Form 210-3

Student Support Team Meeting Template

AP 210 Services for Students with
Reference
Diverse Needs
Outlook Elementary School Revised August 1, 2013
Box 820, Outlook, Sk. Level School
(306) 867-8653 Submit to Student Support Services Consultant
When As required

Student Name Alex Lockhart Grade 5

School Name Outlook Elementary School
Date Dec. 11th Time 8:15 am Location Resource Room
James Siemens, Charlotte Pocha, Karen Griffith, Alisha O’Neill, Monique Millar, and Darla
Present
Thorstad

Meeting To discuss Alex’s behavior when escalated and work on setting up a rewards and
Purpose: consequence system.

Review of Who What

Action Items: See ‘Present’ 1. This was our first school team meeting regarding Alex this
year, though there has been communication among staff.

Discussion
items:
 Strategies Strategies that have been successful this year so far include: Firmness when needed,
that worked chunking work with clear ending point, break times when needed, patience and affirmation of
positive traits within Alex, having students in the classroom work near Alex during math time
in the library. Alex has shown positive interest in building connections with his peers this
year.
 Chief
Challenges
Challenges: Alex is experiencing difficulty regulating himself when he does not want to do
something, or if it appears too hard. This happens most often in math. He has experienced
some challenges in music and with the afternoons in general. Alex also has a lot of negative
 Proposed self-talk. We also discussed Alex’s eating at lunch time as well as his motivation to go
Solutions outside for recess as it gets colder outside.

Proposed Solutions: Alisha and Monique will work on a behavior plan for Alex which will
outline what will happen when particular situations arise and the steps to take if said actions
occur. We will also work on implementing gym recess reward for last recess.

Other: Providing choice but ensuring it’s clear and direct, firmness when necessary,
chunking work, ‘first/then’ strategy/’if/then’ strategy, providing positive praise and affirmation
to help build confidence

Action Items Who What

1. Alisha and 1. Set up behavior plan
Monique 2. Set up parent meeting in January
2. James will 3. Setting up reward system (gym time with a friend last recess—
contact Alisha will supervise this on Days 2, 3, 4 and Monique will supervise
Destiny Days 5, 6, 1), chunking work with clear stop points (a first, then
and we strategy) and clear consequence system if dysregulation is occurring
will have a and/or it is overly disruptive and affecting safety of classroom -- as of

/conversion/tmp/scratch/479359076.doc Page 1 of 2
 parent now, this is the current plan: Trying to catch full escalation before it
meeting in occurs – example: Alex is making comments that are inappropriate ‘this
January is stupid, not doing this, etc’
3. Alisha and Steps:
Monique 1) He receives 1 reminder
will work 2) Goes for walk with adult that is set with a timer so there is a clear
on rotating time to go back to class
schedule OR
for the 1) Receives 1 reminder
gym 2) If escalation is affecting safety or is overly disrupting, Alex will be
recess if removed from the classroom. The Student Support Team can be called
reward is to help with this.
granted
-- James,
Charlotte,
Karen,
Alisha – in
class
strategies
Next meeting We will set up a parent meeting in January. Date TBA.

/conversion/tmp/scratch/479359076.doc Page 2 of 2