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Center for School Evaluation, Intervention, and Training Loyola University Chicago
SAPSI V2.4 Illinois ASPIRE
1
SELF-ASSESSMENT OF PROBLEM SOLVING IMPLEMENTATION (SAPSI V2.4)
ADMINISTRATIVE INSTRUCTIONS
Purpose
Part of the Illinois ASPIRE project entails assessing the implementation of the problem solving process at the
building level. The Self-Assessment of Problem Solving Implementation (SAPSI) checklist monitors ongoing
efforts to establish permanent problem solving procedures, tools and products. The following categories of
products are those of interest for the evaluation process and were considered in developing the SAPSI
questions.
Categories of Products
Instructional Planning Forms
Screening data (CBM, SWIS)
Evidence of progress monitoring (Tier 1, Tier 2, Tier 3,Graphs)
Case management documentation (student level--choose every 10th
case)
Training (Training Logs or Sign in sheets)
School Improvement Plans
Administration
The SAPSI is to be administered in schools participating as data collection sites under Illinois ASPIRE. The
program coordinator or internal coach at the building level completes the survey with the building team.
Timeline for administration
The SAPSI is required to be administered once each academic year in the fall. However it may be
administered at anytime in order to assist with action planning. Data are to be submitted to your regional
coordinator within the deadlines set by the evaluation staff. Detailed information regarding dates to send
data back to Loyola University Chicago are available at the Illinois ASPIRE Program Coordinators
Page which is linked from the CSEIT ASPIRE webpage at http://www.luc.edu/cseit/aspire.shtml.

2
Administration Instructions
Under BENCHMARK DATE enter the date the SAPSI was completed. There are two columns; one for the
required fall administration and one for any additional administration.
For each of the questions, there are one or more components understood to be established in the case of
successful implementation. These components are listed to help you judge if the premise in the question has
a status of NOT STARTED, IN PROGRESS, ACHIEVED, or MAINTAINED as defined in the top of each
page. If the implementation in your building is still IN PROGRESS or NOT STARTED, it is expected that not
all (or none) of the components would be in place. It is also possible that for a given question some
components are established and others are not. To the best of your judgment, and with the understanding
that we are interested in information on how well the project is being implemented, use the COMPONENTS
OF DEFINITION to assist you to assess the level of implementation of the process stated in the question.
After completing the SAPSI, data are submitted to your district/regional Illinois ASPIRE Program Coordinator
or external coach. The Program coordinator will make sure all data are sent to the Center for School
Evaluation, Intervention, and Training at Loyola University Chicago by the appropriate deadline for that data
collection period.
Deadlines are available at the Illinois ASPIRE Program Coordinators Page which is linked from the
CSEIT ASPIRE webpage at http://www.luc.edu/cseit/aspire.shtml.

1
Illinois ASPIRE
Self-Assessment of Problem Solving Implementation (SAPSI v2.4)
School Name Date of Report
District Name & Number County
INSTRUCTIONS
Complete and submit one time per school year.
The problem solving team should complete this checklist once in the fall to monitor
activities for implementation of problem-solving tasks in the school. Completed forms can
be faxed or emailed to your Regional Evaluation Coordinator.
Problem Solving Team Members
NAME TITLE
Person(s) Completing Report
NAME NAME

2
Checklist #1: Startup Activity
Complete and submit
one time per school
year.
Status:
(M)aintaining = All components of definition implemented consistently for 2 or
more school years.
(A)chieved = All components of definition implemented consistently for at
least one school year.
(I)n Progress = At least one of the components of definition implemented
consistently for at least 3 months.
(N)ot Started = No components of definition have been implemented.
Benchmark
Dates
Date 1
(MM/DD/Y
Y)
Date 2
(MM/DD/Y
Y)
Comprehensive Commitment and Support
Components of Definition: STATUS
1. DISTRICT LEVEL
LEADERSHIP
PROVIDES ACTIVE
COMMITMENT AND
SUPPORT.
 Leadership team meets regularly (recommended
monthly)
 RtI and problem solving implementation are included in
district and school board goals
 Statement is issued about district’s adoption of multi-
tiered, early intervening services model and SLD
 Overview of multi-tiered early intervening services model
and district commitment is presented to staff, community
members, and school board members
2. FACULTY AND STAFF
SUPPORT THE
DEVELOPMENT OF
COMMUNITY AND
PARENTAL
AWARENESS
 Present overview of multi-tiered early intervention
services model and district commitment to community
members
 Present overview of multi-tiered early intervention
services model and district commitment to School Board
Members
3. THE BUILDING
LEADERSHIP
PROVIDES SUPPORT
AND ACTIVE
INVOLVEMENT (I.E.
PRINCIPAL ACTIVELY
INVOLVED IN
LEADERSHIP TEAM
MEETINGS).
 Standing agenda item for all staff meetings or has
established communication process to share information
with staff
 Professional development communities are created with
targeted content related to RtI and problem solving
 One of the top 3 goals on School Improvement Plan
(SIP)
4. FACULTY/STAFF
SUPPORT AND ARE
ACTIVELY INVOLVED
WITH PROBLEM
SOLVING.
 80% of faculty document support
 Three year timeline

3
Complete and submit
one time per school
year.
Status:
more school years.
(A)chieved = All components of definition implemented consistently at least
one school year.
(N)ot Started = No components of definition have been completed.
Comprehensive Commitment and Support (continued)
5. A SCHOOL
LEADERSHIP TEAM IS
ESTABLISHED.
 School leadership represents the roles of an
administrator, facilitator, coach, data mentor, content
specialist, parent, and representative teachers
 Team meets regularly (recommended monthly)
6. DATA ARE USED TO
CREATE AN ACTION
PLAN
 Action items based on self-evaluation (e.g., SAPSI)
 Strengths and needs are identified, including:
 Interventions
 Assessments
 Skills/training
 Evidence of group and individual level goals for Tiers 2
and 3
Three-Tiered System
7. BUILDING HAS
ESTABLISHED A
THREE-TIERED
SYSTEM OF SERVICE
DELIVERY.
 Instructional Planning Form (IPF) (or similar form) for all
targeted grade levels (e.g., K-3 grade levels)
 Data collection for Tiers according to Three-Tiered
Model (Tier 1 three times a year; Tier 2 twice monthly;
Tier 3 weekly)
 Graphs with evidence of program change when
inadequate progress (sufficient data below aim-line)
8. THE BUILDING STAFF /
DISTRICT HAS A
PROCESS TO SELECT
EVIDENCE-BASED
PRACTICES.
 Procedures for selection of practices and programs
based on Scientifically-Based Reading Research
(SBRR) are clearly stated
 All programs in use are based on SBRR
9. BUILDING TEAM
DETERMINES TRAINING
NEEDS TO IMPLEMENT
RTI MODEL
 Identify assessment tools and training needs at each
tier
 Identify intervention tools and training needs at each tier
 Identify skill set deficits and training needs at each tier

4
Complete and submit
one time per school
year.
Status:
more school years.
(A)chieved = All components of definition implemented consistently for at least
one school year.
Three-Tiered System
10. CURRICULUM BASED
MEASURES (CBM)
DATA ARE USED IN
CONJUNCTION WITH
OTHER DATA SOURCES
TO IDENTIFY STUDENTS
NEEDING TARGETED
GROUP INTERVENTIONS
AND INDIVIDUALIZED
INTERVENTIONS.
 All students at the Tier 3 level (e.g., determined by
scores verified below the 10th percentile, or Below
Basic level) receive Tier 3 intervention
 All students at the Tier 2 level (e.g., determined by
scores verified between the 11th and 25th
percentile
or At-Risk) receive Tier 2 intervention
11. DISCIPLINE DATA ARE
COLLECTED FOR
SCREENING
 If appropriate, discipline data are collected (e.g.,
ODR, suspensions, expulsions, change of
placement)
12A. COMPREHENSIVE
AND ON-GOING
TRAINING IS
PROVIDED TO ALL
KEY STAFF.
 Building Administration attends all trainings
 95% of teachers attend all trainings
 All paraprofessionals who provide direct services
attend all trainings
12B. COMPREHENSIVE
AND ON-GOING
TRAINING IS
PROVIDED TO
PARENTS
 Regular parent participation

5
Complete and submit
one time per school year.
Status:
more school years.
one school year.
Three-Tiered System
13. EFFECTIVE PROBLEM
SOLVING TEAMS ARE
ESTABLISHED
 Team members include representatives from the
following groups:
o General education, special education, administration,
and related services personnel, including at least one
person who is skilled in:
 Reading
 Behavior
 Assessment
o Parents and community members (included when
appropriate)
 To ensure effective teaming and to avoid
overburdening any individual team member, members
are selected based on the skills required for each tier
rather than by position alone.
Establish and Maintain Team Process
14. TIER ONE PROBLEM
SOLVING TEAM HAS
BEEN ESTABLISHED
 Has common planning time
 Reviews school-wide data
 Analyzes core curriculum
 Rules for making decisions are explicitly stated in
procedures
 Makes basic recommendations for core curriculum
 Monitors curricula and instruction for integrity of
implementation
 Consists of individuals with skills to address the
components above.
15. TIER TWO PROBLEM
SOLVING TEAM HAS
BEEN ESTABLISHED (E.G.
GRADE LEVEL TEAM)
 Communicates with parents
 Reviews progress monitoring data
 Develops plans for groups of students
 Monitors interventions to ensure they are evidence-
based and implemented with integrity
components above
16. TIER THREE PROBLEM
SOLVING TEAM HAS
BEEN ESTABLISHED
 Communicates with parents
 Reviews progress monitoring data
 Conducts individualized assessments
 Facilitates more intensive level supports
 Tier 2 standard protocol or problem solving is utilized
components above.

6
Complete and submit
Status:
more school years.
one school year.
Establish and Maintain Team Process
17. TIER THREE TEAMS IMPLEMENT EFFECTIVE PROBLEM SOLVING PROCEDURES INCLUDING:
a. PROBLEM IS DEFINED
IN MEASURABLE AND
OBSERVABLE TERMS
 “Problem” defined as a discrepancy between what is
expected and what is occurring
 Examples: student is performing below 25th
percentile,
more than two ODRs, etc.
b. GOALS FOR EACH
TIER/TARGET
BEHAVIOR ARE
CLEARLY DEFINED
 Specific conditions, observable and measurable
targets, action specified (e.g., orally read), time bound
c. HYPOTHESES ARE
DETERMINED
 Examples: attention, avoidance
d. HYPOTHESES ARE
TESTED, IF NEEDED
 Examples: intervention probe, functional analysis
e. EVIDENCE-BASED
INTERVENTIONS ARE
IMPLEMENTED
 According to treatment plan (e.g., at least 30 minutes
daily)
f. SYSTEM IS IN PLACE
TO ENSURE THAT
INTERVENTIONS ARE
BEING IMPLEMENTED
WITH INTEGRITY
 Action plan, intervention checklists
g. RESPONSE TO
INTERVENTION IS
EVALUATED THROUGH
SYSTEMATIC DATA
COLLECTION
 Individual student graphs for all students receiving Tier
2 and 3 interventions
h. CHANGES ARE MADE
TO INTERVENTION
BASED ON STUDENT
RESPONSE
 Example: Rate of Improvement (ROI) less than 50%
of target for more than 3 weeks should trigger a
change in intervention shown on individual student
graphs
i. REPORTS ARE GIVEN
TO ALL RELEVANT
PARTIES
 Support staff
 Parents
 Case workers

7
Complete and submit
Status:
more school years.
one school year.
Self – Assessment
18. EXISTING RESOURCES
AND TOOLS ARE
IDENTIFIED
 Assessments and interventions that are in place at
each tier are identified
 Current assessment or intervention practices that
could be abandoned or reduced in frequency are
identified
19. A PROTOCOL IS IN PLACE
WHICH MATCHES
STUDENT NEEDS TO
INTERVENTION
PROGRAMS
 Is there an identification of the student’s needs
(e.g., function, academic deficit)
 Are interventions selected with an alignment to the
student’s needs
 Are key personnel and times identified on the
document for purposes of fidelity of implementation
 Are data sources identified for on-going progress
monitoring
Implementing Evidenced-Based Practice
20. A SCHOOL-WIDE
ASSESSMENT SYSTEM
FOR IDENTIFYING AND
MONITORING PROGRESS
OF ALL STUDENTS IS
IMPLEMENTED.
 Benchmark assessment for all students
 Twice-monthly monitoring for students at Tier 2
 Weekly progress monitoring for Tier 3
21. PARENTS ARE
ROUTINELY
INCORPORATED IN THE
IMPLEMENTATION OF
INTERVENTIONS.
 Evidence of three or more parent contacts for all
students receiving Tier 2 and 3 interventions

8
Checklist #2: Ongoing Activity Monitoring
Complete and submit
Status:
(M)aintaining = All components of definition implemented consistently for 2
or more school years.
(A)chieved = All components of definition implemented consistently for at
least one school year.
Monitoring and Action Planning
22. STAFF ARE PROVIDED
WITH REGULAR STATUS
REPORTS (e.g. standing
agenda item for all
possible staff
meetings).
 Successes delineated
 Continuing needs delineated
23. SCHOOL IMPROVEMENT
PLAN (SIP) IS
CONTINUALLY
MONITORED FOR
INTEGRITY OF
IMPLEMENTATION.
 Specific people are identified to complete tasks
 Timelines for task completion are set
 Status report on action plan
24. EFFECTIVENESS OF THE
SCHOOL IMPROVEMENT
PLAN IMPLEMENTATION
IS ASSESSED.
 Priorities are evaluated based on data (e.g.,
completion, fidelity, and outcomes)
25. STUDENT OUTCOME
DATA ARE ANALYZED.
 Evidence that movement through the tiers is
dynamic based on data rather than based only on
Fall status/benchmarking
 Evidence of changes in interventions on student
graphs
 Use of school-wide data to evaluate program
effectiveness
 Effectiveness of each tier’s interventions are
evaluated

9
Action Plan for Completion of Start-Up Activities
Activity Activity Task Analysis Who When
a.
b.
c.
d.
e.
f.
1. Comprehensive
Commitment and
Support
 District level
 Development of
community/parent
al awareness
 One of top 3 SIP
goals
 80% of faculty
 Three year
timeline
 School Leadership
Team
 Data used to
create action plan
g.
a.
b.
c.
d.
2. Three-Tiered System
 Established 3
tiered system
 Process to select
evidence-based
practices
 Training needs
 Data to identify
students needing
intervention
 Problem-Solving
Teams
e.
a.
b.
c.
3. Establish and
Maintain Team
Process
 Tier One Team
 Tier Two Team
 Tier Three Team
 Tier Three
Problem Solving
Procedures
d.

10
a.
b.
c.
4. Self-Assessment
 Existing
resources/tools
identified
 Protocol matching
student need to
intervention
d.
a.
b.
c.
5. Implementing
Evidence-Based
Practice
 School-wide
assessment
system
 Parents included
d.

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ASPIRE_SAPSIv2.4

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