Tools - Building...
24
Tools 99 Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Transcript of Tools - Building...
Tools
99Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI)
© 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
CA
MPU
S-W
IDE R
TI A
SSES
SMEN
T A
CTI
VIT
IES
CHEC
KLIS
T
Nam
e of
Sch
ool _
____
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Sch
ool Y
ear_
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___
RtI L
eade
rshi
p Te
am _
____
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____
____
____
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____
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____
___
Sele
ctin
g sc
ient
ifica
lly b
ased
ass
essm
ent m
easu
res
• Uni
vers
al s
cree
ning
mea
sure
s __
____
____
____
____
____
____
____
____
• Ben
chm
ark
mea
sure
s __
____
____
____
____
____
____
____
____
____
___
• Pro
gres
s m
onito
ring
mea
sure
s (a
t-ris
k st
uden
ts) _
____
____
____
____
__
____
____
____
____
____
____
____
____
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____
____
____
Dev
elop
ing
an a
nnua
l ass
essm
ent s
ched
ule
• Dat
es fo
r dev
elop
men
t/ re
view
of a
sses
smen
t pla
n
Dev
elop
; ___
____
____
Rev
iew
: ___
____
___
• Dat
es fo
r pro
fess
iona
l dev
elop
men
t for
ass
essm
ents
Sc
reen
ing/
ben
chm
ark_
____
__
Pr
ogre
ss m
onito
ring
____
____
• Dat
es fo
r adm
inis
trat
ion
of b
ench
mar
k m
easu
res
BO
Y: _
____
___
MO
Y: _
____
___
EO
Y: _
____
__
• Dat
es fo
r gra
de-le
vel t
eam
ana
lysis
of s
tude
nt d
ata
BO
Y: _
____
___
MO
Y: _
____
___
EO
Y: _
____
___
• Dat
es fo
r cam
pus-
leve
l ana
lysis
of s
tude
nt d
ata
BOY:
___
____
_ M
OY:
___
____
_ E
OY:
___
____
_
ASS
ESSM
ENT
AC
TIVI
TYTE
AM
MEM
BER
S A
ND
CO
NTA
CT
INFO
RM
ATIO
NST
UD
ENT
EVA
LUAT
ION
PER
SON
NEL
ASS
ISTA
NC
E PR
OVI
DED
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Des
igni
ng a
dat
a m
anag
emen
t sys
tem
• Ind
ivid
ual s
tude
nt d
ata
(tea
cher
’s da
ta)
• Dat
a m
anag
emen
t acr
oss
leve
ls (t
each
er ->
gra
de ->
cam
pus)
• Pro
gres
s m
onito
ring
data
for s
tude
nts
in e
arly
inte
rven
ing
serv
ices
(by
grad
e le
vel)
• Dat
a m
anag
emen
t & p
erio
dic
revi
ew d
urin
g ac
adem
ic y
ear (
BOY,
MO
Y,
EOY;
com
pare
to g
oals
)
Prov
idin
g pr
ofes
sion
al d
evel
opm
ent o
n us
ing
asse
ssm
ent d
ata
to
info
rm in
stru
ctio
n
• Int
erpr
etat
ion
of in
divi
dual
stu
dent
resu
lts
• Gro
upin
g st
uden
ts fo
r ins
truc
tion
and
inte
rven
tion
• Est
ablis
hing
gra
de-le
vel e
ntry
and
exi
t crit
eria
for i
nter
vent
ion
leve
ls
• Pla
nnin
g in
stru
ctio
n an
d in
terv
entio
n
• Set
ting
goal
s fo
r ind
ivid
ual s
tude
nts
• Mon
itorin
g st
uden
t pro
gres
s
Revi
ewin
g Rt
I im
plem
enta
tion
• Set
ting
grad
e-le
vel a
nd c
ampu
s go
als
• Rev
iew
ing
prog
ress
at M
OY
and
EOY
• Usi
ng d
ata
to id
entif
y pr
ofes
sion
al d
evel
opm
ent n
eeds
ASS
ESSM
ENT
AC
TIVI
TYTE
AM
MEM
BER
S A
ND
CO
NTA
CT
INFO
RM
ATIO
NST
UD
ENT
EVA
LUAT
ION
PER
SON
NEL
ASS
ISTA
NC
E PR
OVI
DED
CA
MPU
S-W
IDE R
TI A
SSES
SMEN
T A
CTI
VIT
IES
CHEC
KLIS
T
(CO
NTI
NU
ED)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
