This study explored the experiences and perceptions of young people who are actively involved in delivering mental health and related services to their peers in resource-limited settings. Employing a qualitative multiple case study approach, the researcher conducted interviews and focus group discussions with leaders of youth-led organizations and student-led associations. The data were subjected to thematic analysis to align with the study's objectives. The findings reveal that both student-led associations and youth-led organizations focused on adolescent mental health are present in resource-limited settings, and they play a crucial role in addressing mental health challenges. The youth participants identified school pressure, digital technology, and identity crises as major contributors to their mental health issues. Furthermore, the study highlighted that awareness programs and support services are the primary youth-led initiatives on mental health, and the participants recommended the integration of mental health topics into formal education curricula and the co-creation of mental health programs as effective approaches to tackle the prevalent mental health challenges. The study further emphasizes that investing in empowering youth-led initiatives, offers promising and effective solutions to address the mental health needs of young people in resource-limited environments.