BEHAVIOR INTERVENTION PLAN

Student Information: Name: Date:

School: Grade:
BIP Report By:

Problem Behavior:

Inappropriate behavior(s)
Replacement Behavior:
What is expected of
the student?
Method of Teaching direct instruction, by: ______________ social skills training, by: _______________
Replacement Behavior anger management, by: ____________ providing cues, by: _______________
and By Whom: role playing, by: __________________ modeling, by: _______________
How will we teach the behavior contract, by: ______________ stress management, by: _____________
desired behavior and who decision-making lesson, by: _________ use of mentor(s), by: _______________
will teach it? other __________________________________________, by: __________________

Accommodations, Accommodations to assist the student in displaying the replacement behavior:

Interventions, and clear, concise directions supervise free time
Who’s Responsible for frequent reminders/prompts avoid strong criticism
Them: frequent breaks/vary activities predictable, routine schedule
What help will we give the teacher/staff proximity specified study area
student to help him/her reprimand the student privately preferential seating
succeed?
modify assignments avoid power struggles
review rules & expectations specifically define limits
It is VERY important that
provide alternate recess avoid physical contact
these accommodations
and/or recommendations provide cooling off period provide highly-structured setting
be followed consistently communicate regularly with parents other _____________________
by teacher(s), aides, and
Interventions & Who’s Responsible for Them:
school staff.
1.

2.

3.

4.

Method of Measuring direct observation daily behavior sheet weekly behavior sheet
Progress: How will we charting/graphing self-monitoring number of discipline referrals
know if it’s working or not? other: ___________

Length of behavior plan one week two weeks other: ___________

Positive Consequences verbal praise immediate feedback computer time

for Appropriate Behavior earned privileges earned tokens/points positive call or note home
What can the tangible rewards free time positive visit to office
student earn? other _________________________________

Negative Consequences loss of points/tokens loss of privileges time out

for Inappropriate phone call home work detail detention
Behavior: What send to office in-school suspension out-of-school suspension
happens if student does escort to another area other _____________________________________
not be-have?