Multidisciplinary Teams COST and SST (Part 1) Organizing Intervention Processes Using multidisciplinary team processes to manage prevention and intervention.

Multidisciplinary Teams

COST and SST (Part 1)Organizing Intervention Processes

Using multidisciplinary team processes to manage prevention and intervention efforts

OUTCOMES Understand the continuum of

intervention and support in a multi-tiered framework

Learn the organizational structures for COST and SST meetings

Gain awareness of how COST is implemented and utilized

Defining the acronyms

COSTCoordination of Services Team

The Proper Mission and Role ofToday’s Schools

Develop the social and academic skills of all students—including at-risk students

Teach academic readiness and reading skills that support academic engagement/achievement

Teach social skills that support socially effective behavior (self control, self regulation, social reciprocity)

Spectrum of Intervention

AcademicSupports

Attendance Supports

Attitude behavior

social-emotional

SupportsSuccessful

Student

Universal (All Students)

School-wide, Culturally Relevant Systems of Support (75-85% of students)

Selected(At-risk Students)

Classroom, Family, & Small Group Strategies

(10-20% of students)

Targeted/Intensive

(3-5%)

(High-risk students)Individual Interventions

3 Tiered Approach to Intervention

Adapted from Sprague & Walker, 2004

*Incentive Programs *Clear

Expectations *Positive School Climate

*Instructional program * Asset Building

*Team Meetings (COST) *Individual Student Plans *Instructional Supports *Documentation & Monitoring

*Intensive Interventions *Increased Frequency and Duration *SST Meetings *Additional Follow-up SST Meetings

*Case Management

REFLECTION QUESTIONS Are 75- 85% of your students:

attending school 96% of the time? meeting behavioral expectations? achieving in core academic subjects?

Are 75- 85% of your students meeting attendance, behavior and academic goals in every classroom?

Would 75-85% of your students, parents and staff say your school is safe and welcoming?






Targeted/Intensive

(3-5%)




*Incentive Programs *Clear

Expectations *Positive School Climate

*Instructional program * Asset Building

*Team Meetings (COST) *Individual Student Plans *Instructional Supports *Documentation & Monitoring

*Intensive Interventions *Increased Frequency and Duration *SST Meetings *Additional Follow-up SST Meetings

*Case Management

Three-tiered intervention Tier 1: Screening and group

interventions for all

Tier 2: Targeted interventions for some

Tier 3: Intensive interventions and comprehensive evaluations for a few National Center for Learning Disabilities

Multi-tiered systems

To create multi-tiered systems we are going to need a positive attitude and each others’ support






Targeted/Intensive

(3-5%)




Are you meeting the needs of 75% - 85% of your student population at this level?

How do you identify those needing additional support?

As you provide selected level supports with fidelity and consistency, which students (3%- 5%) need intensive levels?

Who needs intervention?

Current Referral Systems

Teacher has concerns

Counselor Impact

Referral Referral

Nurse

ReferralReferral

PSACounselor Impact

Referral ReferralReferral

PSA

Teacher has concerns Parent has

concerns

Nurse

Referral

Organizing intervention systems

Coordination of Services Teams (COST) & Student Success Teams

(SST)

Assist with organization

Provides a systematic approach to student intervention

Track and monitor interventions

Document what is being tried

What is the purpose of COST and SST?

Problem solving

Linkage & Connection

Develops an action plan

Delivery of services

Development of resources

What COST and SST are NOT:

COST and SST are not:A way to get students into Special Education

Parent Conferences

REFLECTION What have been your experiences

around COST ? Involvement (levels) Roles Coordination

What outcomes do you expect from implementing Multidisciplinary Team processes?

COST

A tiered & coordinated approach that systematically identifies at-risk students, develops comprehensive

multidisciplinary intervention plans, and regularly monitors student

progress

Coordination of Services Team

LAUSD Multidisciplinary Team Support (09/09)


FUNCTIONS OF COST SCHOOL-WIDE EVALUATION

data review, school-wide problems, gap analysis

IDENTIFICATION OF STUDENTSdata, screening, anecdotal evidence,

referrals

INTERVENTIONStriage, referral to program/person,

strategies

MONITORING/DOCUMENTATIONcase management, data collection,

evaluation

COST PROCESS

A Student is Identified

COSTTeam reviews referral and makes decision

PROVIDESupport Services

MULTIPLE ISSUESSchedule SST

Gather AdditionalInformation

COSTTeam monitors intervention services

and makes decisions

MoreSupport

Exit w/ Monitoring

Schedule SST

BeginSupport

How should students be IDENTIFIED?

COSTTeam reviews data and referrals

and makes decisions

DATA REVIEWAttendance

AchievementAttitude

(behavior, social-emotional)

REFERRALTeacherParents

Support StaffAdministration

Students needing support


Who is on the COST ?

COSTTeam reviews data and/or referrals

and makes decisions

ASSISTANTPRINCIPALS

LITERACY &MATH

COACHES

PSW

PRINCIPAL

PSA

COUNSELOR

INTRVNTNCOORD.

