Lee County Schools Student Support Team Guidelines 2014 – 2015 All Students Achieving… SUCCESS! H.S. C&I 09/03/14; M.S. C&I 09/10/14 Table of Contents Introduction 4 The Continuum of Intervention Services 5 Which Student May be considered “At Risk” 6 Design of the Student Support Team 7 Team Procedures 8 Conducting the Meeting 10 Follow-up Monitoring 11 The SST Problem-Solving Process 13 Brainstorming, Evaluating, and Selecting Interventions 15 Time Requirements for Implementation of Interventions 16 Monitoring Implementation 17 Multi-tiered Problem-Solving Approach to Interventions 18 Referring English Language Learners to SST 20 Appendix A: SST Problem-Solving Process 24 Appendix B: The PEP Law 25 Appendix C: Request for Assistance 26 Appendix D: Suggested Meeting Steps and Procedures 27 Appendix E: Intervention Plan for Each Selected Intervention 28 Appendix F: Research-based Interventions 29 H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix G: Follow-up Intervention Report 32 Appendix H: Brainstorming Graphic Organizer 33 Appendix I: Levels of Intervention in the SST Process 34 Appendix J: Glossary of Useful Terms 35 Appendix K: Examples of Documentation… Intervention: Written Expression Intervention: Math Calculations Intervention: Social/Emotional/Behavioral Intervention: Reading Comprehension Intervention: Basic Reading Skills Intervention: Math Reasoning 37 38 39 40 41 42 43 References 44 H.S. C&I 09/03/14; M.S. C&I 09/10/14 Introduction Student Support Teams (SSTs) are collaborative, school-based, problem-solving teams that are organized to empower teachers to address academic, medical, behavioral/emotional and/or other problems which may interfere with a student’s ability to obtain an appropriate education. While the problem may not be truly academic in nature it may have a direct impact upon student learning and is an appropriate request for SST assistance. The SST process emphasizes that early intervention for struggling students is a function of the general education program and not of special education. The SST is a school-based problem-solving team composed primarily of general educators who provide support to teachers which serves to improve the quality of the general education program and to reduce the underachievement of students. The role of the SST is a routine, structured problem solving process in conjunction with teachers who are requesting assistance for the resolution of student-centered problems. Teams work effectively with other teachers and staff members, analyze student problems, and design interventions powerful enough to effect the desired change. The functions and services the teams provide vary with the needs of the individual student. The SST process begins when a teacher makes a request to the SST team leader for assistance in addressing a student need. A member of the SST is assigned by the team leader to serve as case manager and to meet with the teacher to review and clarify the problem. In some cases the assigned SST member may conduct a classroom observation in an effort to be more aware of the need. Once the problem has been defined and any needed data gathered, the Team Leader promptly schedules a SST meeting. It is at this meeting, the team focuses on brainstorming, evaluating, and selecting high probability interventions and creating an action plan. An implementation period of a specific length of time follows with support being provided to the teacher to assist with the interventions. The team reconvenes for a follow-up meeting to review the outcomes and to determine the next steps. The problem-solving process continues until the interventions are successful or until a determination is made that a more in-depth evaluation for special services is required (See Appendix A). Goals of the SST are: Enable teachers to teach students more effectively. Enable students to acquire academic and social competencies, achieve standards, become independent learners for life. Create a collaborative culture among all staff. Is NOT a gatekeeper to the exceptional children process. H.S. C&I 09/03/14; M.S. C&I 09/10/14 The Continuum of Intervention Services The SST is viewed within the context of a continuum of intervention services. These services extend across programs that begin with the individual classroom teacher, progress through several sources of assistance within the general education program, including the process for ensuring nondiscrimination and accommodation on the basis of disability, and may advance to a broader level of support from other special areas such as 504, English as A Second Language (ESL), Academically Intellectually Gifted (AIG), and Exceptional Children (EC). This process should be flexible with all members working together and seeking greater intensity of interventions as needed. Steps along the continuum and the development of the Personal Education Plan (PEP) When it becomes apparent that a student is not responding to standard teaching or behavior management techniques he or she may be considered to be at risk of academic failure. This may include behavioral issues or other social/emotional issues which place the student “at risk”. The identification of “at risk” invokes the student’s right under North Carolina state law requiring schools to provide extra help to students who are struggling academically. Under this law, children have the right to a Personal Education Plan also known as a “PEP”(See Appendix B 115C-105.41). When the teacher identifies the student as being at risk, a written PEP is developed which identifies different strategies and or interventions which may address the areas of concern. The PEP may be developed independently by the teacher or preferably with the assistance of colleagues; however, parents are always notified of the concern for their student and invited to participate in the development of the PEP. If the result of these strategies is unsatisfactory, then a request for assistance from the SST is an appropriate next step. The team works closely with the teacher to develop and implement strategically selected interventions, meets as needed, and draws upon school, district, or community expertise as beneficial to effect change. With input from the teacher and from the team, a SST Intervention Plan is developed (See Appendix E). If the student is not making the desired changes, it may be necessary to implement additional interventions, increase the frequency of the current interventions, or make a request for assistance to other specialists. As interventions move along the continuum in search of problem resolution, the process grows in intensity, duration, and frequency of interventions along with an increased emphasis on monitoring student progress. Relationship of the SST to Exceptional Children The SST addresses classroom or student issues at the request of a teacher, other school personnel, or the parent. The SST does not determine eligibility for exceptional children services. While underscoring the general education ownership of the SST, it is equally important to emphasize that the SST cannot be a substitute for exceptional children services. When a student is not benefiting from interventions and the SST or an individual suspects the presence of a disability, a request for assistance to the exceptional children department must occur. Please note: There may be special circumstances when a student who is already receiving Exceptional Children Services may need to go through SST. An example is when a student may be considered for an additional area of eligibility. