FBA/BIP Preparation

 

 

1) You are expected to read this handout thoroughly BACKGROUND READING ON FBA BIP (i uploaded it below as reading 1)

In this handout you will find:

-Why a functional behavioral assessment (FBA) is necessary.

-How to conduct a FBA.

-What is a behavioral intervention plan (BIP).

-How to modify the learning environment.

FBAs and BIPs are used by teachers and Individualized Education Plan (IEP) teams to address problematic behavior in the classroom. As there is a push for inclusion and differentiating the curriculum for ALL students, most teachers will have first hand experience with students who have emotional and/or behavioral issues in their classrooms. Teachers must work with the student to gain an understanding as to why they are exhibiting the behavior (i.e., what function does the behavior serve?) and then create a plan for how to help the student better achieve their goal without engaging in the problematic behavior (i.e., create a behavioral intervention plan)

Case Studies to Use for FBA/BIP:

2) Read the case studies ( i uploaded it as: Case Studies for FBA BIP )

3) Pick one case study to use for your Functional Behavioral Analysis (FBA) and Behavioral Intervention Plan (BIP). You can also use a case study of your own. This can be fictional or based on previous personal or professional experience. If you use your own, you do not need to submit a write up of it. Simply apply it to the FBA/BIP assignment.

If you choose to use your own case study, here is an article that highlights common behavioral problems in young children.

ARTICLE:
https://www.verywellfamily.com/common-child-behavior-problems-and-their-solutions-1094944

Example Paper:

4) Next, explore two examples of previously submitted FBA/BIPs. In addition to getting a feel for the content, I would like you to format your paper the same way, using APA Style. You may use these papers as a template.

( I UPLOADED IT AS EXAMPLE PAPER 2 AND EXAMPLE PAPER 3)

Reminder:

5) Please remember that the purpose of this assignment is to familiarize you with an FBA and BIP. As you gain experience in the field of education, work with IEP teams, parents, and students this will become easier and more natural for you. I do understand that this assignment will be difficult as it is a very specific way of thinking. As I grade this assignment, I am mostly making sure that you completed each and every section of the paper, and that you understand each component.

6) You are now ready to create a FBA and BIP for the case study. The assignment details and rubric can be found in the assignment drop box below.

 

Assignment
Submit FBA-BIP Assignment Here
FBA/BIP Assignment Prompt and Rubric

To complete this assignment you will thoroughly address the following sections of the FBA and BIP. Be sure to clearly label each part of the FBA and BIP using section headings in your paper. Please use APA format (e.g., section headings, double spacing, Times New Roman, size 12 font, cover page, running head). There is no page limit for this assignment as each assessment will be unique. Most end up being between 5-10 pages, but this is not a requirement. This assignment is worth 36 points total, 3 points per section.

*This assignment is a departmental requirement for passing this course.

Functional Behavior Analysis (FBA)

A functional behavior assessment (FBA) has five problem-solving components with clearly defined outcomes that require educators to be observant and to consider the world from the student’s perspective. The five problem-solving components in behavior assessment are as follows.

1. Define the problem (3 points). A FBA is a process for gathering and recording information that can be used to develop a theory about why the problem behavior occurs or recurs. Thorough assessment through a FBA maximizes the effectiveness and efficiency of the subsequent Behavior Intervention Plan. In defining the problem you should choose one behavior to focus on, perhaps the one behavior that is causing the biggest disruption. It is important that you do not combine several distinct behaviors into one overall vague behavior (e.g., “He has an attitude”). Describing the behavior in observable and measurable terms is critical so that all staff members who work with the student understand and target the same behavior. Here, you will define the problem.

2. Identify specific events, situations and times (3 points). The purpose of this second step is to help you look for patterns that will indicate what appears to set off the problem behavior. You should seek to answer key questions about when the behavior usually occurs and usually does not occur, such as, “Who is present while the behavior is occurring?”, “What is going on at the time?”, etc. Observations for this section of the FBA are usually conducted across different settings, personnel, time of day, and situations. Sometimes patterns of behaviors take time to be established.

3. Gather relevant information (3 points). In developing your FBA you should consider such potential factors as medical, physical, and social issues; eating, diet, and sleep routines; substance abuse history; stressful events; and past interventions (perhaps extending back several years). This information might be gathered through interviews with general education teachers, para-educators, psychologists, counselors, guardians, peers, and other service providers. You might also review relevant files on the child. Issues may be revealed that have contributed to the occurrence of the behavior.

4. Identify consequences (3 points). Consequences refer to those events that follow the problem behavior, and may be maintaining (reinforcing) that undesirable behavior. In this step you will examine what consequence(s) may be increasing the likelihood that the student will perform the behavior again under similar circumstances. This helps you determine the function of the behavior.

