Content Area and Grade Range: Social-Emotional Learning Skills, K-2

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District-Determined Measure Example
Social-Emotional Learning Skills for SISP Educators
Content Area and Grade Range: Social-Emotional Learning Skills, K-2
DDM Summary: This DDM is a direct measure of K-grade 2 students’ learning of social and
emotional skills; specifically, their ability to identify and name a range of emotions and to explain
how others might be feeling in a given set of situations. These social/emotional skills are essential
for building positive relationships with peers.
Developed by: Gerri Quigley, School Adjustment Counselor (East Bridgewater); Robin Harris,
Speech-Language Pathologist (Avon)
Reviewed by: Sonya Meiran (ESE), Matt Hollaway (ESE), and Craig Waterman (ESE)
Pilot Districts: East Bridgewater Public Schools, Avon Public Schools
Date updated: June 2015
Table of Contents
Introduction ...................................................................................................................................... 2
Instrument ........................................................................................................................................ 4
Administration Protocol .................................................................................................................. 5
Scoring Guide .................................................................................................................................. 8
Measuring Growth and Setting Parameters ................................................................................... 9
Piloting ............................................................................................................................................ 10
Assessment Blueprint ................................................................................................................... 12
North River Collaborative – DDM – SISP 1
Introduction
Description & Rationale
This DDM is a direct measure of Grades K–2 students’ learning of social and emotional skills. By
SISP, we mean school counselors, social workers, speech pathologists, school psychologists, and
related staff who work directly with students to develop their social and emotional skills. Specifically,
this DDM is designed to measure growth in social awareness and interpersonal skills for
maintaining positive relationships with peers. These skills are essential in school and life and
require the ability to recognize the thoughts, feelings, and perspectives of others, including those
different from one’s own. This measure, which consists of a set of pictured “feeling” and “scenario”
cards and an Observation/Scoring Rubric, is based on professional observation of a student’s ability
to identify and explain particular social-emotional skills in a one-to-one therapeutic setting. Socialemotional skills assessed by this DDM fall within the following two categories: (1) labeling pictured
feelings, and (2) explaining the possible feelings and perspectives of others based on pictured
scenarios (empathy).
Target Audience
Students participating in this assessment are those who have been identified by teachers, special
education staff, and parents, or via the referral process of a Child Study Team as presenting with a
weakness in social/emotional learning and/or language. The student must be on an IEP or 504
Accommodation plan, or being serviced by a school counselor or psychologist for the purpose of
developing social emotional skills. This is necessary if this DDM is to reflect the effectiveness of the
treatment being provided by the SISP. The minimum number of students for this DDM should be
five in order to collect enough data to demonstrate growth in the area of social-emotional learning.
The number of students should be limited to a maximum of 15 in order to effectively monitor and
measure social-emotional growth throughout the year. If there are more than 15 students, other
district SISPs who work directly with students on developing social-emotional learning may
implement this DDM with the additional students. Since this measure looks at growth over the
course of the school year, then students should be identified in September or very early in the
school year. Students may be selected by first separating into grade levels if the SISP works with
multiple grades, then choosing the first, third, fifth, etc. students from each grade until 15 have been
chosen.
Alignment
This measure is aligned to the following Core Course Objective (CCO): Students demonstrate
emotional regulation and expected verbal and non-verbal social/emotional communication skills in
order to function in the school environment.
A CCO is a statement that describes core, essential, or high priority content (knowledge, skills, or
abilities), identified by those who designed the assessment, which is drawn, synthesized, or
composed from a larger set of curriculum or professional standards. This CCO draws from Standard
5, Mental Health, from the MA Comprehensive Health Curriculum Framework, which states that by
the end of grade 5, students will have acquired knowledge about emotions, management of
emotions, personality and character development, and social awareness. They will also have
North River Collaborative – DDM – SISP 2
learned skills to promote self-acceptance, make decisions, and cope with stress. This is a gradespan standard, meaning that it applies to students in K to grade 5. This content was selected for this
DDM because elementary SISP staff often work directly with students who have been identified for
services—they already show difficulty with the skills described in this standard and require
sustained support for the development of appropriate social/emotional skills in the school context.
