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Appendix 1 7/16/13 1 Response to Intervention Handbook Reynolds School District RTI is a framework for identifying students who are struggling to learn basic academic and socialbehavioral skills. It is not a program, curriculum or model. The goal of RTI is to prevent learning difficulties by providing early, effective supports at a necessary level of intensity to maximize student potential and proficiency within the general education setting. Essential understandings embedded in Response to Intervention are: • All students have potential to be benchmark students. • The Academic Core is defined through the Common Core State Standards. • Instructors must know where each child is on a continuum of learning. • Instructors must plan for successful learning trajectories using any and all resources. • Positive Behavior Interventions and Supports must be in place in all schools. RTI K12 RTI is a systems approach to identifying students who are struggling to learn basic academic and socialbehavioral skills and providing them with appropriate, targeted instruction/interventions. Reynolds School District has identified and implemented system components to support student learning. This system includes commitments around assessments, instructional and behavioral response, and collaborative decisionmaking. Assessment Assessments are in place to ensure student needs are identified and instruction is appropriately designed and delivered. Students at grades K8 are given a universal screener to identify those needing additional diagnostic testing for appropriate instructional placement. To continue analyzing student placement and progress, students identified as intensive will have their progress monitored at least every two weeks and those identified as strategic will have their progress monitored at least once per month.

RTI 2013-2014 updated - reynolds.k12.or.us · Appendix(1(7/16/13 1( Response’to’Intervention’Handbook’ Reynolds’School’District’ ((RTIis(aframework(for(identifying(students(who(are(struggling(to

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Page 1: RTI 2013-2014 updated - reynolds.k12.or.us · Appendix(1(7/16/13 1( Response’to’Intervention’Handbook’ Reynolds’School’District’ ((RTIis(aframework(for(identifying(students(who(are(struggling(to

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Response  to  Intervention  Handbook  Reynolds  School  District  

   RTI  is  a  framework  for  identifying  students  who  are  struggling  to  learn  basic  academic  and  social-­‐behavioral  skills.    It  is  not  a  program,  curriculum  or  model.    The  goal  of  RTI  is  to  prevent  learning  difficulties  by  providing  early,  effective  supports  at  a  necessary  level  of  intensity  to  maximize  student  potential  and  proficiency  within  the  general  education  setting.      Essential  understandings  embedded  in  Response  to  Intervention  are:    

•  All  students  have  potential  to  be  benchmark  students.    

•  The  Academic  Core  is  defined  through  the  Common  Core  State  Standards.    

•  Instructors  must  know  where  each  child  is  on  a  continuum  of  learning.    

•  Instructors  must  plan  for  successful  learning  trajectories  using  any  and  all  resources.    •  Positive  Behavior  Interventions  and  Supports  must  be  in  place  in  all  schools.  

   RTI  K-­‐12  RTI  is  a  systems  approach  to  identifying  students  who  are  struggling  to  learn  basic  academic  and  social-­‐behavioral  skills  and  providing  them  with  appropriate,  targeted  instruction/interventions.    Reynolds  School  District  has  identified  and  implemented  system  components  to  support  student  learning.    This  system  includes  commitments  around  assessments,  instructional  and  behavioral  response,  and  collaborative  decision-­‐making.      Assessment  Assessments  are  in  place  to  ensure  student  needs  are  identified  and  instruction  is  appropriately  designed  and  delivered.    Students  at  grades  K-­‐8  are  given  a  universal  screener  to  identify  those  needing  additional  diagnostic  testing  for  appropriate  instructional  placement.    To  continue  analyzing  student  placement  and  progress,  students  identified  as  intensive  will  have  their  progress  monitored  at  least  every  two  weeks  and  those  identified  as  strategic  will  have  their  progress  monitored  at  least  once  per  month.        

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Formative  assessments,  written  collaboratively,  provide  teachers  with  information  regarding  student  understanding  on  stated  lesson  outcomes.    Summative  assessments  are  used  to  analyze  and  compare  both  student  and  system  outcomes.    Instructional  Response  Reading  and  Mathematics  instruction  are  directed  by  the  Common  Core  State  Standards  (CCSS),  sequenced  by  district  teams.    Instruction  is  grounded  in  the  SIOP  Model.    Scientifically  research-­‐based  strategies  and  materials  are  used  as  designated  by  PLC  teams  and  the  data  gathered  through  assessments.    Where  plans  are  made  and/or  programs  are  chosen,  instruction  is  to  be  delivered  with  fidelity;  within  the  purpose  for  which  it  was  designed  in  the  manner  in  which  it  is  designed  to  be  delivered.    All  instructional  interventions  are  to  be  monitored  and  documented.          Collaborative  Decision-­‐Making  Reynolds  School  District  has  made  a  commitment  to  collaboration  through  the  provision  of  PLC  time  during  at  least  one  early  release  each  month.    To  analyze  the  effectiveness  of  student  placement,  PLCs  by  grade  level  or  department  meet  to  review  current  student  data  and  to  review  system  effectiveness.    The  RTI  system  involves:    

