{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T02:41:39Z","timestamp":1792377699456,"version":"4.4.0"},"reference-count":67,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Youth mental health concerns are rising and often present as internalizing or externalizing behaviors that can lead to a host of negative academic, social, and health outcomes, especially for marginalized students. Despite the growing mental health needs, many youth face barriers to accessing traditional mental health care, highlighting the importance of school\u2010based mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>This paper contributes to understanding Multitiered Systems of Support (MTSS), an evidence\u2010based framework, by reviewing its application within the school context and opportunities to increase students' equitable access to mental health supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>This paper provides recommendations for evidence\u2010based screening measures and some evidence\u2010based prevention and intervention services that can be utilized and delivered in schools. Implications for how workforce diversity, professional development, and supportive policies can strengthen MTSS implementation by promoting inclusive, trauma\u2010informed care and fostering collaboration among schools, families, and communities to enhance student well\u2010being and equity are also reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>School\u2010based mental health services that utilize MTSS and center equity are imperative for addressing the rising mental health concerns among youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70245","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:18:42Z","timestamp":1791346722000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Increasing Equitable Access to Effective Youth Mental Health Interventions Through Multitiered Systems of Support (\n                    <scp>MTSS<\/scp>\n                    )"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9298-9885","authenticated-orcid":false,"given":"Brittany","family":"Patterson","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Division of Child and Adolescent Psychiatry, National Center for School Mental Health University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5265-2073","authenticated-orcid":false,"given":"Malena A.","family":"Nygaard","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Division of Child and Adolescent Psychiatry, National Center for School Mental Health University of Maryland School of Medicine  Baltimore Maryland USA"},{"name":"Department of Psychology University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1218-4532","authenticated-orcid":false,"given":"Aijah K. 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