Intervention Plan Practice #1: Sample Learners

Student-Centered Intervention Plan

1. Identified Need of Individual (Describe the problem or issue needing improvement)

2. Goal or Outcome for the Intervention (Describe what you want to happen at the end of this intervention)

3. Screening Data (List the data you collected, observed, and analyzed to help identify the need for intervention.)

4. Intervention Description (Describe the type of interventions you will implement. Include any technologies needed, materials needed, and how you will be implementing this technology.)

5. Differentiation (Explain how this intervention provides differentiation for the learner.)

6. Recommended Timeline (Outline the approximate duration and any stages of involved in implementation of the intervention from start to finish. Explain why you believe this time is appropriate.)

7. Progress Monitoring (Describe the frequency with which you will monitor student progress and how you will do so.)

8. Goal Setting/Motivation (Include a student-centered approach to your intervention and describe how it serves to motivate them to improve.)

9. Collaboration (Describe who is responsible for the intervention. Include how you will communicate expectations to these collaborators.)

10. Give an example of your Intervention Plan (List out at least 5 days/steps of the plan you have developed. Be specific enough that another person could review the plan and be able to “sub”with the directions listed.)

11. Data Checkpoints/Progress Monitoring (List out the specific data you will be collecting for each step you list in#9. Identify how/when that data will be analyzed for effectiveness.)

Part B:

12 a. Barriers/Challenges (Include here the barriers or challenges you anticipate that could exist or arise during this intervention.)

12 b. List your plan for addressing these barriers or challenges.

13. Describe the communication and collaboration that is necessary for the success of this intervention? Describe the specific training or professional development needed for maximizing success.

14. Describe your plan for additional follow up and support considerations to ensure sustainability for your learner.