The mental health of children and adolescents is influenced by many factors. In the CDC’s framework for Social Determinants of Health, there are 5 domains. 1. Economic Stability 2. Education Access and Quality 3. Health Care Access and Quality 4. Neighborhood and Built Environment and 5. Social and Community Context. Clinical and school counselors will be introduced to the framework of SDoMH and why it is important to consider when counseling children and adolescents. The implications for practice and policy are critical with the current state of mental health among our young people.