Step 3: PTR Plan Assessment (Fidelity) Teacher: Student: Date: Observation Self-Assessment Interventions Implemented Did it have the desired impact on behavior? (1 = no impact; 2 = some impact; 3 = PREVENT great impact) Prevention Intervention (Name) 1 2 3 Y / N / NA TEACH Replacement behavior 1 2 3 Y / N / NA REINFORCE Reinforce replacement behavior 1 2 3 Y / N / NA Behavior Plan Assessment: Y/Y + N total
Step 3: PTR Plan Assessment (Fidelity) Teacher: Student: Date: Observation Self-Assessment Interventions PREVENT Implemented Did it have the desired impact on behavior? (1 = no impact; 2 = some impact; 3 = great impact) Prevention Intervention (Name) Y / N / NA 1 2 3 TEACH Replacement behavior Y / N / NA 1 2 3 REINFORCE Reinforce replacement behavior Y / N / NA 1 2 3 Behavior Plan Assessment: Y/Y + N total