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RESPONSE TO INTERVENTION Date of RTI Meeting: Case Manager: BACKGROUND INFORMATION Followup Meeting Date(s): Student: DOB: Grade: Absences YTD: Late Arrivals YTD: Previous History of Absences? Previously
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How to fill out response to intervention:

01
Determine the purpose: The first step in filling out a response to intervention is to understand the purpose of the document. Response to intervention is a framework used in education to identify and support students who are struggling academically or behaviorally. Familiarize yourself with the guidelines and requirements set by your school or district for filling out the response to intervention document.
02
Gather relevant data: The next step is to collect data about the student's academic performance, behavior, and any interventions or supports that have already been implemented. This may include assessment results, observation notes, progress monitoring data, and input from teachers and other professionals who work with the student. Be sure to compile a comprehensive set of data to inform the intervention process.
03
Identify areas of need: Based on the data collected, determine the specific areas in which the student is struggling. This could be in reading, math, written expression, social skills, or other areas. Clearly document the areas of need in the response to intervention form, providing specific examples and evidence to support your observations.
04
Establish measurable goals: Set measurable and achievable goals to address the identified areas of need. These goals should be specific, measurable, attainable, relevant, and time-bound (SMART). Consider the student's current abilities, available resources, and any individualized education program (IEP) goals or accommodations that may already be in place.
05
Plan interventions: Develop a plan to address the student's needs based on the goals established in the previous step. This may involve targeted interventions, instructional strategies, modifications, accommodations, or additional supports. Clearly outline these interventions in the response to intervention form, being as detailed and specific as possible.
06
Monitor progress: Regularly monitor the student's progress towards the established goals and document their performance. This may involve ongoing assessments, progress monitoring tools, observations, and feedback from teachers and other professionals. Continuously review and update the response to intervention document as necessary based on the student's progress or lack thereof.
07
Revise the plan as needed: If the student is not making adequate progress, or if new challenges arise, it may be necessary to revise the response to intervention plan. Use the data collected to identify any adjustments that need to be made to the interventions, goals, or supports provided. Document these revisions in the response to intervention form and ensure that all stakeholders involved are informed and collaborate in the decision-making process.

Who needs response to intervention?

Response to intervention is typically used in educational settings to support students who are struggling academically or behaviorally. It is often implemented in general education classrooms to provide additional support to students before considering a referral to special education or other intensive interventions. Students who exhibit persistent difficulties in areas such as reading, math, writing, or behavior may benefit from response to intervention. Additionally, students who have been identified as having specific learning disabilities or other educational needs may also participate in response to intervention as part of their individualized education program (IEP) process.
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Response to intervention (RTI) is a framework used by educators to identify and support students with learning and behavior needs.
Educators, administrators, and other school personnel are required to file response to intervention.
Response to intervention forms are typically filled out by documenting the student's needs, interventions used, progress monitoring, and outcomes.
The purpose of response to intervention is to provide early intervention and support for students who may be struggling with learning or behavior issues.
Information reported on response to intervention may include student demographics, assessment results, interventions implemented, progress monitoring data, and outcomes.
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