FBA. ILI. Parent Questionnaire.
An Initial Line of Inquiry (ILI) is used to collect information for a Functional Behavior Assessment (FBA) I've had many parents request an online or electronic version of the questionnaire that I send home for a behavior assessment. Here you go!
Every behavior has a purpose or function
for it, usually to either get something or avoid something. Examples: You begin to talk on the phone
and your child starts calling you over and over. The function of this behavior would be to get your
attention. Or a student repeatedly
disrupts the class when the teacher asks them to take out their math
books. He is then reprimanded and
sent out of the room. The function
of this behavior could be to avoid the classwork.
So, a functional behavior assessment
or FBA is a series of structured questions designed to discover the reasons
behind certain target behaviors (usually undesirable ones) and
develop a behavior plan designed especially for your child/student to lessen
these target behaviors and allow him/her to get positively more of what he/she
wants.
Slow triggers
are events, circumstances, or conditions that contribute to the undesirable or target
behaviors that occur at a time NOT immediately preceding the undesirable
behaviors.
Examples: Too little sleep,
taking medications, asthma, conflicts with parents/girlfriend/
boyfriend/teachers, being homeless, death in the family, divorce, etc.
Fast triggers
are events or circumstances that occur closer to or immediately before the target
behavior.
Examples: One student gives
another stink-eye, teases or says something mean about the other. A student is jostled by another or even
ignored. The teacher announces a
pop quiz.
Behavior Support Plan:
a model to change behavior and encourage more desirable behaviors and lessen
target behaviors. It can be in
place both at home and at school.
Consequences: Results of a certain behavior either
naturally occurring or delivered by school personnel or parents. Can be both positive and negative. Reactions of peers can also be
consequences of behavior.
Please answer the following questions…
(1) What
are the student’s strengths?
(2) What
activities or rewards motivate this student? What are the student’s interests?
(3) What
are the student’s work habits when completing homework/studying?
(4a) What
behaviors do you want to see less of? (Problem/Target behaviors)
(4b) How
frequently do these behaviors occur?
(4c) What
is the intensity and severity of the behaviors (e.g., mild, moderate, severe) –
how much do they interfere with the student’s learning or the learning of
others?
(5) When
do these behaviors occur (Fast Triggers)? (e.g., what is happening just
prior to the behavior)
(6) Do
you notice anything (events, circumstances, conditions) that contribute to the
behavior but don’t occur immediately prior to the behavior (Slow Triggers)?
(7) What
happens after the behavior occurs (Actual Consequences)? (Your actions and the actions of peers)
(8) What
do you feel may be the functions of the behaviors (Perceived Functions)? (i.e., what may your child be getting,
avoiding, or escaping by engaging in the behaviors – get attention, avoid work,
get release of tension, etc.)
(9) What
behaviors do you want to see more of?
(10) What
activities or rewards motivate this student? What are the student’s interests?
(11) What’s
working for this student?
(12) Any
other comments…
Email: kelstaylor@gmail.com or Lotus Notes.
Aloha- you mentioned that many parents are requesting an online version of this. Is there now one available? I found it helpful and wonder how many parents are actually using this form? Hawaii Psychologist
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