responsibilities unrelated to mental health education, and the need for more recognition for the profession. Many participants also indicated a need for better training and supervision, particularly in counseling and mental health assessment. Conclusions: Participants reported engagement in some of the characteristic duties of school psychologists in other countries, though mental health education appears to be more similar to primary prevention programs in the West. Results are compared and contrasted with the practice of school psychology in the US and elsewhere. Implications for the future of mental health education in China are included.