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Which Students May Be Considered “At Risk” of Academic Failure? These are examples of situations in which students should be considered “at risk” and, therefore, are required to have a PEP. Please note this is not an exhaustive list. Student scores, or is at risk of scoring, non-proficient on the End of Grade or End of Course test Student is not at grade level for reading and/or math Student fails, or is at risk of failing, courses and/or exams which are required for high school graduation Student is not performing well in class on teacher generated test and/or quizzes Student is excessively absent Student receives poor classroom grades Student repeatedly receives short and/or long term suspensions Student shows other signs of academic failure, such as behavior problems and/or health problems H.S. C&I 09/03/14; M.S. C&I 09/10/14 Design of the Student Support Team The thoughtful design of the SST and selection of members is critical in achieving a viable and valued intervention process. The team design must enable the team to achieve its purpose which is to assist teachers, to intervene early, and to resolve student problems collaboratively. Core Team The core team members oversee the teaming process and promote general education teacher ownership of the process. The SST is typically comprised of at least 3-5 educators depending upon the size and grade level configuration of the school. The team is small enough to easily coordinate meeting times among members and ensure that each is personally engaged in the team’s activities but large enough to provide the needed collective wisdom and skills. While it is important for the team to be small in order to be productive, it is also very important that other teachers and staff feel there is someone on the team who understands their concerns and has the expertise to be of assistance. It may be necessary to have more than one team in schools with over 600 students. Multiple teams may be formed to serve specific grade levels or student groupings. A school administrator is a required member of each team. If a student is identified as an English Language Learner (ELL) or Academically Intellectually Gifted (AIG), a teacher from the area of special services must be included in the SST process. Ancillary Team These members serve on an “as needed” basis and may include the school counselor, nurse, social worker, and/or psychologist. The ancillary team allows for specific expertise for any case while allowing the team to remain small. The SST may elect to invite all teachers serving the student to attend the meetings. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Team Procedures Meeting times and location The first task the SST must determine is the meeting dates, times, and location. A typical schedule is one that: Meets every other week which provides consistency and ensures team planning time Is prepared to meet on a flexible basis in order to address emergency requests for assistance or to allow for timely response to a teacher’s request for assistance Has a regularly scheduled time Has a regular meeting place which will ensure confidentiality and few interruptions Avoid open areas such as the library or a teacher workroom Effectively communicates the meeting schedule to the entire staff Training It is essential for the team leader and the members of the team to provide training to the entire staff regarding the SST process. The training must include the role of SST, how requests for assistance are handled, the requirements for documentation of intervention implementation, and the importance of early intervention for students. In order to have a successful SST which meets the needs of students, the entire school must be informed of the process. SST is a collaborative problem-solving team process. Roles of the team members: School Principal: The principal retains all responsibility for the proper and effective implementation of the SST process and procedures. The principal may select an administrative designee to attend meetings and to oversee the comprehensive functions and activities of the SST; however, the principal retains responsibility to ensure the SST process is properly implemented, maintained, and documented. Teacher: Completes the “request for assistance” form (Appendix C) and submits to the team leader. The team leader will review the request and assign a member of the SST to serve as case liaison. The case liaison will meet with the teacher to clarify the presenting problem and to establish a time for the teacher to meet with the SST. Team Leader: The team leader oversees all planning and organizational activities such as receiving requests, assigning a case liaison, communicating with other core team members as well as ancillary team H.S. C&I 09/03/14; M.S. C&I 09/10/14 members, and serving as a contact with the school administration. The leader will also facilitate the meetings and establish the agenda. Case Liaison: The liaison is responsible for meeting with the requesting teacher to correctly identify the problem, gather data which may include observing the student when necessary, inviting appropriate ancillary members to the meeting, and talking with others who may have additional information to help clarify the presenting problem. The case liaison supports the requesting teacher at the meeting and throughout the SST process. Parents: Parental involvement and support are critical in assuring the successful development, implementation, and continuing support of effective intervention approaches. They should be invited to each SST meeting; however, their attendance is not mandatory. It is strongly recommended parents attend the final Level III SST meeting if it appears there will be a referral for specialized services, i.e., 504, Exceptional Children, ESL, Bragg Street Academy. Recorder: One team member is assigned the task of documenting the key meeting discussion points, decisions, responsibilities, and time frames for conducting the interventions. Completing the Intervention Plan is an essential responsibility. The recorder will schedule follow up meetings with the SST and the teacher to further document the success of the interventions as well as concerns for additional interventions. Timekeeper: In order to remain focused on the task and to help avoid prolonged meetings, one member serves as a timekeeper to keep the team aware of the time constraints. A best practice is the use of a timer to structure the pace of the meeting. At the beginning of each meeting the team will decide upon a specific amount of time for each student presentation. The goal will be to keep the meeting to a maximum of 30 minutes. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Conducting the Meeting Time is a limited resource; therefore, it is important to make every effort to restrict the meeting to a 30 minute timeframe. (See Appendix D) Each SST meeting should allow time for the following: 1) Statement of purpose and anticipated outcomes 2) Review of agenda 3) Problem-solving: Review and clarify the problem Brainstorm possible interventions Discuss and evaluate interventions Choose interventions Develop an action plan 4) Summarize meeting with major decisions and identifying individuals for implementation of the plan. Confidential: All information obtained and discussed during SST meetings remains confidential and should not be shared except on a need to know basis with school personnel to ensure the proper implementation of all interventions. SST records must be maintained in a secure location. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Follow Up Monitoring In many cases, the amount of support provided to the teacher determines the success of the intervention. Support in planning and conducting interventions and gathering data is critical to achieving positive outcomes for students. The case liaison or other designated team member schedules a personal planning meeting to review and clarify the selected interventions and helps to develop procedures as needed. Support may include conducting observations using a fidelity checklist, coaching, and providing feedback. Team members may also need to provide assistance with data collection. Recordkeeping Teachers are responsible for maintaining accurate documentation of the intervention implemented. This will include a detailed description of the evidenced based intervention, the number of times it is implemented, the amount of time it is implemented, and the outcome. The teacher utilizes the most efficient means for documentation; however, documentation is mandatory and must be thorough in the event the case is referred for specialized services. The intervention team establishes a straight forward procedure for maintaining documentation of their meetings and student plans. One way may be to maintain a notebook of all the students served by SST during the year. The notebook will contain the request for assistance, copy of the student’s PEP, the action plan(s), documentation of interventions including duration and frequency, outcomes, and the date the case was closed by the SST or the date the referral was submitted for specialized services. Each school may decide how they will maintain SST documentation; however, documentation of all meetings is mandated. The SST Intervention Plan A sample intervention plan is included in Appendix E. This plan succinctly summarizes all of the SST meeting’s key discussion and decision points. There is space to document the student’s name, date of birth, school, date of meetings, and names of participating team members. It also includes an area for a brief summary of the student’s academic and social behaviors. Additional space is provided to document information regarding the targeted behaviors, replacement behaviors/goals, functions