Functional Behavior Assessment Plan

If you haven't done so already,

• Enter the Document Date (MMDDYY) or click and select date. This should reflect the date the document was created.

• Click the drop-down under the words, A Functional Behavior Assessment is needed because:, and select the appropriate reason from the list. The selection will populate the box below. This text may be edited. Use   to spellcheck. Use   for more space.

• Enter Referring behavior(s) (written in observable, measureable terms).

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• Click the drop-down under the words, Precipitating conditions:, and select the appropriate reason from the list. The selection will populate the box below. This text may be edited.

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• Repeat the above instructions for Baseline data included: and Frequency of behavior:.

• Click Intensity of behavior: and select the appropriate level of the behavior.

• Enter the Student Strengths.

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• Click Environment(s) in which referring behavior(s) are LEAST likely to occur (i.e. location, person(s), time of day) and select from the list. The selection will populate the box below. This text may be edited.

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• Enter any additional Comments.

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• Enter Target behavior (a desired behavior to be increased) written in observable/measurable terms.

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Under the Results of FBA, select either:

• A Behavior Intervention Plan (BIP) will be developed to proactively address behavior analyzed in this Functional Behavioral Assessment. This plan will describe what staff will do to support alternative behavior.

OR

The IEP team has determined that a Behavior Intervention Plan (BIP) is not necessary as a result of this assessment.

• Enter the Rationale for the decision.

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• Click .