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Challenge
Initial Thoughts
Perspectives & Resources

How can school personnel identify and select evidence-based practices or programs?

  • Page 1: Determine School Needs
  • Page 2: Identify School Resources
  • Page 3: Select an Evidence-Based Practice or Program

How can school personnel effectively implement evidence-based practices or programs?

  • Page 4: Understand Fidelity of Implementation and Its Importance
  • Page 5: Establish an Implementation Team
  • Page 6: Provide Training
  • Page 7: Provide Ongoing Supports
  • Page 8: Use Implementation Guidelines and Supports
  • Page 9: Develop a System for Monitoring Fidelity

How can school personnel determine that they have effectively implemented evidence-based practices or programs?

  • Page 10: Collect Data and Evaluate Fidelity of Implementation
  • Page 11: Promote Sustainability

Resources

  • Page 12: References & Additional Resources
  • Page 13: Credits
Wrap Up
Assessment
We want to hear from you. Please complete our brief Module Feedback Form.

How can school personnel effectively implement evidence-based practices or programs?

Page 6: Provide Training

fid_06_main_a2One of the best ways school personnel can promote fidelity of implementation is to provide effective professional development (PD) training. Research shows that teachers who receive high-quality training, which includes ongoing support, implement with greater fidelity than those who do not receive training. Moreover, those who receive extensive training typically implement with greater fidelity than those who receive minimal training.

Many implementation efforts fail because someone underestimated the scope or importance of preparation.

Leonard-Barton and Kraus, 1985

fid_06_main_b2Through high-quality PD, school personnel learn the procedures and instructional activities necessary to implement a program or practice as intended. In addition, this training might serve to motivate teachers about the program and potential outcomes for their students as well as to build their confidence in their ability to implement the program effectively. When seeking high-quality PD, school personnel should look for training that:

  • Is provided by knowledgeable professionals
  • Addresses skill development

Training Is Provided by Knowledgeable Professionals

Research demonstrates that direct training, led by a skilled instructor, is more effective than indirect training such as that provided by a video. The instructor or trainer should be a qualified professional with expertise in the topic at hand as well as a demonstrated ability to teach adults. How an implementation team chooses the PD provider depends on the type of training they are seeking. For example, a school in search of training on an instructional practice might wish to explore local experts (e.g., college faculty, local trainers) or inquire with the district, which may maintain a list of approved PD providers. However, if a school is seeking training on a specific product or program, the manufacturer, publisher, or developer may provide a trainer or supply a list of approved trainers. Regardless, it may be helpful to ask several questions when selecting a qualified trainer:

  • What is the individual’s professional background?
  • Does he or she use multiple teaching formats or models during training?
  • Does he or she offer follow-up training support?
  • Does the trainer provide a manual?
  • Does the trainer address fidelity of implementation?

Mel Riddile and Cynthia Alexander discuss factors to consider when selecting professional development training.

hs_riddile

Mel Riddile, EdD
National Association of
Secondary School Principals (NASSP)
2006 MetLife-NASSP High School Principal of the Year

(time: 1:49)

/wp-content/uploads/module_media/fid_media/audio/fid_06_audio_riddile.mp3

View Transcript

hs_alexander3

Cynthia Alexander
NIUSI-LeadScape Principal
Evans Elementary School
Memphis, TN

(time: 1:30)

/wp-content/uploads/module_media/fid_media/audio/fid_06_audio_alexander.mp3

View Transcript

Transcript: Mel Riddile, EdD

First of all, I want to make sure that our staff learn what it is they need to learn. We want to observe other people doing it. There should be opportunities for guided practice and for teachers to get feedback. In some cases, we visited other schools to watch them do it, and that was very important. We also built in a peer-observation component and a coaching component, so that the teachers would observe each other using the strategy and then give feedback to each other, and then the coach would observe them, go into their classroom, and work with them to make sure that they were actually implementing that strategy the way it was designed. But, more importantly, we wanted to know how much follow-up support we were going to get. And that’s a critical part, because, as I learned, nothing is perfect out-of-the-box, so to speak. And so we have to have some flexibility, and it has to be adapted to certain context. And to do that we want to know how much follow-up support we would get from the professional development organization, the program, whatever it was. The support from the vendor-provider organization that we are working with was a critical part of our choice of a path or a program. Do they have technical staff that can support us? The other thing is, can they come back and look at our needs and then provide follow-up support? Does the organization actually have a part of that organization that’s devoted to fidelity of implementation? Do they actually care if schools are implementing the programs as designed and what are they prepared to do to assist schools to do that.

