Professional Documents
Culture Documents
*** Possible uses of this student profile include: parent/teacher conferencing, student/teacher
conferencing, goal setting, FBA planning, creating and implementing an IEP**
__________________________________________________________________________
ABC Analysis
June 3rd 8:26 am Class is John asks to John misses John did not
2019 asked to use the the partner know the
“think, pair, washroom, activity, and person sitting
share” about and does not his partner beside him,
a question return for 30 has to work and was
written on the minutes with another perhaps not
board.. John group comfortable
does not with sharing
really know
the person
sitting beside
him
June 17th 12:08 pm A peer asks John says he The peer has John was put
2019 John what he was absent to ask on the spot,
missed in too and does someone and could not
class not know else to catch formulate an
yesterday (John was them up appropriate
when he was not absent)- response
absent abruptly from prior
ending the knowledge
conversation
__________________________________________________________________________
** This FBA and PBS will be communicated to necessary learning teams via the yearly
IEP meetings, and follow up meetings. A collaborative document will be sent home to
families, outside intervention teams, learning staff, and on site intervention teams in
order to facilitate an ongoing conversation as to the success of these strategies. The
expectation is that the learning team continue to contribute to this document as proof of
ongoing engagement with the PBS plan. Success will be measured by the student’s
case manager each semester, who will be looking for positive changes in the student’s
behaviour as reflected by the learning team’s documentation. IF changes need to be
made, or the interventions are not successful, an SBT referral will be made by a
member of the learning team, and we will reconvene to discuss the issue further. Any
member of the learning team can request an SBT referral, including families and outside
intervention teams**
**The FBA and PBS plans are intended to positively impact the life of John Doe, in that
improving his social skills should increase his ability to connect with others and share
his ideas and learning. It is our hope that correcting this behaviour will allow John to
continue to work on improving social skills with peers, and carry this on to his
post-secondary life.**
** A safety plan is not recommended for this student at this time. However, our district
does have a template for a safety plan that can be included with a FBA/PBS plan when
necessary. The template looks like this:
DATE: _____________________________
OBJECTIVE: To ensure that staff working with _____________ are aware of responses
and safety procedures in place to maintain a safe, productive learning
environment for ____________, other students and staff.
_____________________________________________________
1. PLAN:
Staff working with will read and sign this safety plan.
2. SETTING EVENTS:
Problem behaviours are more likely in the presence of certain setting events:
ANTECEDENTS:
Be aware of situations and events that are immediate triggers for the escalation of behaviour:
Antecedent Strategy
Precursor Behaviours (What you see) Staff Approaches (What you do)
Anxiety: Be Supportive:
(noticeable increase or change in behaviour) (empathic, non-judgmental approach)
Defensive: Be Directive:
(cues that this student is beginning to lose the ability to (set simple, clear, enforceable limits)
think or process information)
*If there is contact with body fluids, refer to SD 69 Health and Safety Reference Manual (Section 3, page 17).
The principal or designate will call a safety plan review meeting if new information indicates that the safety plan
needs to be reviewed or modified.
TERMINATION DATE:
/ /
Y M D
I have read this plan and am aware of safety procedures to be followed when working with
.
(Student’s name)