national center on response to intervention implementing response to intervention (rti)

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National Center on Response to Intervention National Center on Response to Intervention Implementing Response to Intervention (RTI)

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National Center on Response to Intervention

National Center on Response to Intervention

Implementing Response to Intervention (RTI)

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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

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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

Essential Components of RTI

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Introduction What is implementation? Why is it important?

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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

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.

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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)

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Why Is Implementation Important?

Innovation Activities (RTI)

Implemen-tation Activities

Student Outcomes

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Think-Pair-ShareWith your neighbor, share the following: How would you define the term fidelity? How much does fidelity matter to

implementation?

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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

NCRTI Stages of Implementation

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National Center on Response to Intervention

NCRTI Stages of Implementation

Stage 1: Exploring and Adopting Stage 2: Planning Stage 3:

Implementing

Stage 4: Continuously

Improving

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Stages of Implementation HandoutStage 1:

Exploring and Adopting

Stage 2: Planning

Stage 3: Implementin

g

Stage 4: Continuously

Improving

What is the purpose of this stage?

What are the key activities of this stage?

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Exploring and Adopting1. Decide you want to do “it.”2. Plan for “it.”3. Just do “it.”4. Improve and sustain “it.”

Evaluate “it.”

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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)

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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.

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Stage 1. Exploring and Adopting: Data-Based Decision Making

Analyze needs assessment

data.

Prioritize needs.

Determine desired

outcomes.

Determine match between needs, desired

outcomes, and RTI.

National Center on Response to Intervention

Exploring and Adopting HandoutTask Action

StepsResources

Needed Timeline Person Responsible Outcome

Assess the needs of the site

Gather information about the RTI framework

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Planning1. Decide you want to do “it.”2. Plan for “it.”3. Just do “it.”4. Improve and sustain “it.”

Evaluate “it.”

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Stage 2. Planning: Purpose Develop clear plans, processes, and procedures. Construct the infrastructure and structural

supports necessary to support RTI implementation.

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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.

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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

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Implementing1. Decide you want to do “it.”2. Plan for “it.”3. Just do “it.”4. Improve and sustain “it.”

Evaluate “it.”

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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.

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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.

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Stage 3. Implementing: Data-Based Decision Making

Practitioner Level Organizational Level• Screening

• Progress Monitoring

• Multi-Level Prevention

• Evaluation of Fidelity

• Evaluation of Outcomes

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Continuously Improving1. Decide you want to do “it.”2. Plan for “it.”3. Just do “it.”4. Improve and sustain “it.”

Evaluate “it.”

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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.

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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.

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Stage 4. Continuously Improving: Data-Based Decision Making

Evaluation • Fidelity• Intended

outcomes Improvements • Plan• Guidance• Professional

development• Innovations

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Review: Implementation Stages1. Decide you want to do “it.”2. Plan for “it.”3. Just do “it.”4. Improve and sustain “it.”

Evaluate “it.”

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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?

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Considerations for Implementing RTI: Effective and Ineffective Strategies

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Think-Pair-ShareThink 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 evidence-

based practice?

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Ineffective Strategy: Using Only One Method to Support Implementation

Dissemination alone Training/professional

development alone Laws and policies

alone Special funding alone

Most Common Approaches Used

to Support Implementation

(Ager & O’May, 2001; Nutt, 2002; Rogers, Wellins, & Conner, 2002)

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Staff Selection

Staff Training

Ongoing Coaching

Evaluation

Effective Strategies for Implementing RTI: Combination of Core Strategies

(Fixsen et al., 2005)

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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)

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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)

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Ongoing Coaching Important components of coaching:

• Supervising• Teaching and reinforcing evidence-based practices• Providing assessment and feedback• Providing emotional and personal support

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(Fixsen et al., 2005)

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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)

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(Fixsen et al., 2005)

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Implementation Support

Letting It Happen

Helping It Happen

Making It Happen

Benefits to Students

Effective Implementation

(Greenhalgh et al., 2005)

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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)

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Ineffective Strategy: Focusing on Barriers

Common perceived barriers: Scheduling (time) State/district/school policies Staff attitudes/lack of knowledge Funding “The system”

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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.

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Ineffective Strategy: Trying to Fit RTI Into an Established System

• Rarely fully implemented in a reasonable time frame

• Often viewed as incompatible

• Eventually disappears

Attempt to fit innovation into existing service delivery system

Strategy Outcomes

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Example: Trying to Fit RTI Into an Established System

Service Delivery System

Core Curriculum

Universal Screening

Tiered Interventions

Progress Monitoring

Data-Based Decision Making

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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.

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Example: Changing System to Support RTI Implementation

Service Delivery System

• Make changes in PD• Schedule teaming

time• Schedule times for

assessments and interventions

• Restructure priorities

Core Curriculum

Universal Screening

Progress Monitoring

Tiered Interventions

Data-Based Decision Making

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Think-Pair-ShareUsing 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?

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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.

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3-2-1 Activity 3 things you learned 2 things confirmed 1 thing you plan to do

National Center on Response to Intervention

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

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ReferencesAger, 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.

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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.

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www.rti4success.org

Questions?

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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