Education

Student Goals and Intervention Plan Template

Part 1: Intervention Plan

Operationally Defined Target Behavior:

Goal 1 (Function of behavior focus: attention):

Replacement behavior:

Specific steps to change behavior (antecedent modifications):

Strategies to manage situations (to reduce target behavior):

Rewards and reinforcements:

Progress monitoring (what data will be collected and in what manner):

Steps to resolve any escalation:

Goal 2 (Function of behavior focus: tangible):

Replacement behavior:

Specific steps to change behavior (antecedent modifications):

Strategies to manage situations (to reduce target behavior):

Rewards and reinforcements:

Progress monitoring (what data will be collected and in what manner):

Steps to resolve any escalation:

Goal 3 (Function of behavior focus: escape):

Replacement behavior:

Specific steps to change behavior (antecedent modifications):

Strategies to manage situations (to reduce target behavior based on data from observations):

Rewards and reinforcements:

Progress monitoring (what data will be collected and in what manner):

Steps to resolve any escalation:

Part 2: Intervention Plan (if strategies to reduce target behaviors are unsuccessful): Be specific as to how an escalated behavior will be safely handled in your classroom.

Part 3: Summary

After completing the intervention plan, include a 50-100 word summary describing the role Mrs. Thomas has in communicating Michael’s needs to and collaborating with Michael’s general education teachers.

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