Tier 2 - Group Problem Solving Instructional Planning Form (Fillable)

This form may be used when the Intervention Assistance Team has reviewed school wide data and found converging evidence (triangulation of data-e.g., ODR, Universal Screeners, Teacher Nomination, acadotal notes/observations) to suggest a need for a standard treatment protocol based intervention to be delivered to a group of students.  Individual goals and graphs must be kept for each participating student.  Participation rates (attendance) of each student in the group intervention must be documented. Decisions regarding the success of the intervention are to be made on an individual student basis. Information form this form can be inputted within the MTSS tab in Infinite Campus.

Examples:

Organizational Skills (Tier 2)

Check-In Check-Out (CICO) (Tier 2)