Function-Based Behavior Intervention Plan Page 4
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4BIP
E valuation
P lan
Behavioral Goals
Behavior(s)
Baseline Data
Goal(s)
List target behavior(s) to be
Summarize pre-intervention data on
Set a specific, observable, measurable goal for the target
tracked for progress
target behavior, including the dates
behavior(s). If a goal is based on a desired level of behavior
monitoring. Include or attach
data were collected.
(e.g., based on school expectations or peer norms), include a
a behavioral definition.
date by which time the student is expected to meet that goal.
**Consider that peer norms may not be an appropriate
target for all children. When significant behavior change is
desired, consider setting a short-term goal for the purpose of
evaluating the intervention, or evaluating responsiveness
through visual analysis of graphed student data.
Evaluation Procedures
Procedures
Person Responsible
Timeline
Fidelity
Describe the measure (e.g., checklist
Will this be a self-check by
When will fidelity checks begin?
Is the intervention being
or observation) and the criteria for
the interventionist, or will
How frequently will data be
implemented as planned?
adequate fidelity:
an external observer record
collected?
fidelity data?
• Percentage of steps completed
• Intervention dosage
Student Progress
Describe the measure (e.g., direct
Who will
When will data collection occur
Is the planning working? Is
observation or rating form) and data
in terms of
• Collect data
the target behavior
analysis method:
• Frequency
• Enter data
improving?
• Data summary (e.g., graphing)
• Duration (if observation)
• Graph or otherwise
• Decision rules (how are data
summarize data
• Time/setting
compared to the baseline and
• Review/analyze data
goal)
Date of next team meeting (plan review): __________________________
Adapted
f rom
H orner
( 2004),
B ehavior
S upport
P lan
T emplate.
Page
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