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New Hampshire’s Multi-Tiered System of Supports for Behavioral Health and Wellness

July 22, 2021

Students face myriad social, emotional, and behavioral challenges that undermine academic achievement. Children’s needs for mental health care are largely unmet; between 14 to 20% of children and adolescents (aged 8-15) experience a mental, emotional, or behavioral disorder each year but only about half of these children receive treatment. The Multi-Tiered System of Supports for Behavioral Health and Wellness (MTSS-B) model was designed to promote the behavioral health of New Hampshire (NH) public school students. MTSS-B blends research-based school mental health practices and social-emotional learning with Positive Behavioral Interventions and Supports.

NH’s Multi-Tiered System of Support for Behavioral Health and Wellness Model is a comprehensive system of social, emotional, and behavioral supports to promote student wellness and improve engagement in learning. It takes considerable resources and effort to implement the MTSS-B framework with fidelity. Building the human capacity necessary for full adoption of the model within a school, and even more so across an entire district or state, is crucial. A guiding, evidence-based state-level model, on-the-ground training and staffing, administrative buy-in and support, and ongoing, quality coaching are essential components of the effort. Where these ingredients are in place, students are better positioned to succeed.

Full implementation of MTSS-B likely requires both internal (school-based) and external (community mental health referral-based) mental health access strategies. Beyond access, the next step is to ensure that both internal and external mental health services are high-quality, evidence-based, and implemented with fidelity. High-quality services require training, administrative support, ongoing coaching/supervision, and performance monitoring.

Population: Children and Adolescents

Links:

  • Learn more about New Hampshire’s Multi-Tiered System of Supports for Behavioral Health and Wellness
  • Read the MTSS-B Summary of Outcomes
  • Watch the MTSS-B introduction video
  • Learn more about Positive Behavioral Interventions and Supports
  • Check out the School Mental Health Now Action Alert

Date: 2021

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