Appendix

Instructions: when developing behavioral intervention plans, use a X to indicate the completion of each step

1. Identify the behavior to change

2. Complete a functional analysis of the behavior

3. Complete a reinforcer assessment

4. Measure the frequency, intensity, and/or duration of the behavior

5. Develop effective communication strategies

6. Develop strategies for meeting sensory needs

7. Identify appropriate social skills to teach

8. Develop antecedent control strategies

9. Develop self-regulation strategies

10. Develop strategies for teaching new behaviors

11. Develop strategies for reinforcing desired behaviors

12. Outline negative reinforcers for unacceptable behaviors, if needed

13. Develop a crisis plan if needed

14. Determine procedures for measuring progress

15. Review progress on a regular basis

16. If progress is satisfactory, continue using the intervention program

17. If progress is unsatisfactory, refer to the checklist titled” Guidelines for Troubleshooting Unsatisfactory progress?”

18. Develop procedure for generalization training

19. Fade reinforcers

20. Take care of yourself! Use coping and stress management strategies behavior is related to specific antecedents and consequences in the immediate environment.

 

~ Return to Top ~

 

Functional Analysis

Instructions: answer question regarding the behaviors; targeted for change
 

Behavior	Where did it occur?	When did it occur?	With whom did it occur?	How long did it last?	What happened after it?

~Return to Top~

Planning Form

 

Name _____________________ Date_____________________

 

Problem Behavior__________________________________________

Setting Events/Antecedents	Skills Deficit	Function

Replacement Behavior________________________________________

Setting Events/Antecedents	Skills Deficit	Function

 

Desired Behavior____________________________________________

Setting Events/Antecedents	Skills Deficit	Function