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Identify the Local System. Attachment #13 Maryland State Department of Education Division of Early Intervention and Special Education Services SFY 2021 Family Support Systems Plan Template Identify the Local System. Director of Special Education: Enter Name Email Address Marcella E. Franczkowski, M.S. 1 SFY 2021 FSS Plan - Page Enter page #.

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Page 1: SFY 2021 LAFF Book #2marylandpublicschools.org/programs/Documents/Special-Ed... · Web viewFSS either supports or challenges the development, implementation, and evaluation of practices

Identify the Local System.Attachment #13

Maryland State Department of EducationDivision of Early Intervention and Special Education Services

SFY 2021 Family Support Systems Plan Template

Identify the Local System.Director of Special Education: Enter Name Email Address

Marcella E. Franczkowski, M.S.

Assistant State Superintendent

1SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Division of Early Intervention and Special Education Services

2SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

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3SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Family Support Services PlanLocal System Point of Contact: Click or tap here to enter name.

Building Comprehensive Family Support Systems through Evidence-Based analysis of the specific survey item results on the MSDE, DEI/SES Parent Survey, and the interpretation of Local Family Support Data.

DIRECTIONS: Engage in the TAP-IT decision-making process to complete all components of the Family Support Systems (FSS) Plan.

TAP-IT

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s); 4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

TEAM: Local Implementation Team Formation Required members of the local implementation team include staff fulfilling the roles and responsibilities of the local special education director, the family support coordinators, and one special education teacher. Other roles to consider are local families of children in special education programs, local community partners, educators in special education, general education, and additional stakeholders that may include State Interagency Coordinating Council (SICC), Birth – 5 staff, and Special Education State Advisory Council (SESAC).

Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

How often does the Local Implementation Team meet? Click or tap here to enter text.

Note: Highly Performing Teams meet at least quarterly to review data and modify the plan as appropriate to ensure effective progress monitoring.

4SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

ANALYZE: IDENTIFY PRIORITY AREAS AND ROOT CAUSE FACTORS1. Compare current data with trend data (Local and State). 2. Consider how your current FSS either supports or challenges the development, implementation, and evaluation of

practices supporting your local system. 3. Summarize and analyze data that demonstrates a cause/effect relationship between potential root causes and

identified priority area(s).

Priority Area(s) for the FSS Local Implementation Plan.

☐ Increase Parent Response for the MSDE, DEI/SES Parent Survey which is measured on the State Performance Plan (SPP) Indicator 8, and

☐ Target Specific Survey Item Results on the MSDE, DEI/SES Parent Survey, and

☐ Improve Local Family Support Data submitted to MSDE, DEI/SES, Family Support Section.

DIRECTIONS: Review local Family Support data and the MSDE, DEI/SES, Parent Survey data for your jurisdiction to identify areas of needs based upon specific survey item results. Include root cause analysis.

Data Root Cause AnalysisMSDE, DEI/SES Preschool Parent SurveyClick or tap here to enter text.

Local System DataClick or tap here to enter text.

Click or tap here to enter text.

5SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Data Root Cause AnalysisMSDE, DEI/SES School Age Parent SurveyClick or tap here to enter text.

Local System DataClick or tap here to enter text.

Click or tap here to enter text.

PLAN: GOALS, STRATEGIES, RESOURCES, AND BUDGETConsider specific goals for implementation in response to data-identified priority needs and the professional learning needs. Think about the necessary fiscal, human and organizational resources for the implementation of evidence-based practices, including an evidence-based approach to professional learning for families.

DIRECTIONS: Provide measurable goals including baseline data, evidence-based practices/strategies to be implemented, braided fiscal resources, including in-kind, and how the budget supports plan implementation. Include staff and organization resources. State and federal guidelines of appropriate use of federal funds must be followed.

Goal Number 1: Click or tap here to enter text.

Evidence-Based Practices/Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.6

SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

Data Collection: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Goal Number 2: Click or tap here to enter text.

