Check and Connect (C&C) Implementation Planning Worksheet
(See C&C Materials & Samples) | |
| Name of Program: | Example:
Rising Strong, School Success Team, My Brother’s Keeper
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| Intervention Coordinator: | Member of Tier 2 team who coordinates this intervention |
Student Selection
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| How will students be selected? | Students are referred to Check & Connect when they show warning signs of disengaging from school, such as poor attendance, behavioral issues, and/or low grades. Example selection criteria include; 6+ Unexcused Abscences; 2+ D’s of F’s or 2-3 major ODR in 4-6 weeks.
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| How many students can be served? | Initially 3-5 students. Build up to 10-15 |
| How will parents be notified/consent gained? | Parents will be contacted by X via phone/email to invite student to participate and obtain parent consent |
Implementation (CICO Manual Pgs. 2-5)
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| Example goal for Student Success Platform | As part of C&C, student will meet established a goal together with their mentor. This goal is based on students current school data and initial student interview session. |
| When will the intervention occur during the day? | Mentor meets with student at
a determined time once per week for 15-20 minutes. This can be during the day or before or after school.
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| How long will it last? | Check and Connect is designed to a longer term intervention and may last 1-2 years. |
| Who will provide intervention? | Anyone trained to be a mentor. This can be a school employee or community volunteer. |
| Where will it occur? | Location determined with the student and mentor. May vary by mentor and time of day. |
| How will implementation fidelity be monitored/tracked? | Check and connect fidelity forms are provided with this intervention. Fidelity should be check at least every 3 months and also when a student is not making progress. |
Progress Monitoring (CICO Manual Pgs. 12-24)
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| How will student progress be monitored (PM)? | The weekly “Check” forms allow for tracking or progress and also students will self report additional data. |
| How frequently will PM occur? | Data will be checked and reviewed with the students once per week and then less frequently once the student begins to fade from the intervention. |
| Who is responsible for PM? | Coach is responsible for
pulling the data, ideally with the student.
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| When will the PM data be looked at by the team? | As part of Tier 2 team reviews every two weeks. |
| What is the average length of time in program? | 1-2 years |
| How will the team determine if a student is ready to be exited? | Meeting goal of 70-80% on their check data and also reports feeling that they have the needed connections to begin fading. Move to self-monitoring for two months to fade supports and check for stability of behavior change. |
| What will the team do if a student is not making progress? | Adjust goals for student, modify reinforcer plan, check for implementation fidelity, connect to more resources if needed. |
Communication (CICO Manual Pgs. 9-11)
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| What will parent and teacher communication look like?
| Summary of student progress will be shared with family and teachers twice per month. |