•    universal  screening      •    implementation  of  research/evidence-­‐based  interventions    •    progress  monitoring  and  adjusting  interventions  when  student  performance  does  not  

improve    •    referral  for  special  education  evaluation  when  student  performance  shows  prolonged  

“non-­‐responsiveness”  to  intervention  in  the  general  education  setting.  The  information  from  an  RTI  process  is  just  one  component  of  an  evaluation  to  determine  special  education  eligibility.    

   

School-­‐Wide  PBIS  (Behavior)    School-­‐wide  PBIS  places  emphasis  on  school-­‐wide  systems  of  support  including  proactive  strategies  for  defining,  teaching,  and  supporting  appropriate  student  behaviors  to  create  positive  school  environments.    Instead  of  using  a  patchwork  of  individual  behavioral  management  plans,  a  continuum  of  positive  behavior  support  for  all  students  within  a  school  is  implemented  in  classroom  and  non-­‐classroom  settings  (such  as  hallways,  restrooms,  etc.).    PBIS  is  an  application  of  a  behaviorally-­‐based  systems  approach  to  enhance  the  capacity  of  schools,  families,  and  communities  to  design  effective  environments  that  improve  the  link  between  research-­‐validated  practices  and  the  environments  in  which  teaching  and  learning  occurs.    Attention  is  focused  on  creating  and  sustaining  primary  (school-­‐wide),  secondary  (classroom),  and  tertiary  (individual)  systems  of  support.    As  a  result,  within  school  systems,  good  

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instructional  practices  have  their  best  chance  of  increasing  student  academic  achievement.1    Features  of  School-­‐wide  PBIS  include  seven  basic  systems  strategies:        1.    Establish  a  PBIS  Team  representative  of  key  school  constituents  that  will  review  discipline  data  regularly  and  ensure  the  establishment  of  the  “green  zone”  of  the  triangle  on  prevention  activities  for  all  students.    The  Team  will  also  regularly  participate  in  professional  development  activities  on  behavior  management.  

     2.    Establish  3-­‐5  basic  school  rules  agreed  upon  by  the  majority  of  the  staff  (e.g.,  Be  Safe,  Be  Responsible,  Be  Respectful).  

 3.    Achieve  staff  consensus  on  the  expectations  for  behavior  in  following  the  above  rules  within  different  settings  (e.g.,  classrooms,  hallways,  bathrooms,  playground,  assemblies,  bus-­‐loading).  

   4.    Create  lesson  plans  to  teach  the  expectations  

 5.    Create  a  schedule  for  instruction  during  the  year  and  indications  for  responsibilities.  

 6.    Recognize  students  for  following  expectations  on  a  5  to  1  ratio  against  the  administration  of  consequences  for  not  following  them.  

   7.    Establish  a  clear  procedure  for  the  administration  of  discipline  management  (e.g.,  procedures  for  writing  referrals,  determining  which  are  classroom  managed  and  which  are  office  managed)  as  well  as  a  continuum  of  consequences.    Keep  track  of  all  discipline  referrals  in  a  data-­‐based  format  (e.g.,  School  Wide  Information  System  (SWIS).          All  schools  in  the  RSD  system  will  operate  within  Response  to  Intervention.    The  frame  includes  an  assessment  battery,  instructional  components  and  a  meeting  structure.    Forms  are  included  to  provide  continuity  and  documentation.        

1 The OrRTI Technical Assistance Guidelines are also available at http://www.ode.state.or.us/search/page/?=2244

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Academic  Assessment  Battery  Re

ading  

Screening  Should  we  worry?  

Independent  Reading  Level  Assessment  (IRLA)  Easy  CBM  6-­‐8  

Fall:  Sept  4  –  Sept  27  Winter:  Jan  6  –  Jan  31  

Diagnostic  Why  are  we  worried?    

IRLA  (at  instructional  level)  In-­‐Program/Placement  Tests  Etc.  

As  suggested  by  screening  information  in  order  to  identify  appropriate  intervention/course  of  instruction  

Progress  Monitoring  Is  there  growth  against  a  set,  normed  benchmark?  

