Flower 1
ABC Functional Behavioral Assessment Form
Name: Ricky                                                                                                             Date: 3-7-2017
Setting Information: Reading at back table with me sitting next to him and teacher sitting at her desk nearby. The rest of the class was
reading independently at their desks. Had just come back from lunch and recess. Data was taken during independent reading time from
12:10pm-12:35pm.
            Time                          Antecedent                          Behavior                         Consequence
           12:10pm                Reading, following along with              Hand shaking              No correction/focused back to
                                            the book                                                               book
           12:14pm                Sat down from getting a drink         Hand shaking, touching,        No correction/focused back to
                                                                               clapping                            book
           12:16pm                        Looking around                    Hand shaking               Paraprofessional came over to
                                                                                                       ask if he was paying attention
           12:19pm                 Playing with computer mouse        Hand/finger tapping (like a      No correction/focused back to
                                                                               puppet)                             book
           12:22pm                 Playing with computer mouse               Hand shaking              No correction/focused back to
                                                                                                                   book
           12:23pm                  Looking at teacher’s desk              Finger tapping                     No correction
           12:25pm                  Looking at teacher’s desk           Hand shaking, touching                No correction
           12:26pm                  Looking around classroom           Shaking, tapping on desk        No correction/focused back to
                                                                                                                   book
           12:28pm                        Looking around                   Flapping, clapping          No correction/focused back to
                                                                                                                   book
           12:29pm                    Playing with volume on                    Flapping               No correction/focused back to
                                             computer                                                              book
           12:30pm                        Looking around                        Flapping                     Told to clean up
                                                                                                                             Flower 2
                                          ABC Functional Behavioral Assessment Form
Name: Ricky                                                                                                          Date: 3-9-2017
Setting Information: Working at back table with me and another student. Both students were working on math bellwork but Ricky was
working on double-digit subtraction. The rest of the class was working independently at their desks on their bellwork. Data was taken
during bellwork time from 8:45am-9:30am.
             Time                         Antecedent                         Behavior                        Consequence
            8:47am                     Going to bathroom                     Flap hands                      No Correction
            8:49am                   Come in from bathroom                   Flap hands             Told to put correct time on sign
                                                                                                                in sheet
            8:51am                   Work on math bellwork               Tap hands on paper             “Ricky focus” by teacher
            8:54am                    Ask to get a tissue                    Flap hands                   Corrected by teacher
            8:56am                   Work on math bellwork                 Tapping pencil                   Corrected by me
            9:00am                   Work on math bellwork                   Flap hands                  Corrected by teacher
            9:01am                   Work on math bellwork               Flap hands, tapping            Student laughed at him
            9:04am                   Work on math bellwork                   Flap hands               Corrected by teacher: told to
                                                                                                           have a good day
            9:15am                   Work on math bellwork                   Flap hands               No correction, finished math
                                                                                                               bellwork
            9:20am                      Stamped bellwork            Flapping hands and clapping              No correction
                                                                           while walking
            9:22am               Asked what to do now that he’s               Clapping               Corrected by paraprofessional
                                             done
            9:25am                       Ask to get water                    Flap hands                     Corrected by me
                                                                                                                                Flower 3
                                                  Behavior Intervention Plan Form
Student: Ricky                                                                                                          Date: 3-30-2017
Step                   Action                                                           Outcomes
       Identify the function of the behavior:   Ricky’s behavior consists of him stemming numerous times throughout the day in
 1         Describe the behavior in            multiple different ways. He flaps his hands, taps on the desk, claps, shakes his hands in
               measurable terms.                the air, and plays with his hands/fingers like puppets. These behaviors can be distracting
           How does the behavior meet          to the teacher and other students in the classroom. According to my observations, Ricky
               the student’s needs?             stems about 15-20 times within a 30-50 minute time frame. My data and observations
                                                show that Ricky stems when he is off task or loses focus. When he stems, the teacher or
                                                an aide tells Ricky to focus and gives him attention. The stemming behavior allows
                                                Ricky to gain sensory stimulation, allowing him to focus back on his work, while also
                                                gaining attention from an adult, which reinforces his behavior.
       Select a replacement behavior:           Instead of stemming, Ricky will be given a homemade stress ball that he can play with
 2          What should the student do         while doing his work in an attempt to occupy his hands while still receiving sensory
               instead?                         stimulation. The ball will be made of Orbeez (small gel beads that absorb water) that
            What do successful students        will be put inside of a non-inflated balloon. A successful student will play with the ball
               do?                              and work on their assignments while also staying quiet and not distracting others. This
            Will the behavior help the         replacement behavior will give Ricky the opportunity to receive the necessary sensory
               student meet his or her needs?   stimulation to keep him focused on his work while also being non-disruptive to others.
       Design a teaching plan:                  Expected Behavior
 3                                              Ricky will use his stress balls quietly and effectively without being disruptive to his
       The expected behavior includes:          peers. He will also take his allotted two short breaks during each class period in a non-
           Conditions                          disruptive manner.
                                                                                                                             Flower 4
          Behaviors                        Teaching Examples
                                            Ricky will use the stress ball throughout the school day. He can use the stress ball
    Teaching examples should:               during instruction, group work, and independent class work.
        Describe when to use the           Ricky is only allowed to take his two short breaks when he is over-stimulated, anxious,
           behavior                         and unable to focus.
        Be realistic                       Non-Examples
                                            Ricky will not use the stress ball during electives such as P.E. and Steel Drums because
    Non-examples should:                    it is a safety hazard to have something in his hands during those classes and he will
        Describe when not to use the       already be receiving some sensory stimulation from the class activities.
          behavior                          Ricky will not stem or be disruptive while walking over to switch out his stress ball or
        Be realistic                       on his way back to his seat.
                                            Ricky will not make noises with the stress ball by tapping it on the desk or hitting it on
                                            his hands.
                                            Teaching Strategies
                                            The teacher will explicitly show Ricky examples and non-examples of the behavior. She
                                            will also provide Ricky will specific praise when he does something right so that he
                                            knows exactly what to do and not to do.
                                            The teacher will also explain the difference between Ricky’s stemming behavior and the
                                            new, replacement behavior of using the stress ball instead.
    Arrange the environment to facilitate   Problem Situations
4   success:                                If the other students play with the stress balls and move them around the classroom,
                                            Ricky’s short breaks will not be effective. If Ricky is over-stimulated and needs a break
    Consider changes to:                    but does not remember where the stress balls are located around the classroom, this will
        Physical environment               be a problem situation because he would be unable to use his replacement behavior.
        Classroom procedures
        Task requirements                  Facilitate Success
        Teacher-student interactions       There will be multiple stress balls set up around the classroom. If Ricky becomes over-
                                            stimulated and needs a short break during his work, he will be allowed to get up and
                                            switch out his stress ball for another one twice during each class period. This will allow
                                            Ricky to have a short break from his assignment and will not bring unwanted, negative
                                                                                                                             Flower 5
                                            attention to him from his peers. Also, when Ricky is on task and using his stress ball
                                            appropriately, the teacher and aides will praise his behavior on a variable ratio schedule
                                            in order to give him the positive attention that he desires.
    Develop consequences for desired        Natural Positive Consequences
5   and undesired behavior                  One natural positive consequence would be the sensory stimulation that Ricky receives
    (Artificial consequences should be      when he uses his stress ball.
    used only when natural consequences     In this classroom, when a student does not finish their assignments for the day, they
    are not sufficient!)                    receive lunch detention the following day. Therefore, if Ricky stays on task and
                                            completes his work, he will not have lunch detention and will be able to go to recess.
                                            Withhold Access to Natural Positive Consequences
                                            If Ricky does not stay focused and is unable to complete his work, he will receive lunch
                                            detention the next day and will not be able to participate in recess.
                                            If Ricky chooses not to use his stress ball, he will not receive the sensory stimulation.
                                            Prompts
                                            Prompting Ricky to go get a stress ball from around the room.
                                            Reminding Ricky to stay on task and quiet when using stress ball.
          If the replacement behavior is   Artificial Positive Consequences
           not exhibited despite natural,   When Ricky is on task and using his stress ball effectively and appropriately, one of the
           positive consequences and        aides or the teacher will praise Ricky for his good behavior.
           prompts.                         If Ricky is able to complete his work and stay on task all day without using the problem
                                            behavior, he will receive a token at the end of the day. These are used school-wide to
                                            reinforce good behavior and can be traded in for prizes.
                                                                                                                               Flower 6
            If the problem behavior           Negative Consequences
             continues despite natural,        Ricky will not receive a token at the end of the day if he doesn’t complete his work.
             positive consequences and
             prompts
      Write behavioral objectives:             Ricky will use his stress ball quietly in the classroom while completing his work during
 6        Learner: Who will                   95% of the school day.
             demonstrate the behavior?
          Conditions: When, where, and        Ricky will complete all of his assignments by the end of the school day without using
             under what circumstances?         disruptive stemming behaviors with 90% success.
          Behavior: A physical
             description of what the learner
             is to do.
          Criteria: How much of the
             behavior is necessary for the
             objective to be complete?
Date for implementation: 4-6-2017
Date for review: 4-21-2017