Functional Behavior Assessment Guide

The following is a format for conducting functional assessment that can be used in its

entirety or in portions depending on the scope of the FBA. It typically requires the input

of a variety of sources, using interviews, file review, questionnaires, and observations.

Questions in this guide should help identify possible variables associated with the

student’s problem behaviors. Indirect and direct assessment methods may be used to

gather this information.

After the initial information-gathering portion of the functional assessment is completed,

a summary of variables, or hypothesis statement is developed, which will serve as the

basis for selection of strategies or interventions in the behavior intervention plan.

Description Of Problem Behavior(s)

Describe the behavior(s) of concern in observable terms (include typical sequence from

low intensity to high):

Medical/Health

Describe any health, medical, or psychiatric conditions that may affect the student’s

behavior.

List any medication(s) the student takes.

Describe effects and side effects of medication(s) on the student.

Describe any known traumatic events the student has experienced.

List any medical treatments, therapies, or services outside of the school setting that are

related to his/her behavioral problems?

Has any type of pattern or cycle to the individual’s behavior been identified? Explain.

Intervention History

Provide a brief history of the problem behavior and any interventions or strategies that

have been used. If available, describe results of those interventions.

What rewards are currently provided to the student in school? How often are they

provided and for what behaviors?

What consequences are currently used in school for problem behaviors? How does the

student respond to these consequences?

Skills/Learning Style/Interests

What are the student’s academic and social strengths?

Academic needs?

Describe the student’s preferred learning style.

Identify social skills deficits with peers and adults.

Communication

How does the student typically communicate to:

• Gain adult attention:

• Gain attention of peers:

• Deal with a difficult task:

• Express frustration or confusion:

• Request things of others:

• Reject or protest something:

• Indicate preferences or make choices:

• Request assistance:

Communication Assessment Summary

Target Problem Behaviors Possible Functions Identify Possible

Replacement Behavior(s)

Parent Interview

Has the child experienced any significant changes or difficulties at home?

Is the behavior a problem at home? Are there other problems?

What disciplinary techniques or consequences are used with the child at home?

How effective are they?

What are the child’s preferences and privileges at home?

Does the behavior interfere with the child’s involvement in community social activities

e.g., sports, religious, recreational? How?

How does the behavior affect the child’s quality of life?

Antecedents

Are there any places, routines, or subjects within which the student’s problem

behavior does not occur (e.g., specific classroom)?

In what places, routines, or subjects is the behavior most likely to occur? With whom is

the behavior most likely to occur? Least likely?

Are there any particular demands, conditions, or situations, (e.g., transition from a high

preference activity, being denied something, being asked to do something, etc.) which

would likely trigger the behavior?

In what ways are other students involved with the occurrence of the problem behavior?

Is the problem behavior likely to occur in structured situations? Unstructured situations?

Does the student appear to understand the expectations for behavior in all

environments?

Are activities and expectations consistent with the student’s developmental level?

Does the student receive appropriate assistance in all settings?

Does the student seek out help from adults?

Consequences

Does the target behavior usually result in the student gaining the attention of others?

Give examples.

Are demands typically altered after the target behavior?

Does someone usually intervene to help the student after the target behavior?

Does the student gain access to something that he/she appears to want?

Does the behavior appear pleasurable to the student apart from what else is going on

around him?

Does the behavior appear to give the student control of others or the situation? Explain.

Does the behavior, or do related behaviors, appear to be compulsive i.e., internally

driven? Explain.

Response Efficiency

What is the amount of physical effort involved in the problem behavior?

Does the behavior consistently “work” for the student i.e., by gaining others’ attention,

getting what he/she wants, etc.?

How much of a delay is there between the behavior and what usually follows it?

Reinforcement Survey

Identify potential reinforcers by asking the student, observing preferences, or asking

parents or other teachers.

See Positive Reinforcement technique.

Activity Reinforcers e.g., computer time, extra recess, drawing, reading, etc.

Tangible Reinforcers e.g., favorite items, toys, music, etc.

Social Reinforcers e.g., visiting favorite adults, extra time with peers, etc.

Academic Reinforcers e.g., display work, recognition or praise, stickers, etc.

Edible Reinforcers e.g., drinks, snack, etc.

Describe the student’s money skills and interest in earning money.

How often does the student appear to need activity or tangible reinforcers in order to

maintain appropriate behaviors?

• Weekly?

• Daily?

• More than once per day? Specify.

How often does the student receive positive attention from adults in school?

• Weekly?

• Daily?

• More than once per day? Specify.

Opportunities for Success In Current School Environment

What are the student’s interests? Strengths?

Does he have opportunities at school to engage these interests or strengths? Explain.

Do adults and peers in the school setting recognize the student’s strengths or interests?

Functional Behavior Assessment Summary Form

Methods used to conduct functional behavior assessment

Description of Target Behavior(s)

Summarize results of the FBA in the following areas:

Antecedents/Setting Events that Predict the Problem Behavior

Consequences that Appear to Reinforce the Problem Behavior

Skill Deficits and Replacement Behaviors Related to the Problem Behavior

Potential Positive Reinforcers