St
uden
t __
____
____
____
____
____
____
____
____
____
__
Gra
de _
____
___
Hom
eroo
m T
each
er _
____
____
____
____
____
____
____
__
B
asel
ine/
Curr
ent
Rea
din
g A
sses
smen
t A
nnua
l Rea
din
g G
oals
Com
preh
ensi
ve R
ead
ing
Inst
ruct
ion
Inte
rven
tion
Su
mm
ary
Inst
rum
ent
____
____
____
____
_ D
ate
___
____
____
____
____
___
PA _
____
____
____
____
____
___
Phon
ics
____
____
____
____
____
Fl
uenc
y _
____
____
____
____
___
Voca
bula
ry _
____
____
____
____
Co
mpr
ehen
sion
___
____
____
__
Inte
rven
tion
Exit
Crite
ria:
Prog
ram
___
____
____
____
____
_ Te
ache
r __
____
____
____
____
___
Am
ount
of T
ime
___
____
____
___
Tim
e of
Day
___
____
____
____
__
___
_ D
aily
Oth
er _
____
____
__
Di
eren
tiate
d In
stru
ctio
n:
Inte
rven
tion
Teac
her:
G
roup
:
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
PA
___
___
VO
___
___
PH _
____
_ C
O _
____
_ FL
__
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ V
O
___
_/__
__/_
__
CO
__
__/_
___/
____
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
PA
___
___
VO
___
___
PH _
____
_ C
O _
____
_ FL
__
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ V
O
___
_/__
__/_
__
CO
__
__/_
___/
____
COLL
AB
ORA
TIV
E IN
STRU
CTI
ON
AL
LOG
: REA
DIN
G
Phon
emic
Aw
aren
ess
PHon
ics
FLue
ncy
VOca
bula
ryCO
mpr
ehen
sion
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
©
2007
The
Uni
vers
ity o
f Tex
as a
t Aus
tin
pag
e 2
of 2
Stud
ent _
____
____
____
____
____
____
____
____
____
___
Gra
de _
____
___
Hom
eroo
m T
each
er _
____
____
____
____
____
____
____
__
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
PA
___
___
VO
___
___
PH _
____
_ C
O _
____
_ FL
__
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ VO
_
___/
____
/___
C
O
____
/___
_/__
__
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
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her(
s)
Res
pons
ible
N
otes
on
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ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
PA
___
___
VO
___
___
PH _
____
_ C
O _
____
_ FL
__
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ VO
_
___/
____
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C
O
____
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_/__
__
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
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her(
s)
Res
pons
ible
N
otes
on
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ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
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edul
e)
Pr
ogre
ss G
oals
PA
___
___
VO
___
___
PH _
____
_ C
O _
____
_ FL
__
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ VO
_
___/
____
/___
C
O
____
/___
_/__
__
COLL
AB
ORA
TIV
E IN
STRU
CTI
ON
AL
LOG
: REA
DIN
G(c
onti
nued
)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Col
labo
rati
ve I
nstr
ucti
onal
Log
: Mat
hem
atic
s
St
uden
t: __
____
____
____
____
____
____
____
____
____
__
Gra
de: _
____
___
Hom
eroo
m T
each
er: _
____
____
____
____
____
____
____
__
Bas
elin
e/Sc
reen
ing
Mat
hem
atic
s Ass
essm
ent
A
nnua
l Rea
