GROUP INDIVIDUAL INTERVENTION PLAN SAMPLE GROUP INTERVENTION

							                                          GROUP INTERVENTION PLAN (TIER 2)

Target Skill:

Date:                              Instructional Procedures:
                                                                                           Times Per Week:

Data Indicated Needed:                                                                     Length of Time Per Session:

                                   Materials:                                              Progress Monitoring Plan:


Person Responsible for Analysis:
                                   Person Responsible for Intervention:


Student Name:
Baseline:

Goal:                                                          Individual Modifications:




Outcomes:                                                      Parent Involvement:




Intervention Dates:
Section           Directions
Target Behavior   State the behavior (skills) being addressed throughout this intervention. For example: Oral
                  Reading Fluency
Date              Indicate the starting date of the intervention
Data Indicating   Provide the rationale behind the need for the group to receive this intervention. Baselines
Need              will be stated below for each individual student: therefore information should be stated here
                  in more general terms. For example: The DIBELS measures at the winter benchmarking,
                  indicated students were in need of strategic intervention for the following: Phoneme
                  segmentation and nonsense word fluency.
Persons           Provide the name(s) of those delivering the intervention and analyzing the problem.
Responsible
Instructional     Describe the delivery of the intervention, the instructional strategies. Such as_ The teacher
Procedures        will provide modeling of the strategy followed by guided practice where the teacher and
                  student do task together, which is then followed by significant amounts of independent
                  practice and corrective feedback.
Materials         Indicate levels of materials, type of materials. Or resourced needed to implement the
                  procedures.
Times per week    Indicate how many times per week the intervention will take place.
Length            Indicate the amount of time per session for the intervention.
Progress          Explain the way you will gather the data and make decisions about it. For example: Weekly
monitoring Plan   DIBELS probes will be given 1:1 by classroom teacher on nonsense word probes and
                  phoneme segmentation probes. Data will be graphed each time. A decision making rule
                  should also be stated. For example: Every time 4 data points in a row fall below the line, a
                  teaching change will be considered.
Student Name      Indicate first and last name of students
Baseline          Provide student individual score(s) at the beginning of the intervention. For example: 17
                  sounds in 1 minute on the DIBELS nonsense word probes.

Goal              This will be based on the individual and will vary with each student. State the goal in
                  observable and measurable terms. Such as-35 sounds in 1 minute pm a nonsense word
                  probe by 1/17/03 (next benchmarking period).
Outcomes          State the student’s level of performance at the end of the intervention. Best practice would
                  be to keep an individual graph for each student. State the results of the intervention in
                  observable and measurable terms. For example: James reads 3rd grade passages with
                  55wcpm. Or James reads Nonsense word probes with 28 sounds in 1 minute.
Individual        This is based on the needs of each child. For example: James will need to re-read the
Modifications     passage 5 times instead of 3, or James will have an additional practice session 2 times a week
                  with a high school helper to practice sounds being taught in the intervention.
Parental          Indicate how the parent will be involved and informed during the intervention.
involvement