This CCO and associated standards are also reflected in the Massachusetts Guidelines on
Implementing Social and Emotional Learning Curricula. In addition, these standards are aligned with
the professional responsibilities of school guidance counselors, as described by Specialized
Instructional Support Personnel indicators I-A-1 and II-B-2.
Content (Standard)
Weight
Students label pictured feelings.
Mental Health Standard 5.1: By the end of grade 5, students Identify the
various feelings that most people experience and describe the physical
and emotional reactions of the body to intensive positive and negative
feelings. (MA Comprehensive Health Curriculum Framework)
40% of the
measure
Students label the pictured feelings and perspective of others (empathy)
and provide a plausible explanation.
Mental Health Standard 5.1: By the end of grade 5, students Identify the
various feelings that most people experience and describe the physical
and emotional reactions of the body to intensive positive and negative
feelings. (MA Comprehensive Health Curriculum Framework)
60% of the
measure
100%
Description of the DDM Development Process
This DDM was developed during October 2014 – June 2015 under a DDM Leadership Grant (FC217) awarded to the North River Collaborative by the Massachusetts Department of Elementary and
Secondary Education (ESE). In partnership with the Learning Innovations Program at WestEd
(Woburn, MA), the Collaborative convened 12 staff from the Collaborative’s member districts,
including PK-12 school guidance counselors, adjustment counselors, school psychologists, and
school social workers, as well as speech, language and hearing specialists. Participants worked in
small teams to strengthen and apply their assessment literacy toward the development of four direct
and indirect measures of student growth related to students’ social/emotional development.
Participants grew their expertise over seven sessions by engaging in a guided DDM development
process framed by a series of questions, including:
1. What is most important to measure?
North River Collaborative – DDM – SISP 3
2.
3.
4.
5.
6.
How shall we measure what’s most important?
How can we strengthen and refine our measure?
How can we prepare our measure for broader use?
What do we want to gain from the pilot?
What did we learn from the pilot?
Throughout, participants engaged in large group discussion and critique, as well as team
collaboration and problem solving. In addition to refinements made during these sessions, each
measure was also strengthened based on feedback from an ESE review team. Measures were then
piloted from April-June 2015. Finally, the group analyzed data collected during the pilot phase,
which informed final revisions, as described in the closing pages of this document.
Next Steps
Districts in and beyond the Collaborative now have the opportunity to decide if they would like to
implement or modify the attached assessment for use as a DDM for Specialized Instructional
Support Personnel (SISP). Because this is a newly developed measure, it is important that districts
engage SISP, including school counselors, social workers, speech-language pathologists, and
school psychologists, as well as related staff, in examining results from the first year of
implementation. Over time, staff should identify any revisions or refinements that may further
strengthen the quality of the assessment, scoring tools, administration protocol, and/or growth
parameters to suit the circumstances and realities of the district’s local context.
Instrument
The Instrument consists of a one-to-one student assessment and scoring rubric where the SISP
evaluates students’ responses in two areas – labeling pictures and labeling the feelings and
perspectives of others. To accomplish this, the counselor uses a pre-determined set of feeling and
situation cards, as described below.
Sources for Feeling and Situation Cards
Feeling and Situation Cards are available from the following sources:
 Committee For Children, SECOND STEP, K–2 Kits (www.cfchildren.org/second-step.aspx)
May be ordered through Amazon.com
 Webber Photo Cards “Emotions” by Super Duper Publication
 Photo Feelings by Fun Deck Cards
 Photographic Learning Cards Facial Expression by Motivation USA
 Carson Dellosa Key Education Facial Expression Learning Cards by Carson Dellosa
 Language Cards “Photos & Words for Developing Oral & Written” Skills by North Star
After purchase, districts must identify the same set of eight Feeling and Situation Cards that align
with the descriptors provided in this DDM for use by all district SISP. Alternatively, a district could
opt to identify eight different emotions and modify the Observation/Scoring Rubric to align with the
preferred set of cards.
