BIP Implementation Review Form
Date:
Time:
Staff Observed:
Completed By:
Activities Observed:
Plan Components
Score
Feedback
0=seldom
1=sometimes
2=consistently
Work area restricts access (physical and visual) to potential
reinforcers.
0
1
2
0
1
2
STUDENT’s nails are trimmed.
0
1
2
Class rules are posted where STUDENT can see them in terms he
understands.
0
1
2
Social stories are used to teach concepts related to classroom rules
and expected behaviors.
0
1
2
0
1
2
0
1
2
Staff wear protective clothing that reduces damage and injury.
A token economy is used to reinforce appropriate behaviors.
Oral motor and tactile sensory input is offered and delivered
frequently.
A choice menu is presented when the requisite number of tokens
has been earned for back-up reinforcement.
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
0
1
2
STUDENT is given opportunities to practice giving up reinforcement.
STUDENT is given opportunities to practice being told “no” and
choosing form 2 available choices.
STUDENT is given frequent opportunities to comply with adult
directives.
Reinforcement is delivered frequently during the absence of problem
behaviors.
Directions to transition to a new activity are specific regarding the
next activity.
STUDENT is given frequent opportunities to ask for things that are
out of reach (Tapping adult for attention, asking “Can I …/Can you…”
Access to a desired item/activity is denied following aggression.
Response blocking is used appropriately to restrict access to desired
items following aggression.
Functional communication training is implemented and appropriate
requests for items are reinforced.
Following aggression, pre-aggression demands are still placed.
0
1
2
0
1
2
0
1
2
Inappropriate responses are not reinforced.
0
1
2
STUDENT is reinforced for giving up a reinforcer.
0
1
2
0
1
2
Response blocking us used effectively to prevent inappropriate
touching and mouthing of objects.
If task refusal occurs, behavioral momentum strategies are
implemented.
Data is collected throughout the day.
Notes:
Total ________/ ____