Step 3: PTR Interventions Checklist-SECONDARY Version Student: _________________ School:_________________ Date:_______ Behavior:_______________ Completed by:________ Prevention Teaching Reinforcement Interventions Interventions Interventions (behaviors that will help meet academic goals) **Replacement Behavior **Reinforce Replacement Behavior Providing Choices Functional Equivalent ** Function Alternate skill (desired) Additional Transition Interventions/Planning Study Skills/Test-taking Strategies **Discontinue Reinforcement of Problem Behavior Visual Cues/Tools Social Problem Solving Strategies Curricular/Assignment Modification/Flexibility General Coping Strategies Opportunities to Respond Cognitive Behavior Therapy Classroom Management Learning Strategy Instruction Setting Event Modification Self-Management Increase Non-Contingent Reinforcement Basic Academic Skills Peer Support/Cooperative Grouping Activities Specific Social Skills Training Does the severity or intensity of the problem behavior pose a threat to self or others? Yes No student’s If yes, is a crisis intervention plan needed? Yes No asterisked interventions need to be selected and included in the PTR Intervention Plan **All student’s
Step 3: PTR Interventions Checklist-SECONDARY Version Student: _________________ School:_________________ Date:_______ Behavior:_______________ Completed by:________ Prevention Interventions Teaching Interventions (behaviors that will help meet academic goals) Reinforcement Interventions Providing Choices **Replacement Behavior Functional Equivalent Alternate skill (desired) **Reinforce Replacement Behavior ** Function Additional Transition Interventions/Planning Study Skills/Test-taking Strategies **Discontinue Reinforcement of Problem Behavior Visual Cues/Tools Social Problem Solving Strategies Curricular/Assignment Modification/Flexibility General Coping Strategies Opportunities to Respond Cognitive Behavior Therapy Classroom Management Learning Strategy Instruction Setting Event Modification Self-Management Increase Non-Contingent Reinforcement Basic Academic Skills Peer Support/Cooperative Grouping Activities Specific Social Skills Training Does the severity or intensity of the student’s problem behavior pose a threat to self or others? Yes No If yes, is a crisis intervention plan needed? Yes No **All asterisked interventions need to be selected and included in the student’s PTR Intervention Plan