LOS FRESNOS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT Behavior Strategist Procedural Flowchart Campus-Initiated Request for Behavior Team Specialist Support Behavior Specialist Team Request Form Completed Form Submitted to Special Services Director Campus / Class Observation Findings Recommendations Resources Training for RTI staff Response to Intervention Team 1. BIP development 2. Monitoring 3. Implementation Director assigns Team Members to Campus These two steps may be done in either order, or done simultaneously. Data Collection Visitation Behavior Strategist will be at campus within a five-school day window. 1. 2. 3. 4. Form at all campuses, or at Special Service webpage Debriefing of Findings with Campus Staff Campus Staff Interviews RTI Team’s Behavior Documentation Behavior Data Collection Resources Supplemental Behavior Forms BIPs/FBAs Discipline Behavior Team Follow-Up Behavior Team Specialist meets monthly with Contact Person on Progress of BIP. Yes! Demonstrated Student Progress No! Referral to SpEd or ARD called LOS FRESNOS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT Behavior Strategist Team Visitation Team Campus Clusters Los Fresnos CISD has specialized trained district staff who will provide support to individual campuses when requested. Each team member has undergone extensive Behavior Intervention trainings or who will be critical support team members for students demonstrating behavior that is concerning. The supportive team members have been designated to campuses throughout the district, but will lend support when initial team members are unavailable for scheduling timeline. Campuses in North LFCISD School Zones Las Yescas Elem., Laureles Elem., Liberty Memorial Middle School, and Palmer-Laakso Elem. Behavior Strategist Team Members Lorraine Carrizales and Betsy Neck Campuses in Central-City LFCISD School Zones Los Cuates Middle School, Los Fresnos Elem., Resaca Middle School and Lopez-Riggins Elem. Behavior Strategist Team Members Gina Nares, Dee Danielson, and Susi Clark Campuses in South LFCISD School Zones Rancho Verde Elementary, Olmito Elementary and Villarreal Elementary Behavior Strategist Team Members Jennifer Escareño and Anna Vela Campuses in Central LFCISD School Zones Dora Romero Elementary, Los Fresnos United, and Los Fresnos High School Behavior Strategist Team Members Ray Escareño, Isabel Pinon and Carmen Leyva Request for the Behavior Specialist Team should be made to: Jimmy McDonough, Special Services Director at (956) 254-5101 or [email protected] LOS FRESNOS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT Behavior Specialist Request Form Service Requested (check one): Observation FBA/BIP Review/Revision Student: Campus Training ID#: Grade: Campus: RTI Contact Person: Phone #: Counselor: Phone #: Classroom Teacher: Room #: Best Time for Observation: Select One 8:30-10:00 10:00-11:30 1:00-2:30 2:30-4:00 Required: 1. Parent Conference Date(s): 2. “Consent for Observation/Screening” form from Response to Intervention documents (attach form with this request; otherwise observation will not be able to be completed). Submit the following forms to prepare team for visitation session: Response to Intervention Documents “BEHAVIORAL” section Response to Intervention Data Collection Forms & Timeframe utilized Functional Behavioral Assessment Interview Forms Current or Drafted FBA/BIP Discipline Records Counseling Referrals/Records Behavior Strategist will be at the campus within a five-school day window after receipt of this Behavior Specialist Request Form. Campus observation of student will be partnered with a Visitation Session with campus staff on the same day. Campus Administrator Signature:_____________________________________ Date:_______________ Please send completed request and attachments to Special Services Director ATTENTION: Jimmy McDonough, [email protected] or fax to 956-233-3849 ----------------------------------------------------------------------------------------------------(Office Use) DATE REQUEST FORM RECEIVED:____________________________________________________ BEHAVIOR SPECIALIST TEAM ASSIGNED:_____________________________________________ Consent for Screening / Observation Consentimiento para Evaluación Informal / Observación Date:___________ Student:____________________________________ DOB:____________ ID#:____________ Fecha Estudiante Fecha de Nacimiento Grade:______ Campus:_____________ Screening Site:________________________ Teacher:_______________ Grado Escuela Sitio de observación Maestro/a Parent has been notified and informed of the request for consent for: Padres han recibido notificación y han sido informados tocante la petición de consentimiento para: Screening / Evaluación Informal en: Autism / Autismo Behavior / Comportamiento Developmental / Desarrollo Reading / Lectura Speech/Language / Habla Observation by / Observación por: Autism Specialist / Especialista en Autismo Behavior Strategist / Especialista de Comportamiento Educational Diagnostician / Psicometrista Educacional Campus Reading Coach / Especialista en Lectura de la escuela Speech/Language Specialist / Especialista del Habla Yes/Sí No I have been informed and understand why this has been recommended for my child. He sido informado/a y entiendo porque esto ha sido recomendado para mi hijo/a. Yes/Sí No I give permission for the observation or screening that has been recommended for my child. Doy permiso para la observación o evaluación informal que ha sido recomendada para mi hijo/a. Yes/Sí No I understand my consent is voluntary and may be revoked at any time. Entiendo que mi consentimiento es voluntario y puede ser revocado en cualquier momento. Yes/Sí No I have been informed in my native language or other mode of communication. He sido informado/a en mi lenguaje nativo o otro modo de comunicación. Yes/Sí No I give permission for the observation or screening that has been recommended for my child. Doy permiso para la observación o evaluación informal que ha sido recomendada para mi hijo/a. Yes/Sí No I have been given the name and telephone number of a staff member I may call if I have any questions. Me han dado el nombre y teléfono de un representante de la escuela a quien le puedo hablar si quiero más información. Staff name:_________________________ Tel#:__________________ Representante Escolar ________________________________________ ____________ Firma de Padre/Tutor/Estudiante Adulto Fecha Signature of Parent/Guardian/Adult Student Date 9/15