This form
CONFIDENTIAL DO NOT DISPLAY
This BIP attaches to: X IEP date: 504 plan date: Team meeting date: 10/26/17
Student Name E.J. Thomas Todays Date 11/3/17 Next Review Date 11/3/18
1. The behavior impeding learning is (describe what it looks like)
-Frustration, sadness, anger and stress toward himself- Outbursts such as screaming or knocking over chairs.
2. It impedes learning because: E.J.s behaviors are currently preventing him from completing any mathematics
work, both in and out of class.
3. The need for a Behavior Intervention Plan early stage intervention X moderate serious extreme
4. Frequency or intensity or duration of behavior
Outbursts are a duration of 10 minutes 2-3 times a week
X reported by Special Education Teacher and support staff and/or X observed by Special Education
Teacher, Support Staff, School Psychologist, and Mathematics teacher
1
Diana Browning Wright, Behavior/Discipline Trainings
For the electronic expandable version, see www.pent.ca.gov/forms.htm.
ALTERNATIVES PART II: FUNCTIONAL FACTORS AND NEW BEHAVIORS TO TEACH AND SUPPORT
Team believes the behavior occurs because: (Function of behavior in terms of getting, protest, or avoiding something)
O 8. Independent work he doesnt understand and The teacher not checking for understanding with the
bs
er student.
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tio Accept a replacement behavior that meets same need-----
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& What team believes the student should do INSTEAD of the problem behavior? (How should the student escape/protest/
A
na avoid or get his/her need met in an acceptable way?)
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si 9. Group work or pair work, Make sure that either the academic coach or Math teacher keeps a close
s
eye on the student, and Teach E.J. to know when he needs to speak up and ask for help or for him to
know to work with someone in the class in order for him to get his work done.
What teaching Strategies/Necessary Curriculum/Materials are needed? (List successive teaching steps for student to learn
replacement behavior/s)
Int 10. Respond immediately when E.J. needs help, Automatically have partners to complete independent
er work, Be aware when one form of work ethic is not working and be quick to change for the need of the
ve
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student, Explicitly teach self-regulation skills, and Create a progress monitoring sheet (self-monitoring with
on guidance for what to do if he is not working when the timer goes off).
Who will establish? Special Education Teacher and Special Education Staff Who will monitor? Special Education
teach, Special Education Staff, and Mathematics Teacher Frequency? Weekly
I What are reinforcement procedures to use for establishing, maintaining, and generalizing the replacement behavior(s)?
n
t 11. -Constantly checking on E.J. to make sure he is on task as shown by assignments that have been
e completed when working with the teacher, Working one on one with E.J because of the constant
r encouragement to complete the work, Allowing E.J. to know that he can leave the classroom to check-in
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e with his emotions and feelings before starting on an assignment.
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t Selection of reinforcer based on:
i X reinforcer for using replacement behavior X reinforcer for general increase in positive behaviors
o By whom? Special Education Teacher, Special Education Staff, and Mathematics Teacher Frequency? Weekly
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2
Diana Browning Wright, Behavior/Discipline Trainings
For the electronic expandable version, see www.pent.ca.gov/forms.htm.
OUTCOME PART IV: BEHAVIORAL GOALS
Behavioral Goal(s)
13.
Required: Functionally Equivalent Replacement Behavior (FERB) Goal
For the At what
For the Instead of Under what As measured
By Wh Will do X behavior purpose of level of
purpose of y Z behavior contingent by whom
when o (line 9) y proficie
(line 8) (line 1) conditions and how
(line 8) ncy
when given written 3
11/3/18 E.J. To Instead of To no more as measured
or verbal directions, out
complete having complete than twice by teacher
during an work and outbursts work and
of 5
independent work for the days observations
know what and know
session in the behaviors refusing what bathroom 3 of and input on
classroom, (e.g. should be to behavior out of 5 the student
please pull out your done in the complete s should days of the wee support
worksheets), E.J. classroom. any work be done week, as k form.
that isnt in the measured
will use their time understo classroo
appropriately and by teacher
od by the m.
leave the classroom student. observation
s and input
on student
support
form.
The above behavioral goal(s) are to: X Increase use of replacement behavior and may also include:
X Reduce frequency of problem behavior X Develop new general skills that remove students need to use the problem behavior
3
Diana Browning Wright, Behavior/Discipline Trainings
For the electronic expandable version, see www.pent.ca.gov/forms.htm.
Are curriculum accommodations or modifications also necessary? Where described: Amount of problems
X yes no
needed to be complete in order for E.Js motivation not to be lost
Are environmental supports/changes necessary? E.J. will be given the option to leave the classroom to
enter his safe space (Special Education office or Commons) as long as he feels that his work will be X yes no
completed better there and that an educator is notified.
Is reinforcement of replacement behavior alone enough (no new teaching is necessary)? yes X no
Are both teaching of new replacement behavior AND reinforcement needed? X yes no
This BIP to be coordinated with other agencys service plans? X yes no
Person responsible for contact between agencies X yes no
2. Under what
3. 6. How will this be
condition(s) 4. Expected
1. Who? Delivery 5. Content? two-way
(Contingent? Frequency?
Manner communication
Continuous?)
Special
Education Continuous to Self twice a week Behavioral Expectations: Self monitor sheet will
Teacher and know progress of monitor What E.J. be reviewed daily by
Mathematics student. sheet accomplished that day the special educator,
teacher. What he can do to make Academic Coach,
the next day either possibly involve
better/or the same parent, and
mathematics teacher
(shared through
google doc).
4
Diana Browning Wright, Behavior/Discipline Trainings
For the electronic expandable version, see www.pent.ca.gov/forms.htm.
PARTICIPATION PART VI: PARTICIPANTS IN PLAN DEVELOPMENT
X Student
X Parent/Guardian
X Special Educator
X Academic Coach
X School Psychologist
X Mathematics Teacher
X Principal
5
Diana Browning Wright, Behavior/Discipline Trainings
For the electronic expandable version, see www.pent.ca.gov/forms.htm.