Behavior Intervention Plan Template

							                                       
      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        ⟡ teacher/staff proximity 
 
       
  ⟡ specified study area
    the 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
                                  ⟡ provide cooling off period 
      
  ⟡ provide highly-structured setting
    and/or recommendations
    be followed consistently      ⟡ communicate regularly with parents 
 ⟡ other _____________________
    by teacher(s), aides, and
    school staff.                 Interventions & Who’s Responsible for Them:
                                  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 student          ⟡ tangible rewards
    ⟡ free time
    
               ⟡ positive visit to office
    earn?                         ⟡ other _________________________________

    Negative Consequences         ⟡ loss of points/tokens 
   ⟡ loss of privileges 
  ⟡ time out
    for Inappropriate             ⟡ phone call home
          ⟡ work detail
     
    ⟡ detention
    Behavior: What happens        ⟡ send to office
 
          ⟡ in-school suspension
 ⟡ out-of-school suspension
    if student does not be-       ⟡ escort to another area
   ⟡ other _____________________________________
    have?