TITLE ICOORD.

NURSE

ELCOORD.

TEACHERS

PSYCH.

BRIDGECOORD.


DEAN

RESOURCES (+ or -)“What if my school does not have

additional staff to be a part of the support team?”

THINK Data and Perspective (Attendance, Attitude, Academics)

SEE People and students as resources

MAKE CHANGES System & Scheduling

WORK Differently

Basic School Model

SCHOOL-WIDE C*O*S*T Members come from representatives

from ALL programs at school

SSTCore Team members &Supporting Members that attend as needed

School-wideData Collection

MonitoringEvaluation

SST meetings are scheduled after classroom interventions unsuccessful

REFERRALSMakes Decisions

Intensive Support

Community & School Model

Resource Coordinating TeamMembers come from representatives

from ALL programs at school

C*O*S*TSchool Support Staff

SSTCore SST members &Supporting Members that attend as needed

School-wide Issues

SST meetings are scheduled after classroom interventions unsuccessful

REFERRALSMakes DecisionsData Collection

MonitoringEvaluation

Intensive Support

Large School Team Structure

SCHOOL-WIDERCT

COST 1Small number

of team members

COST 2Small number

of team members

COST 3Small number

of team members

SST COST Team members

&Supporting Members that attend as needed

SST meetings are scheduled ONLY by COST team – usually after interventions unsuccessful

SLC

SMALL LEARNING COMMUNITIESSCHOOL-WIDE COST – School Based Leadership Team –

Academic Leadership TeamPhilosophy – Positive Behavior Support – Goals – Practices - Norms

SLCSLC

Ea. SLC

SLC

SUPPORT TEAM

*Identify students

*Determine & Implement Classroom or Counselor Interventions

*Monitor & Evaluate effectiveness

*Refer to work with coordinating team

COST/RCT*Provides Additional

Support

*Monitors intervention implementation

*Works with SLC

*Refer to SST

SST

How often does the COST Meet

Must meet regularly

HOW OFTEN depends on: Student population Student need Primary functions COST serves Support staff availability (5 days vs. 1 day)

Recommend that Teams meet WEEKLY


What does the COST do 1st

Determine purpose, and establish norms and protocols

Reviews School-wide Data Student (Achievement, Attendance, Attitude) Program Support Services Community

Evaluates the effectiveness, efficiency and equity of School-wide Tier 1 UNIVERSAL LEVEL systems and efforts


Evaluating the effectiveness, efficiency and equity of School-

wide Tier 1 (UNIVERSAL LEVEL) systems and efforts

Is the school getting the results it desires?

Are there community factors that are impacting those results?

Are intervention efforts effective? Do ALL students have access to those

effective interventions? What changes might COST need to

champion at the school-wide level?LAUSD Multidisciplinary Team Support (09/09)

What does the COST do regularly

Reviews data and screen referrals

Makes decisions and develop action plans around student needs (triage)

Respond to persons making referrals

Monitors progress


30 Second ReflectionDoes your school currently have a COST?

If yes, how is it organized and what functions does it serve?

If no, how might a COST support your intervention process?

COST & SST

COST and SST are solely

processes utilized to manage

intervention

COST & SST are not programs that can be purchased and started

Three Phases: Adoption

Administrative Buy-inStaff Buy-in

Implementation

ProcessPractice

RefinementEvaluationImprovement

Start with a team Define purpose or clarify the purpose Identify action items Distribute the work Meet regularly to monitor progress

Recommendations to get started

MULTIDISCIPLINARY TEAM SUPPORT

FRAMEWORK & SUPPORT includes:• COST & SST Structures & Models• Student Identification Systems• 3 Tiered Approach to Intervention • Tracking, Monitoring, & Documentation Practices

• Consultation • Training• Coaching

As the Challenge Escalates, the Need for Teamwork Elevates.John C. Maxwell

LAUSD Multidisciplinary Team Support)

Books and resources SST Manual California Department of

Education RtI “What Works” http://rti.lausd.net Discipline Foundation Policy

http://Disciplinepolicy.lausd.net Best Behavior: Building Positive Behavior

Supports in Schools (Sprague & Golly, 2004) www.sopriswest.com

Safe and Healthy Schools: Practical Strategies (Sprague & Walker, 2005) www.guilford.com

Books and resources Blankstein, A. (2004). Failure is not an

option. California: Corwin Press. DuFour, R. and R. Eaker (1998).

Professional learning communities at work. Indiana: National Education Service.

DuFour, R., R. DuFour, R. Eaker and G. Karhankek. (2004). Whatever it takes. Indiana: National Education Service.

Multidisciplinary Teams COST and SST (Part 1) Organizing Intervention Processes Using multidisciplinary team processes to manage prevention and intervention.

Documents

students schoolwide

atrisk students classroom

intensive interventions

group interventions

utilized slide

targeted interventions

team meetings cost

tiered intervention