Individual Behaviour Support Plan

Student details
Name: Age:

Teacher(s): Class:

Date:

Team members
Team members:
Names and roles

Information from Functional Behaviour Assessment

Academic/Social/Other Concerns
Identified issues which need to be addressed

Setting events (if known)

Antecedent
Identified trigger

Target behaviour
Describe the current behaviour (what does it
look/sound like?)

Consequence/Outcome
What generally happens immediately after the
behaviour

Function
What the student gets or avoids as a result

Date completed:

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Competing Behaviour Pathway
Desired
Desiredbehaviour Consequence
Consequence
behaviour (outcome)
(outcome)

Setting
Setting event
event Antecedent
Antecedent Behaviour
Behaviour(current) Consequence
Consequence Function
Function
(current) (outcome)
(outcome)

Alternative behaviour

Alternative
behaviour

Goals
Alternative behaviour
(short term)
What we want the student to do instead.
Remember the alternative behaviour must
meet the identified function.
Date for achievement of short term goal:

Desired behaviour
(long term)
What we want the student to do in the end.
There may be several steps on the way to the
desired behaviour.
Date for achievement of long term goal:

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Positive strategies
Type of strategy Selected strategies Implementation Date Review decision
(match to function) tasks/
What is the Was each task
responsibilities
due date for completed? Y/N
Break each strategy each task?
Should the strategy be
into tasks that need to
continued/
be completed and
modified or
allocate to a person
discontinued?

Antecedent strategies
Which strategies will
prevent the target
behaviour or make it
less likely? How can
alternative behaviour
be prompted?

Behaviour teaching
strategies
What is the new
behaviour to be taught?
What prerequisite skills
need to be taught first
or in tandem? What
skills will assist the
student to use the new
behaviour?

Consequence
strategies (reinforce
new behaviour)
How will use of the
alternative behaviour
be reinforced?

Consequence
strategies (minimise
target behaviour)
How will reinforcement
for the target behaviour
be minimised?

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Additional strategies to address setting events/other identified factors
Selected strategies Implementation tasks/responsibilities

Data collection plan

Baseline data What baseline data do we have or need? Who will collate the baseline data? By when?

Monitoring data What data will we collect weekly? Who will develop the procedure? By when?

Who will collect the data? How often?

Who will monitor the data collection? How often?

Implementation data What data will tell us if the plan is being Who will develop the checklist? By when?
implemented as planned?

Who will implement each step? How often?

Review dates
Review 1

Review 2

Review 3

Review 4

Review 5

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