What were your results from the complete assessment as a whole? What was the determined function(s)?

Instructions: Using the provided information, complete the FBA Template:

1. Complete the background information, purpose, target behaviors of concern, and indirect assessment portion of the FBA template, using the completed interview form and the Completed QABF form by Mr. Stanza.
2. Using the teacher’s completed QABF form, graph the data.
3. Review the scenarios from observation days 1, 2, and 3 and complete the ABC chart.
4. Based on your ABC data and the indirect assessment data, hypothesize the function of the behavior.
5. Summarize your observations and provide further recommendations.

FBA TEMPLATE
Section 1: Background & Purpose

NAME:
DATE OF BIRTH:
COMPLETED BY:
REPORT DATE:
TEAM MEMBERS INVOLVED IN FBA PLANNING:

Background Information
Give a brief description of the individual’s history. Describe current procedures and routines regarding behavior management. Describe the strengths of the student, their preferred activities, and other individualized information about the student.

Purpose
What is this document and why is this being done?

Target Behaviors of Concern
Define target behavior.
Provide examples and non-example.

Section 2: Indirect & Direct Assessments
Indirect Assessments
Interviews with parents/teachers, etc. Indirect assessments only give you one perception of the student’s function. For this assignment, you will include the Questions About Behavioral Functioning (QABF) graph and a summary of the indirect form provided.

For example:

Direct Assessments
Include direct descriptive methods and direct observation data.

For example:
ABC Data Table
Date/Time Antecedent Behavior Consequence

Section 3: Hypothesized Function & Summary

Hypothesis of Function
Here you will present the hypothesized function of the behavior based off of the FBA.

For example:
The hypothesized function of Jenny’s challenging behavior is to access preferred tangibles and escape difficult tasks.
If the data does not support any particular hypothesis, the report should say something to the effect of “FBA data failed to support a specific function for Matt’s spitting behavior”.

Summary
What were your results from the complete assessment as a whole? What was the determined function(s)?

Recommendations
Describe the steps to do next.

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