Implementing Response to Intervention (RTI) National Center on Response to Intervention National Center on Response to Intervention Session Agenda Introduction: • What is implementation? • Why is it important? National Center on Response to Intervention (NCRTI) Stages of Implementation Considerations for implementing RTI • Ineffective strategies • Effective strategies National Center on Response to Intervention 2 Upon Completion, Participants Will Be Able to: Explain why implementation activities are important and how they affect outcomes Characterize each stage of RTI implementation Differentiate between ineffective and effective implementation strategies Determine next steps to improve your district or school’s RTI implementation National Center on Response to Intervention 3 Essential Components of RTI National Center on Response to Intervention 4 Introduction What is implementation? Why is it important? National Center on Response to Intervention 5 What Is Implementation? “a specified set of activities designed to put into practice an activity or program of known dimensions” (Fixsen, Naoom, Blase, Friedman, & Wallace, 2005, p. 5) National Center on Response to Intervention 6 Implementation Science Definition: Research on how evidence-based programs can be implemented effectively and sustained over time Best summarized in Implementation Research: A Synthesis of the Literature (Fixsen et al., 2005) This research identified the stages of implementation, which we will discuss in later slides. National Center on Response to Intervention 7 Innovation Versus Implementation Innovation: The introduction of something new (What) Implementation: Efforts to incorporate a program or practice at the community, agency, or practitioner levels (How) National Center on Response to Intervention 8 Why Is Implementation Important? Innovation Activities (RTI) Student Outcomes Implementation Activities National Center on Response to Intervention 9 Think-Pair-Share With your neighbor, share the following: How would you define the term fidelity? How much does fidelity matter to implementation? National Center on Response to Intervention 10 What Is Fidelity? Fidelity of implementation refers to how closely the prescribed procedures of a process are followed (Mellard & Johnson, 2007). For RTI, this means implementing each component of RTI as prescribed in every school and classroom. Note that “fidelity” and “integrity” are interchangeable terms. National Center on Response to Intervention 11 NCRTI Stages of Implementation National Center on Response to Intervention 12 NCRTI Stages of Implementation Stage 1: Exploring and Adopting National Center on Response to Intervention Stage 2: Planning Stage 3: Implementing Stage 4: Continuously Improving 13 Stages of Implementation Handout Stage 1: Exploring and Adopting Stage 2: Planning Stage 4: Stage 3: Continuously Implementing Improving What is the purpose of this stage? What are the key activities of this stage? National Center on Response to Intervention 14 Exploring and Adopting 1. 2. 3. 4. Decide you want to do “it.” Plan for “it.” Just do “it.” Improve and sustain “it.” National Center on Response to Intervention Evaluate “it.” 15 Stage 1. Exploring and Adopting: Purpose “To assess the potential match between the community needs, program needs, and community resources and to make a decision to proceed (or not)” (Fixsen et al., 2005, p. 15) National Center on Response to Intervention 16 Stage 1. Exploring and Adopting: Key Activities Gather information about the RTI framework. Assess the needs of the site and determine whether they match the expected outcomes of RTI. Achieve a consensus among key stakeholders to put RTI into place. Identify implications of implementing RTI for existing systems and policies. Establish a clear vision, mission, and measurable goals of RTI implementation. Develop a culturally and linguistically responsive framework for RTI. National Center on Response to Intervention 17 Stage 1. Exploring and Adopting: Data-Based Decision Making Analyze needs assessment data. National Center on Response to Intervention Prioritize needs. Determine desired outcomes. Determine match between needs, desired outcomes, and RTI. 18 Exploring and Adopting Handout Task Action Steps Resources Needed Timeline Person Responsible Outcome Assess the needs of the site Gather information about the RTI framework National Center on Response to Intervention 19 Planning 1. 2. 3. 4. Decide you want to do “it.” Plan for “it.” Just do “it.” Improve and sustain “it.” National Center on Response to Intervention Evaluate “it.” 20 Stage 2. Planning: Purpose Develop clear plans, processes, and procedures. Construct the infrastructure and structural supports necessary to support RTI implementation. National Center on Response to Intervention 21 Stage 2. Planning: Key Activities Define leadership roles. Develop plans for implementation, professional development, and evaluation. Reallocate resources to support RTI implementation. Create policies, procedures, and guidance. Perform an “audit” of existing assessment and curricular materials and, if necessary, acquire or eliminate materials. Plan for and provide ongoing professional development. Plan for ongoing evaluations. National Center on Response to Intervention 22 Stage 2. Planning: Data-Based Decision Making Use data effectively to develop an action plan and determine measurable benchmarks of progress. Data sources: • Needs assessments • Audit of existing and needed resources • Evaluation data National Center on Response to Intervention 23 Implementing 1. 