Evidence-Based Practices/Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

7SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

Data Collection: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Goal Number 3: Click or tap here to enter text.

8SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

Evidence-Based Practices/Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

Data Collection: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Add additional goals/plans as needed.

9SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Superintendent of Schools/Agency Director Signature Date

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Family Support Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Family Support Branch Chief Signature Date

10SFY 2021 FSS Plan - Page Enter page #.

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Identify the Local System.Attachment #13

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Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned

with the Part B 611 Family Support Systems Plan.

11

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Identify the Local System.Attachment #14

Part B State Systemic Improvement Plan (SSIP) Discretionary GrantLocal System Point of Contact: Click or tap here to enter name.

The Local Part B State Systemic Improvement Planning Process is aligned with the MSDE, DEI/SES strategic plan and goal: to implement effective, equitable, evidence-based services that result in increased access to instruction, improved educational achievement and functional outcomes, and reduced gaps between students with and without disabilities using coherent implementation strategies.

The SSIP LSS participate in the Focused tier of technical assistance and support with an emphasis on the four Systems Coaching domains:

Engagement and Collaboration; Team Development; Change Facilitation; and Data-Informed Decision-Making.

DIRECTIONS: Engage in the TAP-IT decision-making process to complete all components of the Part B SSIP Plan.

TAP-IT

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s); 4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

TEAM: LOCAL IMPLEMENTATION TEAM FORMATION Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

How often does the Local Implementation Team meet? Click or tap here to enter text.12

SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

PLAN: NEEDS, GOALS, STRATEGIES, BUDGET, AND SUSTAINABILITYConsider specific goals for implementation in response to data-identified priority needs, infrastructure and the workforce capacity, and supports or challenges to the implementation of evidence-based practices. Identify and analyze the local data points relevant to the priority needs to determine root cause factors.

Data and Root Cause Factors: Briefly summarize the data considered and the root cause factors impacting the priority need area.

Click or tap here to enter text.

DIRECTIONS: Provide measurable goals including baseline data, evidence-based practices/strategies to be implemented. Explain how the budget supports the sustainability of the plan implementation. Include infrastructure development strategies, implementation timeline and fidelity measures.

Goal Statement: Click or tap here to enter text.

Click or tap here to enter text.

Infrastructure Development Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

13SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

Sustainability Plan: Provide detailed information supporting the sustainability of the plan.

Click or tap here to enter text.

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

Evaluation: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Add additional goals/plans as needed.

14SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

Goal Statement:

Click or tap here to enter text.

Infrastructure Development Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

Sustainability Plan: Provide detailed information supporting the sustainability of the plan.

Click or tap here to enter text.

15SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

Evaluation: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Add additional goals/plans as needed.

16SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, SSIP Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Section Chief Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Branch Chief Signature Date

17SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

This page is intentionally blank.

Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned

with the Local Part B

State Systemic Improvement Plan.

18SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #14

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19SFY 2021 SSIP Plan - Page Enter page #.

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Identify the Local System.Attachment #16

TIES: Time, Instructional Effectiveness, Engagement, and State SupportLocal System Point of Contact: Click or tap here to enter name.

The Local Part B TIES Center State Support Discretionary Grant is aligned with the MSDE, DEI/SES strategic plan and goal: to implement effective, equitable, evidence-based services that result in increased access to instruction, improved educational achievement and functional outcomes, and reduced gaps between students with and without disabilities using coherent implementation strategies. Local systems participating in the TIES Discretionary Grant design and implement a systemic model for inclusive practices for students educated and assessed using the alternate framework.

The emphasis of the TIES Discretionary Grant is the implementation of evidence-based inclusive practices and policies that improve outcomes for all students, including students with the most significant cognitive disabilities, using a systemic approach to improvement to break down isolated practice, integrate and align resources and services and develop infrastructures to improve the collective capacity of the local system.

