Where are we now?

ABSTRACT

(For more information on the behavioral aspects of MTSS, see https//mtss4success.org/resource/ integrating-SEL-within-MTSS.) MTSS provides 3 levels of intervention tier 1 (universal) interventions that are available to all children;tier 2 interventions that are intensive, individualized supports, and often provided in a small group setting;and tier 3 interventions that are more intensive and individualized and may include referral for consideration of special education services.1 Foundational aspects of the model include as follows O universal screening to identify children who are having difficulties;O tailoring intervention to meet student need;and O systematically monitoring student progress. Federal regulations provide states and local school districts with a substantial amount of flexibility when implementing MTSS to ensure that programming and intervention can be tailored to the needs of their communities.1 Critics of the model point out the need for timeliness in the monitoring phase to avoid students spending too long in a lower-level intervention.2 How are learning disabilities diagnosed? The role of the pediatrician in promoting literacy skills Encouraging families to read with young children and provide exposure to language and book promotes foundational reading skills. In general, individuals with reading difficulties are atriskforpoor-er health and vocational outcomes, so early identification and intervention are especially important.11 Closing the loop Getting back to our case, IK's pediatrician can obtain a bit more history about the nature of his reading difficulties and provide advice to his family to contact the school about his progress.