Plan a refusal and exit for a party
When to use this goal
For high school students who know the risks of alcohol and drugs but have no plan for what to do when offered at a party or in a car. Present levels, not grade, decide fit.
- Baseline
- Score two scenarios before teaching. Ask who the student would actually call; the plan must use real people and options.
- Tips
- Score each row 0 to 2. Keep scenarios realistic for the student's age and community. Encourage storing a trusted contact and a code word in their phone.
- Limits
- A plan on paper may not be used under pressure. Does not address current substance use.
Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID ca-hlth-014.
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Goal
By the annual IEP review date, given a written party or ride scenario in which alcohol or drugs are offered, the student will write or role-play a plan that includes a refusal statement, a reason, a safe exit, and a trusted person to contact independently, earning a score of at least 7 out of 8 on a 4-row refusal and exit plan rubric scored 0 to 2 per row, on 3 of 4 consecutive scenarios, as measured by a defined scoring rubric collected every two weeks during the unit.
Baseline: 3 out of 8 rubric points.
- Condition
- Observable behavior
- Criterion
- Measurement method
Measurability check11 of 11 met
Met: Observable behavior. Stated as an action.
Met: Condition. Stated.
Met: Unit fits the behavior. Rubric score fits this behavior.
Met: Explicit criterion. Number and unit stated.
Met: Mastery rule and schedule. Both stated.
Met: Method produces the metric. Rubric scoring gives rubric score data.
Met: Review timeframe. Stated.
Met: Baseline and target compatible. Same unit, change in the right direction.
Met: Aligned with area of need. Still about Health Education.
Met: Level of support. Defined.
Met: Blanks filled in. Nothing left to fill in.
Checks structure and wording only. Whether the goal fits the student is the team's call.
Short-term objectives (optional)
When are objectives required?Required for students on alternate assessments (34 CFR §300.320(a)(2)(ii)); some states require them for everyone.
Paste into your IEP system
Most district systems have a separate box for each part of a goal. Copy them one at a time, or all at once as labeled text.
- Area of need
- Science, Social Studies & Digital Literacy - Health Education
- Baseline
- 3 out of 8 rubric points.
- Annual goal474 characters
- By the annual IEP review date, given a written party or ride scenario in which alcohol or drugs are offered, the student will write or role-play a plan that includes a refusal statement, a reason, a safe exit, and a trusted person to contact independently, earning a score of at least 7 out of 8 on a 4-row refusal and exit plan rubric scored 0 to 2 per row, on 3 of 4 consecutive scenarios, as measured by a defined scoring rubric collected every two weeks during the unit.
- Timeframe
- By the annual IEP review date
- Condition
- Given a written party or ride scenario in which alcohol or drugs are offered
- Behavior
- The student will write or role-play a plan that includes a refusal statement, a reason, a safe exit, and a trusted person to contact independently
- Criteria
- Earning a score of at least 7 out of 8 on a 4-row refusal and exit plan rubric scored 0 to 2 per row, on 3 of 4 consecutive scenarios
- Evaluation method
- A defined scoring rubric
- Schedule
- Every two weeks during the unit
Copied as plain text, with straight quotes and plain dashes.
Matching data sheet
Rubric tracker. Scores each rubric criterion and totals them.
Rubric tracker
Rubric score- Student label:
- Target:
- earning a score of at least 7 out of 8 on a 4-row refusal and exit plan rubric scored 0 to 2 per row
- Mastery rule:
- on 3 of 4 consecutive scenarios
- Collection schedule:
- every two weeks during the unit
- Method:
- Rubric scoring
- Data collector:
Goal: By the annual IEP review date, given a written party or ride scenario in which alcohol or drugs are offered, the student will write or role-play a plan that includes a refusal statement, a reason, a safe exit, and a trusted person to contact independently, earning a score of at least 7 out of 8 on a 4-row refusal and exit plan rubric scored 0 to 2 per row, on 3 of 4 consecutive scenarios, as measured by a defined scoring rubric collected every two weeks during the unit.
| Date | Task / sample | Gives a clear refusal statement (0 = none, 1 = unclear, 2 = clear) | Gives a reason or a change of subject | Names a safe way to leave or a safe ride | Names a trusted person to contact and how they would reach them | Total (of 8) | Notes |
|---|---|---|---|---|---|---|---|
Preview shows 4 of 12 rows.
- Score each sample with a 4-row refusal and exit plan rubric scored 0 to 2 per row. Attach or reference the rubric's score descriptors.
- Use the same prompt type and conditions for each scored sample.
- If two people score, check agreement on a few samples before relying on the data.
The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.