2. 3. 4. Decide you want to do “it.” Plan for “it.” Just do “it.” Improve and sustain “it.” National Center on Response to Intervention Evaluate “it.” 24 Stage 3. Implementing: Purpose To bring all components of the RTI framework into full operation so that it is: • Embraced by practitioners. • Integrated into all schools and classrooms. • Implemented with fidelity. National Center on Response to Intervention 25 Stage 3. Implementing: Key Activities Deliver components of RTI with fidelity. Plan to scale up RTI to include additional classrooms, grades, and/or content areas. Evaluate implementation fidelity and outcomes. Establish and refine procedures and guidelines. Provide ongoing professional development. National Center on Response to Intervention 26 Stage 3. Implementing: Data-Based Decision Making Practitioner Level Organizational Level • Screening • Evaluation of Fidelity • Progress Monitoring • Evaluation of Outcomes • Multi-Level Prevention National Center on Response to Intervention 27 Continuously Improving 1. 2. 3. 4. Decide you want to do “it.” Plan for “it.” Just do “it.” Improve and sustain “it.” National Center on Response to Intervention Evaluate “it.” 28 Stage 4. Continuously Improving: Purpose Innovate and evaluate in order to: • Improve practices to achieve better outcomes for students. • Ensure that the RTI framework remains relevant. • Ensure sustainability of RTI. National Center on Response to Intervention 29 Stage 4. Continuously Improving: Key Activities Conduct ongoing evaluations of the impact of RTI on student achievement (with particular focus on subgroups) and the fidelity of implementation. Refine plan, guidance, and practice. Identify desirable and undesirable innovations. Provide ongoing professional development. Monitor and address changes to ensure sustainability. National Center on Response to Intervention 30 Stage 4. Continuously Improving: Data-Based Decision Making Evaluation • Fidelity • Intended outcomes National Center on Response to Intervention Improvements • Plan • Guidance • Professional development • Innovations 31 Review: Implementation Stages 1. 2. 3. 4. Decide you want to do “it.” Plan for “it.” Just do “it.” Improve and sustain “it.” National Center on Response to Intervention Evaluate “it.” 32 Activity Think of the top area of need (ELA, math, behavior, grade level) in your district or school. Using the notes that you have been taking, discuss with your groups: • At what stage of implementation is your district or school in this area? Why? • What steps would your district or school need to take to pass into the next level? National Center on Response to Intervention 33 Considerations for Implementing RTI: Effective and Ineffective Strategies National Center on Response to Intervention 34 Think-Pair-Share Think of an evidence-based school program or procedure that was not sustained in your school. With your neighbor, share the following: Why did this happen? What does it take to sustain use of an evidencebased practice? National Center on Response to Intervention 35 Ineffective Strategy: Using Only One Method to Support Implementation Dissemination alone Training/professional development alone Laws and policies alone Special funding alone National Center on Response to Intervention Most Common Approaches Used to Support Implementation (Ager & O’May, 2001; Nutt, 2002; Rogers, Wellins, & Conner, 2002) 36 Effective Strategies for Implementing RTI: Combination of Core Strategies Staff Selection Staff Training Evaluation Ongoing Coaching National Center on Response to Intervention (Fixsen et al., 2005) 37 Staff Selection Selection of practitioners Selection of organization staff • • • • Trainers Coaches Evaluators Administrators Consider background, academic record, and direct observation and assessment of skills (Fixsen et al., 2005) National Center on Response to Intervention 38 Preservice and Inservice Training Important Components of Training: • Knowledge of the program and practices • Demonstrations of key skills • Practice of key skills with feedback Training in itself does not guarantee behavior change (Fixsen et al., 2005) National Center on Response to Intervention 39 Ongoing Coaching Important components of coaching: • Supervising • Teaching and reinforcing evidence-based practices • Providing assessment and feedback • Providing emotional and personal support (Fixsen et al., 2005) National Center on Response to Intervention 40 Evaluation of Fidelity Evaluations should measure three types of fidelity: • Context fidelity: prerequisites that must be in place for a program or practice to operate (e.g., staff qualifications, student/teacher ratios, facilities) • Compliance fidelity: the extent to which staff use the essential components of the evidence-based program (RTI) • Competence fidelity: the level of skill shown by the practitioner while delivering the program (RTI) (Fixsen et al., 2005) National Center on Response to Intervention 41 Implementation Support Benefits to Students Making It Happen Effective Implementation Helping It Happen Letting It Happen (Greenhalgh et al., 2005) National Center on Response to Intervention 42 Example: Effects of Different Levels of Support on Teachers’ Implementation in the Classroom Training Components Percentage of Teachers Demonstrating the Following After Training