of behaviors, as well as student’s strengths. The information guides the team in the selection of the interventions and the data needed to measure the impact. Preparation tasks, support activities and follow-up requirements are recorded on the plan along with the persons responsible. The sample graphic organizer for brainstorming interventions details possible research-based interventions for ongoing reference. Please Note: Appendix F provides a suggested list of possible research-based interventions. This list is not all inclusive. Research-based interventions are to be used for Levels II and III. Intervention Follow-up Report The follow-up report allows the team to record the outcomes from the original plan and to continue or extend planning, if necessary. This form is attached as an addendum to the H.S. C&I 09/03/14; M.S. C&I 09/10/14 intervention plan. The form includes space to summarize implementation results, check outcomes, and engage in further intervention planning. (Appendix G) Central Office Documentation The Assistant Superintendent of Auxiliary Services and the Director of Secondary Education are to receive a list of the SST members and a calendar of meeting dates, times, and locations at the beginning of each school year. Within three days of each meeting a copy of the minutes is to be submitted to the Assistant Superintendent of Auxiliary Services and the Director of Secondary Education. End of Year At the end of each school year the SST must submit documentation of all meetings, students served, and outcomes of interventions to the school administrator. This documentation will be maintained for 3 years by the school. If a student is moving from middle to high school and is in the SST process the student’s information will be forwarded to the principal at the high school who will forward it to the SST leader. If a student transfers during the year, the SST documentation will be transferred to the principal of the new school. SST documentation will be maintained in a blue folder which is to be filed in the cumulative record. If a student is referred to the Exceptional Children Team the blue folder will be forwarded to this Team as evidence of interventions. When a student graduates from high school the blue SST folder is to be purged from the cumulative record. The blue folder and the information it contains is not to be submitted for scanning purposes. If an elementary student has been involved in the RtI process this information should be forwarded to the principal of the middle school where the student will be attending. This information will be helpful to the SST and/or to the teachers in learning what interventions have been successful for the student. Please note: If a student is still in the SST process at the end of the school year with interventions continuing, the process does not need to start over with the beginning of the next year. Interventions and follow-up monitoring will resume as already outlined in the plan. While the SST process is more effective if begun prior to the end of the first 9 weeks of school, it may begin at any point during the school year when a concern for academic achievement is noted. There is no deadline as to when the SST process should have been started. H.S. C&I 09/03/14; M.S. C&I 09/10/14 The SST Problem-Solving Process Implementation of SST requires educators to become creative problem solvers, constantly identifying those students who are struggling; identifying the specific skills for which the student requires additional, more intensive interventions; and then identifying evidence-based strategies which can support student progress. Once the interventions have been implemented, teachers must conduct frequent progress monitoring to determine the students’ responses to the interventions and make instructional adjustments. By constantly analyzing student performance, teachers will know when students are struggling before they fall too far behind academically, behaviorally, or socially. Problem-solving is the method for defining the presenting problem clearly and specifically, generating and selecting high probability research-based interventions, and planning and monitoring implementation. Problem Identification and Description It is crucial to have an objective description of the academic and/or behavioral problem before the team can begin to assist the teacher. A concrete definition avoids confusion and ensures that everyone is talking about the same thing. It helps to eliminate negative labels such as “lazy,” “rude”, or “insubordinate” that defy change, and do not allow for measurement of progress. There are five steps to problem identification: Pinpoint the problem. The concerns must be articulated in objective and specific terms free of judgments about the nature of the behavior. For the teacher who states that the student “just doesn’t care” the prompts or questions might be, “Tell me exactly what the student does that makes you think he/she does not care?” 1. Conduct Observations. Academic and social behaviors that can be seen or heard provide the needed clarity of the teacher’s concerns. Sometimes the list of problems is lengthy and decisions need to be made regarding where to begin. It is suggested that the teacher prioritize the problems. The questions to ask might include, “Which problem occurs most frequently?” or “Which one of the student’s behaviors do you find most distressing?” Sometimes the intervention team will want to choose a problem that can be quickly or easily changed in order to gain momentum. To fully understand the behavior the team must look at antecedents; when or under what conditions the behavior occurs. The team is looking for environmental variables, activities, or interactions with others that lead to the behavior of concern. It is necessary to discover what consequences are currently at play; that is what happens when the student behaves appropriately and what happens when the student misbehaves. 2. Consider function of behavior. Awareness of consequences leads to functional thinking that establishes the purpose the behavior serves. In its simplest form, the function is determined by asking the question, “Why is he doing this?” or “What is the payoff for sleeping, or arguing?” All behavior has a function driving it. Considering the function of the behavior also helps to clarify whether the student cannot do the work or will not do the work. 3. Establish replacement behavior/desired outcomes. Once behaviors of concern have been pinpointed and antecedents identified, it is relatively easy to pair the behavior with the opposite, alternative, or replacement behavior. The question to ask is, “What is the goal?”, “What do you want the child to do or achieve?”, or “What is the preferred behavior?” Alternative or replacement behaviors are always stated positively as the presence of the preferred or desirable H.S. C&I 09/03/14; M.S. C&I 09/10/14 behavior, not the absence of the problem behavior, i.e., “accepting correction calmly” rather than “not arguing”. 4. Identify student strengths and interest. Knowing what the student likes and what s/he does well is essential to seeking solutions that build on assets. A student that is passive and not involved in academic learning may have talents in other areas and that potentially can be used and channeled to engage the student in positive behaviors. Interests can also be used to develop reinforcing activities. Questions to ask might include, “What does this student do well?” or “What does he choose to do when s/he has free time?” H.S. C&I 09/03/14; M.S. C&I 09/10/14 Brainstorming, Evaluating, and Selecting Interventions When the problem has been stated concisely and one or two desired outcomes have been chosen, the team is ready to recommend interventions using a collaborative process. Brainstorming guarantees efficiency and that each person, including the requestor, will contribute. There are four steps to brainstorming: 1. Silent generation of ideas in writing. Begin by asking the team to take a minute to write as many possible interventions as they can. The Team Leader facilitating the meeting should set up this activity by reviewing the goal or desired behaviors, the function of the behavior, and the student’s strengths. This will provide focus and increase the likelihood that ideas generated will be relevant to the problem. 2. Round robin sharing and recoding of ideas. At the conclusion of the silent generation, the leader asks all present, in turn, to share an intervention, continuing to go around to each member until an exhaustive list is obtained. All comments, judgments or discussion are deferred until the list of ideas is completed. Each idea is listed. The recorder records all ideas (See Appendix H for Brainstorming Graphic Organizer). 