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Providing an overview of the student mental health crisis, The Fourth Tier shares a framework to support the development of support that schools and districts can enact to better meet the needs of all students. By leveraging the existing Multi-Tiered Systems of Support (MTSS) model as a starting point and adding a critical fourth tier, this book provides a framework for educators and decision-makers to review, plan, and implement an enhanced level of support for their students.
Providing an overview of the student mental health crisis, The Fourth Tier shares a framework to support the development of support that schools and districts can enact to better meet the needs of all students. By leveraging the existing Multi-Tiered Systems of Support (MTSS) model as a starting point and adding a critical fourth tier, this book provides a framework for educators and decision-makers to review, plan, and implement an enhanced level of support for their students.
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Autorenporträt
Armand Pires, PhD, has served as Superintendent of Schools in Medway, Massachusetts since 2015. Prior to this role he served as assistant superintendent, director of curriculum, principal and assistant principal at the middle and high school level, as well as a teacher at the middle and high school level. Armand was also recognized as the 2025 Massachusetts Superintendent of the Year.
Inhaltsangabe
Chapter 1: Introducing a New Approach to an Escalating Problem Part 1: Defining the Challenge Chapter 2 - Unraveling the Crisis: The Rise of Youth Mental Health Challenges Chapter 3 - The Limitation of the Pediatric Mental Health System Chapter 4 - The Impact of the Youth Mental Health Crisis in Schools Part 2: An Expanded Planning Framework Chapter 5: The Multi-Tiered Systems of Support Framework and Tier 4 Chapter 6: What is MTSS Tier 4 and Why Do Schools Need it? Chapter 7: Advantages of a MTSS Tier 4 Model Chapter 8: Planning for Success Part 3: Putting the Plan into Action Chapter 9: Building a MTSS Tier 4 Model Chapter 10: Planning for Financial Sustainability Chapter 11: MTSS Tier 4 Model Examples Chapter 12: A Call to Action Part 1: Defining the Challenge Chapter 2: Unraveling the Crisis: The Rise of Youth Mental Health Challenges The Good News First The Benefits of Socializing Online Helicopter Parenting Has Its Perks The Youth Mental Health Crisis In America The Pre-Pandemic Rise In Prevalence The Post-Pandemic Youth Mental Health Crisis A Product of Their Environment: What's Fueling the Mental Health Crisis Digital Media and Youth Mental Health Youth Social Media Use and Mental Health Concerns Perfecting Your Online Image The Fear of Missing Out (FOMO) Mobile Devices and Sleep The Assault on Family Protective Factors Key Takeaways What's Next? Chapter 3: The Limitations of the Pediatric Mental Health System Where Have All the Mental Health Providers Gone? The Plight Of the Pediatrician Referring To The Abyss Show Me The Money.Wait, What Money? The Ultimate Bottleneck The Search For Pediatric Mental Health Appointments Key Takeaways What's Next? Chapter 4: The Impact of the Youth Mental Health Crisis on Schools The Impact The Student Impact on the Staff and School Climate School Leaders' Perspective Accepting Our Responsibility Key Takeaways What's Next? Part 2: An Expanded Planning Framework Chapter 5: The MTSS Framework and Tier 4 A Brief History The MTSS Tiers - An Overview Time for an Expanded MTSS Model A Revised Model What does a Tier 4 MTSS Model look like? Key Takeaways What's Next? Chapter 6: What is MTSS Tier-4, and Why Do Schools Need It? Limitations of MTSS Tier 3 A Reactionary Approach to Support A Sloth-Like Approach to Receiving Supports Challenges with the Outpatient Referral Model MTSS SEL Tier-4 Essential Components of an MTSS Tier-4 Model Key Takeaways What's Next? Chapter 7: Advantages of the Tier-4 Model Student Benefits Associated With the Tier 4 Model An Ounce of Mental Health Screening is Worth a Pound of Cure Increased Mental Health Access = Better Education Wraparound Care Improves Student Outcomes School and District Benefits Associated With the Tier 4 Model Key Takeaways Next Steps? Chapter 8: SEL Tier 4 Components Proactive Mental Health Screening And Identification Practices Before You Start Approaches To Universal Mental Health Screening Social And Emotional Learning Competency Screening Social, Emotional, And Behavioral Functioning Screening Mental Health Disorder Screening Gatekeeper Training Selecting A Universal Screening Tool Or Gatekeeper Training Dedicated Care Coordination The Need For Care Coordination? Defining Care Coordination Benefits Of Care Coordination Students and Families School Counselors Community Partner Spotlight: Care Solace In-School Outpatient Therapy Benefits Identifying Partners Teletherapy Wrap-Around Mental Health Services Model Components Benefits School-Based Wrap-Around Mental Health Models Key Takeaways What's Next? Part 3: Putting the Plan into Action Chapter 9: Planning for Success Conducting an Environmental Scan The Needs Assessment Community Partner Spotlight: The JED Foundation Building Support and Momentum Launching the Steering Committee Developing a Communication Plan Community Partner Spotlight: kartoonEDU Key Takeaways Next Steps? Chapter 10: Planning for Financial Sustainability Staffing for Sustainability Searching for Resources Developing and Nurturing Relationships Existing Resources Operating Budgets Community Partner Spotlight: Effective School Solutions Local and City/Town Resources Town/City Supports Local Health Agencies National Organizations and Governmental Agencies Federal Agencies Private Foundations Seed Grants Key Takeaways What's Next? Chapter 11: MTSS Tier-4 Model Examples Case Example # 1 Lakeside Public Schools Community Partner Spotlight: Cartwheel Case Example # 2 Riverbend Area School District Case Example # 3 Cedar Ridge Local School District What would your district's Tier-4 program example look like? Key Takeaways What's Next? Chapter 12: A Call to Action A Farewell to Traditional MTSS What Lies Ahead for School Mental Health? Chapter 13: Resources
