Tertiary (Tier 3) Intervention Grid: For Elementary Schools Support Description School-wide Data: Data to Monitor Exit Criteria Entry Criteria Progress Individualized Ongoing strategy One or more of the Identify a target behavior SRSS-E7 score: Low Plan involving identifying following: for the individual student. (0-3) specific student Behavior: Include: (a) label for the characteristics for each SRSS-E7: High behavior, (b) definition, Observation data phase of the (c) examples, and (d) non demonstrate behavior is cycles and Office discipline examples consistently within implementing referrals (ODRs) 6 Set behavioral goal based expected level (per appropriate and or more within a on baseline performance goal; three consecutive evidence-based adult grading period of the behavior. data points) then – responses to managing Direct observation of the transition to student acting out target behavior with data maintenance plan and behavior. points graphed for monitor behavior decision making. during transition. Treatment Integrity: Treatment integrity checklist Social Validity: Teacher: IRP-15 Student: CIRP
Tertiary (Tier 3) Intervention Grid: For Elementary Schools Support Description School-wide Data: Entry Criteria Data to Monitor Progress Exit Criteria Individualized Plan Ongoing strategy involving identifying specific student characteristics for each phase of the cycles and implementing appropriate and evidence-based adult responses to managing student acting out behavior. One or more of the following: Behavior: SRSS-E7: High Office discipline referrals (ODRs) 6 or more within a grading period Identify a target behavior for the individual student. Include: (a) label for the behavior, (b) definition, (c) examples, and (d) non examples Set behavioral goal based on baseline performance of the behavior. Direct observation of the target behavior with data points graphed for decision making. Treatment Integrity: Treatment integrity checklist Social Validity: Teacher: IRP-15 Student: CIRP SRSS-E7 score: Low (0-3) Observation data demonstrate behavior is consistently within expected level (per goal; three consecutive data points) – then transition to maintenance plan and monitor behavior during transition.
00_Individualized-De-escalation-Support-Plan-Grid-DRAFT2.docx