Online Prospector Protocol


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This is the form used by the Center's Prospectors when they suggest programs or projects that are successful in changing outcomes for students with or at risk of developing emotional/behavioral problems and their families. If you know of such programs or projects, complete the following online form and then click "Submit"

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Program/Practice Location:

Contact Person at Location:

Name: Address: Phone or E-mail:

Prospector Information:

Name: Address: Phone or E-mail:

PROMISING PROGRAM OR PRACTICE NOMINATION

1. Brief description of program or practice:

2. Focus of program/practice. Which of the following are involved in implementing the program or practice? (Please list all that apply.)

Agencies (e.g., schools, counselor, county mental health): Organizations (e.g., family organization): Natural supports (e.g., extended family): Individual providers (public or private, e.g., clinicians): Funding sources (e.g., IDEA, Medicaid):

3. How long has the promising program or practice been in operation?

4. Degree of implementation and degree of institutionalization. Please indicate below the extent to which the program or practice has been implemented (i.e., Pervasiveness/penetration of the program or practice) and institutionalized (i.e., internalized/routinized use of program or practice).

	Implementation	Institutionalization
High
Medium
Low

5.What are the salient values, philosophies, principles, beliefs, or assumptions underlying the program or practice?

6. What are the key features of the program or practice that make it promising?

7. What contextual factors (i.e., environment in which the program or practice operates) appear to be necessary for its successful operation?

8. Which of the following principles underlying the National Agenda for Achieving Better Results for Children and Youth With Serious Emotional Disturbance, effective wraparound models, and systems of care, does the program or practice encompass? (Please check all that apply.)

National Agenda Strategic Targets:

1. Expand Positive Learning and Developmental Opportunities and Results
2. Strengthen School and Community Capacity
3. Value and Address Diversity, including

3a. Cultural Competency

4. Collaborate with Families
5. Promote Appropriate Assessment
6. Provide Ongoing Skill Development and Support
7. Create Comprehensive and Collaborative Systems, including

7a. Individualized Planning
7b. Zero Eject
7c. Routine Daily Collaboration

Cross-Cutting Themes:

8. Cultural Competence
9. Prevention and Early Intervention
10. Enabling All Relevant Parties to Collaborate Fully

9. Are data available (from site evaluations or from other research or evaluation studies) that support the effectiveness of the program or practice? No Yes

If yes, please describe briefly or indicate where data may be obtained.

10. Any other observations that you think are important. (Use an additional page, if necessary.)

Thank you for your help!

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