din
g G
oals
Com
preh
ensi
ve R
ead
ing
Inst
ruct
ion
Inte
rven
tion
Su
mm
ary
Inst
rum
ent:
____
____
____
____
D
ate:
___
____
____
____
____
__
Mat
h Co
mpu
tatio
n: (M
C)__
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
Mat
h Pr
oble
m S
olvi
ng: (
MPS
)__
____
____
____
____
____
____
Inte
rven
tion
Exit
Crite
ria:
Prog
ram
: ___
____
____
____
____
_ Te
ache
r: __
____
____
____
____
___
Am
ount
of T
ime:
___
____
____
___
Tim
e of
Day
: ___
____
____
____
__
___
_ da
ily
O
ther
: ___
____
____
Di�
eren
tiate
d In
stru
ctio
n:
Inte
rven
tion
Teac
her:
G
roup
:
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
M
C _
____
__
MPS
___
___
(s
core
/ben
chm
ark/
stat
us)
M
C _
___/
____
/___
_ M
PS
____
/___
_/__
__
____
/___
_/__
__
____
/___
_/__
_ __
__/_
___/
____
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
M
C __
____
MPS
___
__
(s
core
/ben
chm
ark/
stat
us)
M
C _
___/
____
/___
_ M
PS
____
/___
_/__
__
FL
___
_/__
__/_
___
CO
_
___/
____
/___
V
O
____
/___
_/__
__
Base
line/
Scr
eeni
ngM
athe
mat
ics
Ass
essm
ent
Ann
ual M
athe
mat
ics
Goa
lsCo
mpr
ehen
sive
Mat
hem
atic
sIn
stru
ctio
n
COLL
AB
OR
ATIV
E IN
STRU
CTI
ON
AL
LOG
: MAT
HEM
ATIC
S
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
COLL
AB
OR
ATIV
E IN
STRU
CTI
ON
AL
LOG
: MAT
HEM
ATIC
S(c
onti
nued
)
Col
labo
rati
ve I
nstr
ucti
onal
Log
: Mat
hem
atic
s co
ntin
ued
Stud
ent:
____
____
____
____
____
____
____
____
____
____
G
rade
: ___
____
_ H
omer
oom
Tea
cher
: ___
____
____
____
____
____
____
____
In
terv
enti
on P
erio
d
Prio
rity
Inte
rven
tion
Str
ateg
ies
Te
ache
r(s)
R
espo
nsib
le
Not
es o
n St
uden
t Res
pons
e Pr
ogre
ss M
onit
orin
g A
sses
smen
t Dat
a
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
M
C _
____
_
M
PS _
____
(s
core
/ben
chm
ark/
stat
us)
PA
_
___/
____
/___
_ PH
_
___/
____
/___
_ FL
_
___/
____
/___
_ C
O
___
_/__
__/_
__
VO
__
__/_
___/
____
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
M
C _
____
_
M
PS _
____
(s
core
/ben
chm
ark/
stat
us)
M
C _
___/
____
/___
_ M
PS
____
/___
_/__
__
FL
___
_/__
__/_
___
CO
_
___/
____
/___
V
O
____
/___
_/__
__
Inte
rven
tion
Per
iod
Pr
iori
ty In
terv
enti
on S
trat
egie
s
Teac
her(
s)
Res
pons
ible
N
otes
on
Stud
ent R
espo
nse
Prog
ress
Mon
itor
ing
Ass
essm
ent D
ata
(d
ates
)
(sch
edul
e)
Pr
ogre
ss G
oals
M
C _
____
_
M
PS _
____
(s
core
/ben
chm
ark/
stat
us)
M
C _
___/
____
/___
_ M
PS
____
/___
_/__
__
FL
___
_/__
__/_
___
CO
_
___/
____
/___
V
O
____
/___
_/__
__
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
INTERVENTION PROGRESS CASE STUDY DISCUSSION QUESTIONS
1. How did research-based intervention target the student’s needs?
In what areas does the student have gaps in learning?
How is the intervention instruction designed to target these needs?
Is the intervention instruction explicit and systematic, with modeling and ample opportunities to practice and receive immediate corrective feedback? Describe.
Describe the practice opportunities provided during a typical intervention lesson.
How many opportunities for corrective feedback were provided during a typical lesson?
