<p> Quick Reference Guide: Components of Licensed Therapist Appraisal Instrument</p><p>Domain 1: Planning and Preparation Domain 2: Therapy Environment 1a. (OT/PT Only) Developing Appropriate Plan of Care 2a. Organizing time effectively for workload management and delivery . relevant Plan of care of services . legal requirements met . demonstration of time management skills 1a. (SLP Only) Participating in Multi-Tier Support Systems (MTSS) . delivery of services . SLP integral part of MTSS team . demonstration of clear therapy/evaluation routine . assists with interventions 2b: Locating and organizing physical space . interprets data and problem solves . testing/therapy location is organized 1b. Demonstrating knowledge of resources . materials appropriately selected . resources for student . materials readily available when needed . knowledge of resources for school, district and larger community 2c: Maintaining clear expectations for learning and achievement 1c. Developing IEP goals and objectives conveys high expectations . writes appropriate IEP goals and objectives . clearly conveys high expectations . measurable and attainable . clearly stated outcomes 1d. Developing and maintaining effective scheduling . activities support IEP objectives . written schedule provided to appropriate 2d: Collaborating with teachers and others regarding student school personnel performance . developed through collaboration . seeks out teachers and/or administrators . accommodates changing circumstances . confer on individual cases . teachers and students understand schedules . solicits perspectives 1e: Collecting Information; writing reports 2e: Showing Professionalism, engagement and appropriate . proactive in collecting important information communication . interviews teachers and parents when necessary . Professional appearance . reports are accurate and clearly written . Directly engaged in session . reports are tailored for the audience . Communication is effective and sensitive to student needs 1f: Maintaining an effective documentation system . efficiently uses documentation system . monitors student progress . adjust treatment when needed . other professionals can use/interpret documentation</p><p>Domain 4: Professional Responsibilities Domain 3: Engaging with Client 4a: Demonstrating federal, state and district knowledge 3a. Establishing rapport with students . knowledge of special education laws and procedures . interactions are positive and respectful . leadership roles in reviewing/revising district policies/procedures . students are comfortable 4b: Completing student evaluations/re-evaluations . degree of trust is evident . evaluations completed timely and efficiently 3b. Demonstrating flexibility and responsiveness . reports are clearly written . makes effective changes in service delivery on ongoing basis . reports contain information useful in school setting . proactive flexibility to meet student needs 4c: Engaging in professional development . flexible to location and timing related to staff/student . pursues professional development opportunities schedules . offers workshops to colleagues 3c: Demonstrating knowledge and skills in specialist area 4d: Attends meetings . extensive knowledge/skill in specialty area .consistently attends meetings . holds necessary license .prepared for purpose of meeting . holds advanced certificate or has additional training .facilitates a positive meeting outcome 3d: Integrating the therapy program 4e: Developing and maintaining effective working relationships . coherent therapy plan . Supports efforts to implement evolving policies and procedures . supports students individually . Interactions with others are positive and respectful . integrated into the regular school program . Therapist considered helpful and valuable team member 3e: Providing appropriate reinforcement and behavior management 4f: Therapy services provided consistently . Consistently provides positive or corrective reinforcement . services consistently provided . Responds to misbehavior . services adhere to those prescribed on IEP . accommodates changing circumstances</p><p>8/18/2014 Page 1</p>