Knowledge New Skills in Training Use in the Classroom Theory and Discussion (A) 10% 5% 0% A + Demonstration in Training (B) 30% 20% 0% A + B + Practice and Feedback in Training (C) 60% 60% 5% A + B + C + Coaching in Classroom 95% 95% 95% (Joyce & Showers, 2002) National Center on Response to Intervention 43 Ineffective Strategy: Focusing on Barriers Common perceived barriers: Scheduling (time) State/district/school policies Staff attitudes/lack of knowledge Funding “The system” National Center on Response to Intervention 44 Effective Strategy: Preparing for Barriers Identify potential barriers prior to implementation. Prepare for potential barriers. Build capacity of implementation teams to identify and address issues immediately. The biggest mistake is to ignore barriers or hope they will resolve themselves. National Center on Response to Intervention 45 Ineffective Strategy: Trying to Fit RTI Into an Established System Strategy Attempt to fit innovation into existing service delivery system National Center on Response to Intervention Outcomes • Rarely fully implemented in a reasonable time frame • Often viewed as incompatible • Eventually disappears 46 Example: Trying to Fit RTI Into an Established System Core Curriculum Service Delivery System Universal Screening Progress Monitoring Tiered Interventions Data-Based Decision Making National Center on Response to Intervention 47 Effective Strategy: Change System to Support innovation Evaluate current infrastructure and identify and address potential barriers to implementation. Structure technical assistance and service delivery system to support innovation. National Center on Response to Intervention 48 Example: Changing System to Support RTI Implementation Core Curriculum Service Delivery System Universal Screening • Make changes in PD • Schedule teaming time • Schedule times for assessments and interventions • Restructure priorities Tiered Interventions Progress Monitoring Data-Based Decision Making National Center on Response to Intervention 49 Think-Pair-Share Using your notes on your Integrity Rubric Worksheet, share the following: Which components of RTI are not fully implemented in your district or school? Are there ways that the system can change so that those components are fully implemented? National Center on Response to Intervention 50 Things to Remember Remember that training itself will not lead to effective implementation. Plan for barriers in order to overcome them. Be willing to make changes to your service delivery system. Implement all essential components of RTI with fidelity. National Center on Response to Intervention 51 3-2-1 Activity 3 things you learned 2 things confirmed 1 thing you plan to do National Center on Response to Intervention 52 Need More Information? National Center on Response to Intervention: www.rti4success.org RTI Action Network: www.rtinetwork.org IDEA Partnership: www.ideapartnership.org National Implementation Research Network: nirn.fpg.unc.edu PBIS: www.pbis.org PBIS Assessments: www.pbisassessment.org National Center on Response to Intervention 53 References Ager, A., & O’May, F. (2001). Issues in the definition and implementation of “best practice” for staff delivery of behavioral interventions for challenging behaviour. Journal of Intellectual and Developmental Disability, 26(3), 243–256. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: University of South Florida, Louise de la Parte Florida Mental Health Institute, National Implementation Research Network. Retrieved from http://ctndisseminationlibrary.org/PDF/nirnmonograph.pdf Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., Kyriakidou, O., & Peacock, R. (2005). Storylines of research in diffusion of innovation: A meta-narrative approach to systematic review. Social Science and Medicine, 61(2), 417–430. Joyce, B., & Showers, B. (2002). Student achievement through staff development (3rd ed.). Alexandria, VA: ASCD. National Center on Response to Intervention 54 References (continued) Mellard, D. F., & Johnson, E. (2008). RTI: A practitioner’s guide to implementing response to intervention. Thousand Oaks, CA: Corwin Press. Nutt, P. C. (2002). Why decisions fail: Avoiding the blunders and traps that lead to debacles. San Francisco: Berrett-Koehler. Rogers, R. W., Wellins, R. S., & Conner, D. R. (2002). The power of realization: Building competitive advantage by maximizing human resource initiatives. Bridgeville, PA: Development Dimensions International. National Center on Response to Intervention 55 Questions? National Center on Response to Intervention www.rti4success.org National Center on Response to Intervention National Center on Response to Intervention This document was produced under U.S. Department of Education, Office of Special Education Programs Grant No. H326E07000.4. Grace Zamora Durán and Tina Diamond served as the OSEP project officers. The views expressed herein do not necessarily represent the positions or policies of the Department of Education. No official endorsement by the U.S. Department of Education of any product, commodity, service or enterprise mentioned in this publication is intended or should be inferred. This product is public domain. Authorization to reproduce it in whole or in part is granted. While permission to reprint this publication is not necessary, the citation should be: www.rti4success.org. National Center on Response to Intervention 57
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