PBS Meeting Minutes and Problem-Solving Action Plan Form

Today’s Meeting Date: Facilitator: Recorder: Data Analyst:

Next Meeting Date, time, location: Facilitator: Recorder: Data Analyst:

Team Members (Place “X” Beside Name if Present)

Agenda items Time Decide/inform/discuss Next meeting items 01. 01. 02. 02. 03. 03. 04. 04. 05. 05. To use the tables for general Information or problem-solving, use the tab button to move across columns, left to right. To add an additional row to document additional items, issues, and/or problems, place the cursor in the far right hand column and click the 'tab' button. This feature will add another row for information documentation.

Meeting Minutes: Administrative/General Information and Issues Information for Team, Discussion/Decision/Task (if applicable) Who? By when? or Issue for Team to Address

Problem-Solving Action Plan Implementation and Evaluation Precise Problem Statement, based Solution Actions (e.g., Prevent, Teach, Prompt, Reward, Extinction, on review of data Consequences, Safety) Who? By When? Goal, Timeline, Decision Rule (What, When, Where, Who, Why)

Newton, Todd, Horner, University of Oregon, Algozzine and Algozzine, University of North Carolina at Charlotte, October 2008 Evaluation of Team Meeting (Mark your ratings with an “X”) Our Rating Yes So-So No 1. Was today’s meeting a good use of our time? 2. In general, did we do a good job of tracking whether we’re completing the tasks we agreed at previous meetings? 3. In general, have we done a good job of actually completing the tasks we agreed on at previous meetings? 4. In general, are the completed tasks having the desired effects on student behavior? If some of our ratings are “So-So” or “No,” what can we do to improve things?

Newton, Todd, Horner, University of Oregon, Algozzine and Algozzine, University of North Carolina at Charlotte, October 2008