In the State of Arkansas students, grades three through ten, take the ACT Aspire in order to provide a measure of student academic achievement to school districts and the Arkansas Division of Elementary and Secondary Education. These scores are also used to determine school grades that are released each year and may determine student placement in remediation programs. The purpose of this quantitative study was to determine the relationship, if any, between student achievement and mental health in ninth grade students in the State of Arkansas. The findings reveal that students who receive mental health services score at a lower level on the ACT Aspire ELA and Math Exams. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]