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Behavioral Intervention Planning and Functional Assessment Interview Forms
Behavioral Intervention Planning (PDF file) Behavioral Intervention Planning (Word file with forms) (Adapted from first three pages of above) The Behavioral Intervention Planning form includes sections for a functional behavioral assessment, developing the intervention plan, documenting the intervention, and an IEP behavioral intervention plan.
The Functional Assessment Interview form includes sections for documenting student behaviors (strengths and behaviors of concern), medications used, physical conditions which may affect behavior, daily schedule, patterns of peer and staffing presence, behavior antecedents (times, settings, people, activities), consequences, efficiency of behaviors, functional alternate behaviors known, methods of student communication, student likes and dislikes, questions relevant to foster care, a Functional Assessment Observation Form, a Student – Directed Functional Assessment Interview, a Hypothesis Summary Statement Worksheet, a Summary Statement of Replacement Behavior Strategies Worksheet, a list for strategies that make the problem behavior irrelevant, ineffective, & inefficient, and a building support plan, a behavior support plan. Copyright: September, 2004 - David Profitt |
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