Determination of Need for a Functional Analysis Assessment
 
 
 
Student ,   Birthdate   Date of meeting Date of meeting Pick a date
 

 
A. A Functional Analysis Assessment (FAA) is required by law when any of the following apply:  (check)
 
A serious behavior problem exists and a Behavior Intervention Plan (RIP) does not yet exist.
 
  Serious behavior problems are defined as:  (check)
 
  behaviors which are self-injurious, assaultive, or cause property damage and
 
  other severe behavior problems that are pervasive and maladaptive for which instructional/behavioral approaches specified m the student's IEP are found to be ineffective.
 
A student without a BIP has been suspended for ten (10) (consecutive or cumulative) days.
 
A student with a BIP exhibits a problem behavior previously unseen.
 
A previously designed intervention in an existing BIP is ineffective.
 
Major modifications to the BIP are needed.
 

 
B. A Functional Analysis Assessment (FAA) is NOT required by law when any of the following apply:  (check)
 
A behavior problem can be effectively addressed by instructional/behavioral approaches specified in the student's IEP). The IEP Team agrees the selected interventions (e.g. ESCALATION CYCLE MANAGEMENT PLAN, behavioral goals and objectives, etc.) are likely to solve the problem and/or the behavior is not likely to reoccur.
 
Behavioral goals, modifications and interventions for severe behavior problims that are pervasive and maladaptive have not yet been included in the IEP or may be adjusted to meet the student's needs. (IEP revision is recommended.)
 
Sufficient time has not yet been given for IEP strategies & interventions to work.
 
The student does not receive special education services.
 

 
C. Any time a Behavioral Emergency Report (BER) is written and a Behavior Intervention Plan (BIP) does not exist, the IEP Team determines the necessity of a Functional Analysis Assessment (FAA). An FAA or an ESCALATION CYCLE MANAGEMENT PLAN (ECMP) may be needed when any of the following apply:  (check)
 
A change of placement is under consideration due to behavioral issues.
 
Less than ten (10) school suspensions have occurred, but behavioral incidents have interfered with the implementation of the IEP.
 
The student displays a problem behavior which requires a highly coordinated staff response beyond that which is generally provided for in day-to-day instruction.
 
A tool is needed to look at the sequence and pattern of the student's problem behaviors.
 
The IEP Team would like to reduce the number of power struggles occurring between the student and staff.
 
Staff members have felt unprepared in the midst of difficult situations which have arisen and may reoccur.
 
A consistent staff response would be beneficial to the student.
 
It would be useful to develop a written agreement between school staff and parents on how problem behaviors are to be handled at school.
 

 
D. Disposition:  (check)
 
A box checked in Part A (above) Indicates that a Functional Analysis Assessment (FAA) is required by law.
  (See PROCEDURES FOR CONDUCTING A FUNCTIONAL ANALYSIS ASSFSSMENT (FAA).)
 
A box checked in Part B (above) Indicates that an FAA is NOT required by law.
 
If a Behavioral Emergency Report (BER) has been written and a Behavior Intervention Plan (BIP) does not exist, the IEP Team hereby determines that:
 
  An FAA is not needed for the following reason An FAA is not needed for the following reason  (current problems are minor, an ECMP is sufficient etc.):  
 
 
 
  An FAA is needed for the reason(s) checked in Part C or for the following reason:  
 
 
 
  If an FAA is determined to be needed, is an Interim Behavior Intervention Plan (IBIP) needed?
 
  An IBIP is not needed An IBIP is not needed  for the following reason (behavioral emergencies are unlikely to reoccur, etc.):  
 
 
  An IBIP is needed (Complete an IBIP)