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BEHAVIOR INTERVENTION PLAN (BIP) 
 
Amelia 1st Emerson
Student:______________________________Grade:______School:________________________________Date:__________ 
 
Participants:___________________________________________________________________________________________ 
This BIP will be utilized for:                                 Programming Purposes                        IEP requirements 

1  Setting Interventions  2  Instructional Interventions 
   
Preventative measures that will be put in place in hopes that the adjustments will reduce the occurrence  Skills the student will need to be taught in order to successfully demonstrate the REPLACEMENT BEHAVIOR (Refer to 
of the problem behavior.  (Refer to the Antecedent column on page 1 of the FUBA.)  Mark “Yes” and fill  the Replacement Behavior column on page 2 of the FUBA.) 
in the statement if this preventative measure is needed.   
     Social Skill(s) ________________________________________________ 
Yes     Not        ___________________________________________________________ 
        Needed 
      ___________________________________________________________ 
                  Adjustments could be made as to WHEN the problem behavior  
Amelia will ask for help when she get frustrated
   Communication skills(s) ________________________________________ 
                      is likely to occur by:____________________________________ 
Having a check list of what need to       ___________________________________________________________ 
be done. As well as, a list of things to do when she feels frustrated
                      ____________________________________________________ 
      ___________________________________________________________ 
 
   Study Skill(s) ________________________________________________ 
                  Adjustments could be made as to WHERE the problem 
      ___________________________________________________________ 
Bring in a barrier to block
                      behavior is likely to occur by: ____________________________ 
      ___________________________________________________________ 
what is happening behind her to keep her more on task.
                      ____________________________________________________ 
   Academic Skill(s) _____________________________________________ 
        ___________________________________________________________ 
                  Adjustments could be made as to SUBJECT/ACTIVITY during 
      ___________________________________________________________ 
                      which the problem behavior is likely to occur by:_____________ 
    ___________________________________________________________ 
                      ____________________________________________________        ___________________________________________________________ 
        ___________________________________________________________ 
                  Adjustments could be made as to the PEOPLE present when  
 
                      the problem behavior is likely to occur by: _________________  How will the skills be taught? 
 
                      ___________________________________________________ 
     Individual Instruction                                    Group Instruction 
   
                  Clarifying and/or re‐teaching expectations/routines. How?_____        Demonstration/modeling                             Role play 
Repeating what is expected of her as well as providing a to-do list.  
                      ___________________________________________________ 
     Guided Practice                                             Independent practice 
   
                  Modify task/assignment/curriculum. How? _________________  Cecilia Firpo
Who will provide the instruction?  ___________________________________ 
Helping explain levels if she asks for help. During computer
When will the instruction take place? ________________________________ 
                      ___________________________________________________ 
Computer Room
Where will the instruction take place?________________________________ 
  Every Wednesday
How often will the instruction take place?_____________________________ 
                  Increasing supervision.  How? ___________________________   How will opportunities for practice/rehearsal be provided? ________________ 
Mostly during the time I am there. If something happens and she will go on
___________________________________________________________________________ 
                      ___________________________________________________ 
computer to do st math in the classroom then this can be practiced at that time.
___________________________________________________________________________ 
                  Utilizing special equipment.  How? _______________________ 
 
                      ___________________________________________________  How will the student be prompted to utilize his/her newly acquired skills? ________________ 
When she finishes something or does not remember what to do I will say
___________________________________________________________________________ 
                      ___________________________________________________  “what does your check list say?” Same if she get frustrated I will
___________________________________________________________________________ 
  remind her to look at the sheet.
   

105 
 
 
Student:________________________________________ BEHAVIORAL INTERVENTION PLAN (BIP) 

3   REINFORCEMENT PROCEDURES  4   CORRECTION PROCEDURES  5   IMPLEMENTATION DETAILS 


     
What  will  be  done  to  increase  the  occurrence  of  the  replacement  What can be done to decrease the occurrence of the problem behavior?  What system will be used to track the delivery of reinforcers, correction, 
behavior?    procedures and consequences? 
   
