Fillable Problem-Solving Team Effective Behaviors Monitoring Form

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Problem-Solving Team Effective Behaviors Monitoring Form

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186 REPRODUCIBLE
How RTI Works in Secondary Schools • © 2012 Solution Tree Press • solution-tree.com
Visit go.solution-tree.com/rti to download this page.
Problem-Solving Team Effective Behaviors Monitoring Form
Recorder:__________________________________ Team:_____________________________ Date: ___________________
YES NO YES NO
Today’s meeting started on time. The agenda for today was clearly
communicated including goals and tasks.
All members were present and actively
participated.
Facilitator or Note taker reports that
paperwork is complete and up to date.
We got through our entire agenda. Most of our meeting was spent developing
specic solutions for students.
Homeroom teachers/primary interveners
were present.
Communication with teachers and parents
regarding decisions was planned.
SUBTOTALS:
STUDENT NAME
STEP
HIGH-QUALITY INDICATOR
New Referral
Concrete plans made to collect needed information for problem
ID (who, what, when)
Problem
Identication
A discrepancy statement has been made using objective and
empirical data
Converging evidence in support of discrepancy statement was
identied
Problem
Analysis
Discussion of how problem is affected by all domains (ICEL) as
appropriate
Evidence that team collected data from multiple sources (RIOT)
—no obvious missing
Discussions related to multiple alterable hypotheses across
RIOT/ICEL is observed
Evidence that team used data to determine skill versus
performance function of problem
Evidence that team used data to differentiate between Daly’s
other four hypotheses
Discussions including specics regarding student skills and
needs are observed
A clear hypothesis was made that is supported by convergent
data
Discussion of inalterable factors is minimized
Page 1 of 2
REPRODUCIBLE 187
How RTI Works in Secondary Schools • © 2012 Solution Tree Press • solution-tree.com
Visit go.solution-tree.com/rti to download this page.
Plan
Development
A goal statement has been made
The intervention is research based
The intervention appears sufciently robust and connected to
hypothesis
A clear implementation plan (script) is designed for the chosen
intervention
A plan for monitoring progress using objective and empirical
data was made
A plan to conduct an integrity observation was made
Plan
Implementation
A solution to a problem with implementation integrity was found
Plan Evaluation
A direct observation of intervention integrity was reviewed
Decisions were recorded about both intervention integrity and
dosage
Some quantitative data were reviewed—even if in raw form
A graph was reviewed by the team
Decisions were made about the quality of match between
problem and intervention
Decisions were made about the effectiveness of the
intervention
Decisions were made about next steps for the student
SUBTOTAL
TOTAL
Page 2 of 2
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Completed 20 September 2021

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