BEHAVIOR SUPPORT IMPLEMENTATION PLAN
Review Date _________________
Tasks
Person
Responsible
By
When
Impl. Rating
2=Yes – 90%+
1=Kinda 50-90%
0 = No - <50%
Prevention: Make problem behavior irrelevant
(antecedent intervention)
Teaching: teach new skills/ replacement
behavior
Extinction: Make problem behavior ineffective
(minimize reward/ pay-off for problem behavior)
Reinforcement: Make alternate & desired
behavior more rewarding than problem behavior
Responding to Problem Behavior: Prompt
replacement behavior & consequences.
2
1
0
2
1
0
2
1
0
2
1
0
2
1
0
Impl
Score #
Total #
Possible
Evaluation Decision
Monitor, Modify, or
Discontinue
EVALUATE PLAN
Behavioral Goal (Use specific, observable, measurable descriptions of goal)
What is the short-term behavioral goal?
_________ Expected date
What is the long-term behavioral goal?
_________ Expected date
Evaluation Procedures
Data to be Collected
_________ Expected date
Procedures for Data Collection
Person
Responsible
Is Plan Being
Implemented?
Timeline
_________ Expected date
Is Plan Making a
Difference?
Plan date for review meeting (suggested within 2 weeks) ________________
______________________________________
Parent/Guardian
_____________________________________________
Student
______________________________________
Special Education Teacher
_____________________________________________
General Education Teacher
______________________________________
Case manager
_____________________________________________
Team Member
______________________________________
Team Member
_____________________________________________
Team Member
Adapted by C. Borgmeier (2002) from multiple sources: M. Bergstrom and D. Crone (2000); March, Horner, Lewis-Palmer, Brown, Crone & Todd (1999); O’Neill,
Horner, Albin, Sprague, Story, & Newton (1997); Palmer & Sugai (2000); and Sprick, Sprick, & Garrison (1993); Martin, Hagan-Burke, & Sugai (2000)
Attach a copy of Behavior Support Plan to IEP
Behavior Support Plan Review
Student ________________________________________
Grade ____________________
School__________________________________________
Date______________________
Case Manager____________________________________
1.
Review each task on the BSP Implementation Plan to identify whether all tasks are being implemented
successfully – answer below under Is Plan Being Implmented?
REVIEW DATA
Data to be Collected
Procedures for Data Collection
Person
Responsible
Timeline
Is Plan Being
Implemented?
Is Plan Making a
Difference?
MODIFICATIONS TO THE BSP IMPLEMENTATION PLAN
Tasks
Person
Responsible
By When
Was task
completed
consistently?
Evaluation Decision
Monitor, Modify, or
Discontinue
Date & Time of the Next BSP Review meeting ________________________
______________________________________
Parent/Guardian
______________________________________
Special Education Teacher
_____________________________________________
Case Manager
_____________________________________________
General Education Teacher
Attach a copy of Behavior Support Plan Review to IEP