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U9_FBATemplate.docx
Unit 9 Individual Assignment
Functional Behavior Assessment: Design an FBA to identify the function of one of the behavioral excesses listed in your assigned case study from the Unit 6 Assignment. The FBA must include an indirect assessment, a direct assessment, a functional analysis, a skills assessment, and a preference assessment. Select the procedures to be used for each type of assessment according to the information provided in the case study as well as relevant research literature and best practice standards.
Here is a template for your individual assignment for Unit 9. This provides an overview of what an FBA might look like when you finish your assessment.
Included in this template are the types of graphs that would be used to present the data for each of the assessment methods. The team assignment should NOT include these data; they only belong in the individual assignment.
(TEMPLATE)
FUNCTIONAL BEHAVIORAL ASSESSMENT
Identifying Information
|
Student |
FirstName LastName |
Parents/guardians |
Parent1 and Parent2 LastName |
|
Date of Birth |
|
Home address & phone |
|
FBA Activities
|
Data gathering activities (check all that apply) |
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Indirect Observation Methods |
Direct Observation Methods |
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___ Raters/FBA checklists (specify): ____________________________________ ___ Student interview ___ Parent interview ___ School staff interview |
__ Observations __ Functional Analysis __ Reinforcer Assessment |
Biopsychosocial History
Paragraphs giving relevant background information.
Behavior of Concern (operationally define):
1. Behavior –
Indirect Assessment Method(s)
Describe indirect measures used. Include description of the measures used and justification for selecting those measures. You should utilize reference material to support your reasoning.
1. Method 1 – description of what was done.
2. Method 2 – description.
Data from Indirect Assessment:
Explanation of Data --
Direct Assessment Methods
Describe direct measures used. Include description of the procedures used and justification for selecting those procedures. You should utilize reference material to support your reasoning.
1. Direct Method 1
2. Direct Method 2
Direct Assessment Data:
Explanation of data –
Functional Analysis Procedures
Describe how you conducted your functional analysis. Include description of the conditions used and justification for selecting the procedures selected. You should utilize reference material to support your reasoning.
1. Condition
2. Condition
3. Condition
4. Condition
Data:
Explanation of data
Hypothesis of functions of behavior
Synthesis of all of the data and how you reached the conclusion for these hypotheses.
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Behavior |
Function (reinforcing consequence) |
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Behavior #1
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Behavior #2
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Skills assessment:
Describe skills assessment measures used. Include description of the measures used and justification for selecting those measures. You should utilize reference material to support your reasoning.
Description of procedures used.
Data:
Explain your data. You can do paragraph format with a description of each area and the skills that the child has in each area. You may also give a weakness that you will develop into a goal.
Reinforcer assessment:
Describe preference/reinforcement procedures used. Include description of the procedures used and justification for selecting those procedures. You should utilize reference material to support your reasoning.
Describe the procedures used for conducting your reinforcer assessment, including how items were selected for inclusion in your assessment. You should also indicate how you know that these preference items will work as reinforcers.
Data:
References
A minimum of 3 references should be included here.
Condition 1 Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Session 9 Session 10 Session 11 Session 12 Session 13 Session 14 Session 15 Session 16 4.3 4 3 3.5 Condition 2 Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Session 9 Session 10 Session 11 Session 12 Session 13 Session 14 Session 15 Session 16 2.5 2 0 1 Condition 3 Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Session 9 Session 10 Session 11 Session 12 Session 13 Session 14 Session 15 Session 16 3 6 5 4 Condition 4 Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Session 9 Session 10 Session 11 Session 12 Session 13 Session 14 Session 15 Session 16 5 3 4 6
Reinforcer Assessment Data
Series 1 Item #1 Item #2 Item #3 Item #4 5 4 3 2
Indirect Assessment Data
Series 1 Category 1 Category 2 Category 3 Category 4 4.3 2.5 3.5 4.5 Series 2 Category 1 Category 2 Category 3 Category 4 2.4 4.4000000000000004 1.8 2.8 Series 3 Category 1 Category 2 Category 3 Category 4 2 2 3 5
Series 1 Category 1 Category 2 Category 3 Category 4 4.3 2.5 3.5 4.5 Series 2 Category 1 Category 2 Category 3 Category 4 2.4 4.4000000000000004 1.8 2.8 Series 3 Category 1 Category 2 Category 3 Category 4 2 2 3 5
FBA for Last Name, First Name Page 4