IDENTIFY POTENTIONAL REINFORCERS: 
  
All  occurrences  of  the  problem  behavior  will  be  ignored,  while  I will use the data sheet below to track
   ____________________________________________ 
What preferred items, activities or people might be used as incentives in  attending to the appropriate behavior of other students.  how many time I have to ask Ameila to do
   ____________________________________________ 
an intervention for this student?   
a certain task
   ____________________________________________ 
 
Less time on STmath PBS kids
  ____________________      _____________________ 
    When  the  problem  behavior  occurs,  the  student  will  be  verbally     ____________________________________________ 
asked to stop and then redirected by… 
 
comfy headphones ABC mouse
  ____________________      _____________________            
Utilizing precision commands      ____________________________________________ 
           Completing a teaching interaction     ____________________________________________ 
Stickers Prize box
  ____________________      _____________________          Saying the following…”__________  _________     ____________________________________________ 
   
ESTABLISH SPECIFIC BEHAVIOR CRITERIA: 
I need you to …    ____________________________________________ 
               _____________________________________ 
What  exactly  must  the  student  do  to  earn  the  above  reinforcers?       
__________________________________                         _                  ____________________________________”  Include  any  other  details/explanations  not  previously  described  to 
To receive a reinforcement she must respond to
a request with in the first 2 asks and must preform
  _____________________________________________          Other_________________________________  ensure that anyone could read this plan and implement the program. 
the task within 5 seconds of being asked.    ____________________________________________ 
  _____________________________________________                 _____________________________________     ____________________________________________ 
                 _____________________________________     ____________________________________________ 
DETERMINE SCHEDULE OF REINFORCEMENT: 
How  frequently  can  the  student  earn  the  above  reinforcers?      
Minimal consequences/penalties will be used…     ____________________________________________ 
After she completes 9 asked items.
______________________________                         _____          Loss of incentive/privilege.  Describe: _______     ____________________________________________ 
  _____________________________________________  What sites she is allowed to go on during free time.    ____________________________________________ 
                _____________________________________ 
  _____________________________________________     ____________________________________________ 

 
           Loss of______ minutes of _________  _______     ____________________________________________ 
IDENTIFY REINFORCEMENT DELIVERY SYSTEM:             Positive practice.  Describe: _________ ______     ____________________________________________ 
What  intervention  components  will  be  used  to  monitor  the  student’s                 _______________________________  ______ 
   ____________________________________________ 
behavior and deliver reinforcement? 
 
           Phone call to parent(s)     ____________________________________________ 
  
Self‐monitoring system         
Point system      Time  away  from  the  opportunity  for  reinforcement  will  be  used.      ____________________________________________ 
  Behavioral contract               Token economy  Describe:  _____________________                         _____ 
   ____________________________________________ 
  Group contingency                Beep tape   _____________________________________________     ____________________________________________ 
  Home note system                Chart moves 
  Lottery/raffle tickets             Tracking system    A  level  system  including  a  hierarchy  of  consequences  for     ____________________________________________ 

  ________________________  appropriate  behavior  will  be  used.    (Attach  a  description  of  the  level 
system.) 
   ____________________________________________ 
   ____________________________________________ 
    ________________________     A  contract  will  be  written  which  specifies  reinforcers  for  positive 
   ____________________________________________ 
    ________________________  behavior    and  consequences  for  occurrences  of  the  problem  behavior.  
(Attach the signed contract.)     ____________________________________________ 
    ________________________    Other:  _____________________________  ______     ____________________________________________ 
    ________________________     ____________________________________________ 
_____________________________________________ 
    ________________________   
 

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Table 1
Date: Date: Date: Date: Date: Date:

Latency # of Latency # of Latency # of Latency # of Latency # of Latency # of


. request . request . request . request . request . request

Walk nicely

Username

Click on
password
Type
password
Click on
folder
Click on
Gigi
Password

Click on
level
Start level

Turn off
computer
Walk nicely

Other:

Other:

Other:

Other:

Other:

Other:

Other:

Other:

Other:

Other:

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