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Functional Behavior Assessment Example
Student Name: Ines Salazar Date: ____ 10-22-2017_______
Age: 5 yrs, 6 mos Case Manager: _______Yvonne Jackson____
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Description of Behavior: Student isolates herself from others during class, refuses to go to lunch in the cafeteria, and prefers to stay in class during scheduled breaks. Student’s academic production is minimal. |
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Settings in which Behavior Occurs: All Classes |
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Frequency: 3-4 days in a row, 2-3 times a month.
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Intensity (Consequences of problem behavior on student, peers, instructional environment): Significant reduction in completed work and alienation from peers. |
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Previous Interventions: Counseling, verbal redirection to complete work, medications, parent conferences, student conferences, classroom behavior management program. |
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Educational Impact: Severe academic failure, disruption of group projects and activities, lack of appropriate socialization and development of peer relations. |
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Social/Emotional Development: Student appears depressed. She has previously been diagnosed and expresses subjective feelings of depression when asked. |
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Cognitive Development: Student makes frequent negative self-statements about her academic ability, her self-worth, and how other students and adults feel about her. |
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Reinforcement: Student receives 1:1, and more frequent attention from the teacher.
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Home Factors: Parents frequently make critical statements about Ines. They expect academic performance that is unrealistic, given student’s cognitive and academic ability levels. They have difficulty accepting what appears to be age-appropriate behavior. |
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Communication: Withdrawal; may tell others to leave her alone.
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