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This study evaluates the impact of school-based mental health (SBMH) services on student well-being and attendance in a large Midwestern school district. Using ESSER funds, the district partnered with community providers to deliver in-person therapy. A quasi-experimental design was employed with inverse propensity score weighting and multilevel modeling to assess the effects of SBMH participation on unexcused absences and mental health. While we did not observe an overall effect on student attendance, students receiving 20+ therapy sessions had significantly fewer unexcused absences. Self-reported SDQ scores also showed meaningful improvement. Findings support the value of sustained, high-dosage SBMH services for mental health outcomes and offer actionable evidence for policymakers and educators in addressing absenteeism.