Behavior Intervention Plan

Behavior Intervention Plan

Student: _John Smith____________ Grade: 5th____ School: Grand Canyon Elementary_____

Date Developed: _____________________ Date of Implementation: _____________________

Base Line Data Results:

Hypothesis Statement:

Person(s) Responsible for Implementing Plan:

Behavior of Concern

Behavior Defined

Intervention Goal:

Behavior Intervention Plan-page 2
Intervention Plan

1.

2.

3.

4.

When and where the plan will be implemented:

Intervention Data Collection Summary

Follow-Up and Review Date(s):

Team Meeting Participants
Name Position
_____________________________________ _________________________
_____________________________________ _________________________
_____________________________________ _________________________
_____________________________________ _________________________

BEHAVIOR INTERVENTION PLAN (BIP)

PRELIMINARY STRATEGIES

Ask yourself: Can I figure out how to correct the problem – to change the context somehow so the problem behavior doesn’t occur in the first place? (Refer to the Antecedent column on page one.)

 I could make adjustments as to WHEN the problem behavior is likely to occur by: ___________________________________________________________________ ___________________________________________________________________

 I could make adjustments as to WHERE the problem behavior is likely to occur by: ________________________________________________________ ________________________________________________________

 I could make adjustments as to the SUBJECT/ACTIVITY during which the problem behavior is likely to occur by:____________________________________ __________________________________________________________________

 I could make adjustments as to the PEOPLE present when the problem behavior is likely to occur by:____________________________________________________ __________________________________________________________________

Other adjustments that might make the problem behavior less likely to occur include:

 Clarifying and /or reteaching expectations/routines. How? ____________________ ___________________________________________________________________

 Modifying task/assignment/curriculum. How?______________________________ __________________________________________________________________

 Increasing supervision. How? ___________________________________________ ___________________________________________________________________

 Utilizing specialized equipment. How? ____________________________________ ___________________________________________________________________

 ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

INSTRUCTIONAL STRATEGIES

Ask yourself: What skills will the student need to be taught in order to successfully demonstrate the replacement behavior identified in column two of page two.

 Social skills: ________________________________________________________ ___________________________________________________________________

 Communication skills: _________________________________________________ ___________________________________________________________________

 Study skills: _________________________________________________________ ___________________________________________________________________

 Academic Skills: _____________________________________________________ ___________________________________________________________________

 ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

Ask yourself: How will these skills be taught?
 Individual instruction
 Group instruction
 Demonstration/modeling
 Role play
 Guided practice
 Independent practice

Who will provide the instruction? __________________________________________
When will instruction take place? __________________________________________
Where will instruction take place? __________________________________________
How often will instruction take place?_______________________________________
How will opportunities for practice/rehearsal be provided? ______________________
______________________________________________________________________
______________________________________________________________________

How will I prompt the student to utilize his/her newly acquired skills? _____________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
BEHAVIOR INTERVENTION PLAN (BIP)

REINFORCEMENT PROCEDURES

Ask yourself: What will I do to increase the occurrence of the replacement behavior?

IDENTIFY POTENTIAL REINFORCERS:
What preferred items, activities or people might be used as incentives in an intervention for this student?
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________

ESTABLISH SPECIFIC BEHAVIOR CRITERIA:
What exactly must the student do to earn the above reinforcers?
______________________________________________
______________________________________________
______________________________________________

DETERMINE SCHEDULE OF REINFORCEMENT:
How frequently can the student earn the above reinforcers?
_______________________________________________
_______________________________________________
_______________________________________________

IDENTIFY DELIVERY SYSTEM:
What intervention components will I use to monitor the student’s behavior and deliver reinforcement?

o Self-monitoring system o Point system o Behavioral contract o Token economy o Group contingency o Beep tape o Home note system o Chart moves o Lottery/raffle tickets o Tracking system o _________________________________________ _________________________________________ _________________________________________

CORRECTION PROCEDURES

Ask yourself: What will I do to decrease the occurrence of the problem
behavior? o I will ignore any/all occurrences of the problem behavior, meanwhile attending to the appropriate behavior of other students.

o
I will verbally stop, then redirect each occurrence of the behavior by: o Utilizing Precision Requests o Completing a Teaching Interaction o Saying the following,

“_______________________________

_____________________________.” o ________________________________

________________________________

o
I will apply a minimal consequence/penalty for the problem behavior as follows: o Loss of incentive/privilege. Describe
_______________________________
o
Loss of ______ minutes of _________ o Positive practice. Describe _________
_______________________________
o
Phone call to parent(s) o Complete behavior essay

o
I will implement time away from opportunity for reinforcement. Describe_______________
______________________________________
o
I will implement a level system including a hierarchy of consequences for inappropriate behavior (attach description of level system).

o
Other: _________________________________
_______________________________________

IMPLEMENTATION DETAILS

Ask yourself: How will I keep track of how often the student actually receives the identified reinforcer(s) or correction procedure(s)?
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Ask yourself: Are the reinforcement and correction procedures I’ve outlined self-explanatory? If not, what details/explanations would help another person implement this plan accurately and consistently? (Continue on back if necessary.)

______________________________________________
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Student: _______________________________________

Ask yourself: How can I monitor the student’s behavior so I have a reliable record of progress?
Method of data collection: o
Frequency count across the day

o
Frequency count from _______ to ________ (time of day) (time of day)

o
Interval recording every __________ seconds or minutes across the day (circle one)

o
Interval recording every __________ seconds or minutes from _______ to ______ (circle one) (time of day) (time of day)

o
____________________________________
____________________________________

Describe exactly how data will be collected/recorded.
Attach copies of any forms utilized.

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

_____________________________________________

DAILY DATA

Behavior being measured/Unit of
measurement

Dates

Days

ANALYSIS (Date: ________________)


Desired decrease in problem behavior

Desired increase in replacement behavior

Undesired increase in problem behavior

Undesired decrease in replacement behavior

Action to be taken:
 Continue
 Modify
 Plan for generalization

Plan for action: _______________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Student: _______________________________________

DAILY DATA (Continued)

Behavior being measured/Unit of measurement

Dates

DAYS

ANALYSIS (Date: ________________)


Desired decrease in problem behavior

Desired increase in replacement behavior

Undesired increase in problem behavior

Undesired decrease in replacement behavior

Action to be taken:
 Continue
 Modify
 Plan for generalization

Plan for action: _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
______________

ANALYSIS (Date: ________________)


Desired decrease in problem behavior

Desired increase in replacement behavior

Undesired increase in problem behavior

Undesired decrease in replacement behavior

Action to be taken:
 Continue
 Modify
 Plan for generalization

Plan for action: _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
____________________________________________________________________________________