3. Clarification and discussion. Seek clarity on interventions to eliminate any that might conflict with the nature and function of the problem, and to advocate for those perceived as workable and powerful. Preference should always be given to interventions that are instructional and positive in focus. Some feasibility considerations include: degree of disruption to classroom procedures and teacher routines; possible side effects on the student or peers; amount of support services required; the difficulty of the strategy and prerequisite competencies required to implement; and the power of the intervention and the probability of intervention success. 4. Decision. The individual who has the primary responsibility for implementation should select the interventions that are most desirable. The interventions to be implemented are entered on the action plan. Now that the interventions have been selected, the written plan can be finalized. For each intervention, the data that will be used to note the effect will be included on the plan. A team member with the required skills for implementing the intervention may assist the requesting teacher. A specific time for a follow-up meeting with the entire team is set. Four weeks is a reasonable interval to review the progress that is being made. An earlier SST meeting may be requested if the teacher and case liaison see the student is making little or no progress. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Time Requirement for Implementation of Interventions Research based interventions are required for Levels II and III. For research based interventions to have the opportunity to impact student performance they must be implemented for a certain period of time and with fidelity. The required time lengths are: 4 - 6 weeks for academic concerns 6 - 8 weeks for behavioral concerns If there is a major incident during these time periods the requesting teacher should ask to return to the SST for further analysis of the problem. Documentation of the requesting teacher is required as to the intervention, how often it is implemented, the length of time, and the intervention outcome (progress monitoring). Before referring a student to the Exceptional Children Team, there must be at least 2 research based interventions per area of concern. Areas of concern may include but are not limited to, reading, math, writing, behavior, attendance, etc. There must be three data collection points in time per week at each Level II and III. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Monitoring Implementation Team participation in implementation and monitoring of outcomes is often overlooked by teams as they put their efforts into problem-solving meetings. The collaborative nature of the team must extend throughout the intervention phase and includes support to the teacher as well as with data collection. On-going encouragement should be provided throughout the time the interventions are being implemented. This may include observing the student, data collection, and coaching. Data collection: The behavior of concern should be monitored prior to the intervention, during the intervention, and after the intervention in order to measure effectiveness. The more important the decision the more important it is to gather and analyze data. Data is used to report progress accurately to the students, to other teachers, parents, and administrators. Accurate data is also of paramount importance when a student is referred for specialized services. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Multi-Tiered Problem-Solving Approach to Intervention An essential component of the problem-solving process is monitoring interventions and evaluating effectiveness to assist in determining future needs. Problem solving occurs in the school setting and becomes more complex as the resources needed to resolve the problem increase based upon the significance of the problems. The intensity of intervention and frequency of progress monitoring increase as a student moves through the levels. In some cases, the result could be the delivery of specialized services but only after a systematic, data-based decision making process clearly demonstrates both the eligibility and the need for specialized education. (Appendix I) Level I Lee County Schools acknowledges that teachers, parents, and students are all crucial partners in assuring a student’s academic success. For this reason, the first step for classroom-based concerns is always direct face-to-face contact between teachers and parents. The teacher discusses concerns with the parent which, if left unaddressed, may pose the risk of academic failure for the student. The teacher, in collaboration with the parents, develops the Personalized Education Plan (PEP) for the student which outlines classroom strategies. In most incidents the development of the PEP will address interventions at Level I. If Level I interventions are successful there is no need to pursue the SST process. All students receive Level I interventions which are known as “Best Practices” and represent high-quality general education instruction. Differentiated instruction is provided to promote higher levels of student engagement and achievement. In Level I teachers frequently monitor student progress and adjust instruction as soon as possible to address students’ needs. Monitoring data is used to determine students who need more formalized and intensive interventions. The focus at this level is on effective core instruction and strategies for all students. Classroom teacher provide Level I interventions and supports. EXCEPTION: Typically, students enter the SST process after a PEP has been completed and Level I classroom interventions have not been successful; however, the student may enter the SST process beginning with Level III if the “district has prior knowledge that a child is a child with a disability, if before the behavior that precipitated that disciplinary action occurred, the: parent expressed concerns in writing to an administrator or teacher; parent requested an evaluation of the child in writing; or teacher or other school or LEA personnel expressed to an administrator specific concerns about a pattern of behavior demonstrated.” This prior knowledge of a possible disability means the student enters SST at Level III with all the protections as outlined under IDEA. Example: a student who has never been through SST and does not have a PEP but has accumulated multiple discipline referrals, would enter SST at Level III with all the protections as outlined under IDEA as the number of referrals indicates a pattern of behavior for which the LEA was aware. If a student who has repeatedly scored non-proficient on the End of Grade test does not have a PEP and has not been through the SST process, the student enters SST at Level III and has all the protections as outlined under IDEA. In these examples there was a H.S. C&I 09/03/14; M.S. C&I 09/10/14 pattern of behavior concerns which may have been creating academic difficulties and a pattern of non-proficiency on the EOG which provides evidence of a possible disability. If the only intervention for the student with multiple discipline referrals was continual suspensions, he was denied his legal right for a PEP outlining interventions which may address the negative behavior and lead to improved academic performance. Level II If Level I interventions as outlined on the PEP appear unsuccessful or if the teacher needs additional support in implementing classroom interventions, the teacher should initiate a request for assistance to the SST team leader. A case liaison will be assigned to the teacher to prepare to discuss the student’s problem area with SST. The SST will brainstorm research-based interventions to address the problem. Level III Level III interventions represent the most intense level of intervention (often one-on-one) provided in the regular education environment. Consideration for Level III interventions is based upon the fact that Level I and Level II interventions have proven unsuccessful. The SST will brainstorm additional more structured research-based interventions. At this point in the SST process the student has all protections as outlined under IDEA for exceptional education students. Protection is initiated as unsuccessful Level I and Level II interventions indicate the student may in fact have a disability which is creating academic and/or behavioral difficulties. This protection particularly refers to any disciplinary actions taken which may be the result of a disability. The SST team leader should make the school administration know when a student is receiving Level III interventions. Once it has been determined that Level I, Level II, and Level III interventions have been unsuccessful the SST should consider a referral for non-traditional programming such as exceptional children services or 504. For these referrals the SST must provide thorough and accurate documentation that focused research-based interventions were provided to the student; however, the interventions were not successful in improving academic performance. Please note: SST deals with all problems which hinder learning. These are not always academic in nature; however, the problem has a direct impact upon academic achievement. The student may display behavior problems which have a negative impact upon his learning. