Functional Behavioral Assessment Implementation Checklist6 Step Activity Status Action Plan Include key individuals in the initial Y N assessment meetings. Review relevant records. Y N Information Collect informal direct observation Y N data. Collect Interview individuals who have Y N 1. direct experience with the student. Define problem behavior in Y N observable terms. Identify triggering antecedents Y N events. Statement Identify maintaining consequence Y N events. Identify possible setting events. Y N Summary Develop summary statements Y N based on 1.– 4. Develop Determine level of If agreement/confidence high, go to 2. agreement/confidence individuals have in Step 3. Y N resulting summary statement. If low, go back to Step 1. Collect formal direct observation information on behavior, antecedents, Y N & consequences. If summary statement confirmed, go Confirm Determine if direct observation data to Step 4. Y N Summary Statement confirm summary statement. 3. If not confirmed, go back to Step 2. 3-10-04. Adapted from Sugai, G., Lewis-Palmer, T., & Hagan-Burke, S. (1999-2000). Overview of the 6 functional behavioral assessment process. Exceptionality, 8, 149-160.
Functional Behavioral Assessment Implementation Checklist6 Step Activity Status Action Plan 1. Collect Information Include key individuals in the initial assessment meetings. Y N Review relevant records. Y N Collect informal direct observation data. Y N Interview individuals who have direct experience with the student. Y N 2. Develop Summary Statement Define problem behavior in observable terms. Y N Identify triggering antecedents events. Y N Identify maintaining consequence events. Y N Identify possible setting events. Y N Develop summary statements based on 1.– 4. Y N Determine level of agreement/confidence individuals have in resulting summary statement. Y N If agreement/confidence high, go to Step 3. If low, go back to Step 1. 3. Confirm Summary Statement Collect formal direct observation information on behavior, antecedents, & consequences. Y N Determine if direct observation data confirm summary statement. Y N If summary statement confirmed, go to Step 4. If not confirmed, go back to Step 2. 6 3-10-04. Adapted from Sugai, G., Lewis-Palmer, T., & Hagan-Burke, S. (1999-2000). Overview of the functional behavioral assessment process. Exceptionality, 8, 149-160.
8_Appendices.docx