DIRECTIONS: Engage in the TAP-IT decision-making process to complete all components of the Part B TIES Center State Support Discretionary Grant.

TAP-IT

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s); 4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

TEAM: LOCAL IMPLEMENTATION TEAM FORMATION Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

How often does the Local Implementation Team meet? Click or tap here to enter text.

20SFY 2021 TIES Plan - Page Enter page #.

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Identify the Local System.Attachment #16

PLAN: NEEDS, GOALS, STRATEGIES, BUDGET, AND SUSTAINABILITYConsider specific goals for implementation in response to data-identified priority needs, infrastructure and the workforce capacity, and supports or challenges to the implementation of evidence-based practices. Identify and analyze the local data points relevant to the priority needs to determine root cause factors.

Data and Root Cause Factors: Briefly summarize the data considered and the root cause factors impacting the priority need area.

Click or tap here to enter text.

DIRECTIONS: Provide measurable goals including baseline data, evidence-based practices/strategies to be implemented. Explain how the budget supports the sustainability of the plan implementation. Include infrastructure development strategies, implementation timeline and fidelity measures.

Goal Statement:

Click or tap here to enter text.

Infrastructure Development Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

21SFY 2021 TIES Plan - Page Enter page #.

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Identify the Local System.Attachment #16

Personnel Development Strategies: Briefly describe each Strategy/EBP to be implemented. Identify the targeted population and demonstrate alignment to priority need area.

Click or tap here to enter text.

Resources: Identify the human and material resources necessary to implement the goal and strategies including in-kind and braided resources.

Click or tap here to enter text.

Budget: Provide detailed information on proposed expenditures such as: Hourly Rate, Number of Staff, Number of Sessions, Types of Supplies and Materials, Approximate Unit Cost and Quantity to be Purchased.

Click or tap here to enter text.

Sustainability Plan: Provide detailed information supporting the sustainability of the plan.

Click or tap here to enter text.

IMPLEMENT: MONITORING PROGRESSImplementation Timeline: Identify the time period for implementation of the strategy/ evidence-based practice(s).

Click or tap here to enter text.

22SFY 2021 TIES Plan - Page Enter page #.

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Identify the Local System.Attachment #16

Evaluation: Identify the measurement tool/data collection/progress monitoring actions to be used.

Click or tap here to enter text.

Analysis Methods/Frequency: Describe the method and frequency of data analysis. (Benchmark / Progress Monitoring Targets).

Click or tap here to enter text.

Add additional goals/plans as needed.

23SFY 2021 TIES Plan - Page Enter page #.

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Identify the Local System.Attachment #16

LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, TIES Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Section Chief Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Branch Chief Signature Date

24SFY 2021 TIES Plan - Page Enter page #.

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Identify the Local System.Attachment #16

This page is intentionally blank.

Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned with the Local Part B

TIES Discretionary Grant Plan.

25

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Identify the Local System.

Maryland State Department of EducationDivision of Early Intervention and Special Education Services

SFY 2021 Early Childhood LIR Plan TemplateIdentify the Local System.Director of Special Education: Enter Name Email Address

Marcella E. Franczkowski, M.S.

Assistant State Superintendent

Division of Early Intervention and Special Education Services

26 SFY 2021 EC LIR Plan - Page Enter page #.

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Identify the Local System.

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27SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

Local Implementation for Results (LIR) Plan

Strategic Imperative: Early ChildhoodBuilding a Comprehensive Birth to Kindergarten System through: Natural and Inclusive IFSP/IEP Practices Teaming Practices Coaching

Submit for Approval by: August 14, 2020Directions: Engage in the TAP-IT decision-making process.

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s);4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

Resource: Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Partner with your MSDE DEI/SES liaison to support the development, implementation, and evaluation.

TEAM: LOCAL IMPLEMENTATION TEAM FORMATION Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Additional participants to invite: Click or tap here to enter text.

