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Behavioral Intervention Plan Blank Form

Tommy, a 5th grade student, engages in verbal and physical aggression in the classroom. His behavioral intervention plan outlines strategies to address these behaviors through positive reinforcement and consequences. Teachers will monitor Tommy's behaviors weekly and graph the data to assess his progress. The plan also provides guidance for handling crisis situations, such as evacuating the classroom if Tommy becomes physically aggressive and harming others.

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379 views2 pages

Behavioral Intervention Plan Blank Form

Tommy, a 5th grade student, engages in verbal and physical aggression in the classroom. His behavioral intervention plan outlines strategies to address these behaviors through positive reinforcement and consequences. Teachers will monitor Tommy's behaviors weekly and graph the data to assess his progress. The plan also provides guidance for handling crisis situations, such as evacuating the classroom if Tommy becomes physically aggressive and harming others.

Uploaded by

api-302050301
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Behavioral Intervention Plan

Student Name: Tommy Grade: 5 Date of Plan: 3/4/2013 Date of Plan Review: 3/4/2013
I. Target II. Functional III. Antecedent Intervention Strategies IV. Reinforcers and Consequences V. Progress
Behaviors and Behavioral (Positive Behavioral Interventions and Monitoring of BIP
Definitions (Copy Assessment and Supports) What data? What
from the FBA.) Identified progress monitoring
A. Context & B. Alternative A. Individualized B. Consequences
tool? Who will collect
Function of the Antecedent Behaviors/Behavior Reinforcers for Target the data?
Target Behavior Modifications Skills Training Behavior
(Hypothesis from the
FBA)
1. Verbal Function: Classroom during Instead of giving a As reinforcers, Each time the Teachers will
Aggression: Attention small groups and general list of the token student is keep a running
Tommy engages in individual time, directions for small economy system verbally tally of the
verbal outbursts math, and check groups, the teacher can be put into aggressive, he students’
which consist of out.
can ask for Tommy place but the will lose all of his behavior and
yelling, profanity, to instruct the class student should be tokens and have graph the data
and calling his that it is time and given a to start from zero. weekly to be
teachers and
then take breaks preference reviewed.
classmates names.
during his own assessment to
timeto “monitor” assure the
students’ progress reinforcers are
for a break in his still motivating.
work.
2. Physical Function: Classroom during When the teacher’s Every time the If the student Teachers will
Aggression: Attention small groups and attention is not on popsicle stick engages in his record every time
Tommy becomes individual time, Tommy, they can count reaches 50, behavior, he will there is physical
destructive in the math, and check create a system the student will lose all of his aggression In the
classroom and out.
where the teacher be allowed to be popsicle sticks classroom by
destroys classroom gives a “point” or class leader for a and may have to writing down the
materials when told popsicle stick for week. have a letter sent date, time, and
to work on
academics.
every couple of home to parents circumstance to
seconds that depending on the put into a file.
Tommy is not severity. The file will be
reviewed weekly.
acting out due to his
behavior.

Crisis Plan:
How will an emergency situation or behavior crisis be handled? (Define possible scenarios, including the use of in-school or out-of-school
suspension, or aversive techniques, as appropriate)

If a certain extreme scenario, such as Tommy acting out in such a physically aggressive way that he harms other students, the teacher will
evacuate all of the students from the classroom. After this, the teacher can call in extra support and act calmly in calming Tommy down. After
this, the parents will be called for a meeting with Tommy to discuss the next step.

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