BEHAVIOR INTERVENTION PLAN

Student Information: Name: Date:

School: Grade:

BIP Report By:

Problem Behavior:
Inappropriate behavior(s)
Replacement Behavior:
What is expected of
the student?
Method of Teaching ⟡ direct instruction, by: ______________ ⟡ social skills training, by: _______________
Replacement Behavior ⟡ anger management, by: ____________ ⟡ providing cues, by: _______________
and By Whom: ⟡ role playing, by: __________________ ⟡ modeling, by: _______________
How will we teach the ⟡ behavior contract, by: ______________ ⟡ stress management, by: _____________
desired behavior and who ⟡ decision-making lesson, by: _________ ⟡ use of mentor(s), by: _______________
will teach it? ⟡ other __________________________________________, by: __________________

Accommodations, Accommodations to assist the student in displaying the replacement behavior:

Interventions, and ⟡ clear, concise directions ⟡ supervise free time
Who’s Responsible for ⟡ frequent reminders/prompts ⟡ avoid strong criticism
Them: ⟡ frequent breaks/vary activities ⟡ predictable, routine schedule
What help will we give ⟡ teacher/staff proximity ⟡ specified study area
the student to help him/her ⟡ reprimand the student privately ⟡ preferential seating
succeed? ⟡ modify assignments ⟡ avoid power struggles
⟡ review rules & expectations ⟡ specifically define limits
It is VERY important that
⟡ provide alternate recess ⟡ avoid physical contact
these accommodations
⟡ provide cooling off period ⟡ provide highly-structured setting
and/or recommendations
be followed consistently ⟡ communicate regularly with parents ⟡ other _____________________
by teacher(s), aides, and
school staff. Interventions & Who’s Responsible for Them:
1.

2.

3.

4.

Method of Measuring ⟡ direct observation ⟡ daily behavior sheet ⟡ weekly behavior sheet
Progress: How will we ⟡ charting/graphing ⟡ self-monitoring ⟡ number of discipline referrals
know if it’s working or not? ⟡ other: ___________

Length of behavior plan ⟡ one week ⟡ two weeks ⟡ other: ___________

Positive Consequences ⟡ verbal praise ⟡ immediate feedback ⟡ computer time
for Appropriate Behavior ⟡ earned privileges ⟡ earned tokens/points ⟡ positive call or note home
What can the student ⟡ tangible rewards ⟡ free time ⟡ positive visit to office
earn? ⟡ other _________________________________

Negative Consequences ⟡ loss of points/tokens ⟡ loss of privileges ⟡ time out

for Inappropriate ⟡ phone call home ⟡ work detail ⟡ detention
Behavior: What happens ⟡ send to office ⟡ in-school suspension ⟡ out-of-school suspension
if student does not be- ⟡ escort to another area ⟡ other _____________________________________
have?