Baylor Clinic for Assessment, Research, and
Education
Baylor University Center for
Developmental Disabilities
Functional Behavior Assessment
(FBA) & Behavior Intervention Program
(BIP)
Information & Application Packet
The Clinic for Assessment, Research, and Education (CARE)
FBA & BIP Therapy Program
The purpose of the FBA and BIP program is to support caregivers in understanding and
managing their child’s problem behaviors. This two-part program consists of
assessment and interventions based in applied behavior analysis (ABA) theory and
practice. The purpose of the FBA is to determine the reason a behavior is occurring
(i.e., the function). Based on the results of the FBA, an individualized BIP is created to
reduce the problem behavior and promote replacement adaptive behaviors.
Target Behaviors: The FBA and BIP program will target a variety of behavior concerns.
Example of target behaviors that could be improved with this program include tantrums,
screaming, aggression, task refusal, disruption, elopement, self-injury, stereotypical
behaviors (i.e., self-stimulation, “stimming”), and self-injury.
Client Requirements: The FBA and BIP program is designed for children ages 2 to 18
years diagnosed with a developmental disability (e.g., autism, Down syndrome,
intellectual disability). Clients must be exhibiting problem behavior in the home.
Program Staff: The FBA and BIP programs are staffed by advanced graduate students
studying Applied Behavior Analysis. Students are supervised by the Baylor CARE
Director, Dr. Tonya Davis, BCBA-D and Baylor University Center for Developmental
Disabilities Behavioral and Educational Services Director, Kristen Mainor, Ed.S.,
L.S.S.P.
Research Center: Baylor CARE is research center. As a result, many clients will be
asked to participate in ongoing research activities.
Program Components: This program consists of two components. Caregivers must
commit to completing both components of this program. Baylor CARE will not provide
BIP services without the completion of an FBA.
Cost: The cost of the FBA and BIP program is $200. Payment programs and
scholarships may be available.
Application: To apply for the program, please complete the attached application and
return to the Baylor CARE.
For more information, contact:
Desiree Ramirez
care@baylor.edu
(254) 537-1042
FBA
The FBA process lasts approximately 6 weeks and will consist of the following:
 Structured and unstructured interviews with parents, and other caregivers (as
relevant).
o Approximately three 1-hour meetings at the Baylor Center for
Developmental Disabilities.
 Direct observation of the individual.
o Approximately two 1-hour child observations at the Baylor Center for
Developmental Disabilities or other settings as deemed necessary.
 Functional analysis. A functional analysis is the most reliable form of
assessment in which the therapist systematically manipulates the potential
environmental triggers and consequences thought to be associated with problem
behavior.
o Approximately two 1-hour assessment sessions at the Baylor Center for
Developmental Disabilities.
 Results discussion and report. A full written report with relevant graphs and
conclusions will be provided and reviewed in a final conclusion meeting with
caregivers.
o Approximately a 1-hour meeting at the Baylor Center for Developmental
Disabilities.
BIP
A BIP is created at the completion of the FBA process. A BIP will be completed and
reviewed with caregivers approximately one month after the completion of the FBA and
will consist of the following:
 Creation of a written, individualized behavior intervention consisting of researchvalidated positive behavioral interventions and supports (PBIS) that can be
implemented in the target setting. The BIP will contain strategies for monitoring
your child’s progress.
 Consultation with the individual’s parents regarding the intervention plan.
o Approximately a 1-hour meeting at the Baylor Center for Developmental
Disabilities.
 Caregiver training in which therapists provide hands-on training on implementing
BIP procedures.
o Approximately two 1-hour meetings or observations at the Baylor Center
for Developmental Disabilities.
 Follow-up consultations in which the caregivers meet with the therapist 4 and 8
weeks after implementing the BIP for follow-up questions, program adjustments,
and plans for fading.
o Approximately two 1-hour meetings or observations at the Baylor Center
for Developmental Disabilities.
Clinic for Assessment, Research, and Education (CARE)
FBA & BIP Application
Application Date:
Participant’s Name:
(LAST)
(FIRST)
(MIDDLE)
(LAST)
(FIRST)
(MIDDLE)
(STREET)
(CITY)
Guardian’s Name:
Address:
Gender:
(STATE)
Date of Birth
(ZIP)
Grade Level (if applicable):
(MM/DD/YYYY)
Parent/Caregiver Phone Number (cell phone, if available):
Home Phone Number:
Work Phone Number:
Parent/Guardian Email:
Preferred Method of Contact:
Diagnosis:
Source of Diagnosis:
Participant Lives with:
Mother & Father
Mother
Other/Legal Guardian (please specify):
Father
List other children in the household:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
How did you hear about this program?
Identify participant’s favorite foods, activities, items, etc.:
Please identify participant’s current skill level. Check one:
Adaptive Behavior Skills:
Independent
Needs Reminders/Instruction
Needs Physical Assistance
__________
__________
__________
Hand Washing __________
__________
__________
Dressing
__________
__________
Toileting
__________
Communication Skills (check all that apply):
No Speech sounds
Babbles (non-words)
Says 1 – 10 words
10+ 1-word phrases
2 – 3 word phrases
Short sentences or more
Imitates words & sounds
Echolalia (nonfunctional repeating of sounds)
Primary mode of communication is verbal language
Primary mode of communication is sign language. If yes, approximate number of signs:
Primary mode of communication is pictures/PECS. If yes, approximate number of pictures:
Primary mode of communication is electronic communication device. If yes, approx. # of buttons:
Challenging or Problem Behaviors of Concern (list and rate):
1. ____________________________________________
Mild
Moderate
Severe
2. ____________________________________________
Mild
Moderate
Severe
3. ____________________________________________
Mild
Moderate
Severe
4. ____________________________________________
Mild
Moderate
Severe
5. ____________________________________________
Mild
Moderate
Severe
6. ____________________________________________
Mild
Moderate
Severe
7. ____________________________________________
Mild
Moderate
Severe
8. ____________________________________________
Mild
Moderate
Severe
Identify past or current interventions to address these behaviors, noting their success.
Describe the settings in which these problem behaviors are most likely to occur:
Describe any additional information relevant to your child’s problem behaviors:
OPTIONAL: Describe any unique financial needs that influence your need for scholarships to assist with
program fees. Please note that scholarships are granted only when available:
Applications may be submitted by email, fax, or mail.
For questions or more information, please contact Kristen Mainor.
Desiree Ramirez
2201 MacArthur Dr., Suite 101
Waco, TX 76708
care @baylor.edu
Phone: 254-537-1042