How often does the Local Implementation Team meet? Click or tap here to enter text.

Remember: Highly Performing Teams meet at least quarterly to review data and modify the plan as appropriate to ensure progress monitoring of benchmark and overarching goal(s).

28SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

ANALYZE: REVIEW DATA, DETERMINE ROOT CAUSES, AND IDENTIFY PRIORITY AREA(S) What has/have been the priority area(s) within your Birth through Kindergarten System (check all that apply):

☐ Natural and Inclusive IFSP/IEP Practices (Development, Implementation, Evaluation)

☐ Teaming Practices

☐ Coaching

Identify data points relevant to your system priority area(s). Compare current data to previous data to reveal progress or trends and to adjust or determine additional goal(s). See Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Utilize a data analysis strategy (e.g. 5 Whys, Fishbone) to determine and document possible root causes that impact your comprehensive B-K system.

Consider how your current inclusive personnel development activities (staff selection, training across service providers/systems/schools, coaching, performance assessment/fidelity) and/or infrastructure (allocation of resources, staffing patterns, use of data, consistent messaging) either support or challenge the development, implementation, and evaluation of evidence-based practices with fidelity supporting your local comprehensive B-K system.

Based on SFY 2019 and SFY 2020 LIR grant activities, build your comprehensive system and root cause analysis of current data, reflect on where you were initially, where you are today, and where you want to go. Indicate the need to modify current plans and identify the priority area(s) for the SFY 2021 plan proposals. Complete this step with your DEI/SES liaison.

Data Source(s), Observations, andData Trend Summary

Root Cause Analysis(Include supporting and impeding factors for a system change: identify if related to personnel or infrastructure.)

Previous Current What’s Working What’s Not

Yr. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor. Choose a factor.Click or tap here to

enter text. Choose a factor.

Choose a factor.Yr. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.

Choose a factor.

Choose a factor.Click or tap here to enter text. Choose a factor.

Choose a Click or tap here to enter text.

Click or tap here to enter text. Choose a factor. Choose a factor.Click or tap here to enter text.

Choose a factor.

29SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

factor.Yr. Click or tap here to enter text.

Choose a factor.Do you need to modify the focus of your activities? Click or tap here to enter text. What will be the SFY 2021 LIR priority area(s) within your system (check all that apply)?

Natural and Inclusive IFSP/IEP Practices Teaming Practices Coaching

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTEDGoal Statement 1:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?

Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

30SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

31SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTEDGoal Statement 2:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.

IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text. Choose a factor. Choose a factor.Click or tap here to enter text. Click or tap here to Click or tap here to 32

SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

enter text. enter text.TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

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Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

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REPORTING REQUIEMENTSInterim and Final Progress Reports must contain a detailed status of implementation, expenditures, and related benchmark data

aligned to each goal. Please include information that highlights the reinforcement and sustainability of your B-K System.

Include date(s) and methods to communicate LIR Plan and progress within inclusive communities (across school/system/community partners).

Date How Who

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

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33SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

Enter Name Click or tap to enter a date.

Local Lead Agency Head/Director Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Early Childhood Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Section Chief Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Branch Chief Signature Date

34SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

This page is intentionally blank.

Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned with the Local Part B

EC – LIR Discretionary Grant Plan.

35SFY 2021 EC - LIR Plan - Page Enter page #.

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Identify the Local System.

Maryland State Department of EducationDivision of Early Intervention and Special Education Services

SFY 2021 Secondary Transition LIR Plan Template

Identify the Local System.Director of Special Education: Enter Name Email Address

Marcella E. Franczkowski, M.S.

Assistant State Superintendent

36 SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

Division of Early Intervention and Special Education Services

37 SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

This page is intentionally blank.

38SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

Local Implementation for Results (LIR) Plan

Strategic Imperative: Secondary Transition Building a Comprehensive Secondary Transition System through: Transition Practices/Predictors with Fidelity Stakeholder Linkages and Implementation Coaching

Submit for Approval by: August 14, 2020Directions: Engage in the TAP-IT decision-making process.

