“…This individual-focused orientation is not supported by a strong evidence base, nor is it consistent with primary prevention models embedded in the three-tiered (i.e., primary, secondary, and tertiary) model that has become a significant feature of school mental health practice over the past two decades, namely, multitiered systems of support (MTSS; Barrett, Eber, & Weist, 2013). MTSS models, such as response to intervention (RTI) and positive behavior intervention and supports (PBIS) frameworks (Anderson-Ketchmark & Alvarez, 2010;Avant & Lindsey, 2016;Lewis, Mitchell, Bruntmeyer, & Sugai, 2016), have been shown in intervention research literature to improve school climate, enhance positive student behaviors, and increase student achievement (Horner et al, 2009).…”