Usually a challenging behavior serves a purpose for the student, such as gaining power over someone, escaping a difficult task, gaining attention, or obtaining an item. Identifying the function of a behavior is complex because there can be more than one, or the function of a behavior can change depending on antecedents and consequences. If after analysis you are still unsure of the correct function, you might either gather more information, or simply proceed with your best guess and make adjustments to your plan as needed. In addition, during this step you should also define what the desired behavior is, and examine the availability of reinforcement for that desired behavior.

5. Develop a theory (3 points). A theory is a “best guess” about the purpose the behavior has for the student, and is based on the data that was collected earlier. This would include one or more summary (or hypothesis) statements as to why the student engages in the problem behavior. This statement allows you to simplify and narrow down main antecedents and consequences of the target behavior, which will help to write a successful BIP. Often a visual representation (i.e., a behavioral graph showing the relationship between the behavior and the theorized antecedents and/or consequences) makes this theorized relationship more clearly understood. A visual representation is not required for this assignment.

Behavior Intervention Plan (BIP)

A behavioral intervention plan is comprised of practical and specific strategies designed to increase or reduce a definable set or pattern of behaviors exhibited by a student. These strategies address preventative techniques, teaching replacement behaviors, and thoughtful use of planned consequences, alternative reactions to the behavior of concern. The BIP is written based on the information gathered from the FBA and consists of positive intervention strategies and supports to address the behavior and needs of the student.

1. Definition of the target behavior (3 points). You should begin by reviewing the FBA, especially the detailed definition of the problem behavior. Then you should develop (a) a measurable goal stated in observable terms, using action verbs; and (b) identify the data collection system that will be used to measure progress.

2. Plan of prevention (3 points). Next you should develop a number of possible changes that you might make in the student’s environment that might reduce the problem behavior. To do this you should review the identified events, times, situations, or other factors that you identified as possibly related to and potentially eliciting the behavior.

3. Plan to teach (3 points). As part of a BIP you should consider teaching the student another behavior or skill that will compete with the problem behavior, and can accomplish the student’s desired outcomes in a more appropriate way. You should be detailed and specific when describing the alternative desired behavior you plan to teach.

4. Plan of response (3 points). You should consider and develop strategies that staff can use when the problem behavior occurs. It is important that all staff understands and uses these procedures consistently. Reactions and consequences must reinforce appropriate behavior, and not reinforce undesired behavior(s). This is easier to accomplish if you understand the function of the problem behavior. .

5. Crisis management (3 points). If an emergency situation occurs that requires the immediate use of crisis management procedures to protect the student or others from harm, staff must notify the student’s parent, and provide a written description of the situation to the school administrator. For the purpose of this assignment, even if the behavior is minor, a crisis management plan must be developed.

6. Data collection (3 points). You must have an objective data collection system in place to monitor progress and determine the direction of change. The data help determine if the original theorized function of the behavior is correct. In addition, visual representation (e.g., a behavioral graph) of the collected data can more clearly illustrate the effectiveness of the intervention, and should be included. (For the purpose of this project, give an example of how you would collect data.)

7. Reflection (3 points). You will identify and evaluate the intended and unintended consequences of the BIP from your perspective and perspective of the child. Ethical concerns can be noted as appropriate and recommendations for further action or advocacy.

 

 

 

 

 

Sample Solution

Medication should be discontinued and the child should be re-evaluated if he/she does not have a 0.4% BMI/BMI z-score reduction after taking full dose of anti-obesity medication for 12 weeks.
BARIATRIC SURGERY
Pre-requisites (Endocrine Society recommendations):
1) Adolescent Tanner 4-5, and final/near final adult height.
2) BMI 40kg/m2 or BMI >35kg/m2 and significant extreme comorbidities.
3) Extreme obesity and co-morbidities persist despite lifestyle modification, with or without trial of pharmacotherapy.
4) Psychological evaluation confirms stability & competence of the family
5) Patient demonstrates ability to adhere to the principles of healthy dietary and activity habits.
6) Access to experienced surgeon in medical center.

Contraindications of bariatric surgery: preadolescents, pregnant/ breastfeeding, unresolved eating disorder, untreated psychiatric disorder, or Prader-Willi syndrome.

PREVENTION

Lifestyle behaviors to prevent obesity, rather than intervention to lose weight should be aimed in all children. Efforts must begin early in life, because childhood obesity usually persists into adulthood. Exclusive breastfeeding should be encouraged till 6months of age and maintenance of breastfeeding after introduction of solid food till 12 months of age. Children should limit consumption of sugar-sweetened beverages and fast foods, limit screen time, and consume well balanced diet. Consumption of whole fruits should be encouraged rather than fruit juices. Children and adolescents should engage in at least 20 minutes, ideally 60 minutes, of vigorous physical activity at least 5 days per week to improve metabolic health and reduce the chances of developing obesity. Participation of the parents to help the child develo

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