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s);4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

Resource: Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Partner with your MSDE DEI/SES liaison to support the development, implementation, and evaluation.

TEAM: LOCAL IMPLEMENTATION TEAM FORMATION Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Additional participants to invite: Click or tap here to enter text.

How often does the Local Implementation Team meet? Click or tap here to enter text.

Remember: Highly Performing Teams meet at least quarterly to review data and modify the plan as appropriate to ensure progress monitoring of benchmark and overarching goal(s).

39SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

ANALYZE: REVIEW DATA, DETERMINE ROOT CAUSES, AND IDENTIFY PRIORITY AREA(S) What has/have been the priority area(s) within your Secondary Transition System (check all that apply):

☐ Transition Practices/Predictors with Fidelity - Individualized Secondary Transition Intervention and Specially Designed Instruction

☐ Stakeholder Linkage and Implementation - Evidence-Based Approach to ensuring student linkages

☐ Coaching - Building Capacity of Stakeholders

Identify data points relevant to your system priority area(s). Compare current data to previous data to reveal progress or trends and to adjust or determine additional goal(s). See Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Utilize a data analysis strategy (e.g. 5 Whys, Fishbone) to determine and document possible root causes that impact your comprehensive Secondary Transition system.

Consider how your current inclusive personnel development activities (staff selection, training across service providers/systems/schools, coaching, performance assessment/fidelity) and/or infrastructure (allocation of resources, staffing patterns, use of data, consistent messaging) either support or challenge the development, implementation, and evaluation of evidence-based practices with fidelity supporting your local comprehensive Secondary Transition system.

Based on SFY 2019 and SFY 2020 LIR grant activities, build your comprehensive system and root cause analysis of current data, reflect on where you were initially, where you are today, and where you want to go. Indicate the need to modify current plans and identify the priority area(s) for the SFY 2021 plan proposals. Complete this step with your DEI/SES liaison.

Data Source(s), Observations, andData Trend Summary

Root Cause Analysis(Include supporting and impeding factors for a system change: identify if related to personnel or infrastructure.)

Previous Current What’s Working What’s Not

Yr. Click or tap here to enter text.

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enter text. Choose a factor.

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Choose a Click or tap here to enter text.

Click or tap here to enter text. Choose a factor. Choose a factor.Click or tap here to enter text.

Choose a factor.

40SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

factor.Yr. Click or tap here to enter text.

Choose a factor. Do you need to modify the focus of your activities? What will be the SFY 2021 LIR priority area(s) within your system (check all that apply)?

Transition Practices/Predictors with Fidelity Stakeholder Linkages and Implementation Coaching

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTEDGoal Statement 1:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?

Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

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Click or tap here to enter text.

41SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

42SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTEDGoal Statement 2:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.

IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

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Click or tap here to enter text.Choose a factor.

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Click or tap here to enter text.

Click or tap here to enter text. Choose a factor. Choose a factor.Click or tap here to enter text. Click or tap here to Click or tap here to

43SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

enter text. enter text.

TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

REPORTING REQUIEMENTSInterim and Final Progress Reports must contain a detailed status of implementation, expenditures, and related benchmark data

aligned to each goal. Please include information that highlights the reinforcement and sustainability of your Secondary Transition System.

Include date(s) and methods to communicate LIR Plan and progress within inclusive communities (across school/system/community partners).

Date How Who

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text.

44SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

Enter Name Click or tap to enter a date.

Local Secondary Transition Coordinator Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Secondary Transition Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Section Chief Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Branch Chief Signature Date

45SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

This page is intentionally blank.

Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned with the Local Part B

ST – LIR Discretionary Grant Plan.

46SFY 2021 ST LIR Plan - Page Enter page #.

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Identify the Local System.

This page is intentionally blank.

47SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

Maryland State Department of EducationDivision of Early Intervention and Special Education Services

SFY 2021 Access, Equity, Progress LIR Plan Template

Identify the Local System.Director of Special Education: Enter Name Email Address

Marcella E. Franczkowski, M.S.

Assistant State Superintendent

Division of Early Intervention and Special Education Services48

SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

This page is intentionally blank.

49SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

Local Implementation for Results (LIR) Plan Strategic Imperative: Access, Equity, Progress Building a Comprehensive System of Access, Equity, Progress through: Restraint and Seclusion Collaborative Development, Implementation and Evaluation of SDI Coaching Addressing Disproportionality

▪ Policies ▪ Academic▪ Procedures ▪ Functional▪ Consistent Practices ▪ Social/ Emotional Learning

▪ Behavior

Submit for Approval by: August 14, 2020Directions: Engage in the TAP-IT decision-making process.

1. Build a Team;2. Analyze data to identify potential root cause(s) and priority area(s);3. Develop a Plan with data-informed goal(s) based on identified priority area(s);4. Implement strategies/evidence-based practices with fidelity in the priority area; and5. Track implementation progress and outcomes.

Resource: Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Partner with your MSDE DEI/SES liaison to support the development, implementation, and evaluation.

TEAM: LOCAL IMPLEMENTATION TEAM FORMATION Identify the local implementation team including, names, titles, e-mail, and phone contact information.

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Enter Name & Title Enter Telephone Number Email Address

Additional participants to invite: Click or tap here to enter text.How often does the Local Implementation Team meet? Click or tap here to enter text.

Remember: Highly Performing Teams meet at least quarterly to review data and modify the plan as appropriate to ensure progress monitoring of benchmark and overarching goal(s).

50SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

ANALYZE: REVIEW DATA, DETERMINE ROOT CAUSES, AND IDENTIFY PRIORITY AREA(S)

PRIORITY AREASWhat has/have been the priority area(s) within your Access, Equity, Progress System (check all that apply):

Collaborative Development, Implementation and Evaluation of SDI Coaching Addressing Disproportionality▪ Academic▪ Functional

▪ Social/ Emotional Learning▪ Behavior

DATA ANALYSIS Identify data points relevant to your system priority area(s). Compare current data to previous data to reveal progress or trends and to

adjust or determine additional goal(s). See Book #1 APPENDIX G – SFY 2021 LIR Plan Instructions document and Book #1 APPENDIX H- Plan/Implement/Track Examples for Each Imperative.

Utilize a data analysis strategy (e.g. 5 Whys, Fishbone) to determine and document possible root causes that impact your comprehensive AEP system.

NEW Required Component with an Elevated Focus: The Use of Physical Restraint and Seclusion Practiceso The local implementation team reviews, analyzes, and validates data reported in the Restraint and Seclusion: Data Collection,

Findings, and Recommendations reports released December 1, 2018 and December 1, 2019.o Consider how your current inclusive personnel development activities (staff selection, training across service

providers/systems/schools, coaching, performance assessment/fidelity) and/or infrastructure (allocation of resources, staffing patterns, use of data, consistent messaging) either support or challenge the development, implementation, and evaluation of evidence-based practices with fidelity supporting your local comprehensive AEP system.

COMPREHENSIVE REFLECTION Based on SFY 2019 and SFY 2020 LIR grant activities, build your comprehensive system and root cause analysis of current data, reflect on

where you were initially, where you are today, and where you want to go. Indicate the need to modify current plans and identify the priority area(s) for the SFY 2021 plan proposals. Complete this step with your DEI/SES liaison.

51SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

Data Source(s), Observations, andData Trend Summary

Root Cause Analysis(Include supporting and impeding factors for a system change: identify if related to personnel or infrastructure.)

Previous Current What’s Working What’s Not

Yr. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor. Choose a factor.Click or tap here to

enter text. Choose a factor.

Choose a factor.Yr. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.