Did it take more intervention instruction than you expected for the student to master a strategy? Explain what you did.
Does the student generalize the strategies and use them in other content areas? Give examples.
What aspects of the intervention contributed to the student’s learning? (What worked?)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
2. Would increasing the intensity of the intervention instruction accelerate student learning?
What size is the student’s intervention group? ____ If we try the student in a smaller group, what size should it be? ______
How frequent are the intervention sessions? ___ x week If we try adding more sessions, how many should there be? ___ x week
Is the pacing of the intervention instruction fast enough?
How long are the intervention sessions? _____ minutes If we need to increase the length of each session, how long should they be? ____ minutes
3. Are there other factors that may be interfering with learning?
Have there been excessive absences or tardies? ____ absences ____ tardies
Remarks:
Are there physical needs, including nutritional or sleep-related ones, that may be interfering with learning?
Could changing the time of day for intervention be a solution?_______ Change to: ____________________
Are there social or behavioral issues that may have an impact on learning? Describe.
Are there personality factors? Describe. Should we try another teacher for intervention?
INTERVENTION PROGRESS CASE STUDY DISCUSSION QUESTIONS(continued)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
INTERVENTION PROGRESS CASE STUDY DISCUSSION QUESTIONS(continued)
4. What are the next steps with the student?
How can all teachers collaborate to reinforce the intervention instruction?
Do teachers or interventionists need additional support? Identify support needed, and when, and how it will be provided.
What changes in intervention instruction will be tried?
How will these changes in intervention be monitored?
Identify date for follow-up discussion if student responds inadequately. Date: ___________________
NOTE: Immediately refer student for special education evaluation if a disability is suspected.
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Core
Con
tent
Are
a/ T
ier 1
: Ins
truc
tion
al O
bser
vati
on
Obs
erve
r
Teac
her
Refe
rred
Stu
dent
# of
stu
dent
sLa
ngua
ge o
f in
stru
ctio
n
Star
t tim
e of
obse
rvat
ion
Fini
sh ti
me
ofob
serv
atio
n
Cont
ent a
rea(
s):
Rea
ding
Mat
hG
roup
ing
obse
rved
: Che
ck a
ll th
at a
pply
; CIR
CLE
grou
ping
for r
efer
red
stud
ent
__ P
hone
mic
Aw
aren
ess
__ P
honi
cs__
Flu
ency
__ C
ompr
ehen
sion
__ V
ocab
ular
y__
Writ
ing
__ C
ompu
tatio
n__
Wor
dpro
blem
sol
ving
__ W
hole
Gro
up__
Sm
all G
roup
__ #
in g
roup
s
__ P
artn
er__
One
-to-
One
__ C
o-te
achi
ng
Core
Con
tent
:
Inst
ruct
iona
l obj
ectiv
es/ L
esso
n A
ctiv
ities
/ Str
ateg
ies
Stud
ent e
ngag
emen
t/ M
axim
izat
ion
of in
stru
ctio
nal t
ime/
Pac
ing
Diff
eren
tiatio
n in
stru
ctio
n (m
ater
ials
, act
iviti
es, s
tude
nt p
rodu
cts)
Clas
sroo
m m
anag
emen
t/ In
terr
uptio
ns/ B
ehav
ior r
edire
ctio
ns
Corr
ectiv
e Fe
edba
ck/ A
ccou
ntab
ility
for s
tude
nt w
ork
Feat
ures
of e
ffect
ive
Inst
ruct
ion
Com
men
ts
__ E
xplic
it in
stru
ctio
n
__ M
odel
ing
__ G
uide
d pr
actic
e
__ Im
med
iate
cor
rect
ive
feed
back
__ P
ract
ice
to a
utom
atic
ity
__ S
caffo
ldin
g fo
r und
erst
andi
ng
__ M
ater
ial m
atch
es s
tude
nt n
eeds
Obs
erva
tion
of re
ferr
ed s
tude
nt’s
part
icip
atio
n
Gra
de
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Inte
rven
tion
Obs
erva
tion
Obs
erve
r
Inte
rven
tioni
st
Refe
rred
Stu
dent
# of
stu
dent
s
Dat
e
Lang
uage
of
inst
ruct
ion:
Star
t tim
e of
obse
rvat
ion
Fini
sh ti
me
ofob
serv
atio
n
Cont
ent a
rea(
s):
Rea
ding
Mat
hG
roup
ing
obse
rved
