Problem Solving Team Meeting

Student:	Date of meeting:

Teacher:	Grade: Vision:	Hearing:

Team members present:

Statement

Primary concerns and initial discrepancy: (Problem Identification)

Student strengths (Problem Analysis):

Summary of data (Previous interventions implemented, observations, and outcomes):

Additional information:

Options

Continue previous interventions?

Additional intervention ideas:

Decision

What new interventions will be implemented? (Plan Development) Where should the student be in 6 weeks in measurable terms? How will data be collected? (see also attached action plan)

Other next steps:

Assessment

Follow-up meeting date:

Was the intervention effective? (Plan Evaluation) What is the rate of improvement? Was the plan implemented with fidelity? Is there still a discrepancy? (see also attached action plan)

Date:

Notes: