Early indicators of risk correspond with behavioral disorders in childhood and beyond (Webster-Stratton & Reid, 2003). One early indicator of future negative short-and long-term outcomes is early school failure, which predicts compounded mental health issues, problem behavior and peer problems, exclusionary discipline (suspension, expulsion), grade retention, substance abuse, arrest and adjudication, and school dropout (Crews et al., 2007; Nelson, Stage, Trout, Duppong-Hurley, & Epstein, 2008). Longterm negative school and postschool outcomes affect community and family structures negatively, and reactive interventions to address these effects are costly (Walker & Sprague, 1999). Although many risk factors such as poverty status are not amenable to change with exposure to preventive interventions or early-onset treatments, many deleterious outcomes stemming from these complicating risk factors can be addressed. Integrated, comprehensive models of prevention and intervention can address multiple areas of risk and measured deficits, even prior to indicators of school failure or during the early onset of school failure indicators. One critical time point for these interventions is between the lower and upper elementary grades. As students progress through formal schooling and acquire literacy and mathematics skills in the lower grades, achievement gaps for students at risk widen. Therefore, assessment, identification, and responsive interventions need to be put in place during this time, prior to transition to secondary education. Positive Behavioral Interventions and Supports (PBIS) PBIS is an evidence-based framework for improving school climate, reducing problem behaviors, and maximizing instructional time. This three-tiered framework improves student outcomes through integrating systems, data, and 747595B HDXXX10.