School‐Based Mental Health Practices Within a Multi‐Tiered System of Support: A Mixed Methods Investigation of Targeted and Intensive Services

ABSTRACT Research supports the use of multi‐tiered systems of support (MTSS) for meeting student academic, behavioral, and socioemotional needs. MTSS is viewed as an ideal model to deliver school‐based mental health (SBMH) services to students. However, limited research has examined what this framework for service delivery looks like in practice. Utilizing a national participant sample and a mixed‐methods convergent (quan + QUAL) design, the purpose of this study is to examine participant use of MTSS for SBMH and to examine practitioners' perspectives on the implementation of Tier 2 and 3 services. Respondents in our current sample indicated a level of uncertainty regarding the identification of students for SBMH services and the delivery of Tier 2 and Tier 3 services, particularly as this relates to special education. Additionally, respondents indicated “insufficient” supports for the provision of Tier 3 services. Limitations, implications for practice, and future directions are discussed.