MODEL BEHAVIORAL INTERVENTION PLAN

[Pages:1]MODEL BEHAVIORAL INTERVENTION PLAN

Student Name: _____________________

Grade: _______

I. Target

II. Functional III. Intervention Strategies

Behaviors and Behavioral

(Positive Behavioral Interventions

Definitions

Assessment

and Supports)

and Identified A. Modifications B. Alternative

Function of the to the Identified Behaviors

Target Behavior Antecedents (Meet the same

function as the

target

behavior)

1.

Date of Plan:_______________________

IV. Reinforcers and Consequences V. Action Plan

for Data

Collection and

A. Individualized B.

Monitoring of

Reinforcers for Consequences BIP

Student to Learn for Target

Alternative

Behavior

Behavior

2.

Georgia Department of Education July 2007

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