
MTSS Support That Goes Beyond Behavior
You’re already being asked to support students across Tier 1, Tier 2, and Tier 3.
Now you need practical tools that help you understand what may be getting in the way of participation, and what to do next.
The MTSS Access Toolkit™ brings executive function, interoception, regulation, movement, environment, and co-regulation together in one practical, neurodiversity-affirming resource for school teams.
When MTSS Supports Aren't Working, the Problem May Not be the Intervention
You may already be using:
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visual schedules
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behavior charts
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reminders
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movement breaks
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check-ins
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accommodations
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targeted interventions
…and your student still struggles.
Instead of adding another strategy, the toolkit helps teams ask what may be limiting the student's access to participation in the first place.


Look Beneath the Behavior
What you see- avoidance, shutdown, dysregulation, difficulty initiating, inconsistent performance, or other behavior- is only part of the picture.
Meaningful support requires us to consider what may be happening beneath the surface:
Interoception • Regulation • Executive Function • Sensory & Body Needs • Relationships • Environment • Demand–Capacity Fit
Behavior gives us information. Clinical reasoning helps us decide what to do with it.
Support Across All Three MTSS Tiers

Everything You Need to Move From Observation to Action
✓ MTSS Foundations
✓ Interoception & Regulation
✓ Executive Function Access
✓ Tier 1, Tier 2 & Tier 3 Supports
✓ Initiation & Transition Supports
✓ Movement & Environmental Supports
✓ Co-Regulation
✓ Adult Response Reframes
✓ Case Examples
✓ Clinical/School Team Reflection Tools
✓ Quick-Reference Resources
And importantly, the toolkit connects the systems rather than treating executive function, regulation, and interoception as separate problems.

Designed for School Professionals
Occupational therapy practitioners, physical therapists, speech-language pathologists, school psychologists, counselors, special educators, interventionists, MTSS teams, student-support teams, and administrators.
Use it to support team discussions, intervention planning, student support meetings, professional learning, and clinical reasoning.

MTSS Should Help Us Understand What a Student Needs; not Just Ask Them to Try Harder
Effective support begins with understanding the conditions influencing participation.
When we look beneath behavior, identify barriers and strengths, and intentionally support the system around the child, MTSS becomes more than a collection of interventions. It becomes a framework for increasing access to meaningful participation.