Transcript: Cynthia Alexander

When considering finding the appropriate professional development for the staff, we go back to the data and the needs that are specifically for the school. The first thing you have to consider when selecting PD for a group of educators is what professional development will be the most beneficial for that group of teachers. So that’s what we do periodically, not just once a year. We have a professional-development plan, but it’s a living document, much like the school improvement plan, whereas we see needs evolve we also include those needs for PD in there. You have to be open to make changes as you go with professional development, because what you need at the beginning of the year you might find is not necessarily what you need. So it has to be an evolving process, and you have to make sure that they are relevant topics included in professional development for that time period in your school. There’s some things that will stay the same, but for the most part it’s an evolutionary process where you plan for that PD according to what the needs are. Now, as far as evaluation of the PD, at the end we do a needs assessment for the teachers to figure out was it useful PD, how will you use it, and then also offer them opportunities in team-leader meetings and faculty meetings to, kind of, present some of those high-points or lessons learned from the PD in the form of a lesson, a presentation, or just a quick blurb of what they got out of the PD and what they were able to translate back into their classroom. It’s always good to talk to your teachers to find out exactly what they need.

For Your Information

During the selection process, school personnel may want to find out whether the PD trainer:

  • Provides culturally responsive content relevant to implementing the practice or program with students at their school.
  • Engages in extensive planning and attends to detail when teaching skills that are especially complex or outside the school personnel’s experiences.
  • Presents compelling evidence to persuade trainees that the program they are learning will positively affect their students’ learning.

Training Addresses Skill Development

As a result of effective PD training, teachers learn the skills needed to implement a product or practice effectively and with fidelity. Research shows that teachers want detailed, concrete instruction during training. This training may be provided in a variety of formats such as workshops, summer institutes, or in-service trainings. Regardless of the content or training format, effective training includes:

Presenting information – Typically delivered through a lecture or discussion, this includes all the facts and knowledge relevant to implementing the practice (e.g., benefits, steps or components, implementation instructions, research base, effectiveness).

Demonstrating the skill or concept – This may involve a live or taped model or simulation of an individual implementing the important aspects of the practice or program.

Providing opportunities to practice – Time should be allotted during the session for participants to practice the skills (sometimes referred to as role plays or behavior rehearsals). To be successful, training should provide opportunities for participants to receive corrective feedback on their performance in a supportive atmosphere.

x

corrective feedback

Constructive comments provided as soon as possible following the implementation of an activity in order to help an individual improve his or her performance.

Research Shows

Teachers who see the value in the practice or program, have the requisite skills to implement it, believe it will be effective in producing desired effects, and feel confident about implementing it are more likely to implement the program with a higher degree of fidelity.
(Barr, Tubman, Montgomery, & Soza-Vento, 2002; Ringwalt, Ennett, Johnson, Rohrbach, Simons-Rudolph, Vincus, & Thorne, 2003)

Evaluating PD Training

fid_06_main_c2To better meet the needs of school personnel, the coordinator or designated school team need to evaluate the training. They may do this to assess whether participants learned new content or skills, found the PD engaging, or applied the information or skills. The individuals in charge of coordinating PD activities may want to conduct several types of evaluations to gain insight into the effect of the training.

Evaluation Type Purpose Example
Pre-training assessment Distributed before training:

  • To obtain baseline data about the participants’ knowledge, skills, and attitudes about a given topic or skill
Click here for an example.

Pre-training Assessment

Peer Assisted Learning Strategies (PALS) Workshop
Pre-Training Assessment
Very Little
Some
A Lot
1. How much do you know about peer tutoring?
1
2
3
4
5
2. How much do you know about PALS?
1
2
3
4
5
3. Do you use PALS in your classroom?
1
2
3
4
5
torn-paper-edges
Not at All

Unsure
Definitely
7. Do you believe students can learn effectively from each other?
1
2
3
4
5
8. How comfortable are you letting students work together in pairs?
1
2
3
4
5
9. How comfortable are you with following scripted lessons?
1
2
3
4
5
torn-paper-edges
Very Little

Some
A Lot
14. How much would you like to learn about implementing PALS?
1
2
3
4
5
15. How much would you like to learn about the benefits of implementing PALS?
1
2
3
4
5

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Post-training assessment Distributed immediately after training:

  • To obtain data about the participants’ knowledge, skills, and attitudes about a given topic or skill to compare with pre-training assessment data
  • To gain feedback about the training and the presenter
  • To collect data on how the participants plan to use the information or skills presented
Click here for an example.

