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Appendices APPENDIX A: Job Descriptions APPENDIX B: Direction Service Conciliation Project Satisfaction Survey APPENDIX C: Forms Agreement to Mediate in Conciliation Session / Agreement to Confidentiality Authorization for Release and Exchange of Information Special Note: The IDEA '97 regulations are very specific that the mediation states must offer when a due process hearing has been requested is to be conducted by a single mediator. Team conciliation is offered not as a process that satisfies these requirements but rather as one of many options that may be useful, in addition to those that are legally required, when parents and educators disagree. Conciliation may be of particular value when those disagreements include issues of culture, gender or class bias. Additional information on this article is available from CADRE Director, Marshall Peter and Mediation Specialist, Anita Engiles. Main Text APPENDIX A: Job Descriptions Functions: * Convene conciliation teams * Make all logistical arrangements (time and date, location, accessibility, attendance, equipment) * Act as contact person for team members and disputants * Be present to greet and welcome the parties when they arrive * Contact parties at the time set to see if agreement has been followed * Re-convene team if needed and desired by the parties Knowledge: * Understanding of the conciliation process * Familiarity with potential conciliators' skills, styles and other personal characteristics Skills: * Ability to select among available conciliators to create a balanced and effective team which can assist parties to work constructively together and also provide opportunities for mutual support and learning among the team members * Ability to manage the details of scheduling the attendance of the parties and team members Experience: * Any combination of life and work experience which results in the abilities and knowledge listed above * Conciliation training and experience as a team conciliator would be helpful CASE DEVELOPER Functions: * Contact each party * Educate parties about the conciliation process --describe the team and the process --explain role of conciliators and parties --identify limitations as well as benefits of conciliation --model the skills used in conciliation during interactions with the parties * Ascertain whether problem is appropriate for conciliation * Determine the appropriate parties to participate in conciliation * If problem is appropriate for conciliation, encourage and support each party to use the process before proceeding to due process or litigation * Gain commitment of each party to participate in conciliation * Make referrals to other resources if needed * Provide information about the parties and the problem to the team prior to the conciliation session Knowledge: * Understanding of the conciliation process * Understanding of the options which parties have for resolving the problem * Understanding of the various ways that people respond to conflict * Awareness of own responses to conflict Skills: * Active listening skills * Ability to communicate effectively with people who are very angry, hostile, belligerent, distrustful, discouraged * Ability to gain trust of parties * Ability to determine what the problem is * Ability to assist parties to evaluate their goals and their options for achieving them to determine whether conciliation is an appropriate process for them Experience: * Any combination of life and work experience which results in the abilities and knowledge listed above, especially interviewing and working with people in crisis * Conciliation training and experience as a team conciliator would be helpful APPENDIX B: Direction Service Conciliation Project Satisfaction Survey Case #_________________ Direction Service Conciliation Project SATISFACTION SURVEY Your answers to these questions will help us improve services offered by this Project. All information which you give us is confidential. Thank you for taking the time to give us your responses. We are interested in knowing how satisfied you are with the way things were done. Mark your responses to the following questions: 1. How satisfied were you with your involvement in choosing where the meeting was held?
Completely Dissatisfied 2. How satisfied were you with your involvement in choosing when the meeting was held? Completely Dissatisfied 3. How satisfied were you with the length of the meeting? Completely Dissatisfied 4. How satisfied were you with the process used to determine who could attend the meeting? Completely Dissatisfied 5. How satisfied were you with the structure of the meeting? Completely Dissatisfied 6. How satisfied were you with the rules about confidentiality? Completely Dissatisfied 7. How satisfied were you with the rules of courtesy and expected and acceptable behaviors? Completely Dissatisfied 8. How satisfied were you with any decisions to postpone issues for later conciliation or other intervention? Completely Dissatisfied 9. How satisfied were you with the number of team members? Completely Dissatisfied 10. How satisfied were you with the team members' ability to manage the process? Completely Dissatisfied 11. How satisfied were you with the team members' ability to deal with the issues? Completely Dissatisfied 12. How satisfied were you overall with the conciliation process? Completely Dissatisfied Please give any suggestions you have for improving the process. If you did not reach any agreement, please go to the next page. If you did reach an agreement we are interested in knowing how satisfied you are with the agreement. Mark your responses to the following questions:
13. How clear and understandable is the agreement? Completely Unclear 14. How fair is the agreement? Completely Unfair 15. How practical is the agreement? Completely Impractical 16. How satisfied are you with the timetable for carrying out the agreement? Completely Dissatisfied 17. To what extent were the agreements reached acceptable to you? Completely Unacceptable 18. How sure are you that you will follow the agreement? Completely Unsure 19. How sure are you that the other party will follow the agreement?