North River Collaborative – DDM – SISP 4
Set 1: Happy, sad, surprised, scared, proud, silly, angry, disgusted
Set 2: Eight additional situation cards showing nonverbal clues of a person’s feelings with
these same emotions
Interpreting the Feeling and Situation Cards
The terms defined/identified by the product developer or manufacturer should be used in
determining correct responses. In instances where the developer has not identified correct or
allowable responses, the SISP team should determine correct/allowable responses prior to
administration; all SISP using the assessment must then adhere to the agreed upon correct
responses. In each pictured scenario, the team must identify the person who displays the targeted
feeling before administering the DDM. They must also point to that person when they administer
that portion of the DDM to the student.
It is strongly recommended that the SISP team co-construct a chart showing the picture cards and
acceptable responses for each card as a guide to strengthen the consistency of scoring across the
team. For example, the team may decide that student responses that are close synonyms for the
pictured emotion—such as “mad” for “angry”—are scored as correct. This chart should be modified
following the first assessments to reflect the kinds of responses students actually provided and to
increase consistency in how SISP professionals score students’ varied responses.
The Observation/Scoring Rubric
The student’s name, grade, and the observation date should be noted at the top of the provided
Observation/Scoring Rubric. This rubric describes two social-emotional skill categories, listed down
the first, left-hand column of the chart:
I.
II.
Identifying/Labeling Pictured Feelings
Labeling the Feelings and Perspective of Others from pictured scenario cards
The top row of the rubric describes several performance levels based on the number of correct
responses provided by the student. A point value is noted in each cell of the rubric. These scores
align with the weighting represented in the Assessment Blueprint. During the assessment, the
counselor records the student’s responses, and then circles the point value that is associated with
the student’s observed level of performance for each skill within a targeted skill category.
Administration Protocol
The Administration Protocol addresses how the measure is intended to be implemented to best
support a common conversation about student growth across classrooms.
When is the measure administered?
Administration occurs during three intervals in the school year: October, January, and May. During
each observation period, the SISP professional conducts the assessments in a one-to-one
therapeutic setting. The same SISP must administer the assessments throughout the school year. If
there is a change in staff and the district wishes to allow the new SISP to use data collected from a
North River Collaborative – DDM – SISP 5
prior administrator for use as a baseline, the data for the impact of this SISP on growth would need
to be examined with caution. Because this is a repeated measure, the same assessment, materials,
and procedures are used each time the measure is administered.
The SISP may administer Sections I and II in two separate sessions if necessary due to time
constraints. Each of these sessions, however, must take place no more than one week apart. Each
assessment will require a 20-30 minute session. If administered in two sessions, all of Section I
should be administered in the first session and all of Section II in the second session.
How is the measure administered?
SISP professionals prepare for observations and subsequent scoring by doing the following:
1) Review the Observation/Scoring Rubric and related administration directions.
2) Prepare copies of the Observation/Scoring Rubric for each student, noting each student’s
name and grade at the top of each sheet.
3) Write the correct response on the Observation Scoring Rubric. Prompts should also be
included on the scoring rubric to ensure consistency in DDM administration.
4) SISP professionals are strongly encouraged to coordinate calibration sessions with
colleagues, as described in the Scoring Guidance section, below.
The Observation Rubric includes two categories: (I) Labeling Pictured Feelings, and (II) Labeling the
Feelings and Perspectives of Others (empathy).
Section I: Labeling Pictured Feelings
This section involves the use of the first set of cards picturing people’s feelings. The same picture
cards are used throughout the year. (See above for a source listing for these cards.) The SISP
professional shows the pictures and says to the student each time, “Tell me how this person feels.”
No additional cueing, suggestive voice inflection, or words of enticement or coaching are permitted.
If the student does not respond or responds, “I don’t know,” the prompt may be repeated once. If the
student still does not respond or responds, “I don’t know” again, the score is 0 (zero).
The SISP professional attends to the student’s ability to recognize and name the pictured emotions
and records the student’s response for each card in the space provided. After the eighth card, the
SISP circles the point value associated with the demonstrated level of the student’s performance on
the provided Observation/Scoring Rubric.
