Pediatric Mental Health
Multitiered Public Health Model
of School Mental Health
Adapted from O’Brien, J. C., & Kuhaneck, H. (2020). Case-smith’s occupational therapy for children and adolescents. Elsevier.
Similar to RTI, students' mental health needs can be envisioned
within a three-tiered framework
Tier 1
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Mental health promotion
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Services geared toward all students
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Promote positive mental health & prevent mental health problems
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Create physical/social environments and activities that are enjoyable for all students (e.g., create sensory-friendly contexts, deep breathing activities)
Tier 2
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Mental health prevention
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Targeted intervention
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"Some" students
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Services geared toward students at risk of mental health or behavior problems
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Assist students that are generally not identified as needing special education
Tier 3
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Intensive individualized interventions
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Interventions to address behaviors or mental health challenges that are disruptive or prevent learning
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Under the leadership of professionals with a background in mental health intervention (e.g., occupational therapists, school psychologists, school nurses)
Building Capacity of School Personnel to Promote Positive Mental Health in Children and Youth
