School and community based clinicians (e.g., school social workers, counselors, pyschologists, community mental health clinicians) play a vital role in MTSS, but their contributions can be misunderstood leading to either over-utilization or under-utilization. This materials explores how clinicians can consult, coordinate, and facilitate across the three tiers of support.
Materials and Resources
Presentations
CA PBIS Conference Presentation 10-8-25
SSWAA Conference - March 2026
Supporting Resources
Changing Roles of Staff: School Discussion Guide: https://drive.google.com/file/d/10T5F0cuRJr2r_WCavz31J9-pTH2YnvHQ/view
Supporting Child and Student Social, Emotional, Behavioral, and Mental Health Needs. Washington, DC, 2021. Available at: https://www2.ed.gov/documents/students/supporting-child-student-social-emotional-behavioral-mental-health.pdf
Why Prioritize Behavior Support? https://www.pbis.org/resource/why-prioritize-behavior-support
Tier 2 Roles and Responsibilities: https://drive.google.com/open?id=1MnA8XimlYYHAG2VmkLaBjKkNVCrB0a0p
School Staff Utilization Tool: https://docs.google.com/spreadsheets/d/1AsQI08TZpPszWIY50Q0w-1DQW82IhgCC6ytj-ti5FRo/edit?gid=0#gid=0
Changing Role of Staff Discussion Guide: https://drive.google.com/file/d/10T5F0cuRJr2r_WCavz31J9-pTH2YnvHQ/view
Addressing Confidentiality while Supporting SEB Needs for Students in Schools: https://www.pbis.org/resource/addressing-confidentiality-while-supporting-the-social-emotional-behavioral-needs-of-students-within-schools
October 2024. ESA Behavioral Health Professionals Roles Specific to Social and Emotional Health and Wellness, ESA Behavioral Health Coalition: https://drive.google.com/file/d/1SnaeViWssCacG3Bza0f5OsFlc4h00Wip/view?usp=sharing
Flammini, Ami. "Thinking About Tier 3 Interventions? Consider This...". National Association of Social Workers, Fall 2016.
Hearn, Ali. "A Closer Look at Clinicians in a Multi-Tiered System of Supports". National Association of Social Workers, Summer 2018.