The Fourth Tier

Modernizing MTSS for Student Mental Health

Armand Pires (Author) , Ryan Sherman (Author)

Online Access / Resources

The Fourth Tier

Modernizing MTSS for Student Mental Health

Armand Pires (Author) , Ryan Sherman (Author)

Online Access / Resources

Paperback ~~$48.50~~ $43.65 Hardback ~~$131.50~~ $118.35 Ebook (Epub & Mobi) ~~$43.65~~ $34.92 Ebook (PDF) ~~$43.65~~ $34.92

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Description

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.

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
Chapter 13: Resources

Product details

Published	Jan 08 2026
Format	Ebook (PDF)
Edition	1st
Extent	176
ISBN	9798765154236
Imprint	Bloomsbury Academic
Illustrations	13 b/w figures, 5 tables, 10 textboxes
Series	AASA The School Superintendents Association
Publisher	Bloomsbury Publishing

Author

Armand Pires

Armand Pires, PhD, has served as Superintendent of…

Author

Ryan Sherman

Ryan Sherman, DBH, has been the director…

This book provides a concise, applied research approach to support mental health in schools. It outlines a proactive approach for school leaders to address mental health. The authors' expansion of MTSS to include a fourth tier is an essential shift to effectively respond to the ongoing student mental health crisis. This book is an essential guide for school leaders to work within their sphere of control to address it.

Rosemary Reilly-Chammat, EdD., Director, Office of School Health and Wellness, Rhode Island Department of Elementary and Secondary Education
Two experienced educational leaders, Sherman and Pires, take readers on a journey that begins with the significant challenges currently facing the children's mental health services system and leads to a comprehensive guide for school staff that addresses those challenges. By highlighting the importance of partnerships between schools and community organizations, they reveal practical strategies to improve youth mental health services.

Jennifer Green, PhD., Professor, Boston University Wheelock College of Education and Human Development
As a school superintendent, I am continually searching for innovative approaches to address the complex challenges our students face. The mental health crisis among school-aged children has escalated to unprecedented levels. The Fourth Tier: Modernizing MTSS to Support Student Mental Health is not just timely; it is an essential resource for educators and administrators grappling with these urgent issues. It offers a thoughtful, well-researched roadmap to address one of the most pressing issues in education today.

Jeffrey J. Marsden, EdD, Massachusetts Superintendent of Schools