The Fourth Tier: Modernizing MTSS
to Support Student Mental Health
A Groundbreaking Guide for Leaders
A groundbreaking guide for educators and leaders to integrate mental health support within Multi-Tiered Systems of Support (MTSS).
Authors Armand Pires and Ryan Sherman present a vital framework for addressing the growing mental health needs of students.
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Media & Publications
Understanding MTSS
A short introduction to the core concepts discussed in the book.
A Case for Tier 4
A compelling argument for modernizing MTSS with the essential Tier 4 framework.
Leading Equity Podcast
Dr. Pires and Dr. Sherman discuss “The 4th Tier: Modernizing MTSS for Student Mental Health.”
Watch on YouTube →Article: “Student Mental Health: From Support to Treatment”
Published in AASA’s School Administrator Magazine.
Read Article →Consulting Services
Strategic Planning
Tailored roadmap for integrating mental health into your existing framework.
Professional Development
Workshops on evidence-based mental health practices and screening.
Implementation Support
Ongoing guidance to ensure successful adoption and sustained impact.
Meet the Authors
Armand Pires, Ph.D.
2025 MA Superintendent of the Year
Dr. Armand Pires has served as a Superintendent of Schools in Massachusetts since 2015. Recognized as the 2025 Massachusetts Superintendent of the Year, his leadership focuses on systemic modernization and improving outcomes through evidence-based mental health frameworks.
Ryan Sherman, DBH.
Wellness Director & Advocate
Dr. Ryan Sherman is a Doctor of Behavioral Health and has served as the Director of Wellness for Medway Schools since 2016. With a background in healthcare and primary care at Massachusetts General Hospital, he specializes in bridging clinical support and educational systems.
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