Help With worksheet
BIP Template Candidate Name:
**Please use the “Tips for Writing the BIP” document as a guide for filling out this template. That document will explain in more detail what should go in each section!**
Behavior Intervention Plan Template – NAME OF STUDENT
Target (Problem) Behavior:
Given subdued, structured activities requiring prolonged attention (antecedent), Carl displays a sensory-seeking behavior, such as chewing on fabric or furniture crashing (behavior), to provide sensory input and sometimes to escape task demands (consequence).
FBA Hypothesis Statement:
What hypothesis was made in the FBA? Copy/paste from your FBA.
Desired Behavior:
Given the above Target Behavior, what student behavior is ultimately desired?
Normally, the Desired Behavior is incompatible with the Target Behavior because it doesn’t serve the same function.
Replacement Behavior:
What are acceptable alternate behavior(s) that the student needs to learn and demonstrate?
The Replacement Behavior should positively serve the same function as the Target Behavior.
FUNCTIONAL EXPLANATION:
Explain in detail
how this replacement behavior addresses the function of the behavior described in the FBA hypothesis. Address some ways it could potentially need to be revised if it proves to not be effective. Describe alternative strategies in detail that could be attempted if this plan is ineffective.
INSTRUCTIONAL PROCEDURES:
Direct Teaching:
To facilitate the Replacement Behavior, what behavior(s) or skill(s) will be directly taught? Who will do this? How and when with these skills be taught?
This section should be the most detailed and in-depth portion of the BIP. It should be SPECIFIC (almost like a lesson or unit plan for a sub).
Instructional Strategies and Practice:
Identify strategies to promote the Replacement Behavior that will be used during instructional time in the classroom and/or outside the classroom. How will opportunities for practice be provided in the classroom? During unstructured time? Building wide? Who will do this, how will it be done, and when?
Reinforcement Strategies:
What positive reinforcement strategies will be used for teaching Replacement Behavior(s)? Explain how these reinforcement strategies support the hypothesis statement for the function of the behavior.
Self Management Strategies:
Identify strategies to help the student gain self-awareness and the ability to self-monitor his/her use of the replacement behavior
Strategies for Contributing Factors:
Based on the contributing factors noted in the FBA, identify strategies to address the contributing factors and/or
proactive interventions to avoid triggering setting events, antecedents, etc.
RESPONSE TO TARGET BEHAVIOR:
While the student is learning the Replacement Behavior(s), what interventions will be used if the Target Behavior(s) occurs? If these interventions are not effective; and responses such as isolation, bodily contact, and restraint are used, (except when used to control unpredicted spontaneous dangerous behavior) an Emergency Response Protocol is required to be in place.
EVALUATION PROCEDURES:
How will progress be assessed – how often, by what means, by whom?
