Hi, my name is Catherine Walcott and I am a Clinical Psychologist at the University of Colorado Andrew's Medical Campus. Let me remind you that we have discussed universal interventions to promote well-being and reduce mental health problems for all students. We've also talked about how these universal interventions support our two students, Kelsey and Javier. In this module, we'll discuss Tier two interventions which are more intensive and are used for students who are at risk of developing mental health or behavioral concerns. The goal of interventions in tier two is targeting groups of students to reduce risk. The interventions that are chosen should be evidence-based and should focus on the behaviors that are affecting the student's well-being and academic performance. These interventions are usually six to eight weeks, are often delivered in a group, and involve continued monitoring and data collection to make sure that the interventions are helping. Oftentimes, students are identified through a student's support team to receive Tier two interventions. Which usually includes the teacher, the school psychologist or a counselor, a representative from the special education team, and a principal or someone from the administration. When teachers have concerns about mental health, academics or behavior, oftentimes, an observation by the school psychologist or counselor is conducted to better understand the behavior of concern and possible contributors. Then the team meets to discuss interventions that will help reduce the problem and support the student. The team also makes a plan to both collect data and then to monitor whether the plan has been effective. Let's think about how this might work for two students. When Kelsey's teacher brought concerns about her behavior to the students support team, her teacher talked with the school psychologist about Kelsey's off-task behavior. The teacher believes that her off-task behavior is what's leading to her poor academic performance. The teacher also discussed that Kelsey is often fighting with peers, which really seems to be affecting her self-esteem. The school psychologist agreed to do a functional behavior analysis which looks at the ABCs of behavior. A is for Antecedents or what comes before the behavior, B is for the Behavior itself, and C refers to consequences or what happens after the behavior. Based on this information, the psychologists and Kelsey's teacher generated ideas about why Kelsey is engaging in these behaviors or the function that they serve for her. Some examples of behaviors function include to avoid tasks, to get attention or to obtain sensory feedback. The larger Student Support Team with all involved professionals and Kelsey's parents, then had a meeting to discuss the Tier two interventions that they thought might help based on the functional behavioral analysis. When Javier's math teacher brought concerns to the Student Support Team, his teacher identified several concerns. He discussed the bullying and the mood concerns that Javier's friend spoke about. His teacher also expressed ongoing concern about Javier's math performance. His teacher wondered if Javier's mood was interfering in his academic performance. Javier's teacher described that Javier seemed to grasp the ideas in class when they talked about them, but then been performed very poorly on tests. In response to these concerns, the students support team and Javier's parents met together with an interpreter to discuss the Tier two intervention plan that was designed to help improve Javier's math difficulties and support his mental health. Throughout this module, we will discuss examples of Tier two supports that can be used to promote students mental health and well-being. Like Tier one, this list of interventions is not exhaustive. The interventions we discuss will demonstrate the key qualities of Tier two interventions. They're evidence-based, they built off the strong foundation set by universal interventions, and they involve gathering data to ensure that the problem gets better and they're specifically matched to the presenting issue. I look forward to seeing you in the next video where I will talk about behavior improvement plans.