Chapter 8: Behavior and Discipline

Worksheets >

Behavior Intervention Plan (BIP)

One (Plan/Goals) for each behavior that impedes the student's learning or the learning of others:

Student Name: ________________________

Beginning Date: ________________

Review Date: ___________________

Persons Responsible:

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Hypothesis: Function the behavior serves, conditions under which behavior seems to occur, what happens as a result of behavior

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Behavior Goal:

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Intervention: Components of the intervention, persons responsible, timelines

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If the behavior occurs again the following intervention will be applied:

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If the behavior does not reoccur, the following reinforcement procedures will be applied:

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If the behavior is due to a skill deficit, what behavior(s) or skill(s) need to be taught to enable student to change behavior?

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Person(s) responsible for teaching skills

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Self Monitoring:

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Review Date: ___________________

Modifications to plan:

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