Functional behavior form
Clinical Field Experience A:
Functional Behavior Observation Form
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Topic
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Description N ote whether this topic was observed or discussed or both. |
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Observation Models FBA tool used by mentor to observe and gather information about student behavior. Is there a specific process and/or form used? |
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Data Collection Methods Methods used by mentor to gather data about student behavior and effect on learning. |
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Setting Classroom, faculty office, front office, playground, etc. Describe settings of student observations in detail. |
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Student Behaviors What observations of student behaviors did you notice? If no observable misbehavior or disruptive behavior was present, what positive behavior did you notice from students? |
[NOTE: Preserve student confidentiality and do not use real names when describing students.]
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Interventions Used to affect behavior by making changes to antecedents (triggers), environment, consequences, etc. |
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Ethical and Professional Principles How did/do staff and faculty interact with students and/or families in a compassionate manner and remain cognizant of confidentiality? |
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Reflection:
In 250-500 words, summarize and reflect on the shadowing experience. How will you use what you observed and discussed about functional behavior assessments in your future professional practice?
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