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Early Intervention and Treatment (Tiers 2 & 3)

Early intervention services and supports (Tier 2) to address mental health concerns are provided for students who have been identified through needs assessments, screening, referral or other teaming processes as experiencing mild distress, functional impairment, or being at risk for a given problem or concern. When mental health needs are identified early and supports put in place, positive youth development is promoted and the chronicity and severity of mental health concerns can be eliminated or reduced. Sometimes these are referred to as "selective" mental health "prevention" or "secondary prevention" services. Tier 2 services include services provided by all school-based mental health professionals, school-employed and community-employed. Examples include small group interventions for students identified with smiliar needs, brief individualized interventions (e.g., motivational interviewing, problem solving), mentoring, and/or low intensity classroom-based supports such as a daily report card, daily teacher check-in, and/or home/school note system.

Treatment services and supports (Tier 3) to address mental health concerns are provided for students who are already experiencing significant distress and functional impairment. Sometimes these are referred to as "indicated" mental health "intervention", "tertiary" or intensive services and are individualized to specific student needs. Tier 3 services include services provided by all school-based mental health professionals, including school-employed and community-employed. Examples include individual, group, or family therapy for students receiving general or special education who have identified, and often diagnosed, social, emotional, and/or behavioral needs.

Examples of what you can find on SHAPE include: