Education Assignment, ABC DAT and FUNCTIONAL ASSESSMENT SCREENING TOOL

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FUNCTIONAL ASSESSMENT SCREENING TOOL (FAST)

Name:________________________________ Age:__________________ Date:_________________

Challenging Behavior:________________________________________________________________________

Informant:_____________________________ Interviewer:______________________________________

To the Interviewer: The Functional Analysis Screening Tool (FAST) is designed to identify a number of factors that my influence the occurrence of problem behaviors. It should be used only as an initial screening tool and as part of a comprehensive functional assessment or analysis of problem behavior. The FAST should be administered to several individuals who interact with the person frequently. Results should be used as the basis for conducting direct observations in several different contexts to verify likely behavioral functions, clarify ambiguous functions, and identify other relevant factors that may not have been included in this instrument.

To the Informant: After completing the section on “Informant-Person Relationship”, read each of the number items carefully. If a statement accurately describes the person’s challenging behavior, circle “Yes” if not, circle “No.” If the challenging behavior consists of either self-injurious behavior or “repetitive stereotyped behaviors,” begin with Part I. However, if the problem consists of aggression or some other form of socially disruptive behavior, such a property destruction or tantrums complete only Part II.

Informant-Person Relationship

Indicate your relationship to the person: _____Parent _____Teacher/Instructor _____Residential Staff _____Other

How long have you known the person? _____ Years _____Months

Do you interact with the person on a daily basis _____Yes _____No

If “Yes” how many hours per day? _____ If “No” how many hours per week? _____

In what situation do you typically observe the person? (Mark all that apply)

_____ Self-care routines _____ Academic skills training _____ Meals _____ When (s)he has nothing to do

_____ Leisure activities _____ Work/vocational training _____ Evenings _____ Other: __________________

*Part I: Social Influences on Behavior*	Yes	No
1.	The behavior usually occurs in your presence or in the presence of others	X
2.	The behavior usually occurs soon after you or others interact with him/her in some way, such as delivering an instruction or reprimand, walking away from (ignoring) him/her, taking away a “preferred” item, requiring him/her to change activities, talking to someone else in his/her presence, etc.	X
3.	The behavior often is accompanied by other “emotional” responses, such as yelling or crying		X
*Part II: Social Reinforcement*	Yes	No
4.	The behavior often occurs when he/she is not received much attention	X
5.	When the behavior occurs, you or others usually respond by interacting with him/her in some way (e.g., comforting statements, verbal correction or reprimand, response blocking, redirection)	X
6.	(S)he often engages in other annoying behaviors that produce attention	X
7.	(S)he frequently approaches you or others and/or initiates social interaction	X
8.	The behavior rarely occurok los when you give him/her lots of attention		X
9.	The behavior often occurs when you take a particular item away from him/her when you terminate a preferred leisure activity (If “Yes”, identify:______________________________________________)	X
10.	The behavior often occurs when you inform the person that (s)he cannot have a certain item or cannot engage in a particular activity (If “Yes”, identify:___________________________________________)	X
11.	When the behavior occurs, you often respond by giving him/her a specific item, such as a favorite toy, food or some other item. (If “Yes”, identify:______________________________________________)		X
12.	(S)he often engages in other annoying behaviors that produce access to preferred items or activities		X
13.	The behavior rarely occurs during training activities or when you place other types of demands on him/her. (If “Yes”, identify the activities:____self-care ____academic ____work ____other)		X
14.	The behavior often occurs during training activities or when asked to complete task	X
15.	(S)he often is non-compliant during training activities or when asked to complete tasks	X
16.	The behavior often occurs when the immediate environment is very noisy or crowded		X
17.	When the behavior occurs, you often respond by giving him/her brief “break” from an ongoing task		X
18.	The behavior rarely occurs when you place few demands on him/her or when you leave him/her alone	X
*Part III: Nonsocial (Automatic) Reinforcement*	Yes	No
19.	The behavior occurs frequently when (s)he is alone or unoccupied		X
20.	The behavior occurs at relatively high rates regardless of what is going on in his/her immediate surrounding environment		X
21.	(S)he seems to have few known reinforcers or rarely engages in appropriate object manipulation or “play” behavior		X
22.	(S)he is generally unresponsive to social stimulation		X
23.	(S)he often engages in repetitive, stereotyped behaviors such as body rocking, hand or finger waving, object twirling, mouthing, etc.		X
24.	When (s)he engages in the behavior, you and others usually respond by doing mothering (i.e. you never or rarely attend to the behavior)		X
25.	The behavior seems to occur in cycles. During a “high” cycle the behavior occurs frequently and is extremely difficult to interrupt. During a “low” cycle the behavior rarely occurs.		X
26.	The behavior seems to occur more often when the person is ill		X
27.	(S)he has a history of recurrent illness (e.g., ear or sinus infections, allergies, dermatitis)		X

Scoring Summary

Circle the items answered “Yes”. If you completed only Part II, also circle the items 1, 2, and 3

Likely Maintaining Variable

1 2 3 4 5 6 7 8 Social Reinforcement (attention)

1 2 3 9 10 11 12 13 Social Reinforcement (access to specific activities/items)

1 2 3 14 15 16 17 18 Social Reinforcement (escape)

19 20 21 22 23 24 Automatic Reinforcement (sensory stimulation)

19 20 24 25 26 27 Automatic Reinforcement (pain attenuation)

Comments/Notes:_____________________________________________________________________________________________

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