: (Ch
eck
all t
hat a
pply
)
__ P
hone
mic
Aw
aren
ess
__ P
honi
cs__
Flu
ency
__ C
ompr
ehen
sion
__ V
ocab
ular
y__
Writ
ing
__ C
ompu
tatio
n__
Wor
d-pr
oble
m s
olvi
ng__
Sm
all G
roup
__ #
in g
roup
__ P
artn
er
__ O
ne-t
o-O
ne
Inte
rven
tion
prog
ram
Inte
rven
tion
obje
ctiv
es/ L
esso
n A
ctiv
ities
/ Str
ateg
ies
Stud
ent e
ngag
emen
t/ M
axim
izat
ion
of in
stru
ctio
nal t
ime/
Pac
ing
Diff
eren
tiatio
n th
at ta
rget
ed n
eeds
of r
efer
red
stud
ent
Opp
ortu
nitie
s fo
r ref
erre
d st
uden
t to
resp
ond
Opp
ortu
nitie
s fo
r ref
erre
d st
uden
t to
prac
tice
to a
utom
atic
ity
Feat
ures
of e
ffect
ive
inte
rven
tion
Com
men
ts
__ E
xplic
it in
stru
ctio
n
__ M
odel
ing
__ G
uide
d pr
actic
e
__ Im
med
iate
cor
rect
ive
feed
back
__ P
ract
ice
to a
utom
atic
ity
__ S
caffo
ldin
g fo
r und
erst
andi
ng
__ M
ater
ial m
atch
es s
tude
nt n
eeds
Obs
erva
tion
of re
ferr
ed s
tude
nt’s
part
icip
atio
n
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Checklist FOR EVALUATION OF SPECIFIC LEARNING DISABILITY*
Evaluation Staff Member: Referred Student: Date of Referral:
Student has received appropriate instruction: Core/Tier 1 Data Source/ Notes
Scheduled time for core content area instruction _____ to ______ Frequency: ___ days a week
Provided in the student’s native language
Instruction is scientifically based in research (SBR)SBR Program: ______________________
The instruction is explicit and systematic Supplemental instruction is SBR
Data-based documentation of repeated assessments of achievement at reasonable intervals • Data has been systematically collected and analyzed
• Ongoing use of student assessment data readily apparent in the way students are grouped for instruction
Parents have been kept informed
Student has received intervention to address gaps in learning
Scheduled time for student’s intervention: _______to______Frequency: ____ times weekly
Date student entered intervention _________Number of rounds/cycles of intervention student has received _____
* Follows the requirements of IDEA 2004
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Intervention provided in the student’s native language
Intervention matches the language of instruction
Intervention program based in scientific reading research Program (if applicable): ___________________
Interventionist is knowledgeable about the intervention. Name of interventionist: ________________
Intervention targets student’s gaps in learning
Student receives intervention in small group of students with similar needsNumber of students in group: _______
Progress monitoring information provides data about the student’s response to the intervention over time
Indicate intervals/frequency of progress monitoring: ______
Interventionist uses assessment data to inform instructional decision-making
Parents are informed of student progress
Underachievement is not due to:
Limited English proficiency Lack of educational opportunity
Vision problems __ Normal vision (Date of Screening___________) __ Vision corrected with glasses __ Student always wears glasses during instruction __ Suspected/observed vision difficultiesHearing problems __ Normal hearing (Date of Screening__________) __ Chronic ear infections __ Diagnosed hearing impairment __ Uses hearing aids during instructionMotor abilityIntellectual disabilityEmotional disturbanceCultural factorsEnvironmental/economic disadvantage
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Teacher/Interventionist Interview
Student ________________________________ Classroom Teacher _______________________________
Interviewer ____________________________________ Date _____________________________________
Tell me about the student’s opportunities to learn. What do you know of the student’s educational background? Language background?