IRLA  Easy  CBM  6-­‐8  In-­‐Program  Mastery  Tests  

Standardized,  quantifies  growth  against  a  pre-­‐set  bar.    Team  determines  frequency  no  less  than  once  per  6  weeks.  

Formative  Are  learning  targets  set  in  class  being  met?  

IRLA  Teacher/Team-­‐Designed  Formative  Assessments  

Classroom  based,  measures  growth  toward  and/or  mastery  of  learning  targets  

Summative  Has  the  set,  normed  benchmark  been  achieved?  

IRLA  Easy  CBM  6-­‐8  OAKS  

Spring:  May  19  –  Jun  6  

Math  

Screening  Should  we  worry?   Easy  CBM  K-­‐8   Fall:  Sept  4  –  Oct  4  

Winter:  Jan  6  –  Jan  31  Diagnostic  Why  are  we  worried?    

Computation  Assessments  Skills  Inventory  Etc.  

As  suggested  by  screening  information  in  order  to  identify  appropriate  intervention/course  of  instruction  

Progress  Monitoring  Is  there  growth  against  a  set,  normed  benchmark?  

Easy  CBM  K-­‐8  In-­‐Program  Mastery  Tests  

Standardized,  quantifies  growth  against  a  pre-­‐set  bar.    Team  determines  frequency  no  less  than  once  per  6  weeks.  

Formative  Are  learning  targets  set  in  class  being  met?  

Team-­‐Designed  Formative  Assessments  

Classroom  based,  measures  growth  toward  and/or  mastery  of  toward  learning  targets  

Summative  Has  the  set,  normed  benchmark  been  achieved?  

Easy  CBM  K-­‐8  OAKS   Spring:  May  19  –  Jun  6  

Writing  

Screening  Should  we  worry?   Fall  Prompt   Sept  4  –  Oct  4  

Diagnostic  Why  are  we  worried?    

   

Progress  Monitoring  Is  there  growth  against  a  set,  normed  benchmark?  

   

Formative  Are  learning  targets  set  in  class  being  met?  

Team-­‐Designed  Formative  Assessments   No  less  than  once  per  6  weeks  

Summative  Has  the  set,  normed  benchmark  been  achieved?  

Spring  Prompt   May  19  –  Jun  6  

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Behavioral  Assessment  Battery  Screening       File  review,  referrals,  teacher  data,  observation  notes,  contact  former  

teachers  Diagnostic       Thinking  Skills  inventory,  observation  notes,  out  of  class  time,  referrals,  

suspensions,  tracking  sheets,  Student  Intervention  Profile  (Behavior)  etc.  

Progress  Monitoring       Teaching  identified  lagging  skill(s)  (Intervention)  and  tracking  progress    

(observations,  data  sheets,  intervention  plans,  etc.).  

Formative       Intervention  data  (RSD  Data  systems)  teacher  anecdotal  data  and  

observations  Summative       Referrals,  suspensions,  out  of  class  time,  work  completion,  attendance,  etc  

 

Instructional  Components  Intensity   Curriculum   Instruction  

Tier  I  Benchmark  Green  Zone  

RSD-­‐sequenced  Common  Core  State  Standards    

Instruction  must  be  focused,  rigorous  and  engaging  with  explicitly  stated  learning  targets.    Effective  strategies  for  differentiation  and  individualization  must  be  present  to  meet  individual  student  need.    

Tier  II  Strategic  

Yellow  Zone  

Supplemental  –  research  based  –  addressing  deficit  skills  that  hinder  access  to  CCSS  

Instructional  strategies  used  with  fidelity  to  shore  up  assessed  deficits.    Programs  must  be  carefully  chosen  to  target  and  accelerate  learning.    Intervention  effectiveness  tracked  through  progress  monitoring  assessments  and  documented  with  the  Student  Intervention  Profile.  

Tier  III  Intensive  Red  Zone  

Replacement  –  research  based  –  addressing  deficit  skills  that  prevent  access  to  CCSS  

Instructional  materials  and  strategies  used  with  fidelity  to  accelerate  learning,  providing  access  to  CCSS.  

 

Behavioral  Components  Intensity   Curriculum   Instruction  (not  an  exhaustive  list)  

Tier  I  Benchmark  Green  Zone  

School  wide  PBIS  programs  and  social  skills  instruction  (Second  Steps,  etc.)  

Classroom  based  instruction  regarding  appropriate  social  skills,  modification  of  assignments,  change  in  seating  assignments,  decreased  work  time,  more  frequent  teacher  check-­‐ins,  increased  verbal/non-­‐verbal  praise  etc.  

