Behavior Intervention Plan

Name: ID #
School:
Grade:
Implementation Date:
FBA completed by:
Completion date:
BIP developed by:
Student Strengths: Student Interests:

Target Behaviors defined:

Behavior 1 Behavior 2

Hypothesis of Perceived Behavioral Function:

SMART Goals/Replacement Behaviors:

Goal 1: Goal 2:

Replacement Behavior: Replacement Behavior:

Strategies/Interventions to PREVENT challenging behavior by adjusting the curriculum and/or environment:

 

Strategies/Interventions to TEACH alternative behaviors:

 
Strategies/Interventions to REINFORCE replacement behaviors:
 

Method of Measuring Progress/Fading:

Review dates:

Dates modified:

Data Collection by:

Safety Procedures:

Additional Information:

Signatures of all Participants in Implementation of Plan: