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Behavior Intervention Plan

1. This document is a behavior intervention plan for a student for the 2022-2023 school year at school ID 101837. 2. It collects baseline data on the student's difficultly/disability and educational placement, and lists contact information for parents/guardians. 3. The plan outlines manifestations of problematic behaviors at home, school, and other settings, and proposes proactive and reactive intervention strategies to address targeted behaviors and meet specific objectives.

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Gyzreldaine Lagasca
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159 views3 pages

Behavior Intervention Plan

1. This document is a behavior intervention plan for a student for the 2022-2023 school year at school ID 101837. 2. It collects baseline data on the student's difficultly/disability and educational placement, and lists contact information for parents/guardians. 3. The plan outlines manifestations of problematic behaviors at home, school, and other settings, and proposes proactive and reactive intervention strategies to address targeted behaviors and meet specific objectives.

Uploaded by

Gyzreldaine Lagasca
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

BEHAVIOR INTERVENTION PLAN

School Year: 2022-2023


School ID: 101837

Date of Observation:

Name of Teacher:
             
Name of Learner:  
             
Learner's Reference
Number:  
             
Date of Birth:  
   
Femal
Age of Learner:
  Sex: Male   e  

Baseline Data:(refer to the SF9 or Anecdotal Record)

Difficulty/Disability of the Learner:

Check appropriate box:

With Medical Assessment:   Results & Findings:  

without Assessment:
 

Educational Placement of LSEN:

Self- contained   Inclusion  

Parents/ Guardians:  

Contact nos.
Work   Home  
BEHAVIOR MANIFESTATIONS & INTERVENTION

  At Home In School Other Settings

Antecedent/ Prior Behavior


(Triggers/ Signals)

     

Observable Behavior

     

Result/Consequences of Behavior

     
Intervention Done

Proactive Strategies for prevention

Reactive strategies for immediate


intervention

Targeted Behavior
 
(Behavior to be decreased)

Specific Objectives:  

Basic Intervention Report:

Prepared by:   Conforme:  


ADVISER Parent/Guardian

Noted:
 NINIA P. ESTILLORE, EdD
Principal/School Head

BEHAVIOR INTERVENTION PLAN School Year: 2022-2023 School ID: 101837 Date of Observation: Name of Teacher:               Name
BEHAVIOR MANIFESTATIONS & INTERVENTION   At Home In School Other Settings Antecedent/ Prior Behavior (Trigg
Principal/School Head

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