Tier  II  Strategic  

Yellow  Zone  

Check  In/Check  Out,  small  group  social  skills  lessons  

Skills  groups,  Attendance  groups,  Homework/After  school  group,  Check-­‐in/Check-­‐out,  family  outreach,  collaboration  around  identifying  trigger  events,  basic  positive  behavior  support  program  (weekly),  contracts,  Plan  B  conversations,  Safety  Plan,  etc.    

Tier  III  Intensive  Red  Zone  

Check  In/Check  Out,  Individual  social  skills  instruction  

Student  Intervention  Profile  –  Behavior  Form,  Safety  Plan,  family  meetings,  positive  behavioral  support  program  (Daily),  increase  skills  deficit  support  through  individualized  skill  building  and  social  groups,  referral  to  outside  agencies,  etc.  

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Protocols  for  Meetings  Data  Team   PLC   Child  Study  Team  

Embedded  in  these  teams  are  adjustments  to  instruction  and  attention  to  student  growth  -­‐  focused  on  Tiers  I  and  II  

   Team:  specialists,  classroom  teacher  bringing  forth  concern,  parent  invited,  but  not  requisite    Purpose:  Engage  in  Data-­‐Based  Problem  Solving  for  an  individual  student  after  data  confirms  that  solid  core  instruction  and  Tier  II  interventions  have  not  yielded  sufficient  gains.      Frequency:  As  needed    Teacher  Required  to  Bring:  •  Intervention  Profile,  documenting  two  appropriately  chosen,  but  unsuccessful  interventions  •  Other  applicable  data    Process:  •  Classroom  teacher  explains:          -­‐  student  strengths        -­‐  instructional  history        -­‐  adjustments  made  &  results        -­‐  problem  statement    •  Conversation  opens  to  problem  solving  with  specialist  input      •  Action  plan  developed            

 Outcome:  Action  plan  focused  on  instructional  next  steps  formed  with  timeline  for  checking  back  in  with  the  team  

Team:  Teachers  who  work  with  the  same  group  of  students  (ex.  Grade  level  teachers,  department…)    Purpose:  Engage  in  Data-­‐Based  Problem  Solving  using  standardized  measures  (DIBELS,  OAKS,  in-­‐program  assessments...)      Frequency:  Every  6-­‐8  weeks    Team  Members  Required  to  Bring:  •  Standardized  data  for  all  students,  organized  for  ease  of  collaborative  problem  solving    Process:    •  Review  Data  What  is  happening  and  for  what  groups?    •  Identify  the  Problem  What  is  the  problem?  (class-­‐wide  assessment  results,  system,  groupings,  pacing,  time…)    •  Analyze  the  Problem  Why  is  the  problem  occurring?      •  Intervene  How  will  we  solve  the  problem?    •  Evaluate  Did  the  intervention  work  to  solve  the  problem?    Outcome:  System  adjustment  to  address  large  scale  issues    

Team:  Teachers  who  work  with  the  same  group  of  students  (ex.  Grade  level  teachers,  department…)    Purpose:  Engage  in  Data-­‐Based  Problem  Solving  using  defined  learning  targets  and  formative  assessments      Frequency:  Every  week    Team  Members  Required  to  Bring:  •  Formative  data  for  all  students,  organized  for  ease  of  collaborative  problem  solving    Process:  •  Review  Data  Did  student(s)  learn  what  was  taught?    •  Identify  learning  targets  What  do  students  need  to  know?      •  Determine  formative  assessments    How  will  I  know  they’ve  learned  it?    •  Deepen  rigor    What  will  I  do  if  they  have?      

 

                                     -­‐or-­‐    

•  Remediate  to  accelerate  What  will  I  do  if  they  haven’t?      

 Outcome:  Instructional  adjustments  to  accommodate  individual  student  needs  

 Each  meeting  must:  

Have  a  designated  facilitator     Have  a  designated  note  taker     Include  student  data  (proof  of  struggle  or  success)     Focus  on  finding  solutions     Yield  actions  with  timelines  

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RTI  Process  Flow  Chart  

Classroom  Teachers  use  data  to  identify  students  needing  intervention  

Classroom  Teachers  bring  student  data  to  their  PLC  meeting  

PLC  teams  

Determine  interventions  to  be  

used  

Determine  progress  monitor  to  be  used  and  at  what  frequency  

Determine  length  of  time  intervention  

will  occur  

Cycle  through  data  analysis  and  intervention  application  2  times.    Classroom  Teacher  to  keep  track  of  interventions  and  data.    If  after  2  interventions  the  student  is  still  not  making  gains…  

Classroom  Teacher  will  bring  Intervention  Profile  (academic,  behavioral  or  both)  with  a  File  Review  to  CST  for  further,  more  targeted  interventions  and  action  planning.  

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 Explanation  of  aspects  of  flow  chart:          Examples  of  data:  Academic  Data   Behavioral  Data  IRLA   Tardies  Easy  CBM   Absences  Formative  Assessments   Referrals  Unit  Tests   Observational  Notes  Placement  Tests    Work  Samples    

 

 Examples  of  data  to  bring  to  PLC:    Assessment  reports  from  on-­‐line  systems    

IRLA,  Easy  CBM,  Synergy,  ELPA,  OAKS,  SWIS,  Study  Island…  Actual  student  work     Work  samples,  progress  monitoring  booklets…  Home  Language  Survey  Comparisons    

    Student  to  student,  student  to  standard,  student  to  self  over  time…    

 Match  intervention  with  assessed  need.    Be  mindful.    You  are  hypothesizing  about  what  will  bring  a  student  to  proficiency  on  the  deficit  skill.    The  Menu  of  Intervention  Options  can  be  a  good  guide  at  this  stage.    Guide  decisions  with  the  following  questions:       Will  an  adjustment  of  time  for  instruction  make  an  impact?    Why?     Will  an  adjustment  of  materials  make  an  impact?    Why?     Will  the  design  of  instructional  delivery  make  an  impact?    Why?            Progress  monitor  the  skill  you  are  attempting  to  impact.    You  need  to  have  three  or  more  data  points  below  an  aimline  before  determining  an  intervention  is  not  effective.  

Classroom  Teachers  collect  data  to  identify  students  needing  intervention  

Classroom  Teachers  bring  student  data  to  their  PLC  meeting  

Determine  interventions  to  be  used  

Determine  progress  monitor  to  be  used  and  at  what  frequency  

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 It  is  true  that  learning  takes  time.    It  is  also  true  that  if  something  isn’t  working,  something  else  needs  to  be  tried  soon.    Students  don’t  have  time  to  waste.    Be  careful  to  pair  interventions  and  students  with  progress  monitoring  in  ways  that  are  likely  to  accelerate  learning,  not  halt  it.      

 The  Student  Intervention  Profile  (both  the  academic  and  behavioral  version)  is  for  the  classroom  teacher  to  use  to  document  interventions  and  to  guide  the  problem-­‐solving  that  will  occur  as  part  of  the  CST.    The  numbers  in  parentheses  in  the  benchmark  score  chart  are  the  benchmarks  expected  for  each  of  the  required  assessment  measures.    This  form  should  be  maintained  from  year  to  year  so  interventions  begun  in  the  late  spring  are  not  lost  for  the  early  fall.      

 A  File  Review  is  necessary  to  bring  to  CST  to  help  ensure  that  the  whole  child  has  been  considered  in  the  design  and  implementation  of  interventions.        

 Follow  through  with  action  planning  that  occurred  in  the  CST.            

Forms  referenced  in  explanations:     Menu  of  Intervention  Options  -­‐  Academic     Menu  of  Intervention  Options  -­‐  Behavioral     Student  Intervention  Profile  -­‐  Academic  -­‐  Elementary     Student  Intervention  Profile  -­‐  Academic  -­‐  Secondary     Student  Intervention  Profile  -­‐  Behavioral     File  Review      

Determine  length  of  time  intervention  will  occur  

Cycle  through  2  times.    Classroom  Teacher  to  keep  track  of  interventions  and  data.    If,  after  2  interventions  the  student  is  still  not  making  gains…  

Classroom  Teacher  will  bring  Intervention  Profile  (academic,  behavioral  or  both)  with  a  File  Review  to  CST  for  further,  more  targeted  interventions  and  action  planning.  

Apply  third  intervention  according  to  the  planning  of  the  CST.    Monitor  progress.  

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Menu  of  Intervention  Options  -­‐  Academic    When  Planning  for  a  possible  intervention,  explore  the  following  questions  to  guide  the  decision  making  process:    Will  an  adjustment  of  time  for  instruction  make  an  impact?    Why?  Will  an  adjustment  of  materials  make  an  impact?    Why?  Will  the  design  of  instructional  delivery  make  an  impact?    Why?    Make  sure  to  record  intervention  selected  in  intervention  profile.    

Options  for  Curriculum/Program      

____  Check  fidelity  of  program  implementation              ____  Provide  additional  training            ____  Add  a  coaching  component    

____  Add  another  component  using            ____  Existing  program            ____  Another  part  of  a  program  to  reinforce  a                                  skill            ____  The  computer    

____  Move  to  a  more  structured  intervention                      program  (check  one)            ☐  Phonics  for  Reading          ☐  Read  Well                ☐  Reading  Mastery                      ☐  Reading  Mastery  Plus                        ☐  Soar  to  Success                          ☐  Corrective  Reading            ☐  Rewards                                                ☐  Horizons  Level  ____            ☐  Read  Naturally                            ☐  GATE  .8            ☐  Early  Reading  Intervention            ☐  ______________________    

     ____  Change  the  core  program  

Options  for  the  Student    

____  Increase  motivation            ____  Add  incentives            ____  Change  incentives            ____  Adjust  behavior  plan            ____  Increase  success  level    

____  Increase  active  engagement            ____  Number  of  responses  per  session            ____  Teach,  review  and  post  standards                                  of  behavior    

____  Increase  regular  attendance            ____  Parent  contact    

____  Ensure  student  level  matches  instructional                      level            ____  Skill  grouping            ____  Differentiated  instruction  

 

____  Increase  types  of  cueing  approaches            ____  Visual            ____  Auditory            ____  Tactile  

Options  for  Instructional  Practices      

____  Change  pace  of  instruction  (↑  or  ↓)      

____  Employ  standard  cueing  correction                      procedures    

____  Pre-­‐teach  concepts  outside  the  group    

____  Build/activate  prior  knowledge    

____  Increase  types  of  cueing  approaches            ____  Visual            ____  Auditory            ____  Tactile    

____  Other  _________________________________    

Options  for  Instructional  Logistics      

____  Reduce  size  of  instructional  group    

____  Add  additional  instructional  time            ____  Double  Dosing            ____  Different  Materials    

____  Change  instructor    ____  Change  seating  within  group    

____  Provide  instruction  in  small  units                        throughout  the  day    

____  Change  physical  environment    

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Menu  of  Intervention  Options  -­‐  Behavioral    When  Planning  for  a  possible  intervention,  explore  the  following  questions  to  guide  the  decision  making  process:    Will  an  adjustment  of  time  for  instruction  make  an  impact?    Why?  Will  an  adjustment  of  materials  make  an  impact?    Why?  Will  the  design  of  instructional  delivery  make  an  impact?    Why?    Make  sure  to  record  intervention  selected  in  intervention  profile.                                                                                        

Options  for  Curriculum/Program    

   

____  Second  Steps  (TIER  I)  ____  Building  PBIS  (TIER  I)  ____  Antibullying  (TIER  I)  ____  Family  Outreach  (TIER  II  TIER  III)  ____  Small  group  with  counselor  (social  skills  group,  

attendance  group)  (TIER  II-­‐TIER  III  ____  Individualized  support  from  counselor  (TIER  III)    ____  Check  in  –  Check  out    (TIER  II-­‐TIER  III)  ____  Safety  Plan  (TIER  II-­‐TIER  III)  ____  Incentive  Program  (TIER  I,  II,  III)  ____  Break  cards  (TIER  I-­‐TIER  II)  ____  Increased  Individualized  social  skills  building  

(TIER  III)  ____  Student  Intervention  Profile  –  Behavioral  (TIER  II-­‐  

TIER  III)  ____  Positive  Behavior  Support  Program  (TIER  II-­‐TIER  

III)    

Options  for  the  Student    

____  Increase  motivation            ____  Add  incentives  (TIER  I,  II,  III)            ____  Change  incentives  (TIER  I,  II,  III)            ____  Adjust  Positive  Behavior  Support  Program  (TIER  II-­‐TIER  III)            ____  Increase  success  level  (TIER  I,  II,  III)    

____  Increase  active  engagement            ____  Number  of  responses  per  session  (TIER  I)            ____  Teach,  review  and  post  standards  (TIER  I)                                of  behavior    

____  Increase  regular  attendance            ____  Parent  contact  (TIER  II,-­‐TIER  III)    

____  Ensure  student  level  matches  instructional                      level            ____  Skill  grouping  (TIER  I,  TIER  II  TIER  III)            ____  Differentiated  instruction  (TIER  I,  II,  III)  

 

____  Increase  types  of  cueing  approaches            ____  Visual  (TIER  II,  TIER  III)            ____  Auditory  (TIER  II)            ____  Tactile  (TIER  II,  TIER  III  )  

