Tier 3 services support students requiring more intensive assessment and intervention services. The third level – tier 3 – is essential for few. School mental health professionals and others with specialized skills provide intervention services, like structured psychotherapy, at this level. Educators and school staff can help by reinforcing skills and working to remove barriers to learning. In every class and school, there will be some students who may need additional support in the classroom. The second level – tier 2 – is necessary for some – Tier 2 focuses on prevention and early intervention. Most of the mental health work in schools is at this level. The first level – tier 1 – is good for all – Tier 1 is the foundational everyday work school staff do to welcome and include students, to understand them and build knowledge of mental health, to promote mentally healthy habits and to partner with parents, students and other staff to create a supportive environment. This model helps to organize mental health promotion efforts offered in a universal way for all students (Tier 1), services for students who may be at risk and needing a “higher dose” of targeted skill development (Tier 2) and supports for students who have a diagnosable mental health problem who need treatment and ongoing care (Tier 3). Intervene – Assessment and treatment services The words equity, engagement and evidence appear around the graphic. It is Bridge and represents mobilizing board and community supports. The third level is the top of the triangle. Support – Offer ongoing classroom support Prevent – Provide early intervention services It’s divided into the following three segments: The second level is Notice and represents early identification. Partner – Home, school, community partnerships Promote – Curriculum, teaching and learning Understand – Mental health literacy and knowing your students Include – student engagement and belonging
Welcome – school and classroom physical environments
It’s divided into the following five sections: The bottom of the triangle is the Foundation and includes school and classroom leadership. The Aligned and Integrated Model or AIM is a triangle with three equal sides that shows the three levels of student mental health support in Ontario.
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