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Referral         Assign                     Formulate
                                                                         Plan for
                                                                         Collaboration:
   Intake       Lead/Co-lead                action plan and              • joint file review,
               responsibilities                 timeline                   joint teacher conference,
  Meeting                                                                  joint observation etc.




                    Utilize file
File Review          review
                    template


Consultation   School Team
               Consult
                                            Family Consult
                                            • Confirmation of Informed
 and Data      • Interviews (refer to
                 interview guidelines)
                                              Consent
                                            • Interviews (refer to
                                              interview guidelines)
 Collection    • Checklists/Rating Scales
                                            • Checklists/Rating Scales




 Informal       Student Portfolio
                                            Cross-environment                  Reading
                                                                                                                  Response to
                 & Work Sample                                             inventory/writing
Assessment          Review
                                               Observation                sample/skills check
                                                                                                                   instruction



                                                                                                       Go directly to formal assessment under one or more of the
   Provide                                                                                             following conditions:
                Strategies, program         Model, train, consult
School-based      ming, materials           /support school staff
Intervention                                                                                                   Strong evidence of interventions with supporting data
                                                                                                               Assessments are required for interagency or
                                                                                                               interdisciplinary collaboration/diagnosis/
 Monitor          Utilize Data to
                                              Continue or adjust
                                              intervention plan
                                                                                                               support
                determine progress
 response                                       based on data                                                  Support required for transition (i.e. to high school,
                                                                                                               post-secondary, community
                                                                                                            Share Report
                                                                           Provide targeted                                           Implement/
  Formal           Consult Formal
                  Assessment Test
                                               Generate Report
                                                using common
                                                                         interventions, recom               • School Team
                                                                                                            • Home
                                                                                                                                         support
                                                                         mendations, resourc                                        programming &
Assessment             Bank                         format
                                                                                e lists
                                                                                                            • Pertinent Agencies
                                                                                                                                      intervention



  Monitor      Follow Up, Adapt, &
               Revise programming
                                                Consult PSP
                                            team, lateral referral
                                                                            Consult/refer to
                                                                            outside agency
 Response          as necessary                 if necessary

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Referral floatchart arpil 10 draft

  • 1. Referral Assign Formulate Plan for Collaboration: Intake Lead/Co-lead action plan and • joint file review, responsibilities timeline joint teacher conference, Meeting joint observation etc. Utilize file File Review review template Consultation School Team Consult Family Consult • Confirmation of Informed and Data • Interviews (refer to interview guidelines) Consent • Interviews (refer to interview guidelines) Collection • Checklists/Rating Scales • Checklists/Rating Scales Informal Student Portfolio Cross-environment Reading Response to & Work Sample inventory/writing Assessment Review Observation sample/skills check instruction Go directly to formal assessment under one or more of the Provide following conditions: Strategies, program Model, train, consult School-based ming, materials /support school staff Intervention Strong evidence of interventions with supporting data Assessments are required for interagency or interdisciplinary collaboration/diagnosis/ Monitor Utilize Data to Continue or adjust intervention plan support determine progress response based on data Support required for transition (i.e. to high school, post-secondary, community Share Report Provide targeted Implement/ Formal Consult Formal Assessment Test Generate Report using common interventions, recom • School Team • Home support mendations, resourc programming & Assessment Bank format e lists • Pertinent Agencies intervention Monitor Follow Up, Adapt, & Revise programming Consult PSP team, lateral referral Consult/refer to outside agency Response as necessary if necessary