Download Do the different types of problem behavior tend to occur in bursts or clusters and/ or does any type of problem behavior typically precede a...
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Download THE CONTENT OF THE FUNCTIONAL ASSESSMENT OBSERVATION FORM. This Functional Assessment Observation Form has eight major sections (see next page). A blank copy of the form is included on page 9. Each labeled section is described below. T
Refer to Chapter 2 “Assessment,” p. 64: Care Plans Developed after using. Functional Health Patterns Assessment Model. Client's name: Mrs. Mary Acosta. Age: 55. Are there differences between the Body Systems Model and the Functional. Health Pattern M
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Page 1 of 37 CHILDREN’S FUNCTIONAL ASSESSMENT RATING SCALE1 Department of Children and Families Substance Abuse and Mental Health Programs
Functional Behavioral Assessment: Part 1 (Description) Date: ___ 1/20/98 ____ Page ____ of ____ Student Name: _ Case One-SLD _____ ID: ____ 0001
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Download The good news is that behavioral interview questions are a proven way to reveal a person's potential, specifically their ability to adapt, grow, collaborate, prioritize, lead, and strengthen company culture. By looking at their past
Download The good news is that behavioral interview questions are a proven way to reveal a person's potential, specifically their ability to adapt, grow, collaborate, prioritize, lead, and strengthen company culture. By looking at their past
Part A: Personal opinions. In order to help you prepare for the interview and to give us a clearer picture of each applicant, please answer the following questions about yourself. Write between 100-150 words for each question. 1. Why do you want to t
Download The good news is that behavioral interview questions are a proven way to reveal a person's potential, specifically their ability to adapt, grow, collaborate, prioritize, lead, and strengthen company culture. By looking at their past
Download The good news is that behavioral interview questions are a proven way to reveal a person's potential, specifically their ability to adapt, grow, collaborate, prioritize, lead, and strengthen company culture. By looking at their past
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Download The good news is that behavioral interview questions are a proven way to reveal a person's potential, specifically their ability to adapt, grow, collaborate, prioritize, lead, and strengthen company culture. By looking at their past
Open-Ended Functional Assessment Interview
Developed by Gregory P. Hanley, Ph.D., BCBA-D (Developed August, 2002; Revised: August, 2009)
Date of Interview: Respondent:
Child/Client:
RELEVANT BACKGROUND INFORMATION 1. His/her date of birth:
2. Describe his/her language abilities:
Age:
Interviewer:
Respondent’s relation to child/client: yrs
mo Check one: Male
3. Describe his/her play skills and preferred toys or leisure activities:
4. What else does he/she prefer?
QUESTIONS TO INFORM THE DESIGN OF A FUNCTIONAL ANALYSIS To develop objective definitions of observable problem behaviors: 5. What are the problem behaviors? What do they look like?
To determine which problem behavior(s) will be targeted in the functional analysis: 6. What is the single-most concerning problem behavior?
7. What are the top 3 most concerning problem behaviors? Are there other behaviors of concern?
Female
To determine the precautions required when conducting the functional analysis: 8. Describe the range of intensities of the problem behaviors and the extent to which he/she or others may be hurt or injured from the problem behavior.
To assist in identifying precursors to dangerous problem behaviors that may be targeted in the functional analysis instead of more dangerous problem behaviors: 9. Do the different types of problem behavior tend to occur in bursts or clusters and/or does any type of problem behavior typically precede another type of problem behavior (e.g., yells preceding hits)?
To determine the antecedent conditions that may be incorporated into the functional analysis test conditions: 10. Under what conditions or situations are the problem behaviors most likely to occur?
11. Do the problem behaviors reliably occur during any particular activities?
12. What seems to trigger the problem behavior?
13. Does problem behavior occur when you break routines or interrupt activities? If so, describe.
14. Does the problem behavior occur when it appears that he/she won’t get his/her way? If so, describe the things that the child often attempts to control.
To determine the test condition(s) that should be conducted and the specific type(s) of consequences that may be incorporated into the test condition(s): 15. How do you and others react or respond to the problem behavior?
16. What do you and others do to calm him/her down once he/she engaged in the problem behavior?
17. What do you and others do to distract him/her from engaging in the problem behavior?
In addition to the above information, to assist in developing a hunch as to why problem behavior is occurring and to assist in determining the test condition(s) to be conducted: 18. What do you think he/she is trying to communicate with his/her problem behavior, if anything?
19. Do you think this problem behavior is a form of self stimulation? If so, what gives you that impression?
20. Why do you think he/she is engaging in the problem behavior?