Section II: Labeling the Feelings and Perspectives of Others (empathy)
The SISP professional then shows the second set of eight situational picture cards and prompts the
student by saying, “Tell me how this person feels” and “Why does he/she feel that way?” For
example, when showing a picture of boy crying at a lunch table, a student might respond, “He feels
sad because he left his lunch at home,” or “The boy feels sad because the teacher told him he has
to eat something he doesn’t like.” Both responses correctly identify the feeling and provide a
plausible explanation that links back to the feeling. A response such as, “He is mad. He is sitting all
alone,” does not identify the correct feeling and does not clearly link the explanation back to the
feeling, i.e., why would sitting alone make someone feel mad?
North River Collaborative – DDM – SISP 6
The SISP professional must be careful to wait for the student’s response without providing any extra
prompts or support. If the student does not respond or responds, “I don’t know,” the prompt may be
repeated once. If the student still does not respond or responds, “I don’t know” again, the score is 0.
The SISP professional attends to the student’s ability to accurately name how another child may be
feeling and whether the student can provide a plausible explanation for what might have caused the
pictured child to feel this way. The SISP professional then records the student’s response and
explanation and circles the point value associated with the student’s demonstrated level of
performance using the provided Observation/Scoring Rubric.
The SISP professional may conduct this assessment only once per period (October, January, and
May) and must never provide or suggest the correct answers or give any other feedback to the
student on the correctness of his or her responses. The SISP professional may provide general
positive comments at the end of the assessment, such as, “Nice work today,” but may not provide
specific feedback on the student’s interpretation of the picture cards. This would essentially
contribute to teaching the child the correct responses and skewing subsequent results.
Calibration
It is suggested that SISPs calibrate their student observation and scoring with others using the DDM
in their school or district. Calibration strengthens the likelihood that observations and scoring will be
conducted in a consistent and reliable manner over time and across users. A sample calibration
protocol can be found at the Rhode Island Department of Education website:
http://www.ride.ri.gov/Portals/0/Uploads/Documents/Teachers-and-Administrators-Excellent-Educators/EducatorEvaluation/Online-Modules/Calibration_Protocol_for_Scoring_Student_Work.pdf .
This protocol can be modified for use with this DDM in a couple of ways. First, a calibration exercise
can be completed by participants scoring 1-3 videotaped samples of student performances,
assuming all district policies about video-taping students are followed. Alternatively, participants can
conduct joint observations where two SISP professionals observe the same child at the same time.
They can discuss their scoring afterward and resolve scoring discrepancies by clarifying and coming
to agreement about what the scoring criteria mean in relation to students’ observed performances.
How will accommodations be documented?
The use of visual picture cards in Sections I and II of this assessment is intended to facilitate access
to the social/emotional content for all students, including students with language disabilities and
English language learners. No specific further accommodations are needed for students with
disabilities unless specified in a student’s Individualized Education or 504 Plan.
It is important to consider any language or cultural issues that may affect the results of this
assessment. First language translation may be provided for any English language learner who is in
the first tier of language development. This translation may be provided by a district staff member
(ELL teacher) or other translator as designated by the student’s school district. The translator is not
responsible, however, for administering the assessment and must be accompanied by the SISP
professional. For English language learners, some explanations of why those pictured on the cards
may feel particular emotions that reflect cultural norms or experiences from their own or their
North River Collaborative – DDM – SISP 7
family’s home country or cultural community. Therefore, the SISP should seek input from the ELL
specialist or coordinator in interpreting the responses of these students.
All provided accommodations must be recorded on the Observation/Scoring Rubric.
Scoring Guide
Who Should Score the Assessment?
The SISP professional conducts all observations and scores the assessment; this person has the
relevant professional knowledge to interpret students’ demonstration of the social-emotional skills
evaluated in this assessment. It is strongly recommended that SISPs calibrate their scoring with
role-alike colleagues in their school or in other schools in the district. Calibration strengthens the
likelihood that observations and scoring will be conducted in a consistent and reliable manner over
time and across sites. (See sample calibration protocol, above, in Administration Protocol section.)
How Should Assessment Scores Be Calculated?