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Referring English Language Learners to the SST 1. An English language learner is defined as any student who has taken the state English language proficiency test and is currently identified as limited English proficient (LEP) OR who has exited LEP identification within the last two years and is currently classified as monitored formerly LEP (MFLEP). 2. Whenever a child designated as an English language learner is referred to SST, an ESL teacher must be involved in the process every step of the way (pre-referral, problem solving/intervention, request for assistance, evaluation, reporting and placement). The purpose of the ESL teacher’s participation on the team is to: a. Collect specific data about the student’s historical, cultural and linguistic background. b. Help problem solve and suggest appropriate interventions. c. Help the team ensure that the issues identified with the student’s performance are not due to the normal process of learning to function academically, socially and culturally in a second language or socio-cultural context. d. Initiate a request for assistance for students for whom they are concerned and implement interventions as necessary 3. The ESL teacher must report the most recent English Language Proficiency (ELP) test results to the team and share the contents of the student’s ELL Cumulative Folder as well as other relevant information that the ESL teacher has access to including but is not limited to: a. ELL writing portfolio progress b. K-2 Language Profiles c. LEP Student Plans d. Information from the ELL Database (WIDA ELP Standards Report, Scale Score Comparison, ELL Cumulative Folder Report) e. Other formative and summative assessment data from the ESL classroom This information will help the team problem solve and design appropriate interventions. 4. If the team believes an updated ELP score is needed in addition to the most recent score on file, the team may request that the student be tested for current English language proficiency using the WIDA MODEL (Measure of Developing English Language). The ESL teacher must request test materials from the Office of Special Programs. The test may be administered by school ESL staff or the district’s ESL Lead Teacher. Results of the examination must be reported to the team by the second meeting. 5. The ESL teacher should help the case liaison and the requesting teacher complete the Sociocultural Checklist (SC), Resiliency Checklist (RC) and the Acculturation Quick Screen (AQS)) during the SST process. Prior to the initial meeting, the ESL teacher should arrange to follow up with the parent of the student concerning any unknown information on the form. Information gleaned from these documents will help the team more accurately describe the student’s issue, problem solve, and implement appropriate interventions. The forms will be housed with the ESL department at each school. Samples of these forms can be found here: a. AQS: http://tinyurl.com/ngh96cn The AQS measures how well your student is acculturating to public school culture. It's a critical part of the intervention planning stages prior to making a formal referral for special services. H.S. C&I 09/03/14; M.S. C&I 09/10/14 b. RC: http://tinyurl.com/myrc7ar The RC is to assist you with identifying a culturally or linguistically diverse student's strengths and areas of resiliency. It is designed to facilitate strength based instructional programs, sometimes called prevention or resiliency programs. Use it for planning prevention and enhancement interventions. c. SC: http://tinyurl.com/p76gggk Use the SC when you are concerned about the learning and behavior problems of a student from a culturally or linguistically diverse background. It provides a framework for prioritizing services for culturally or linguistically diverse students. The SC is needs based and recommended as part of the initial information gathering and intervention planning stage that should occur prior to making a formal referral for special services. Some very important things to remember when working with ELLs: Successful differentiation of instruction for ELLs includes application of knowledge about second language acquisition to instruction. Teachers must understand and address the process of second language development and the difference between learning in one’s first language and learning in a second language. A large body of research over many decades has shown that acquiring a second language takes time. The amount of time it takes the average ELL to achieve English proficiency will vary based upon the student’s prior schooling, socio-cultural factors and literacy in the native language. Social language develops more quickly (2-3 years) than academic language (5-10 years) depending upon the amount of schooling that has occurred in the student’s first language. Language acquisition occurs in stages (novice to fluent). The speed with which students go through the stages and reach fluency is directly dependent upon the frequency, intensity, duration, quality and comprehensibility of the language instruction and language experiences they receive. In the school environment, all classrooms have potential to promote language instruction for English language learners. There is no “two year” rule stating that ELLs cannot be referred to the SST until they have been in the United States school system for two years. HOWEVER, teams must make sure that they have appropriately ruled out socio-cultural issues and limited English proficiency as factors causing the student’s academic or behavioral issues. For this reason, inclusion of the ESL teacher and all of the documentation listed above is imperative during the problem solving and intervention process to avoid inappropriate referrals/recommendations for special education, medical support or psychological evaluation. For more research based information regarding distinguishing between learning disability and language acquisition, the following brief will provide teachers and SST teams with a valuable guide during the decision making process. The ESL teacher will have a printed version of this document to share team meetings http://tinyurl.com/pwc5uv3. Interpreters for LEP Parents: The interpreter, if a school employee may be any bilingual staff member. Because interpreters are to maintain a neutral viewpoint while communicating information between parties, it is not advisable for the ESL teacher serving on the team to interpret during the meeting. HOWEVER, if circumstances deem it necessary for the ESL teacher to serve in a dual role of interpreter and team member, all parties must understand that the ESL teacher will then be doing his/her job bilingually and will not only interpret what is said, but also include his/her professional knowledge and opinions into the conversation. Ideally, an ESL teacher would be present at the meeting AND an interpreter would be there as well. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Interventions and ELLs Many research-based interventions have not been significantly researched on English language learners. For this reason, SST problem solving teams will need to be very deliberate when choosing interventions to support ELLs— working with the knowledge that interventions that work well for native English speakers may work differently for English language learners. On the following page is a list of interventions that are supported by current knowledge of what is effective with English language learners. This list is by no means exhaustive. When designing and implementing interventions for ELLs, the team should always take into consideration all information about the student and make the best decision to support the student’s individual academic, socio-cultural, linguistic and behavioral needs. Interventions for ELLs Description Research Base/More Information Explicit Vocabulary Instruction Teach a set of academic vocabulary words intensively across several days using a variety of instructional activities. http://ies.ed.gov/ncee/wwc/Pract iceGuide.aspx?sid=19 Language/Content Reinforcement Integrate oral and written English language instruction into content-area teaching http://ies.ed.gov/ncee/wwc/Pract iceGuide.aspx?sid=19 http://www.cal.org/siop/ Focused Small Group Work Peer Assisted Learning Strategies Preview/View/ Review Parental Involvement Acculturation Support/ Counseling in Native Language or Sheltered Language Provide small-group instructional intervention to students struggling in the areas of literacy and English language development http://calderon.learningsciences. com/publications/ http://ies.ed.gov/ncee/wwc/Pract iceGuide.aspx?sid=19 Variations/ Resources (Materials available in county in BOLD) Key Vocabulary in Both Languages Adapted Instructional Materials Sheltered Instruction (SIOP) ExC-ELL Methods RIGOR Tutoring Materials Students work in pairs or small groups to provide tutoring in three reading strategies: retelling, paragraph shrinking, and prediction relay. In addition to being trained in each of the reading strategies, students are taught to correct their partner’s reading errors, award points for correct responses, and provide consistent encouragement and feedback. Preview/View/Review is an effective strategy for ELLs where a preview of a lesson (including key vocabulary) is given, followed by the lesson and then the information and vocabulary is reviewed with the student following the lesson. http://ies.ed.gov/ncee/wwc/inter ventionreport.aspx?sid=366 Involve parents in the intervention process by providing them with specific skills and strategies that they can work on at home with their children. http://nepc.colorado.edu/files/pb -options-7-ellparents.pdf http://www.colorincolorado.org/ guides/ http://www.nasponline.org/reso urces/principals/Immigrant_Fa miliesJan10_NASSP.pdf Coping Strategies Guided Practice in Expected Behaviors Resiliency based Strategies Emotional Strengthening Strategies Problem Solving Strategies H.S. C&I 09/03/14; M.S. C&I 09/10/14 http://aim.cast.org/learn/historya rchive/backgroundpapers/peermediated_instruction#.U8woMe NdWSo http://differentiationforall.blogs pot.com/p/question-webs.html http://davidandyvonnefreeman.c om/wpcontent/uploads/2011/07/Previe w-View-Review-WEB.pdf With teacher assistants With adult tutors or volunteers With ESL staff With classroom teacher Peer Tutors (English only) Peer Tutors (bilingual) Peer Mediated Instruction Learning Together Tutoring Program Preview/Review in Native Language Preview in sheltered language Tutor, Assistant, Volunteer etc. provides the preview and review Small group or one-on-one Morning Noon and Night Bilingual reading Maintenance of first language Cross-Cultural Conflict Resolution Guidance & Assistance For Parents Peer Support Group Appendices H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix A The Student Support Team Problem-Solving Process (Cited from U. S. Department of Defense) Teacher Makes Request at Level II Case Manager Assigned Classroom Visits Conference with teachers Team ProblemSolving Meeting Implementation of Interventions Team ProblemSolving Meeting with Increased Support Follow-up Meeting No Problem ResolvedInterventions to continue Yes H.S. C&I 09/03/14; M.S. C&I 09/10/14 Interventions Successful? No Referral for Eligibility for Special ServicesExceptional Children, ELL, 504, etc. Appendix B The PEP Law § 115C-105.41. Students who have been placed at risk of academic failure; personal education plans; transition teams and transition plans. (a) In order to implement Part 1A of Article 8 of this Chapter, local school administrative units shall identify students who are at risk for academic failure and who are not successfully progressing toward grade promotion and graduation, beginning in kindergarten. Identification shall occur as early as can reasonably be done and can be based on grades, observations, diagnostic and formative assessments, State assessments, and other factors, including reading on grade level, that impact student performance that teachers and administrators consider appropriate, without having to await the results of end-of-grade or end-of-course tests. No later than the end of the first quarter, or after a teacher has had up to nine weeks of instructional time with a student, a personal education plan for academic improvement with focused intervention and performance benchmarks shall be developed or updated for any student at risk of academic failure who is not performing at least at grade level, as identified by the State end-of-grade test and other factors noted above. Focused instructional supports and services, reading interventions, and accelerated activities should include evidence-based practices that meet the needs of students and may include coaching, mentoring, tutoring, summer school, Saturday school, and extended days. Local school administrative units shall provide these activities free of charge to students. Local school administrative units shall also provide transportation free of charge to all students for whom transportation is necessary for participation in these activities. Local school administrative units shall give notice of the personal education plan and a copy of the personal education plan to the student's parent or guardian. Parents should be included in the implementation and ongoing review of personal education plans. If a student's school report card provides all the information required in a personal education plan, then no further personal education plan is mandated for the student. No cause of action for monetary damages shall arise from the failure to provide or implement a personal education plan under this section. (b) Local boards of education shall adopt and implement plans for the creation of transition teams and transition plans for students at risk, as defined by the State Board of Education, to assist them in making a successful transition between the elementary school and middle school years and between the middle school and high school years. (2001-424, s. 28.17(e); 2009-542, s. 1; 2010-162, s. 1; 2011-145, s. 7.13(ee); 2011-391, s. 14(a); 2012-77, s. 4; 2012-142, s. 7A.1(d); 2013-226, s. 2.) H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix C Request for Assistance Date Request Submitted to SST Team Leader: _____________________________________ Student’s Name: _______________________________________________________________ Teacher Submitting Request for Assistance: _______________________________________ Grade: _______________________________________________________________________ Please list dates and times you would be available to meet with the Case Liaison: 1. Date: __________________________ Time: __________________________ 2. Date: __________________________ Time: __________________________ 3. Date: __________________________ Time: __________________________ Briefly Describe the Concern for the Student: ______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________ Signature of person making the request for assistance: ______________________________ Date received by SST Team Leader: ______________________________________________ Name of Case Liaison Assigned: _________________________________________________ Date Case Liaison Notified: ______________________________________________________ Copy of Request for Assistance Submitted to Case Liaison H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix D Suggested Meeting Steps and Procedures (Cited from the U. S. Department of Defense) Step 1: Welcome and Expectations: Team Leader welcomes and introduces ancillary team members and their role, thanks requestor for seeking early intervention for the student, and establishes expectations for the meeting. Confirms meeting purpose, outcomes, agenda, and timelines. Time required: 2-3 minutes Step 2: Problem Identification and Clarification: Requesting teacher summarizes problem succinctly. Case Liaison provides support to the teacher Time required: 4-5 minutes Step 3: Brainstorm Interventions: Step 4: Evaluate Interventions: Step 5: Select Interventions: Step 6: Write Action Plan: Step 7: Summarize & Close: Team Leader leads focused brainstorming. All present generate as interventions without critiquing. Recorder takes minutes and documents the suggested interventions on the Brainstorming to Determine Appropriate Intervention graphic Time required: 6-8 minutes Team Leader leads discussion to analyze interventions, and then matches to the presenting problem and feasibility of implementation. Recorder takes minutes. Time required: 6-8 minutes The SST assists