Exceptional Student Education              

Jackson County School Board               Marianna, Florida             

Functional Behavior Assessments

Phone:

ESE District Office:  850-482-1200 (ext. 236)

ESE House:  850-482-1310

Fax: 

District Office:  850-482-1299, 850-482-1342

ESE House:  850-718-0243
Email: Shawn.Larkin@jcsb.org

JC-513  Manual Physical Restraint  Documentation and Debriefing

Functional Behavior Rating Tool

ABC Recording Form

Analyzing Patterns

Event Frequency Data Sheet (Worksheet)

Duration Data Sheet (Worksheet)

Time Sampling Record Sheet (Worksheet)

Record Review Form

Scatter Plot

Interview Guide for Functional Assessment

Manual Physical Restraints (Excel Document)

JC-547 Behavior Analysis Services Referral

JC-048  Functional Behavior Assessment

JC-163  Behavior Intervention Plan

JC-438  Request For Parent Input For Functional Behavior Assessment

JC-542  Written Notification of the Use of Manual Physical Restraint or Seclusion

Contact Roberta Griffith, EBD Program Specialist if you have any questions about the use of any of these forms.

 

Roberta.Griffith@jcsb.org

482-1310,  ext 226

ESE Forms

 

ESE Contacts          Directors Desk                                        DOE Publications          Parent Information

 

Links/Resources      Functional Behavior Assessments         ESE Events                     Assistive Technology

Behavioral Interventions According to Function

     1.      Attention

 

     2.      Peer attention or social status

 

     3.      Escape/Avoidance/Delay

 

     4.      Escape from Peers

 

     5.      Escape from adults

 

     6.      Access to tangibles or preferred activities

 

     7.      Escape Sensory overload

 

     8.      Power/Control

 

     9.      Revenge/Justice

 

     10.    Non-social/Internal stimulation

 

     11.   Crisis Plans