Post-training Assessment

Peer Assisted Learning Strategies (PALS) Workshop Post-Training Assessment
Very Little

Some
A Lot
1. How much do you know about peer tutoring?
1
2
3
4
5
2. How much do you know about PALS?
1
2
3
4
5
torn-paper-edges
Not at All

Unsure
Definitely
7. Do you believe students can learn effectively from each other?
1
2
3
4
5
8. How comfortable are you letting students work together in pairs?
1
2
3
4
5
9. How comfortable are you with following scripted lessons?
1
2
3
4
5
torn-paper-edges
Very Little

Some
A Lot
14. How much did you learn about implementing PALS?
1
2
3
4
5
15. How much did you learn about the benefits of implementing PALS?
1
2
3
4
5

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Overall training evaluation Distributed immediately after training:

  • To assess participants’ reactions to training components
Click here for an example.

Overall Training Evaluation Example

Workshop Title: ________________________________________________________________________

The workshop……………
Strongly Agree Agree Neutral Disagree Strongly Disagree
1. Description was accurate.
5 4 3 2 1
2. Topic was relevant to my work
5 4 3 2 1
3. Provided me with new knowledge or skills
5 4 3 2 1
4. Provided opportunities to practice using new
knowledge or skills.
5 4 3 2 1
5. Included opportunities for participants to interact with one another.
5 4 3 2 1
6. Included more than one format (such as lecture, discussion, or brainstorming).
5 4 3 2 1
The presenter(s)……………. 5 4 3 2 1
7. Stated the goals of this workshop at the beginning of the session.
5 4 3 2 1
8. Exhibited expertise on this workshop topic.
5 4 3 2 1
9. Was/were well-prepared and organized.
5 4 3 2 1
10. Welcomed questions and comments.
5 4 3 2 1
11. Maintained a safe and respectful environment.
5 4 3 2 1
12. Suggested ways to use this workshop information.
5 4 3 2 1
13. Provided some form of follow up assistance (e.g., contact information for questions or a website for reference).
5 4 3 2 1
14. I was satisfied with this workshop.
5 4 3 2 1
15. I plan to use this workshop information.
5 4 3 2 1
16. My level of knowledge of the content of this workshop:
Excellent Above Average Average Below Average Poor
a. before attending this work was:
5 4 3 2 1
b. now that I have completed this workshop is:
5 4 3 2 1
17. My level of belief in the importance of the content of this workshop in terms of benefiting the youth in my work:
a. before attending this work was:
5 4 3 2 1
b. now that I have completed this workshop is:
5 4 3 2 1
18. Please share any additional comments or feedback about this workshop:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

 


(From the Out-of-School Time Resource Center [OSTRC],
http://www.sp2.upenn.edu/ostrc/resources/prodeveval/index.html)

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Follow-up assessment Distributed after training (e.g., after one week, one month):

  • To acquire data to compare to the post-training data on how participants actually use the information or skills in their classrooms
  • To determine whether the training had an indirect effect on student outcomes
  • To ascertain administrative support
Click here for an example.