Options  for  Instructional  Practices      

____  Change  pace  of  instruction  (↑  or  ↓)      

____  Employ  standard  cueing  correction                      procedures    

____  Pre-­‐teach  concepts  outside  the  group    

____  Increase  types  of  cueing  approaches            ____  Visual            ____  Auditory            ____  Tactile    

____  Other  _________________________________      

Options  for  Logistics      

____  Reduce  size  of  instructional  group  (TIER  I-­‐TIER  II)    

____  Add  additional  instructional  time            ____  Double  Dosing              ____  Different  Materials    

____  Change  instructor  (TIER  II)    ____  Change  seating  within  group  (TIER  I)    

____  Provide  individual(Safety/Respect/Responsibility)            instruction  small  units    throughout  the  day(TIER  III)  

 

____  Change  physical  environment  (TIER  I,  II,  III)    

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Student  Intervention  Profile  –  Academic  –  Elementary  To  be  completed  by  classroom  teacher  when  interventions  are  determined  to  be  needed.  

   

Student  Name:  ________________   SSID  Number:  ________  Date:  _______      

School:  ______________      Initial  Grade  Level:  _______          Program  (circle):  ELL  /  Title  I  /  None  Ethnicity:  ____________    Gender:  ___________    Native  Language:  ___________  

Language  of  Instruction  and  Time  per  Day:  ________________________________________________    Areas  of  Academic  Strength:  ______________________________________________________________________      _____________________________________________________________________________________________    Benchmark  Scores  (indicate  fall,  winter,  or  spring)  

 Attendance  Issues:    ☐  Excessive    ☐  Minor    ☐  Mostly  Tardy      ☐  Other  _________________________    Behavioral  Issues:    ______________________________________________________________________  Note  Additional  Concerns/Issues:    __________________________________________________________  ______________________________________________________________________________________                                    

  K   1st   2nd   3rd   4th   5th  IRLA  Level              OAKS  (Rdg)         (211)   (216)    

  (221)  Writing    Scores  

           

 

Easy  CBM  (Math)   (41)   (41)   (40)   (41)   (41)   (43)  OAKS  (Math)         (212)   (219)   (225)      ELPA  

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  Speaking  

  Reading  

  Writing  

Compreh

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Speaking  

Reading  

Writing  

Compreh

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  Speaking  

  Reading  

  Writing  

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  Listen

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  Speaking  

  Reading  

  Writing  

  Compreh

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Speaking  

Reading  

Writing  

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Reading  

Writing  

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Intervention  #1                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐  Licensed  Regular  Ed.    ☐  Licensed  Specialist    ☐  Instructional  Assistant    ☐  ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

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Intervention  #2                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐  Licensed  Regular  Ed.    ☐  Licensed  Specialist    ☐  Instructional  Assistant    ☐  ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

Intervention  #3                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐  Licensed  Regular  Ed.    ☐  Licensed  Specialist    ☐  Instructional  Assistant    ☐  ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

Intervention  #4                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐  Licensed  Regular  Ed.    ☐  Licensed  Specialist    ☐  Instructional  Assistant    ☐  ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

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Student  Intervention  Profile  –  Academic  –  Secondary  To  be  completed  by  teacher  when  interventions  are  determined  to  be  needed.  

 Student  Name:  _____________________     Student  Number:  _______     Date:  ______  

School:  __________      Initial  Grade  Level:  _______          Program  (circle):  ELL  /  Title  I  /  None  Ethnicity:  __________    Gender:  __________    Native  Language:  ___________  

Language  of  Instruction  and  Time  per  Day:  ___________________________________________    Areas  of  Academic  Strength:  ______________________________________________________________________      _____________________________________________________________________________________________    Benchmark  Scores  (indicate  fall,  winter,  or  spring)  EasyCBM  scores  based  on  ‘12-­‐‘13  norms.  

  6th   7th   8th   9th   10th   11th  Easy  CBM  (PRF)   (163)   (157)   (163)        Easy  CBM  (Comp)   (16)   (13)   (14)        Easy  CBM  (Voc)   (19)   (18)   (19)        DRA  Level              OAKS  (Rdg)   (226)   (229)   (232)       (236)  Writing  Scores              Easy  CBM  (Math)   (37)   (34)   (33)        OAKS  (Math)   (227)   (232)   (234)       (236)      ELPA   Li

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                                                           Attendance  Issues:    ☐  Excessive    ☐  Minor    ☐  Mostly  Tardy      ☐  Other  ______________________________________  Behavioral  Issues:    ______________________________________________________________________________  

Note  Additional  Concerns/Issues:      _________________________________________________________________  

