BEHAVIORAL INTERVENTION PLAN

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July 2010 (Paper Copy)
BIP-Page 1 of 2 for Preschool and School Age
New Hanover County Schools
Behavioral Intervention Plan (BIP)
Name ______________________
ID# ____________________________
Date of Birth _____________________
School __________________________
Meeting Date ____________________
Replacement/ Desired
Behaviors
# Days Out of School Suspension _________
How are IEP services going to be delivered
starting on the 11th day of suspension in a school year?
How?
Who?
.
What rewards will be provided when the desired
behaviors are demonstrated?
Who will implement the rewards?
For a list of meeting participants, see SST Attendance Log, IEP page I or IAP.
# Weeks to Implement BIP ________
Next Meeting to Review/Revise Plan:
Date ________ Time ________
Location ___________________
When?
How will teaching time be
documented?
How will the desired behavior data be collected?
Attach today’s BIP to Intervention Plan, IAP or IEP Page 4.
July 2010 (Paper Copy)
BIP-Page 2 of 2 for Preschool and School Age
New Hanover County Schools
Behavioral Intervention Plan (BIP)
What?
.
What Consequences will be
enforced?
Describe the target behavior from FBA .
Who?
Describe the responsibilities of each
team member, including school staff,
family and student.
Mild:
Mild :
Mild
Moderate:
Moderate:
Moderate:
Severe:
Severe : (including components of a
crisis plan)
Severe:
For a list of meeting participants, see SST Attendance Log, IEP page I or IAP.
Data
Explain how and when data will be
recorded. List the type of data collection
tool that will be used.
Attach today’s BIP to Intervention Plan, IAP or IEP Page 4.
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