The Fourth Tier: Modernizing Mtss for Student Mental Health

By Armand Pires and Ryan Sherman

This book provides an overview of the student mental health crisis and shares a framework to support the development of supports 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.

• Format: Paperback
• Language: English
• ISBN: 1475875053
• ISBN13: 9781475875058
• Release Date: January 2026
• Publisher: Bloomsbury Academic
• Length: 176 Pages