intervention assistance team process - Stephen T. Badin High School

INTERVENTIONASSISTANCETEAM PROCESS

BHS IAT PROCESSBadin’s Intervention Assistance Team (IAT) is a pre‐referral process thatis available to all students to help them be successful in the classroomsetting. The IAT team is composed of the assistant principal, schoolcounselor, intervention specialist(s), school nurse, and at least 2 of thestudent’s classroom teachers.Step 1 – Request for Assistance‐ The classroom teacher will contact theparent to discuss their concerns and document information gathered/possible interventions or accommodations that they can implement forthe student. (Form 1‐ Parent Documentation)Step 2 – Request for Assistance – If the concern(s) raised by the parentor teacher are not resolved, the parent or teacher can complete the IATReferral Form and submit it to the Assistant Principal for review.(Form 2‐ IAT Referral Form)Step 3 – If the IAT Referral Form documents prior contact with theparent and implementation of interventions/accommodations, theReferral Form will be given to the school counselor to help gatheradditional information from the student’s files and the classroomteachers. (Form 3 – IAT Counselor Form, Form 4 – Classroom TeacherObservation Form)

Step 4 – Once all of the forms have been returned to the schoolcounselor, an IAT meeting will be scheduled with the parent.Step 5 – An IAT Meeting is held to discuss the student’s educationaland/or medical history, present concerns, priorinterventions/accommodations and their impact on the student’sperformance. Additional interventions and/or accommodations will bediscussed, documented and then reviewed at an additional meeting.This meeting will be held at least 3 weeks after the first IAT meetingwas held.) The additional interventions and/or accommodations will bedocumented on Form 5‐ IAT Outcome.Step 6 – A follow up IAT meeting will be held to review the plan notedin the IAT Outcome Form. The team will determine if the existing plan isworking and thus should continue, if new interventions oraccommodations should be implemented or if the team wants todiscuss the student’s performance with a school psychologist from theHamilton City School District. (Form 5 IAT Outcome)Step 7 – A formal meeting will be held with a representative of theHamilton City School District to review our forms, documentation,interventions etc. and to help determine if the team should proceedwith a formal evaluation. If the team suspects a disability, the HamiltonCity School District will proceed using the Ohio Department ofEducation’s Forms.

Step 8 – Once the evaluation has been completed, a formal teammeeting will occur to review the information gathered and determine ifthe student has an identified disability as recognized by federal law. Ifyes, the team will create an Individual Service Plan. If the teamdetermines that the student does not have a disability, the team willcomplete a new Form 5 to document the interventions oraccommodations determined to be necessary for the student to besuccessful.

Parent DocumentationForm 1Student’s Name: _____________________________________________________Parent Contacted: ____________________________________________________Date Reached: _______________________________________________________Teacher Making Contact: ______________________________________________Concern(s) Shared with Parent: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Information Shared by Parent: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Action Plan (Interventions/Accommodations to Implement): ___________________________________________________________________________________________________________________________________________________________________________________________________________________Use a new form for each contact made with a parent.3 contacts must occur before submitting the IAT Referral Form.

IAT ReferralForm 2Student’s Name: ______________________________________________Teacher Making Referral: _______________________________________Dates Contacted Parent: ________________________________________Parent Making Referral: _________________________________________Concern(s) Discussed: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please list all interventions/accommodations implemented, the length of eachand also any impact observed: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Attach all parent documentation, work samples, and/or any privatereports given to you by the parent.

IAT Counselor InformationForm 3Record Review: Attendance this year _______absent _______tardy Ever retained? Yes No Received any interventions in elementary school?Yes____ No_____ If yes, ________________________ Previously evaluated? Yes _____ No _______ Any Health Conditions? Yes ______ No ______If yes, _________________________________________ Discipline Issues: Yes _____ No ______If yes, _________________________________________Medications: ___________________________________ Current Grades:Math ________________ Science _______________English _______________ Religion ______________History _______________ Elective 1 _____________Elective 2 ______________ Elective 3 _____________ Standardized Test Results: ________________________ Observations of Student:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

BADIN HIGH SCHOOLINTERVENTION ASSISTANCE TEAMCLASSROOM TEACHER OBSERVATION FORM # 4Student______________________________________Grade_______Date______________To Classroom Teachers: ______________________________________________________________________________________________has been referred to the InterventionAssistance Team. Please complete the following form and return it to __________________by ___________________.Answer the following:1. Current Grade in your class _____________________2. Student’s Strengths: _________________________________________________________________________________________________________________________3. Areas of Concern: (Check all those that apply)____ attendance ____ attention span ____ homework completion____ participation ____ social skills ____ organizational skills____ test performance ____ following directions ____ language skills____ academic skills ____ memory/retention ____ vocabulary comp.____ fine motor ____ problem solving ____ behaviorOther: ____________________________________________________________________________________________________________________________________________________________________________________________________________

4. Interventions Provided: (Check all those that apply)____ preferential seating ____ cues/prompts _____ color coding____ access to notes ____ reduce homework _____ clarifying directions____ extended time (Circle: homework, projects, papers, tests) ___test corrections____ allow oral vs. written response _____ advance organizers____ highlight key points ____ study guides ____ increased visuals____ checklists ____ increased wait time ____ small group work____ peer tutoring____ provide charts/formulas ____ breaks/movement____ use of technology (Explain:__________________________________________)____ positive reinforcement ____ repeated practice ____ graphic organizers____ check classroom organizer/planner in iPad_____ contact with school counselorOther: _________________________________________________________________________________________________________________________________________________________________________________________________________5. Have any of the interventions you implemented had a positive impact on the student?If so, explain: _________________________________________________________________________________________________________________________________________________________________________________________________6. Have you contacted the parent? YES NO If so, when and how: ___________________________________________________________________________

7. Did the parent share any information with you? __________________________________________________________________________________________________________________________________________________________________________*** Please attach any work samples to this form.For Example:Concern = Written Expression………Attach some writing samplesConcern = Math Skills……Attach work samples, copies of testsConcern = Test Performance…..Attach word document showing test/gradecomparison to the other students in the same class

IAT OutcomeForm 5Concerns Discussed:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Impact of Interventions Implemented:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Team Conclusion: (Circle One)A. Schedule a meeting with the Hamilton City School Psychologist as theinterventions are so severe and/or they are not impacting the student’sperformance in the classroom setting.B. Continue with the existing interventions as the student is being successfulin the classroom setting. Another meeting to review his/her progress willoccur on ___________________________________.C. The team would like to continue the intervention process but will add thefollowing interventions to the existing plan:_______________________________________________________________________________________________________________________________________________________________________________________

Those Present at the Meeting:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Date of Meeting: _________________________