Follow-up Assessment Example

Fall Philly PNM Follow Up Survey
Philadelphia Fall Peer Networking Meetings –Follow Up Survey
Thank you for your continued support of the Philadelphia Peer Networking Meetings. Please take a few moments to complete this follow-up evaluation. Your feedback will help enhance our meetings and enrich the out-of-school time field.
1. How much did you learn from attending the Fall Peer Networking Meeting(s):
I did not attend this meeting. A great deal A lot Something Very Little Nothing
September 17th: Connecting with Schools checkbox checkbox checkbox checkbox checkbox checkbox
October 16th: Life Skills for Youth checkbox checkbox checkbox checkbox checkbox checkbox
November 14th: Family /Home Dynamics checkbox checkbox checkbox checkbox checkbox checkbox
Application
2. I applied the knowledge or skill(s) that I learned at the PNM in my work with youth.
checkbox Yes
checkbox No, I did not have to time to apply the knowledge or skill yet.
checkbox No, the knowledge or skill was not directly related to my work.
checkbox No, the PNM did not provide me with any new knowledge or skill.
checkbox Other (please specify)
3. I shared knowledge or skills from the PNM with colleagues.
checkbox Yes
checkbox No, but I plan to.
checkbox No, I did not learn any new knowledge or skill at the PNM to share with my colleagues.
checkbox Other (please specify)
4. I adapted the knowledge or skill from the PNM to other programs.
checkbox Yes
checkbox No, I did not have to time to adapt the knowledge or skill to other programs.
checkbox No, but I plan to adapt the new knowledge or skill to other programs.
checkbox No, I work with only one program.
checkbox No, the PNM did not provide me with any new knowledge or skills.
checkbox Other (please specify)
5. I had the support of my organization to implement the knowledge or skill learned at the PNM.
checkbox Yes
checkbox No
checkbox Other (please specify)
6. I was held accountable to apply the knowledge or skill from the PNM in my work with youth.
checkbox Yes
checkbox No
checkbox Other (please specify)
Knowledge, Skills and Belief
Now that some time has passed since attending a Fall Peer Networking meeting, please rate the following questions on a scale of 1 to 5:
7. Now that some time has passed, my level of knowledge and/or skills from attending
the PNM is:
Excellent Above average Average Below average Poor Did not attend
September 17th: Connecting with Schools checkbox checkbox checkbox checkbox checkbox checkbox
October 16th: Life Skills for Youth checkbox checkbox checkbox checkbox checkbox checkbox
November 14th: Family /Home Dynamics checkbox checkbox checkbox checkbox checkbox checkbox
8. Now that some time has passed, my level of belief in the importance of the topic(s), in
terms of benefiting the youth in my work is:
Excellent Above average Average Below average Poor Did not attend
September 17th: Connecting with Schools checkbox checkbox checkbox checkbox checkbox checkbox
October 16th: Life Skills for Youth checkbox checkbox checkbox checkbox checkbox checkbox
November 14th: Family /Home Dynamics checkbox checkbox checkbox checkbox checkbox checkbox
9. Thank you for taking the time to complete this survey. If you have any questions, comments
or suggestions, please contact Lisa Colby, Senior Research Coordinator at the
Out-of-School Time Resource Center at [email protected] or 215.898.2505.
Please share any additional comments, feedback and/or suggestions about the Peer Networking Meetings.

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________


(From the Out-of-School Time Resource Center [OSTRC],
http://www.sp2.upenn.edu/ostrc/resources/prodeveval/index.html)

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If the evaluations indicate that teachers did not learn the content or skills needed to implement a practice or program effectively, school personnel can use these data to decide on the most appropriate type of support (e.g., booster sessions, coaching). These data can also be used to determine whether a particular PD activity or trainer should be considered for future training opportunities.

briefcase Click here for some additional tools to help identify and evaluate professional development.

Tools for Identifying and Evaluating Professional Development

Checklist for Providing PD p d f

Checklist for Providing PD
Use this handy checklist to make certain that your PD services are ensuring effective intervention. Source: Adapted from the Tennessee Reading First Intervention Guide.
Evaluating Professional Development Resources: Selection and Development Criteria p d f

Evaluating Professional Development Resources: Selection and Development Criteria
An extensive and thorough tool for the evaluation of PD resources, this publication seeks to streamline what is too often a difficult (if not haphazard) selection process. Included are detailed notes on the criteria development and organizational process, as well as suggestions for the criteria’s use. Source: Building Professional Development Partnerships for Adult Education Project, American Institutes for Research.
The Five Critical Levels of Professional Development Evaluation checklist p d f

The Five Critical Levels of Professional Development Evaluation
Use this handy tool to track and assess the progress of professional development through five evaluation levels. The pertinent questions include “What Questions Are
Addressed?” and “What Is Measured or Assessed?” Source: Evaluating Professional Development by Thomas R. Guskey.
Guidelines for Reviewing a Professional Development Program in Reading workbook p d f

