CE2007.docx

Collaboration Plan for Andrew Unger

Age: 5

Grade: Kindergarten

1: Andrew’s Child Support Team

Identify at least five school-based members by title who will serve as the early intervening assistance Child Support Team to support Andrew and explain each professional’s role.

Team Member

Title

Role on the Team

1.

2.

3.

4.

5.

2: Planning for Collaboration

Based on Andrew’s specific challenges and the titles and roles of the members of his Child Support Team, consider how team members can collaborate using coordination, consultation, and teaming to support Andrew. Briefly explain each form of collaboration, and analyze how two or more specific team members might apply each form to collaborate in support of Andrew.

Form of Collaboration

Explanation and Application

Coordination

Explanation of coordination:

(1–2 sentences)

How two or more Child Support Team members might apply coordination in support of Andrew:

(2–3 sentences)

Consultation

Explanation of consultation:

(1–2 sentences)

How two or more Child Support Team members might apply consultation in support of Andrew:

(2–3 sentences)

Teaming

Explanation of teaming:

(1–2 sentences)

How two or more Child Support Team members might apply teaming in support of Andrew:

(2–3 sentences)

3: Maintaining Confidentiality

Explain at least three key guidelines for maintaining confidentiality regarding Andrew’s prereferral process that you would share in the first meeting of Andrew’s Child Support Team. (2–3 sentences each)

Confidentiality Guidelines

1.

2.

3.

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