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Student Information: Name: ! School: !

BEHAVIOR INTERVENTION PLAN

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BIP Report By: Problem Behavior: Inappropriate behavior(s) Replacement Behavior: What is expected of the student? Method of Teaching Replacement Behavior and By Whom: How will we teach the desired behavior and who will teach it? Accommodations, Interventions, and Whos Responsible for Them: What help will we give the student to help him/her succeed? It is VERY important that these accommodations and/or recommendations be followed consistently by teacher(s), aides, and school staff. direct instruction, by: ______________ ! social skills training, by: _______________ anger management, by: ____________! providing cues, by: _______________ role playing, by: __________________! modeling, by: _______________ behavior contract, by: ______________! stress management, by: _____________! decision-making lesson, by: _________ ! use of mentor(s), by: _______________ ! other __________________________________________, by: __________________ Accommodations to assist the student in displaying the replacement behavior: clear, concise directions !! ! supervise free time frequent reminders/prompts ! ! avoid strong criticism frequent breaks/vary activities ! ! predictable, routine schedule teacher/staff proximity ! ! ! specied study area reprimand the student privately !! preferential seating modify assignments ! ! ! avoid power struggles review rules & expectations ! ! specically dene limits provide alternate recess !! ! avoid physical contact provide cooling off period ! ! provide highly-structured setting communicate regularly with parents ! other _____________________ Interventions & Who"s Responsible for Them: 1.

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4. Method of Measuring direct observation ! Progress: How will we charting/graphing! know if its working or not? other: ___________ Length of behavior plan one week! Positive Consequences for Appropriate Behavior What can the student earn? Negative Consequences for Inappropriate Behavior: What happens if student does not behave? ! ! daily behavior sheet ! self-monitoring !! two weeks ! ! weekly behavior sheet number of discipline referrals other: ___________! computer time positive call or note home positive visit to ofce

verbal praise! ! immediate feedback! earned privileges ! earned tokens/points ! tangible rewards ! free time ! ! other _________________________________ loss of points/tokens ! phone call home ! send to ofce! ! escort to another area !

loss of privileges ! time out work detail ! ! detention in-school suspension ! out-of-school suspension other _____________________________________