 _____________________________________________________________________________________________  

Intervention  #1                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐ Licensed  Regular  Ed.    ☐ Licensed  Specialist    ☐ Instructional  Assistant    ☐ ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

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Intervention  #2                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐ Licensed  Regular  Ed.    ☐ Licensed  Specialist    ☐ Instructional  Assistant    ☐ ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

Intervention  #3                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐ Licensed  Regular  Ed.    ☐ Licensed  Specialist    ☐ Instructional  Assistant    ☐ ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________    

Intervention  #4                                                                                                                                                                    Current  Grade  Level  ________  Curriculum:  __________________________  Starting  Lesson  #:  ______    Start  Date:  _____________  Instructor:  ☐ Licensed  Regular  Ed.    ☐ Licensed  Specialist    ☐ Instructional  Assistant    ☐ ___________  Group  Size:  __________  Frequency:  ☐1x/week      ☐2x/week      ☐3x/week      ☐4x/week      ☐5x/week      ☐Other  _____________  Duration:  ☐15  min.      ☐20  min      ☐30  min      ☐45  min      ☐60  min      ☐Other  ____________________  Progress  Data:        Date  _____    Test  ____________    Score  _______            Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______        Date  _____    Test  ____________    Score  _______              Date  _____    Test  ____________    Score  _______  Accommodation  Notes:  ________________________________________________________________  ____________________________________________________________________________________  Intervention  End  Date:  ________      Ending  Lesson  #:  ________      Reason  for  Ending  &  Next  Steps:  _______________________________________________________  ____________________________________________________________________________________  

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Student  Intervention  Profile  –  Behavioral  To  be  completed  by  classroom  teacher  when  interventions  are  determined  to  be  needed.  

 

 Student  Name:  ________________   SSID  Number:  ________  Date:  _______  

 

School:  __________      Initial  Grade  Level:  _______          Program  (circle):  ELL  /Title  I  /  None        Native  Language:  __________            Behavioral  strengths:  ____________________________________________________________________________________________________________________________________________________________    Special  interests:  ____________________________________________________________________________________________________________________________________________________________    Begin  this  chart  in  box  #1.    Work  sequentially  by  number.      (Because  of  these  circumstances…  

When  these  events  happen…  

This  behavior  is  occurring…  

For  these  reasons…)  

3.  Set  Up  (“slow  trigger”)  

2.  Set  Off  (“fast  trigger”)  

1.  Target  Behavior   4.  Reinforces  (gain/avoid)  

           

     

   Document  interventions  attempted  and  outcomes  prior  to  initiating  the  CST  process.    

Intervention  #1   Intervention  #2            

     

Outcome   Outcome            

     

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To  be  developed  at  CST  Meeting  with  input  from  team.    

Intervention  #3   Intervention  #4            

     

Outcome   Outcome            

     

 Next  steps/action  plan:                                                                    

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File  Review  and  Problem  Identification  Worksheet  To  be  completed  by  classroom  teacher  and  brought  to  CST  Meeting    

           

Student  Name:  _______________   SSID  Number:  ________  Date:  _______      

School:  _____________________      Classroom  Teacher  ____________________        

Attendance  Record     K   1st   2nd   3rd   4th   5th  School  Year              School  Attended  

           

Days  Absent              Days  Tardy                

Progress  Rates     K   1st   2nd   3rd   4th   5th  Provide  evidence  of  progress  causing  concern                

           

 Review  of  Report  Cards,  Progress  Reports  and  Teacher  Comments  

Reading      

   Math    

   Writing  

 

 Language  Skills  

 

 Behavior  and  Attendance  

 

 Other  

 

 

Includes  completed:      

      ⃞  Intervention  Profile  

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 Summary  of  Teacher  Concerns  

                           

Hypothesis  Development  Evidence  supports  that  primary  problems  are  due  to:            ⃞  Attention            ⃞  Motivation            ⃞  Lack  of  English  Proficiency            ⃞  Behavioral  Issues  

If  evidence  supports  that  primary  problems  are  due  to:            ⃞  Attendance              ⃞  Mobility                   ⃞  School  Interruptions  Indicate  reasons  for  absences  and/or  interruptions:          

Evidence  supports  that  primary  problems  are  due  to  other  concerns:            ⃞  Trauma                ⃞  Family  Concerns                ⃞  Other  Disabilities  (Documented  Medical  Diagnosis)  Describe  issue(s)  –  be  sure  to  note  when  these  issues  occurred  and  their  correlation  with  academic  concern.        Indicate  Next  Steps: