FBA Family-Directed Interview

Name of Student & Family Member: Interviewer: Date:

  1. Opening.“We are meeting today to find ways to change school so that (child's name) likes it more and is more successful. It will take only a few minutes. I can help your child best if you can be as specific as possible. Your opinion is very important and will help us all to develop a successful school plan.”
  1. Let’s talk about what’s happening for your child at school.
  1. What are some of the things your child enjoys at school?
  1. What are some of your child’sstrengths?
  1. What are the things that your child does that get him/her into trouble at school?
  1. What do you think is happening at school that leadsyour child into getting into trouble (what happens first)?
  1. Overall, why do you think your child is having difficulty at school?

“Thank you for your help. This information will guide us in developing a successful support plan for your child here at school. We look forward to meeting/speaking with you again shortly to work on the details of that support plan, called a Behavior Intervention Plan.”

Before and after school routines/situations. “Sometimes students are impacted by what is occurring before or after school. It can also be helpful to look for patterns of behavior to try to find out why something is happening. I’d like your help using the below chart to identify the times and situations which tend to be difficult for (child’s name). Please feel free to share any additional information that you think could help us in figuring out why your child is having difficulty at school.”

  1. “Let’s place an “X” in each column to show the times/routines that are difficult foryour child. For example, if she/he has a lot of difficulty during a specific situation, we will place an “X” on the 6. If she/he has little or no difficulty during a specific situation, we will place the “X” on the 1. For ‘Other’ routines, write in a descriptor on the appropriate number.”

Morning
Routines / Breakfast (Home
or School) / Way to School / School / Way Home
from School / After School / Homework / Bedtime / Other
Most Difficult (6)
5
4
3
2
Least Difficult (1)

“Thank you for your help. This information will guide us in developing a successful support plan for your child here at school. We look forward to meeting/speaking with you again shortly to work on the details of that support plan, called a Behavior Intervention Plan.”

Milwaukee Public Schools RTI/PBIS, 2013

Adapted from revision by IL-PBIS Network 2009. Adapted from Functional Assessment and Program Development for Problem Behavior: A Practical Handbook. 2nd edition. O’Neil, Horner, Albin, Sprague, Storey, Newton. Brooks/Cole Publishing Company. Washington. 1997.