Behavior Intervention Plan (BIP)
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📋 Student Information
Student Name
*
Date of Birth
School
Grade
IEP Date
BIP Date
*
Disability Category
Case Manager
🔍 Functional Behavior Assessment Summary
FBA Completion Date
Assessment Methods Used
Direct Observation
Teacher Interview
Parent Interview
Student Interview
Record Review
Rating Scales
ABC Data Collection
Functional Assessment Tools
Summary of FBA Findings
🎯 Target Behaviors
Target Behavior
Operational Definition
Baseline Data
+ Add Another Behavior
💡 Hypothesized Function of Behavior
Primary Function(s)
*
Escape/Avoidance
Attention Seeking
Access to Tangibles
Sensory/Automatic
Function Statement
Supporting Evidence
✅ Replacement Behaviors
🎯 Functionally Equivalent Replacement Behaviors
Replacement Behavior 1
How to Teach
🌟 Long-term Desired Behaviors
Long-term Goal Behavior
Steps to Achievement
🛡️ Preventive/Antecedent Strategies
📚 Environmental Modifications
👥 Instructional Strategies
⏰ Routine & Structure
🎮 Choice & Control
📖 Teaching Strategies
Social Skills Instruction
Self-Management Skills
Communication Skills
Coping Strategies
🎉 Reinforcement Strategies
Reinforcement System
Reinforcers Identified
Reinforcement Schedule
Success Criteria
⚡ Reactive/Response Strategies
✋ De-escalation Techniques
🔄 Response to Minor Behaviors
🚨 Response to Major Behaviors
⚠️ Crisis Response Plan
Crisis Criteria
Crisis Response Procedures
Emergency Contacts
📊 Data Collection & Progress Monitoring
Data Collection Method
Data Collection Schedule
Progress Review Schedule
Success Criteria
Plan Modification Criteria
📞 Communication Plan
Home-School Communication
Team Communication
Parent/Guardian Training
🎓 Staff Training & Support
Staff Training Needed
Training Timeline
Ongoing Support
✍️ Team Agreement & Signatures
📝
Note:
All team members involved in implementing this BIP should review and sign below to indicate understanding and agreement with the plan.
Parent/Guardian
Signature / Date
Student (if appropriate)
Signature / Date
Special Education Teacher
Signature / Date
General Education Teacher
Signature / Date
School Psychologist/BCBA
Signature / Date
Administrator
Signature / Date
📅 Review Schedule
Next Review Date
Quarterly Review
Annual Review
Additional Notes