Function-Based Behavior Intervention Plan Page 3
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2
3
4BIP
T eam
A ction
P lan
Task/Plan Component
Person Responsible
Timeline
Evaluation Decision
Describe each component or strategy in the plan.
Note when
For each component, decide to
List staff tasks that need to be completed in order to
tasks need to
• Continue monitoring (no
begin implementation.
be completed
changes)
and when
• Modify (describe changes)
each
• Discontinue
intervention
strategy
Add components/tasks as
should begin.
needed. Note the dates of any
changes.
*If emergency behavior management procedures are necessary, create a safety plan describing appropriate staff responses to
dangerous situations. Consult the restraint and seclusion principles published by the U.S. Department of Education (ed.gov).
Adapted
f rom
H orner
( 2004),
B ehavior
S upport
P lan
T emplate.
Page
3
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