Behavior Card (School) Child: Date/Time: Activity: Observer: What happens before the Challenging Behavior: What happens after the behavior? behavior? Describe briefly in specific Verbal redirect Demand request terms Physical redirect Alone (no attention) Ignored Alone (no apparent Activity/materials taken activity) away Attention given to Isolation (in room) others Sent out of room/Adult left Transition in room Specific peer/sibling Calming/soothing of child Specific adult/family Verbal member Physical Preferred Both object/activity Physical restraint removed Peer/Sibling Purpose of Behavior: Unpreferred remarks/laughter Escape/Avoid activity/object Other: Who/What? Told “no” Obtain/Get What? Behavior Card (Home) Date/Time: Activity: Observer: What happens before the Challenging Behavior: What happens after the behavior? behavior? Describe briefly in specific Verbal redirect Demand request terms Physical redirect Alone (no attention) Ignored Alone (no apparent Activity/materials taken activity) away Attention given to Isolation (in room) others Sent out of room/Adult left Transition in room Specific peer/sibling Calming/soothing of child Specific adult/family Verbal member Physical Preferred Both object/activity Physical restraint removed Peer/Sibling Purpose of Behavior: Unpreferred remarks/laughter Escape/Avoid activity/object Other: Who/What? Told “no” Obtain/Get What? Behavior Card (School)
Behavior Card (School) Child: Date/Time: Activity: Observer: What happens before the behavior? Demand request Alone (no attention) Alone (no apparent activity) Attention given to others Transition Specific peer/sibling Specific adult/family member Preferred object/activity removed Unpreferred activity/object Told “no” Challenging Behavior: Describe briefly in specific terms Purpose of Behavior: Escape/Avoid Who/What? Obtain/Get What? What happens after the behavior? Verbal redirect Physical redirect Ignored Activity/materials taken away Isolation (in room) Sent out of room/Adult left in room Calming/soothing of child Verbal Physical Both Physical restraint Peer/Sibling remarks/laughter Other: Behavior Card (Home) Date/Time: Activity: Observer: What happens before the behavior? Demand request Alone (no attention) Alone (no apparent activity) Attention given to others Transition Specific peer/sibling Specific adult/family member Preferred object/activity removed Unpreferred activity/object Told “no” Challenging Behavior: Describe briefly in specific terms Purpose of Behavior: Escape/Avoid Who/What? Obtain/Get What? What happens after the behavior? Verbal redirect Physical redirect Ignored Activity/materials taken away Isolation (in room) Sent out of room/Adult left in room Calming/soothing of child Verbal Physical Both Physical restraint Peer/Sibling remarks/laughter Other: Behavior Card (School)
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