The Fourth Tier
Modernizing Mtss for Student Mental Health
1st Edition
Published on 8. January 2026
176 pages
978-1-4758-7506-5 (ISBN)
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.
More details
Series
Edition
1. Auflage
Language
English
Place of publication
United States
Publishing group
Bloomsbury Publishing Plc
Target group
Professional and scholarly
Illustrations
13 b/w figures, 5 tables, 10 textboxes
ISBN-13
978-1-4758-7506-5 (9781475875065)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Other editions
Additional editions
Book
approx. 03/2026
Rowman & Littlefield Publishers
€30.00
Not yet published
Persons
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.
Ryan Sherman, DBH, has been the director of wellness for a Massachusetts school district since 2016, bridging school and mental health services. He previously worked as a behavioral health provider at Massachusetts General Hospital and is a senior professor in social and emotional learning at Bay Path University . Dr. Sherman has received multiple awards, including the MIAA Wellness Coordinator of the Year. For more, visit www.SELTier4.com.
Ryan Sherman, DBH, has been the director of wellness for a Massachusetts school district since 2016, bridging school and mental health services. He previously worked as a behavioral health provider at Massachusetts General Hospital and is a senior professor in social and emotional learning at Bay Path University . Dr. Sherman has received multiple awards, including the MIAA Wellness Coordinator of the Year. For more, visit www.SELTier4.com.
Content
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
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