the requesting teacher in selecting the preferred interventions. Time required: 3-4 minutes Team Leader guides the team in the completion of the plan, including interventions, support to the teacher, person responsible, timelines, data to be collected, date for follow-up meetings. Recorder captures plan in writing; retains copy and given copy to requesting teacher and case liaison. Time required: 4-5 minutes Team leader verbally summarizes major points of the meeting and provides prompts about next steps. Time required: 1-2 minutes H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix E “School Name” Student Support Team Intervention Plan for Each Selected Intervention Student’s Name: _______________________ DOB:_____________________ Date: _______________ Teacher(s): _________________________________________________________________________ Summary of presenting problem/concern for student: _______________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _________________________________________________ Specifically defined behavior to be addressed: Desired replacement behavior: What purpose does the behavior serve for the student? Student’s interest and/or strengths Research-based Intervention to be implemented: Data Sources to be Used: *Required Documentation: How often was the intervention delivered? How much time implementation? was allowed for each Observed Outcome: *Required documentation of intervention implementation and outcomes (progress monitoring) must be submitted at the follow-up meeting and attached to the Intervention Follow-up Plan for verification. Tasks to be completed prior to follow-up meeting and Responsible Persons:____________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Needed Support: ____________________________________________________________________________ _____________________________________________________________________________________________ Follow-up Plans: ____________________________________________________________________________ _____________________________________________________________________________________________ __________________________________________________________________________________________ Signature of Members Present: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix F Research-based Interventions Research-based interventions are strategies, teaching methodologies and supports that have been shown through one or more valid research studies to help a student improve academic, behavioral/emotional or functional skills. The interventions used prior to determining eligibility for special education and related services must be designed to address the skill deficiency of the particular individual student. Multiple sites on the web have information about research-based interventions. The following are examples of web resources taken from: http://ec.ncpublicschools.gov/instructional-resources/behaviorsupport/resources/researchinterventions.pdf/view?searchterm=research+based+inte rventions the website for the North Carolina Department of Public Instruction. Web Resources for Research-based Interventions: http://www.k8accesscenter.org/training_resources/programssand practices.asp Of particular help on this site is the document “Strategies to improve Access to the General Education Curriculum” http://serge.ccsso.org This site has resources for teachers in general education working with students with disabilities. Some of these can be used as interventions. Intervention Central – http://www.interventioncentral.org Offers free tools and resources to help school staff and parents to promote positive classroom behaviors and foster effective learning for all children and youth. The site was created by Jim Wright, a school psychologist and school administrator from Central New York. http://www.promisingpractices.net/ This site contains information about practices and programs that help with behavioral and emotional skills development. Although most of the programs are for groups of students, some may be adapted to individual students. H.S. C&I 09/03/14; M.S. C&I 09/10/14 http://www.colorado.edu/cspv/ This site contains programs that are considered effective violence prevention program. Although most of the programs are for groups of students, some may be adapted to individual students. http://www.newhorizons.org/strategies/front_strategies.html On website is information about some of the best researched and the most widely implemented methods of helping all students to learn more successfully. The information includes a description of how the teaching and learning strategies work, where they have been applied, results, and where to find further information from experts in the field, books, websites, and other resources. http://www.clas.uiuc.edu/ This site from the CLAS Institute, University of Illinois at Urbana Champaign, has research-based motor and language skills interventions. http://www.free-reading.net This site is the Free Reading website. Free Reading is a high-quality, openresource free reading intervention program for grades k-3. http://www.centeroninstruction.org This is the website for the Center on Instruction which contains collection of scientifically based research and information on K-12 instruction in reading, math, science, special education, ad English language learning. Part of the comprehensive Center network, the Center on Instruction is one of five content centers serving as resources for the 16 regional U. S. Department of Education Comprehensive Centers. http://www.ed.gov/about/bdscomm/list/mathpanel/index.html On March 13, 2008, the National Mathematics Advisory Panel presented its Final Report to the President of the United States and the Secretary of Education. Copies of these ground-breaking reports, rich with information for parents, teachers, policy makers, the research community, and others, can be accessed at this website. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Interventions: Intervention Central - (www.interventioncentral.org/index.php#ideas) What Works Clearinghouse ( USDOE- Research reviews on Drop-out Prevention, English Language Learners, Character Education and Middle School Mathwww.whatworks.ed.gov) Center on Instruction – (http://www.centeroninstruction.org/) Classroom Management- (http://www.cast.org/publications/ncac/ncac_classroom.html. Graphic Organizers- (http://www.cast.org/publications/ncac/ncac_go.html.) The Learning Toolbox- (http://cssdesigns.com/learningtoolbox/reading.html) Middle and High School Literacy- (http://www.literacymatters.org) Florida Center for Reading Research – (http://www.fcrr.org/) Reading Rockets- (http://readingrockets.org) Writing COPS- (http://www.k12.nf.ca/fatima/copsstra.htm.) Illuminations Math- (http://illuminations.nctm.org/) www.tools4reading.com www.readingquest.org/strat/ www.unl.edu/csi/reading.shtml www.readingteachersnetwork.org/tool/ www.neuhaus.org/consumables/ www.carlscorner.us.com/interventions/interventions.pdf https:www.killeenisd.org/teacherDocs/c53/e2914/document/ReadingLiteracy-85368.pdf Math- www.nctm.org Math-www.educationnorthwest.org Algebra-www.education.iastate.edu/c_i/aaims H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix G “School Name” Follow-up Intervention Report for Each Implemented Intervention Student’s Name: ________________________DOB: _______________ Date: ____________________ Describe the Results of the Focused Interventions: _________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ __________________________________________________________________________________ Was the intervention successful? _____________ Yes _______________ No Why or why not? ____________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________________________ If progress was observed should the frequency of the intervention or the amount of time given for implementation be increased? ____ Yes ____ No If yes, what is the recommended level of increase? ____________________________________________________________________________ _____________________________________________________________________________________ Team decision: __ Significant improvement in the targeted behavior was observed. Case will be closed with continued implementation of the successful strategy. __ The targeted behavior was successfully resolved; however, a new problem was identified. New Intervention Plan is developed. __ Targeted behavior was not resolved. New intervention was identified and new intervention plan developed. __ All interventions have been unsuccessful. Student will be referred for eligibility for special services (Exceptional Children, 504, AIG, ESL, etc.) ___ Other: __________________________________________________________________________ _____________________________________________________________________________________ Signatures of members present: _________________________________________________________ _____________________________________________________________________________________ ____________________________________________________________________________________ H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix H Brainstorming to Determine Appropriate Intervention Record possible interventions in the outlying boxes. Number interventions in order of priority for implementation (Cited from the U. S. Department of Defense) Desired Behavior _________________________________________________________ H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix I Levels of Intervention in the SST Process Cited from Exploring Response to Intervention H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix J Glossary of Terms Scientifically-based Research means research that involves the application of rigorous, systematic, and objective procedures to obtain reliable and valid knowledge relevant to education activities and programs. (Policies Governing Children with Disabilities) Progress Monitoring is a scientifically based practice that is used to assess students’ academic performance and evaluate the effectiveness of instruction. (National Center on Student Progress Monitoring) Personalized Education Plans (PEPs) is a plan including academic and/or behavioral interventions that are put into place in the educational setting for students who are considered at risk for academic failure. The North Carolina law requires that students have a personalized education plan if they are at risk for academic failure and/or are not successfully progressing towards grade promotion. Identification can be based on grades, observations, state assessments, or other factors, including reading on grade level. The PEP should target the at-risk student’s areas of weaknesses or concerns. At-risk is often used to describe students who are considered to have a higher probability of failing academically or dropping out of school. Outcome refers to evaluating the effectiveness of the reading program or intervention used. Diagnosis in area of concern refers to helping teachers plan instruction by providing in-depth information regarding students’ skills and instructional needs. Working on identifying areas of weaknesses and what skills need to be taught. Basic Reading Skills encompasses phonological awareness, phonemic awareness, letter recognition, phonic, fluency, sight vocabulary and structural analysis skills. Breakdown in any of these areas can negatively impact a student’s reading ability. Reading Comprehension is understanding what one has read and is the ultimate goal for all reading. Math Calculation consists of the ability to compute math computations including addition, subtraction, multiplication and division. Math Reasoning is the ability for a student to use problem solving skills, their understanding of math concepts, and knowledge of math vocabulary to solve a multiple step math problem. Written Expression encompasses the ability for a student to develop a thought and transfer that thought to paper using correct sentence structure and syntax as well as developing relating sentences. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Direct Instruction is where a teacher defines and teaches a concept, guides students through its application, and arranges for extended guided practice until mastery is achieved. Explicit Instruction involves direct explanation. The teacher’s language is concise, specific, and related to the objective. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Appendix K Examples of Documentation Forms for Progress Monitoring (These represent examples and do not limit each school to determine the most effective form of documentation for each student. The examples do not represent the only areas of student need which may be referred to the SST. The Follow-up Intervention Report found in Appendix G is still required as it represents the team’s decision.) H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: WRITTEN EXPRESSION Areas of Weakness: (choose one stage of writing where breakdown begins) ___Letter formation/spacing ___Writing paragraph(s) ___Conventions ___Writing words ___Pre-writing/planning ___Editing ___Writing sentences(s) ___Writing, openings/endings ___Other:__________ Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: MATH CALCULATIONS Areas of Weakness: (choose one stage of writing where breakdown begins) ___Counting ___Division ___Math vocabulary ___Similarities/differences ___Identifying numbers ___Multiplication ___Adding on/counting up ___Other: ___________________ ___Use of manipulative ___Subtraction ___Addition Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: SOCIAL/EMOTIONAL/BEHAVIORAL Areas of Weakness: (choose one stage of writing where breakdown begins) ___Social Skills Specify:_________________________________________________________________________ ___Anger Manangement:Specify:__________________________________________________________________ ___Behavioral Specify:__________________________________________________________________________ ___Other Specify:______________________________________________________________________________ Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: READING COMPREHENSION Areas of Weakness: (choose one stage of writing where breakdown begins) ___Main Idea ___Cause/effect ___ Vocabulary ___Making inferences ___Sequence ___Other: ________________________ ___Literal (main char., setting) ___Author’s purpose Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: BASIC READING SKILLS Areas of Weakness: (choose one stage of writing where breakdown begins) ___Identifying letters of alphabet ___Phonemic awareness (manipulating sounds, blending, segmentation) ___Alphabetic Principle ___Word decoding ___Phonics ___Fluency Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 Student Name: _____________________________ Date: _________________ Intervention: MATH REASONING Areas of Weakness: (choose one stage of writing where breakdown begins) ___Problem solving: 1-step ___ 2-step ___ Multi-step___ ___Math Vocabulary (math terms, operational terms, etc.) ___Other: ____________________________________________________________________________________ Baseline/Pretest: Attach a copy of dated baseline data, with work sample of similar age peer for comparison Briefly explain baseline: _________________________________________________________________________ __________________________________________________________________________________________ Intervention: (Complete separate sheet for each intervention) __________________________________________ _____________________________________________________________________________________________ Dates of Intervention Dated Work Samples *(Attach) Observations, notes, etc. Consistent Change** Positive Inconsistent Positive Change*** No Change*** Negative Change*** Post-test: (Attach a copy of dated post-test after the work samples) Briefly explain post-test data: ___________________________________________________________________ _______________________________________ _____________________________________________ *Minimum of 3 dated work samples or progress monitoring completed throughout the intervention process and prior to the post-test. **If positive change, no need to alter intervention, continue intervention as delivered. ***If consistent positive change is not made, modify the intervention and continue for next 3 weeks. H.S. C&I 09/03/14; M.S. C&I 09/10/14 References North Carolina Department of Public Instruction. (n.d.). Research-based Interventions. Retrieved from http://ec.ncpublicschools.gov/instructional-resources/behaviorsupport/resources/researchinterventions.pdf/view?searchterm=research+base d+interventions United States Department of Defense. (n.d.). Guidelines For Student Support Teams (SST). Retrieved from www.dodea.edu/Curriculum/special Educ/upload/DoDEA-SST.pdf Malhoit, G. (2013) A Parent’s Guide to a Personal Education Plan (PEP) for your Child. Retrieved from www.law.nccu.edu/wordpress/wpcontent/uploads/2012/03/PEP-March-2013updated.pdf Mellard, D.F. (2009) Levels of Interventions. Retrieved from http://cecblog.typepad.com/rti/2009/01/levels-of-interventions.html Response to Intervention. (n.d.). In Wikipedia. Retrieved August 10, 2014, from http://en.m.wikipedia.org/wiki/Response_to_intervention What Is RtI? (n.d.) Retrieved from http://www.shenet.org/DL_CurriculumLearnnig/RtI.pdf H.S. C&I 09/03/14; M.S. C&I 09/10/14 H.S. C&I 09/03/14; M.S. C&I 09/10/14