Child’s Name: ______________________________________ Date: __________________
Now that the team has begun implementation of the Support Plan, answer the following questions prior to your“follow-up” team meeting to determine the team’s follow through with the plan, successes with preventing or changing the problem behavior, and possible amendments needed to the Support Plan.
What positive changes have you observed/ experienced?
______________________________________
______________________________________
______________________________________
What steps have you followed on the plan for:
Preventing the problem behavior?
______________________________________
______________________________________
______________________________________Teaching the new replacement skills?
______________________________________
______________________________________
______________________________________Responding in a new way to the problem behavior?
______________________________________
______________________________________
______________________________________Responding in a way to reinforce the appropriate skills?
______________________________________
______________________________________
______________________________________
Do you still think that your hypothesis about the purpose of the behavior was accurate?
If not, what do you think is the real purpose of the behavior and why?
______________________________________
______________________________________
______________________________________
Which strategies/ steps to the plan should be amended or refined?
______________________________________
______________________________________
______________________________________
Should any strategies/ steps to the plan be omitted or changed completely?
______________________________________
______________________________________
______________________________________
We welcome your feedback on this Training Module. Please go to the CSEFEL Web site (http://csefel.uiuc.edu) or call us at (217) 333-4123 to offer suggestions.
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