Education professionals lead curricular environments that encompass opportunities to enrich organizational health. The problem is that leadership barriers obstruct comprehensive school health prioritization and program implementation as elementary school leaders in a Metro Atlanta school district occupy the space to alter and improve comprehensive wellness. Administrators and physical educators can influence wellness, but ongoing organizational health issues suggest a gap exists in understanding comprehensive school health barriers and enablers. The purpose of this basic qualitative study was to explore the perceptions of elementary school leaders and health and physical education (HPE) teachers regarding barriers or enablers to comprehensive school health initiatives in a Metro Atlanta school district. Theories of transformational leadership and the six bases of power guided the exploration of leadership tendencies and school health. Research questions guided inquiry into principals' perceptions regarding their influence on school health and how HPE teachers explain their influence on health initiatives. This study utilized 30 participants, comprised of 15 school leaders with at least 1 year in leadership, and 15 HPE teachers with at least 3 years in HPE. Semi-structured interviews and school wellness documentation were used to collect data. Data were analyzed by data preparation, reviewing data, coding data, identifying themes, interconnecting themes, and data interpretation. Results indicated that administrators foster organizational health primarily through transformational leadership actions and formal bases of social power. HPE teachers reported influence associated mainly with informal bases of social power in health initiatives. Future research should focus on other stakeholders involved in school health practices. [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.]