Guidelines for Reviewing a Professional Development Program in Reading
This useful workbook allows users to evaluate indicators across a number of categories—”Content,” “Process,” “Context,” and “Materials”—for the purpose of assessing the completeness of a professional development program in reading. Source: Florida Center for Reading Research.
The Out-of-School Time Resource Center Survey Toolkit p d f

The Out-of-School Time Resource Center Survey Toolkit
This “compilation of resources and research-based surveys” is a handy tool for developing surveys to evaluate out-of-school time conferences and workshops. Included are tips for creating original surveys as well as customizable versions created and assessed by the OSTRC. Source: Out-of-School Time Resource Center, The University of Pennsylvania.
Steps for Providing PD p d f

Steps for Providing PD
This brief outline of steps that might be taken in order to provide professional development can also be used to help school staff evaluate the usefulness of ongoing PD services. Source: Adapted from the Tennessee Reading First Intervention Guide.
Questions to Consider When Choosing Professional Development Training p d f

Questions to Consider When Choosing Professional Development Training
Use this helpful list of questions to help choose the best and most appropriate professional development training for your school or district. Questions to consider are broken into broad categories related to need, quality, implementation requirements, and cost.

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Click the logos below to learn how each school investigates and evaluates professional development.

paige elementary school

grafton middle school

dubois high school

Provide Training

paige elementary schoolPaige Elementary School

paige RTI training manual Because the district is strongly encouraging all schools to adopt RTI for reading, district personnel are providing training on the core components of the approach (e.g., high-quality reading instruction, progress monitoring). The school implementation team at Paige Elementary contacts the district about training opportunities and learns that the district will conduct a number of summer institutes, one of which focuses on progress monitoring. The implementation team is excited to learn this; they know that most teachers at Paige are not familiar with progress monitoring. They also feel that a number of teachers might be intimidated by the process of examining the data and of subsequently making instructional decisions based on the data. In addition to the summer training, the district will, upon request, provide booster sessions and support regarding progress monitoring.

Although the implementation team believes that the district training will be invaluable, they believe that they should also find out more about any training or technical assistance provided by the company from which they are purchasing their progress monitoring materials. Viewing the company’s Website, they see that the following supports are available:

  • Video demonstrations
  • Online training and conferencing
  • Email support
  • Phone support

Evaluating PD

At the end of the summer institute, district training personnel will conduct an overall training evaluation so that they can continuously improve their training. In addition, the district can use the evaluation data to provide follow-up support to target those skills that participants report they do not feel confident implementing.

Summer Institute
RTI: Progress Monitoring
Directions: Rate each item below. Note that there are separate sections for “workshop” and “presenter.”
Strongly
Agree
Agree Neutral Disagree Strongly
Disagree
Workshop
1. Description was accurate.
5 4 3 2 1
2. Topic was relevant to my work.
5 4 3 2 1
3. Provided me with new knowledge or skills.
5 4 3 2 1
4. Provided opportunities to practice using new knowledge or skills.
5 4 3 2 1
5. Included opportunities for participants to interact with one another.
5 4 3 2 1
6. Included more than one format (such as lecture, discussion, or brainstorming).
5 4 3 2 1
Presenter
7. Stated the goals of this workshop at the beginning of the session.
5 4 3 2 1
8. Exhibited expertise on this workshop topic.
5 4 3 2 1
9. Was/ were well-prepared and organized.
5 4 3 2 1
10. Welcomed questions and comments.
5 4 3 2 1
11. Maintained a safe and respectful environment.
5 4 3 2 1
12. Suggested ways to use this workshop information.
5 4 3 2 1
13. Provided some form of follow up assistance (e.g., contact information for questions or a website for reference.)
5 4 3 2 1
14. I was satisfied with this workshop.
5 4 3 2 1
15. I plan to use this workshop information.
5 4 3 2 1
Excellent Above
Average
Average Below Average Poor
16. My level of knowledge of the content of this workshop:
5 4 3 2 1
a. before attending this workshop was:
5 4 3 2 1
b. now that I have completed this workshop is:
5 4 3 2 1
17. My level of belief in the importance of the content of this workshop in terms of benefiting the youth in my work:
5 4 3 2 1
a. before attending this workshop was:
5 4 3 2 1
b. now that I have completed this workshop is:
5 4 3 2 1
18. Please share any additional comments or feedback about this workshop:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

 


(Created by the Out-of-School Time Resource Center at the University of Pennsylvania. May not be reproduced without permission. The Trustees of the University of Pennsylvania. All rights reserved. Copyright 2007.)