Completely Unsure We are interested in knowing about your experience of the process. Mark your responses to the following questions: 20. How able were you to say what was important to you? Completely Unable 21. How well did the team members understand what was important to you? No Understanding 22. How well did the other party understand what was important to you?
No Understanding 23. How satisfied were you with the team members' ability to help others understand what was important to you?
Completely 24. To what extent do you have a better understanding of what was important to the other party?
No Understanding 25. How much do you feel you contributed to the resolution of the conflict? No Contribution 26. How much do you feel the other party contributed to the resolution of the conflict? No Contribution 27. How satisfied were you with the fairness of the team?
Completely 28. If another conflict occurs I would use this process again.
Disagree Completely 29. I would recommend this process to others.
No 30. To what extent have your issues in the dispute been resolved? Completely Unresolved 31. The conciliation ended the way it did because: (check up to 5 most important factors) ______of my own persistence______I changed my position ______of the skill of the conciliators ______the other party changed their position ______of the persistence of the conciliators ______neither party was willing to change their position ______of good faith efforts by both parties ______I would not change my position ______communication was improved ______the other party would not change their position ______both parties compromised ______other______________________________________
32. What are your ideas and/or feelings about conciliation after this special education conciliation? (check all that apply) ______Better than I thought______Worse than I thought ______Easier than I thought ______Harder than I thought ______Different than I thought ______Similar to what I thought ______More complicated than I thought ______Simpler than I thought ______Other______________________________________ Thank you for your time. Please comment on anything else about the process or outcome you would like us to know. APPENDIX C: Forms Case #_________________ I agree to attend a conciliation meeting that is scheduled at a time and on a date I agree to. If I have an emergency that will stop me from attending, I agree to contact the person scheduling the conciliation as soon as possible. I understand that the conciliation process is voluntary and confidential. Voluntary means that anyone can leave the conciliation at any time and not continue the meeting. Confidential means that any information which I share in the conciliation will not be shared with anyone else without my permission. I agree not to share anything anyone else shares in the conciliation without their permission. I understand that the conciliators will refuse to provide any materials or to testify concerning any of our discussions in any hearing or court proceeding. I understand that the conciliation process is not the same as having a due process hearing or going to court. I understand that the conciliators will not make decisions for me or for anyone else in the conciliation. I agree to work hard to resolve the concerns that I am bringing to conciliation. I also understand that there are no guarantees; even if I work hard, there will be no agreement unless everyone agrees. I understand that if I want to stop the conciliation or if I am not satisfied at the end of the conciliation, I can still request a due process hearing or any other legal process I wish. ______________________________________ Signature Date ______________________________________ Name (please print) ______________________________________ Case Developer signature Case # __________________ Date__________________________ TO: ________________________________________________ ________________________________________________
________________________________________________ This is to authorize the release and exchange of pertinent information and records concerning: Name: _______________________________________________ DOB: Parent/Guardian: ________________________________________________ In order to help resolve conflicts and/or problems relating to delivery of services to my child, I hereby authorize you to share information with Lane County Direction Service. This authorizes the exchange of past, current, and future records and information regarding this client until the expiration date of __________________________________________. I realize that I have a legal right to terminate the conditions of this authorization at any time. ______________________________________ __________________________ Signature of Client or Parent/Guardian if minor Date Signed ______________________________________ Name of Client or Parent/Guardian (please print) ______________________________________ Signature of Case Developer Collection of confidential information regarding Direction Service clients is authorized by Public Law 91-230, 44 U.S.C. 3103. You are invited to take part in a research project about improving the delivery of services to children and young adults with disabilities and helping assure their involvement in appropriate educational programs. The project is striving to resolve individual and systemic problems enabling children with physical, mental, emotional, or learning disabilities and their families to receive the services they need. The purpose of our study is to examine the effectiveness of the Conciliation Project, not to study the families who receive assistance. The research project is part of a study being conducted by Marshall Peter, Anita Engiles, Bonnie Todis, and Susan Baxter Quash-Mah at Direction Service. You can choose whether you want to be part of the research project. As part of our research, we will ask you to share with us your impressions of the service and how it might be improved. Whether you decide to be a part of the research project or decide, now or in the future, not to participate, you will be provided the assistance and services offered by the project. If you do decide to be part of the project and you start to feel uncomfortable, you can stop at any time. One reason you may not want to be in the research project is that you might feel uncomfortable talking about personal experiences when you know that information may be shared with other members of the research team. You might be concerned that someone who was not a part of the research team would find out what you said and felt. To make sure this does not happen, we will train everyone in the project not to talk about anything they learn from interviews or file information with anyone outside of the project. Another way we will protect your privacy is by assigning you a number for research purposes, so no one who is not part of the research team will know who said what. You may ask at any time to see the material in your file and to have comments taken out. It is our strong belief that families will benefit from being involved with the Conciliation Project. However, allowing the project to provide assistance might cause your situation to get worse rather than better. If you have any questions about the project at any time, you can call Marshall at 503-686-5060 (TDD 686-5063). If you sign below, you are saying that you understand this information, you agree to take part in the research project, you know you can stop at any time, and you have been given a copy of this form. ________________________________________________ Signature Date __________________________________________ Name (please print) ____________________________________________ Case Developer signature Student Name___________________________________ Case # __________________________ DATES _______/_______/_______ First call received from ______________________________________________ _______/_______/_______ Case developer assigned _____________________________________________ _______/_______/_______ Case _______ accepted _______ not accepted If not accepted, reason _____________________________________________ Referred elsewhere (specify) _________________________________________ _______/_______/_______ Parent contacted (name) _____________________________________________ _______/_______/_______ District contacted (name/title) _________________________________________ _______/_______/_______ Other contacted (name/title) __________________________________________ Agreement to Participate in Conciliation & Confidentiality signed: _______/_______/_______ By Parent(s)/Guardian(s) (names)______________________________________ _______/_______/_______ By District (name/title) ______________________________________________ _______/_______/_______ By Other (name/title) _______________________________________________ _______/_______/_______ Agreement to Participate in Conciliation withdrawn (by whom)______________ _______/_______/_______ Conciliation held ______agreement ______partial _______no agreement _______/_______/_______ Conciliation Report completed _______/_______/_______ IEP scheduled to implement results _______/_______/_______ Tune-up conciliation held _______/_______/_______ Follow-up questionnaire sent to all participants _______/_______/_______ Follow-up questionnaire received from Parent(s)/Guardian(s) _______/_______/_______ Follow-up questionnaire received from District _______/_______/_______ Follow-up questionnaire received from Other _______/_______/_______ Exit interview with Parent(s) _______/_______/_______ Exit interview with School/District _______/_______/_______ 2-month follow-up sent to Parent(s)/Guardian(s) & District _______/_______/_______ 2-month follow-up received from Parent(s)/Guardian(s) _______/_______/_______ 2-month follow-up received from District _______/_______/_______ Data entered _______/_______/_______ Case closed Date_________________ Referred by______________________________________________ Case Developer________________________________________ IDENTIFYING INFORMATION OF PEOPLE INVOLVED Name of Student Name of Parent(s)/Guardian(s) Address Phone: wk________________ hm________________ Cultural/Ethnic/Racial background
Name of District & School Name & Title of Contact Address Phone: wk________________ hm________________ Cultural/Ethnic/Racial background
Name of Other(s) Involved Name & Title of Contact Address Phone: wk________________ hm________________ STUDENT INFORMATION Birthdate _____/_____/______ Grade __________ Gender ____ M ____ F Cultural/Ethnic/Racial background
Date of last evaluation _______/_______/_______ Disability Spoken language(s) Interpreter Needed Date of rejected IEP _______/_______/_______ Hearing request _______ Yes _______ No Summary from Parent(s). History: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Present situation: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ What does Parent(s) want? ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Who else is involved? ________________________________________________ ________________________________________________ ________________________________________________ Does or does not want a conciliation? Best time(s)/day(s) for conciliation. ________________________________________________ Willing to have one or two observers (who)? Agreement to Mediate and Confidentiality signed? One-word description of other party(ies)? Case Developer comments (e.g., suitability for conciliation, will attend, will reach agreement, etc.) ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ History: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Present situation: ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ What does Parent(s) want? ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Who else is involved? ________________________________________________ ________________________________________________ ________________________________________________ Does or does not want a conciliation? Best time(s)/day(s) for conciliation. ________________________________________________ Willing to have one or two observers (who)? Agreement to Mediate and Confidentiality signed? One-word description of other party(ies)? Case Developer comments (e.g., suitability for conciliation, will attend, will reach agreement, etc.) ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ISSUES (Mark all that are mentioned. Identify who mentioned the issue.) Identification: S = Student P = Parent A = Administrator T = Teacher O = Other _______ Eligibility _______ Identification _______ Permission to evaluate _______ Independent education evaluation (IEE) _______ Type of special education program _______ Type of related service _______ Amount of special education program _______ Amount of related service _______ Least restrictive environment _______ Private placement _______ Transportation _______ Change of educational level _______ Extended school year _______ Vocational education _______ Cost of program/service _______ Graduation _______ Medical _______ Behavior management _______ Suspension &/or expulsion _______ Method of instruction _______ Availability of personnel _______ Goals & objectives _______ Communication problem _______ Different perceptions of student's needs _______ Personality clash _______ Conflict over other issues _______ Previous conflict over same issues _______ Personnel problems _______ Other (specify) _______________________ _______________________ _______________________ Student Name Use the following numbering system to record the type of contact: 1. arrange meeting time or place 6. clarify conciliation process 2. arrange meeting format 7. clarify forms or paperwork 3. clarify issues 8. clarify conciliation agreement 4. discuss feelings 9. to gather follow-up information 5. to gather missing conciliation information 10. other (explain) Date Name Role* Content(specify by #) Hours ________________________________________________ ________________________________________________ ________________________________________________ _________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ * P = Parent; S = Student; A = Administrator; T = Teacher; O = Other; M = Mediator Student Name Case Developer Results: _______ Agreement _______ Partial agreement _______ No agreement Date of IEP to implement results _______/_______/_______ Total # of people at conciliation (including conciliators) ________ Conciliators: ____________________________________ ____________________________________ ____________________________________ ____________________________________ (Facilitator, if present) Other persons attending: _____ Student _____ Mother _____ Father _____ Stepparent(s) _____ Guardian(s) _____ Advocate(s) _____ Spec ed admin (title)__________________ _____ Reg ed admin (title)__________________ _____ Spec ed teacher _____ Reg ed teacher _____ Other (give title)_____________________ __________________________________________ ISSUES (Mark all that were identified. By whom?) Identification: S = Student P = Parent A = Administrator T = Teacher O = Other _______ Eligibility _______ Identification _______ Permission to evaluate _______ Independent education evaluation (IEE) _______ Type of special education program _______ Type of related service _______ Amount of special education program _______ Amount of related service _______ Least restrictive environment _______ Private placement _______ Transportation _______ Change of educational level _______ Extended school year _______ Vocational education _______ Cost of program/service _______ Graduation _______ Medical _______ Behavior management _______ Suspension &/or expulsion _______ Method of instruction _______ Availability of personnel _______ Goals & objectives _______ Communication problem _______ Different perceptions of student's needs _______ Personality clash _______ Conflict over other issues _______ Previous conflict over same issues _______ Personnel problems _______ Other (specify) _______________________ _______________________ _______________________ Debriefing Protocol What were the issues as perceived by the parent(s)? ________________________________________________ ________________________________________________ What were the issues as perceived by the school? ________________________________________________ ________________________________________________ What were the issues as perceived by other(s)? ________________________________________________ ________________________________________________ What factors led to the dispute? ________________________________________________ ________________________________________________ What factors contributed to reaching/not reaching an agreement? ________________________________________________ ________________________________________________ How likely do you think it is that the agreements will be carried out? ________________________________________________ ________________________________________________ Is the agreement reached one that will solve the problem? For how long? ________________________________________________ ________________________________________________ What did you do that was effective? ________________________________________________ ________________________________________________ What would you do differently? ________________________________________________ ________________________________________________ Conciliator perception of factors that led to dispute (the most significant factors). _______ Different perceptions of student's needs _______ Different opinions about appropriate services _______ Miscommunication _______ Insufficient communication _______ Distrust based on conflict over this issue _______ Distrust based on conflicts over Student Name ______________________________ Case # ________________________
Case Developer _____________________________ Date Closed ___________________ Time Spent
With parent(s) _______________ With district _______________ With other(s) (specify) _______________ ______________________________ In logistics _______________ (scheduling, setting up room, etc.) In conciliation _______________ # of sessions _________________________ Resolution/Termination _______/_______/_______ People reached resolution on their own. _______/_______/_______ Staff assisted with resolution _____ by phone _____ after meeting Total # of contacts _____ by phone _____ in person _______/_______/_______ Conciliation resolution _____ agreement _____ partial _____ no agreement _______/_______/_______ Withdraw hearing request _______/_______/_______ Postponed hearing _______/_______/_______ Withdraw conciliation request _______/_______/_______ Requested hearing Using responses on the written Participant Satisfaction Questionnaire as a guide for areas to explore, the case developer will interview each participant individually and ask for perceptions on the following. 1. Describe what happened in the conciliation. 2. How did the outcome compare with your expectations? 3. How satisfied are you with the outcome? 4. How likely do you think it is that the agreements reached will be carried out? 5. Is the agreement that was reached one that you think will solve the problem? For how long? 6. Was there anything in the process that made you uncomfortable? 7. Was there anything about the process that you especially liked? 8. How was this process different from other interactions you have had with this particular individual [school personnel/parent]? 9. Did you feel that any cultural differences were adequately addressed in the team composition? In the process? If there was a lack of cultural sensitivity, how did this affect the process? The outcome? 10. Would you participate in this type of process again? 11. One-word description of the other party. |
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