Do you know of other possible factors that may be interfering with learning?
_____ Missed instruction (Excessive absences: _____ Excessive tardies: _____)
_____ Physical needs (describe any noted)
___ medication ___ nutrition ____ sleep ___ chronic condition ___ other
Describe______________________________________________________________________
_____ Other factors___________________________________________________________________
What do you think the learning problem is? Be as specific as possible.
Approximately when did you first notice it? What made you notice it?
What instructional changes did you make to increase the student’s learning success? What strategies did you try?
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Tell me about the student’s intervention instruction. (Note: Information may already be listed on Collaborative Instructional Log)
Who provides it? ______________________________ (if person other than interviewee)
When did the student begin intervention? ____________________
Any previous intervention that you know of? _________________________
How frequent are the sessions? ______ times a week
How long is each intervention session? ______ minutes
How many students are in the intervention group? _____ students
How do you reinforce the intervention strategies in content-area instruction?
What strategies does the student use in content-area instruction?
How have you informed the student’s parents about the services being provided and the strategies to
support their child’s rate of learning?
How were the parents informed of the right to request a comprehensive evaluation at any time?
TEACHER/INTERVENTIONIST INTERVIEW(CONTINUED)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
TEACHER/INTERVENTIONIST INTERVIEW(CONTINUED)
Student ________________________________ Classroom Teacher _______________________________
Interviewer ____________________________________ Date _____________________________________
(Note name and date if this portion of the interview continues with a different individual)
Briefly describe the intervention, i.e., how it works to close the student’s gaps in learning.
How do you monitor the student’s progress in the intervention?
How frequently is the student’s intervention progress monitored? _________________
(___ Student data attached)
How have you used the student’s progress monitoring data to make decisions about the intervention
instruction? (Give example)
When the student’s intervention progress was inadequate, how did you adjust the instruction?
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
What steps have been taken to increase the intensity of the intervention?
___ Increased length of sessions (Date of change ____________; from _____ min. to ______ min.)
___ Increased frequency of sessions (Date of change_____________; from ___ to ___ days a week)
___ Decreased group size and/or teacher student ratio (Date of change _____________;
from ___ to ____ students; from ___ to ___ ratio)
___ Changed intervention (Date of change ____________ )
What additional information about the student’s response to intervention do you think is important?
How have you informed the student’s parents about the services being provided and the strategies to
support their child’s rate of learning?
How were the parents informed of their right to request a comprehensive evaluation at any time?
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Parent __________________________________________ Child_________________________________
Interviewer ______________________________________ Date __________________________________
As you know, your child is experiencing learning difficulties. No one knows your child like you do. I’d like to get information from you that may help us understand more about how your child learns.
When did you first learn your child’s teachers were concerned about your child’s learning?
Do you think your child is having learning difficulties? What makes you think so?
What do you think your child’s learning difficulties could be?
How long has your child been at (school name)? ____________________
Does your child eat breakfast at home or at school? If at home, what does he/she eat before school?
When does your child usually go to bed? ____ p.m. Wake up in the morning? _____ a.m.
Leave for school? _____ How does he/she get to school? _________________________
Parent Interview
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
Does your child have needs the teachers might need to know about?
____ Medication ______________________ (Frequency ___________)
____ Allergies __________________________________________________
____ Frequent illnesses _________________________________________________
____ Sleep problems__________________________________________
____ Worries___________________________________________________
____ Other______________________________________________________
Did you or other family members have learning difficulties in school? If so, tell me about them.
Do you have any ideas that might help the teachers meet your child’s needs?
Do you have any questions for me?
Thank you for your time! You’ll be contacted when it’s time to set up a meeting to plan the next steps in
meeting your child’s needs.
PARENT INTERVIEW(CONTINUED)
Resource for Student Evaluation Personnel Working in Schools Implementing Response to Intervention (RtI) © 2017 University of Texas System/Texas Education Agency CC-BY-ND-NC 4.0
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