The Observation/Scoring Record for students in grades K-2 provides a template for the SISP
professional to use during the scoring process. The SISP professional transfers total scores from
the Observation/Scoring Rubric to the Student Scoring Record following each administration of
the assessment, then compiles and calculates gain scores at mid-year and year-end using the
following steps:
1. Record the student name and grade at the top of the Student Scoring Record.
2. Locate the appropriate benchmark period along the top of the form and record the
administration date.
3. Going down that benchmark column, record the TOTAL points earned for the student’s
demonstration of skills for the two sections of the assessment. If the two sections were
administered on two different dates, record the second date of administration in the provided
space.
4. At the bottom of the row, record the total number of points earned during this benchmark
period. This will be some number out of a total possible 100 points (_____ / 100).
5. After the first and second benchmark assessments have been administered, look across the
scores in each relevant section and determine the difference between the two benchmarks.
For example, if October’s benchmark for Section I: Labeling Feelings was 20 points and
January’s benchmark was 30 points, the difference represents a gain of 10 points. Repeat
the same procedure with Section II: Labeling Pictured Feelings & Perspective of Others
(empathy). Then look down the Gain column and record how much total gain the student has
achieved by mid-year. This information should help the SISP modify his or her instructional
focus or strategies in order to help the student achieve moderate or high growth by year’s
end.
North River Collaborative – DDM – SISP 8
6. To calculate the overall gain in points in May, look down the far right column on the Student
Score Report and add the gain points for the two social-emotional skill sections (representing
gains from October to May). For example, if a student showed a 30-point gain in one section
and a 20-point gain in the second section, overall, this would represent a 50-point gain over
the course of the school year.
7. It is important to note that this overall gain score may mask a lack of gains in either social-
emotional skill category. For example, it is possible that a student might actually demonstrate
a loss of skill in Section I of the assessment, represented perhaps by negative numbers.
Perhaps the student showed 20/40 points on the first benchmark and 10/40 on the second
benchmark, representing a loss of 10 points, or -10. Therefore, it is essential that the SISP
professional track gains at the skill category level along the horizontal row on the Student
Score Record and that instructional strategies and supports be adjusted appropriately during
the year.
Measuring Growth and Setting Parameters
The assessment activities in this DDM closely match the types of activities that SISP professionals
conduct in the therapeutic setting to help young students strengthen and reflect on their
social/emotional skills. As a repeated measure that gauges students’ progress from October to
January to May, this assessment also has the advantage of being relatively brief and integrated into
the curriculum, which is a useful option for young students. (See ESE’s Technical Guide B, page
12.) It also provides teachers with several cycles of feedback so they can modify their instructional
supports in response to students’ performance.
Grades K-2 students may be working on social/emotional skills at different developmental levels
and may experience different social/emotional challenges, sometimes related to identified learning
disabilities. We expect most of those working individually with SISP professionals to gain 30-60
points in a year’s time, representing moderate growth. As shown in the Student Growth Parameters
table below, a gain of fewer than 30 points represents low growth, and a gain of more than 60 points
represents high growth.
These growth parameters represent estimated parameters that should be examined and revised, as
necessary, after collecting data for a full school year.
Table 1: Student Growth Parameters
Total (Year-End) Gains
Low Growth
Moderate Growth
High Growth
< 30 point gain
30-60 point gain
> 60 point gain
North River Collaborative – DDM – SISP 9
Piloting
This assessment received multiple peer and expert reviews during initial development. For example,
staff at WestEd (Woburn, MA) critiqued the assessment task and associated scoring materials,
which contributed to rethinking the Student Scoring Record and growth parameters. An ESE review
team also provided critical feedback, which led to the simplification of the overall assessment, since
the original design really amounted to two DDMs rolled into one.
Finally, a two-month preliminary pilot of the assessment in the developers’ own schools and districts
contributed to the development of increasingly specific, feasible, and informative tools for potential
users. Our DDM was piloted by East Bridgewater Public Schools, East Bridgewater, MA, and Avon
Public Schools, Avon, MA during the months of April and May, 2015. Our sample for the pilot
included 11 from Kindergarten, 4 from Grade 1, and 5 from Grade 2, for a total of 20 students.
The three questions we set out to answer in the pilot and our data collection strategies were:
Question 1: How clear and complete are each of the sections of the DDM to SISP
professionals who were not part of the development process?
