Sustainment of Mental Health Supports

Inclusion Criteria

• •Schools: Any school in the participating urban, public school district already implementing Positive Behavioral Interventions and Supports (PBIS).
• •Tier 2 Team Members: Any staff from participating schools involved in the PBIS leadership team at that school.
• •Tier 2 Implementers: Any Masters-level staff assigned by their school's principal to deliver Tier 2 interventions.
• •Tier 2 Coaches: Any Masters-level clinician employed by the school district to support staff implementing Tier 2 interventions
• •Students: Any student at participating schools in grades 4-8 who scores above \> 1 standard deviation (SD) above the mean on the Emotional Symptoms or Conduct Problems scales of the Strengths and Difficulties Questionnaire (SDQ), plus Impact Supplement scores of 1 (A medium amount) or 2 (A great deal), completed by a parent or a teacher. Then, based on the student's score (Emotional Symptoms=internalizing symptoms, Conduct Problems=externalizing symptoms), the teacher must complete the Social, Academic, and Emotional Behavioral Risk Screener (SAEBRS), which is the school district's standard screening criteria for Tier 2 services for externalizing behaviors, or the child must complete the Screen for Child Anxiety Related Disorders (SCARED) for interlaizing behaviors. Based on these scores, the student is eligible to enroll in the intervention.