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Functional Behavior Assessment: Describe Problem Behavior (S)

The document is a template for conducting a Functional Behavior Assessment (FBA) for a student, detailing sections for data sources, problem behaviors, triggers, consequences, current strategies, and student input. It prompts the assessor to describe observable behaviors, their frequency, and the context in which they occur. Additionally, it includes sections for identifying the student's strengths, motivators, and potential replacement behaviors.

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95 views2 pages

Functional Behavior Assessment: Describe Problem Behavior (S)

The document is a template for conducting a Functional Behavior Assessment (FBA) for a student, detailing sections for data sources, problem behaviors, triggers, consequences, current strategies, and student input. It prompts the assessor to describe observable behaviors, their frequency, and the context in which they occur. Additionally, it includes sections for identifying the student's strengths, motivators, and potential replacement behaviors.

Uploaded by

api-242937747
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
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Functional Behavior Assessment

Student: Click here to enter text. Date: Click here to enter text.
Sources of Data: (place an “x” next to appropriate response(s)

   Record Review    Scatterplot    ABC logs    Other: Click here to enter


text.
Interview information reported by: (place an “x” next to appropriate response(s)

   Teacher    Parent    Student    Other: Click here to enter text.

Completed by: Click here to enter text.

DESCRIBE PROBLEM BEHAVIOR(S)

Describe in specific and observable terms. Prioritize 2-3, if more than one.
What does the behavior look/sound like? Does it begin at a low intensity and escalate? Describe.

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Estimated frequency:

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TRIGGERS/ANTECEDENT

What typically occurs before or during behavior? Specific demands or situations?

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Where is the behavior most likely to occur? What locations?

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With whom? When?

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Setting Events? Home difficulties, peer influence, etc.?

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Describe any related medical, health, or medication issues.

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2017 Wayne RESA Functional Behavior Assessment


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CONSEQUENCE(S)

What typically actually happens immediately after problem behavior? Think about the last couple
times it happened.

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What does the student obtain? Attention? Something else?

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What does the student avoid? Demands? Negative interactions?

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CURRENT PLAN/STRATEGIES

Describe the current plan or strategies being used.

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Describe parent/home involvement regarding the student’s school behavior.

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STUDENT INPUT
Has the student expressed concerns/difficulties that may relate to the problem behavior?

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OTHER

Student’s strengths:

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Possible Motivators/Reinforcers:

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Possible Replacement Behavior(s):

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Summary/Hypothesis Statement

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2017 Wayne RESA Functional Behavior Assessment


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