Choose a factor.

Choose a factor.Click or tap here to enter text. Choose a factor.

Choose a factor.Yr. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.

Choose a factor.

Choose a factor.Click or tap here to enter text. Choose a factor.

Choose a factor.Physical Restraint and Seclusion Data

Previous Current What’s Working What’s NotTotal Number of Physical Restraint Incidents for SWD

Total Number of Physical Restraint Incidents for SWD

* Consider proactive and responsive actions * Consider proactive and responsive actions

# Actual # Reported # Actual # Reported Click or tap here to enter text. Click or tap here to enter text.

Previous Current What’s Working What’s NotTotal Number of Seclusion Incidents for SWD

Total Number of Seclusion Incidents for SWD

* Consider proactive and responsive actions * Consider proactive and responsive actions

# Actual # Reported # Actual # Reported Click or tap here to enter text. Click or tap here to enter text.

52SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

Do you need to modify the focus of your activities? What will be the FY 2021 LIR priority area(s) within your system (check all that apply)?

Restraint and Seclusion Collaborative Development, Implementation and Evaluation of SDI Coaching Addressing Disproportionality▪ Policies ▪ Academic▪ Procedures ▪ Functional▪ Consistent Practices ▪ Social/ Emotional Learning

▪ Behavior

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTED

Restraint and Seclusion Collaborative Development, Implementation and Evaluation of SDI Coaching ☐ Addressing Disproportionality

Goal Statement 1:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?

Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

53SFY 2021 AEP LIR Plan - Page Enter page #.

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Identify the Local System.

TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text. Click or tap here to enter text. Click or tap here to enter text.

PLAN: IDENTIFY PRIORITY GOAL AND STRATEGY/EVIDENCE-BASED PRACTICE(S) TO BE IMPLEMENTED Restraint and Seclusion Collaborative Development, Implementation and Evaluation of SDI Coaching ☐ Addressing Disproportionality

Goal Statement 2:Click or tap here to enter text.

Goals must be stated in measurable/quantifiable terms with projected timeline(s) for completion.

SPP/APR Indicator(s) Impact:Click or tap here to enter text.

Strategy/Evidence-Based Practice(s) to implement to make progress towards goal:Click or tap here to enter text.

Strategies/EBPs should address what specifically will be implemented with fidelity to make progress towards achieving the goal.IMPLEMENT: IDENTIFY PERSONNEL DEVELOPMENT AND/OR INFRASTRUCTURE IMPLEMENTATION/ACTIVITIES

Activity Who is involved?(Inclusive of cross-community/system/school partners)

When will it happen?Month/Year

What is the projected cost?

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text.Choose a factor.

Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

Click or tap here to enter text.

Click or tap here to enter text. Choose a factor. Choose a factor.Click or tap here to enter text. Click or tap here to enter text.

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TRACK: IDENTIFY BENCHMARKS TO MEASURE PROGRESSHow will it be known that progress is being made? (Benchmark/Outcome)

What data will be used to measure progress? How often will benchmark data be collected?

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REPORTING REQUIEMENTSInterim and Final Progress Reports must contain a detailed status of implementation, expenditures, and related benchmark data

aligned to each goal. Please include information that highlights the reinforcement and sustainability of your AEP System.

Include date(s) and methods to communicate LIR Plan and progress within inclusive communities (across school/system/community partners).

Date How Who

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LSS Signatures Required for Submission

Enter Name Click or tap to enter a date.

Local Director of Special Education Signature Date

MSDE, DEI/SES Approvals

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, AEP Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, Fiscal Grants Liaison Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Section Chief Signature Date

Enter Name Click or tap to enter a date.

MSDE, DEI/SES, PSTA Branch Chief Signature Date

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Insert copies of the fully executed MSDE Grant Budget (C-1-25) and Budget Detail Form aligned with the Local Part B

AEP – LIR Discretionary Grant Plan.

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