Refugee youth, who experience developmental, settlement and/or premigration related challenges, rarely utilise mental health services due to systemic and cultural barriers. Cultural brokering, the act of linking different cultural groups to enhance practice and communication, is one approach to addressing barriers to mental health service provision experienced by refugees. Results from a qualitative case study in Canada identified informal and formal activities of four cultural brokers that facilitate the mental health and adaptation of refugee youth in schools: facilitating cultural integration and sense of belonging, bridging to settlement services, supportive counselling, facilitating referrals to mental health practitioners, educating about mental health, providing contextual information and cultural interpretation. Results provide initial insights into a holistic approach that could be used by mental health service providers to enhance service provision and the wellbeing of refugee youth in schools and community settings.