Tier 1

• The Tier 1 Readiness Checklist identifies key components for agencies considering Tiered Supports implementation. 
• The ASSET provides insight into whether essential systems are in place to ensure everyone has a good quality of life, including staff and the people they assist.
• The Levels of Implementation by Benchmark assessment includes a survey and analysis of all of the agency’s Tiered Supports data in order to determine the current level of implementation of core elements of Tier One Supports.
• Tier One Implementation Assessment Guide aligns the features of the assessment, the documents and data requested to demonstrate implementation, and the level of implementation questions the DMH reviewer with answer about the submitted implementation evidence to determine the level of implementation
• Tiered Supports Coaches conduct ongoing observations to help assess whether these systems are improving, sustaining, and to provide onsite support.

• Tiered Supports Consultants work with organizations to collect, analyze, and share important information like behavioral incidents, performance measures, staff turnover, observational data, and more.
  • Data is examined regularly to answer “Are we doing it?” and “Is it working?” about organizational implementation of Tier One universal practices. 
  • See the Data Guidebook, organizational values implementation tracker, organization coach performance tracker, and organization staff observation tracker for Tier One data collection templates.
• Tiered Supports Consultants work with you to gather and analyze important information like behavioral incidents, performance measures, staff turnover, observational data, and more.
• Integrity data is examined to measure whether we are effectively doing what we say we are and whether the desired impact is achieved.
• Missouri Tiered Supports Agencies share these various data points with consultants monthly to demonstrate implementation fidelity and guide the consultative process. Learn more about the data sharing expectations here.

Organizations start by building implementation teams representative of their stakeholders, including supported people, their advocates, direct support professionals, leadership, and administration.

• Implementation Teams meet at least monthly to review data, problem solve, and identify next steps outlined in their action plan.
  • Learn more about action planning via the recorded Action Planning Webinar and Action Planning Guide
    • Tier One action plan template, Word version
    • Tier One action plan template, Excel version

Want more information?

Positive Supports Consultants are available to support teams as they begin their implementation or work to enhance current practices. Contact the atscsteeringcommittee@dmh.mo.gov to learn more about available resources.

Stay up to date with the bi-monthly MTSS Newsletter

• April 2024 MTSS Newsletter
• February 2024 MTSS Newsletter
• August 2023 MTSS Newsletter
• June 2023 MTSS Newsletter includes shared observation recognition, how checklists can support sustainable implementation, training technology resources, and available trainings in June and July 2023.

• Tools for Everyone is a two-hour introductory training open to community members, parents, and professionals. 
  • Tools for Everyone Quick Reference one page overview guide for the Tools for Everyone strategies
• Tier 1 Cohort Series is a three part cohort series focused on supporting organizations to develop systems of ongoing coaching and shared values.  
• Tools of Choice is a competency based positive behavior support curriculum focused on helping people build better relationships. Training and coaching is offered free of charge to active Tiered Agencies.
• We offer live, virtual training for agency administrators. supervisors, direct support professionals, and natural caregivers. Contact your local Tiered Supports representative to learn more about Tiered Supports workshops and networking opportunities.
  • Virtual Coaching - practice observation and feedback skills for agency coaches.
  • Family Coaching 
• Recorded content:
  • Competency Checklist Demonstration
  • Data Collection A How to for Positive and Negative Observations
  • Coaching How to Supervise Using Best Practices
  • Action Planning: How to Create Effective and Efficient Goals
  • Coercive podcasts

• Tiered Supports Consultants meet with Tiered Agencies regularly to review data and action plans to assess progress and collaboratively problem-solve next steps toward successful implementation and sustainability of universal strategies. Contact your local Tiered Supports representative to schedule your very own meeting.