Multi-Tiered System of Supports Documentation Packet - STUDENT INTERVENTION SERVICES

Aug 31, 2026

Multi-Tiered System of Supports (MTSS) documentation packet supporting student intervention services through an All-Inclusive Intervention Documentation (AID) packet aligned to the Literacy-Based Promotion Act (LBPA). It guides districts, schools, and educators to document and implement classroom, school, and district interventions, and to continually improve student outcomes. The packet includes appendices and recommended forms for Tier processes, meeting documentation for the Teacher Support Team, confidentiality guidance, and procedures for supporting struggling English learners.

LanguageEnglish

CategoryForms

FormatDOCX

Pages60

Reading Time21 min

AccessFree to download

Appendices

Recommendations for Documentation

Teacher Support Team (TST) Forms

Dear Parent/Guardian Invitation

Confidentiality and Meeting Information

Intervention Policy Reference

Rule 41.1 Intervention

Multi-Tiered System of SupportsDOCUMENTATION PACKET STUDENT INTERVENTION SERVICES Office of Elementary Education and Reading Revised October 2020 The Mississippi Department of Education, with the support of the Intervention Services Advisory Panel, developed an All-Inclusive Intervention Documentation (AID) packet to assist districts, schools, and educators with the documentation and implementation of interventions as well as the Literacy-Based Promotion Act (LBPA). The AID packet provides the means to reflect on policies and practices at the classroom, school, and district level in order to continually improve student outcomes. The AID packet is organized according to the following sections: Appendices Additional documents were added as an appendix to the AID packet to assist with the effective implementation, notification, and documentation of intervention services for all students. The appendix is organized according to the following sections: Recommendations for Documentation The chart below provides recommended guidance for selecting the appropriate forms needed to document the essential components of a Multi-Tiered System of Supports. *If English Learner (EL) students are in the Tier process it is recommended that Tier II and Tier III documentation is utilized as outlined for “Students in General Education.” Dear Parent/Guardian: The Teacher Support Team (TST) would like to invite you to a meeting regarding your child’s progress in school. The TST’s purpose is to review and consider all available information and to recommend additional educational strategies and interventions to further assist your child. The TST may consist of up to six (6) staff members, depending on your child’s individual need(s). We welcome and desire your participation in the decision making process through your attendance. If you are unable to attend the meeting, a copy of the minutes will be provided for your review. A meeting is scheduled for: Date: FORMTEXT Time: FORMTEXT Location: FORMTEXT If you have any questions or concerns, please contact me at: Phone number: FORMTEXT E-mail address: FORMTEXT Sincerely, FORMTEXT [Insert school administrator/TST chair signature and title here] NOTE: This form is to be completed prior to participating in the Teacher Support Team (TST) process. I agree that all information (i.e., teacher and student information, school performance data, specific demographic data, etc.) discussed pertaining to the TST process will be held in strict confidence. I will neither contact anyone outside the official function of this TST process for any reason nor will I make any notes or copies of any documents utilized during the process. All testing accommodations are classroom accommodations, however not all classroom accommodations are state testing accommodations. If the information on this form indicates that the former EL student is struggling, indicate steps that will be taken to support the student and the results: FORMCHECKBOX Student was referred for intervention services (appropriate documentation must be completed) FORMCHECKBOX Student was referred for Counseling FORMCHECKBOX Student was referred for rescreening for EL services. In order for students to be re-entered in the EL program, they must retake the LAS Links placement test and meet qualifications. (This should only be done if language is considered the primary cause for academic struggles.) Note: The Individual Reading Plan correlates with the Multi-Tiered System of Supports (MTSS) student documentation required for *Tier III (Intensive Intervention). These pages may be used when meeting with the Teacher Support Team for each student that did not respond to Tier II Interventions or is needing additional intensive interventions at Tier III; 4th grade students requiring Intensive Intervention after Good Cause Exemption promot

FAQs

What is the purpose of the MTSS documentation packet and AID packet?

It helps districts, schools, and educators document and implement interventions and related literacy supports, enabling ongoing reflection and improvement of student outcomes.

What are the three tiers in the instructional model?

Tier 1 provides quality classroom instruction; Tier 2 delivers focused supplemental instruction; Tier 3 offers intensive interventions tailored to individual student needs.

What should schools do when Tier 1 and Tier 2 strategies are unsuccessful?

Students must be referred to the Teacher Support Team (TST), which is responsible for problem-solving and developing Tier 3 interventions.

Aug 31, 2026

Upload by Caleb Sterling