Question 2: Is the assessment feasible? Can we realistically assess students’ social/emotional
skills in the manner we have designed (in the first administration)?
Question 3: What scores do K-2 students achieve on the scoring rubric in late May?
Pilot Results
We analyzed the data to identify overall strengths of our DDM, as well as concerns or issues that
indicated a need for DDM revisions.
For Question 1 we conducted cognitive interviews to learn how the users who were not part of the
development team understood the full text of the DDM. We learned the following:
 The DDM is, overall, clearly written and easy to understand.
 The student may be referred by a teacher, Child Study Team in the district, and/or a
parent addressing concerns about their child’s social emotional learning, with or without a
diagnosis. The student must be on an IEP or 504 Accommodation plan or receive
services from a school counselor or psychologist for the purpose of developing social
emotional skills. This is necessary if this DDM is to reflect the effectiveness of the
treatment being provided by the SISP.
 The correct response should be written on the Observation Scoring Rubric for ease of
scoring.
 Prompts should be included on the scoring rubric to ensure consistency in DDM
administration.
For Question 2 we collected participant feedback from those who administered the DDM to learn
whether they felt the administration and scoring protocols were clear and feasible. We learned the
following:
 The prompt for labeling feelings should be the same for skills in Sections I and II (“Tell me
how this person feels”). The prompt for providing a plausible explanation for the pictured
North River Collaborative – DDM – SISP 10


feelings (Section II) should be changed to “Why does he/she feel that way?” – the prompt
“What happened” does not clearly link back to the feeling pictured in the situation.
If the student does not respond or responds, “I don’t know,” the prompt may be repeated
once. If the student still does not respond or responds, “I don’t know” again, the score is zero.
It may not always be clear which person in the pictured scenario is the person who displays
the targeted feeling. The team must identify that person in each pictured scenario before
administering the DDM. They must also point to that person when they administer that
portion of the DDM.
For Question 3 we administered the assessment twice (once in mid-April and once in late May) and
compiled scores for each student who participated. We learned the following:
 Three of the pictured feelings were problematic for the majority of the students—
disappointed, worried, frustrated—and were frequently mislabeled, earning zero points.
These emotions are not as easily differentiated in photographs for early elementary schoolaged students. Additionally, most of the pictured feelings were negative. Revisions have
been made: (a) to provide pictured feelings that are more clearly expressed and
distinguished from other feelings, and (b) to provide a better balance of positive and negative
feelings. Disappointed, worried, and frustrated have been replaced with proud, silly, and
disgusted.
 It was determined that the first administration should be conducted in October, rather than
September, in order to provide enough time at the beginning of the school year to identify
students with social-emotional learning challenges.
 There was no discrepancy in scores of students on IEPs versus students not on IEPs. This
data confirms that students not identified with a disability may also need support with socialemotional learning.
 Due to the short period of time between the administrations of the DDM pilot, the data
collected is not an accurate measure of student growth in social-emotional learning skills. In
order to be able to document end-of-year gains, only students who begin school in
September and are enrolled for the entire school year will be participants in this DDM.
 We originally estimated our growth parameters for what we would expect for student growth
over the course of a school year. Our pilot, however, only occurred at the end of the school
year (April and May). Average overall growth was +8 points for the one-month pilot, with a
median of +10 points. It will be important for any school district that adopts or modifies this
DDM to collect its own student data for the entire school year, then further examine whether
these growth parameters are appropriate.
North River Collaborative – DDM – SISP 11
DDM Pilot Data: Social/Emotional Learning Grades K–2
I. Label Pictured
Feelings
Student ID
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Mean Score
II. Label Pictured
Feelings &
Perspective of Others
Overall Scores
Total Total Total
Late
Late
Late
Late
April
May
Gain
Grade April
May Gains April
May Gains Score Score Score
K
20
20
0
20
35
15
40
55
15
K
10
20
10
10
10
0
20
30
10
K
20
30
10
20
20
0
40
50
10
K
20
20
0
45
50
5
65
70
5
K
20
20
0
30
30
0
50
50
0
K
10
20
10
15
30
15
25
50
25
K
5
5
0
20
40
20
25
45
20
K
5
20
15
10
20
10
15
40
25
K
20
20
0
20
10
-10
40
30
-10
K
20
10
-10
10
30
20
30
40
10
K
20
20
0
15
20
5
35
40
5
1
10
10
0
20
20
0
30
30
0
1
30
30
0
35
35
0
65
65
0
1
20
10
-10
30
25
-5
50
35
-15
1
20
20
0
20
20
0
40
40
0
2
20
30
10
20
30
10
40
60
20
2
10
15
5
10
15
5
20
30
10
2
20
30
10
20
30
10
40
60
20
2
20
20
0
25
35
10
45
55
10
2
20
20
0
30
30
0
50
50
0
17.00 19.50 2.50 21.25 26.75 5.50 38.25 46.25 8.00
North River Collaborative – DDM – SISP 12
Observation/Scoring Rubric for K – Grade 2
Student Name: __________________________________
Grade: _____________
Date: ______________________
Directions:
Conduct the assessment in a one-to-one setting. Record the student’s responses in the space provided, then circle the point value
associated with the observed level of performance for each targeted skill.
PROMPT: Tell me how this person feels.
Targeted Skill
I.
Label Pictured
Feeling Cards
Not Yet
Demonstrating
Student needs full
support/no
independence
Emerging
Student needs
substantial support
Developing
Student needs
occasional support
Strengthening
Student has solid
understanding and
needs minimal or no
support
Mentoring
Student needs no
support and is able
to support or coach
peers with this skill
Identified 0-1 cards
Identified 2-3 cards
Identified 4-5 cards
Identified 6-7 cards
Identified all 8 cards
0
⏮ not applicable
10
20
30
40
Correctly label 8 pictured
facial expressions: happy,
sad, surprised, scared, proud,
silly, angry, disgusted.
Correct Response
Student Response
Correct Response
Student Response
1. happy
1.
5. proud
5.
2. sad
2.
6. silly
6.
3. surprised
3.
7. angry
7.
4. scared
4.
8. disgusted
8.
North River Collaborative – DDM – SISP 14
PROMPT: 1) Tell me how this person feels. 2) Why does he/she feel that way?
II. Label the feelings &
perspective of others
(empathy) from pictured
scenario cards
Identified 0-1 cards
Identified 2-3 cards
Identified 4-5cards
Identified 6-7 cards
Identified all 8 cards
Correctly label the feelings of
a person in eight pictured
scenarios as happy, sad,
surprised, scared, proud, silly,
angry, disgusted
0
5
15
20
30
Provide plausible explanation
for why the eight pictured
people in the scenarios might
feel happy, sad, surprised,
scared, proud, silly, angry,
disgusted
0
5
15
20
30
Correct Response
1.
Record student’s responses below:
Feeling:
Explanation:
2.
Feeling:
Explanation:
3.
Feeling:
Explanation:
4.
Feeling:
Explanation:
5.
Feeling:
Explanation:
6.
Feeling:
Explanation:
7.
Feeling:
Explanation:
8.
Feeling:
Explanation:
Accommodations Provided and Rationale for Providing:
North River Collaborative – DDM – SISP 15
Student Scoring Record
Student Name: ______________________________________________
Administration Date 
Grade: ___________
1st Benchmark
Period
(October)
2nd Benchmark
Period
(January)
3rd Benchmark
Period
(May)
insert date
insert date
insert date
I. LABEL PICTURED
FEELINGS
/40
Administration Date  insert date
II. LABEL PICTURED
FEELINGS &
PERSPECTIVE OF
OTHERS (empathy)
/40
/40
insert date
insert date
/60
/60
/60
/100
Total Score
/100
Total Score
/100
Total Score
GAINS
2nd Benchmark ̶
1st Benchmark
GAINS
3rd Benchmark ̶
1st Benchmark
GAINS by mid-year
GAINS by year-end
Estimated Student Growth Parameters
End-of-Year Gains
Low Growth
Medium Growth
High Growth
< 30 point gain
30-60 point gain
> 60 point gain
North River Collaborative – DDM – SISP 16
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