There are many barriers preventing children from getting mental health treatment. However, if more readily available, like in the school based programs, children can get the mental health treatment they need. The focus of this research study is effective treatment interventions for children and adolescents with oppositional defiant disorder in the school setting. A systematic literature review was conducted which reviewed 10 effective school based interventions for elementary and high school students who have been diagnosed with Oppositional Defiant Disorder. Three themes were identified as a successful intervention within the articles including positive praise interventions, a comprehensive approach using the individual, family and school in the intervention, and teacher consultation with mental health providers. Implications include relation to direct practice, where teachers can access the articles and use a variety of interventions on children with oppositional defiant disorder in the classroom setting