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Provide Training

grafton middle schoolGrafton Middle School

Investigating PD

The school implementation team decides that the teachers will benefit from training on how to use the reading program as it was intended to be used. Because the reading program is a commercially available product, the implementation team visits the publisher’s Website to learn more about training opportunities. They locate a list of approved trainers and a description of the type of training available. The team also finds the answers to a number of questions:

Does the training include a manual?

Yes, the training will include a manual. This is in addition to the guidelines included in the materials the school purchased.

What type of training is provided?

The initial training on how to use the program will be provided by a company representative; he or she will provide a customized workshop based on Grafton’s needs. The teachers who serve as coaches will participate in an additional session with the trainer in order to learn the necessary coaching skills.

For answers to the remaining questions, the team speaks to the representative on the phone. She supplies the following information.

Does the trainer or vendor offer follow-up training support?

The trainer will offer ongoing support in the form of Webinar booster sessions and phone support.

Does the trainer use multiple teaching formats or models during training?

The trainer will address different levels of skill development during training.

Does the trainer address fidelity of implementation?

The trainer will address implementation fidelity but will not provide any further supports (e.g., observation forms, teacher surveys).

Evaluating PD

The implementation team decides to evaluate the PD they receive from the trainer. Because the teachers have different levels of knowledge about reading instruction, they choose to do a pre- and post-training assessment. Some of the teachers were part of the initial attempt to implement the reading program several years ago, whereas others have no experience with the reading program at all.

Grafton Middle School
Reading Program Pre-Training Survey
Very Little

Some
A Lot
1. How much do you know about this reading program?
1
2
3
4
5
2. Have you ever used this reading program in your classroom?
1
2
3
4
5
3. Do you currently use this reading program in your classroom?
1
2
3
4
5
4. If you currently implement this reading program, how often do you do so?
1
2
3
4
5
torn-paper-edges
Not at All

Unsure
Definitely
7. Do you believe this reading program can help improve the reading performance of your students?
1
2
3
4
5
8. How comfortable are you implementing this reading program?
1
2
3
4
5
9. How comfortable are you with following scripted lessons?
1
2
3
4
5
torn-paper-edges
Very Little

Some
A lot
14. How much would you like to learn about implementing this reading program?
1
2
3
4
5
15. How much would you like to learn about the benefits of implementing this reading program.
1
2
3
4
5
torn-paper-botom-edge-2
Grafton Middle School Reading Program Post-Training Survey
Very Little

Some
A Lot
1. How much do you know about this reading program?
1
2
3
4
5
torn-paper-edges
Not at All

Unsure
Definitely
7. Do you believe this reading program can help improve the reading performance of your students?
1
2
3
4
5
8. How comfortable are you implementing this reading program?
1
2
3
4
5
9. How comfortable are you with following scripted lessons?
1
2
3
4
5
torn-paper-edges
Very Little

Some
A Lot
14. How much did you learn about implementing this reading program?
1
2
3
4
5
15. How much did you learn about the benefits of implementing this reading program.
1
2
3
4
5
torn-paper-botom-edge-2

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Provide Training

dubois high schoolDuBois High School

As the school improvement team soon learns, the PBIS Technical Assistance Center requires a 3–5 year training commitment from participating schools. A team (which includes administrators and general and special education teachers) of ten school representatives will receive training and in turn will train the remainder of the staff. The training takes two or three days and is provided by skilled trainers. As they learn more about what is required to implement PBIS, the members of the school improvement team create the table below to help organize the new information.

Contacts
PBIS Technical Assistance Center Rep. Name: Susan D. Phone: 555-6789 Email: State Representative Name: Trisha L. Phone: 555-0987 Email:
Who When/ Length Where By Whom
Initial Training
• Team of about 10 school representatives
• All need to be volunteers
• The team needs to represent all aspects of school environment (i.e., classroom and non-classroom areas)
• Fall
• 2–3 day training
• State or district training facility
• Trisha L.
Follow-up
Training
Training of
New Staff

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