Chapter 1: Introducing a New Approach to an Escalating Problem Part 1: Defining the Challenge Chapter 2 - Unraveling the Crisis: The Rise of Youth Mental Health Challenges Chapter 3 - The Limitation of the Pediatric Mental Health System Chapter 4 - The Impact of the Youth Mental Health Crisis in Schools Part 2: An Expanded Planning Framework Chapter 5: The Multi-Tiered Systems of Support Framework and Tier 4 Chapter 6: What is MTSS Tier 4 and Why Do Schools Need it? Chapter 7: Advantages of a MTSS Tier 4 Model Chapter 8: Planning for Success Part 3: Putting the Plan into Action Chapter 9: Building a MTSS Tier 4 Model Chapter 10: Planning for Financial Sustainability Chapter 11: MTSS Tier 4 Model Examples Chapter 12: A Call to Action Part 1: Defining the Challenge Chapter 2: Unraveling the Crisis: The Rise of Youth Mental Health Challenges The Good News First The Benefits of Socializing Online Helicopter Parenting Has Its Perks The Youth Mental Health Crisis In America The Pre-Pandemic Rise In Prevalence The Post-Pandemic Youth Mental Health Crisis A Product of Their Environment: What's Fueling the Mental Health Crisis Digital Media and Youth Mental Health Youth Social Media Use and Mental Health Concerns Perfecting Your Online Image The Fear of Missing Out (FOMO) Mobile Devices and Sleep The Assault on Family Protective Factors Key Takeaways What's Next? Chapter 3: The Limitations of the Pediatric Mental Health System Where Have All the Mental Health Providers Gone? The Plight Of the Pediatrician Referring To The Abyss Show Me The Money.Wait, What Money? The Ultimate Bottleneck The Search For Pediatric Mental Health Appointments Key Takeaways What's Next? Chapter 4: The Impact of the Youth Mental Health Crisis on Schools The Impact The Student Impact on the Staff and School Climate School Leaders' Perspective Accepting Our Responsibility Key Takeaways What's Next? Part 2: An Expanded Planning Framework Chapter 5: The MTSS Framework and Tier 4 A Brief History The MTSS Tiers - An Overview Time for an Expanded MTSS Model A Revised Model What does a Tier 4 MTSS Model look like? Key Takeaways What's Next? Chapter 6: What is MTSS Tier-4, and Why Do Schools Need It? Limitations of MTSS Tier 3 A Reactionary Approach to Support A Sloth-Like Approach to Receiving Supports Challenges with the Outpatient Referral Model MTSS SEL Tier-4 Essential Components of an MTSS Tier-4 Model Key Takeaways What's Next? Chapter 7: Advantages of the Tier-4 Model Student Benefits Associated With the Tier 4 Model An Ounce of Mental Health Screening is Worth a Pound of Cure Increased Mental Health Access = Better Education Wraparound Care Improves Student Outcomes School and District Benefits Associated With the Tier 4 Model Key Takeaways Next Steps? Chapter 8: SEL Tier 4 Components Proactive Mental Health Screening And Identification Practices Before You Start Approaches To Universal Mental Health Screening Social And Emotional Learning Competency Screening Social, Emotional, And Behavioral Functioning Screening Mental Health Disorder Screening Gatekeeper Training Selecting A Universal Screening Tool Or Gatekeeper Training Dedicated Care Coordination The Need For Care Coordination? Defining Care Coordination Benefits Of Care Coordination Students and Families School Counselors Community Partner Spotlight: Care Solace In-School Outpatient Therapy Benefits Identifying Partners Teletherapy Wrap-Around Mental Health Services Model Components Benefits School-Based Wrap-Around Mental Health Models Key Takeaways What's Next? Part 3: Putting the Plan into Action Chapter 9: Planning for Success Conducting an Environmental Scan The Needs Assessment Community Partner Spotlight: The JED Foundation Building Support and Momentum Launching the Steering Committee Developing a Communication Plan Community Partner Spotlight: kartoonEDU Key Takeaways Next Steps? Chapter 10: Planning for Financial Sustainability Staffing for Sustainability Searching for Resources Developing and Nurturing Relationships Existing Resources Operating Budgets Community Partner Spotlight: Effective School Solutions Local and City/Town Resources Town/City Supports Local Health Agencies National Organizations and Governmental Agencies Federal Agencies Private Foundations Seed Grants Key Takeaways What's Next? Chapter 11: MTSS Tier-4 Model Examples Case Example # 1 Lakeside Public Schools Community Partner Spotlight: Cartwheel Case Example # 2 Riverbend Area School District Case Example # 3 Cedar Ridge Local School District What would your district's Tier-4 program example look like? Key Takeaways What's Next? Chapter 12: A Call to Action A Farewell to Traditional MTSS What Lies Ahead for School Mental Health? Chapter 13: Resources
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