Get Open Ended Functional Assessment Interview

The Open Ended Functional Assessment Interview is a crucial tool for understanding a child or client's behavior. This guide aims to provide clear instructions on how to fill out the form online, ensuring thorough and accurate information is collected.

Follow the steps to complete the interview form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the date of the interview. Ensure that this information is accurate and reflects the current date.
3. Fill in the child's or client's name in the designated field. Accuracy is essential for identification purposes.
4. Indicate the name of the respondent. This is the person providing information about the child or client.
5. Specify the respondent's relationship to the child or client. This helps contextualize the information provided.
6. Document the interviewer’s name to establish who is conducting the assessment.
7. In the relevant background information section, list four important background details that may assist in understanding the child’s or client’s needs.
8. Record the child or client's date of birth and current age, specifying the years and months accurately.
9. Describe the child or client’s language abilities in detail to provide insight into their communication skills.
10. Outline the child or client’s play skills and preferred toys or leisure activities to gather information on their interests.
11. Note any other preferences the child or client may have to capture a holistic view of their likes.
12. In the section dedicated to questions informing the design of a functional analysis, detail the observable problem behaviors and describe what they look like.
13. Identify the single most concerning problem behavior and provide a clear description.
14. List the top three most concerning problem behaviors, adding any other behaviors of concern as applicable.
15. Describe the range of intensities of the problem behaviors, including potential risks of injury to the child or others.
16. Outline the patterns of problem behaviors, including whether they occur in bursts or clusters, and any preceding behaviors.
17. Specify the conditions or situations in which problem behaviors are most likely to occur, helping identify triggers.
18. Detail any specific activities that tend to provoke the problem behaviors.
19. List triggers that commonly result in problem behavior, adding as much context as possible.
20. Discuss how the child or client reacts to breaks in routine or interruptions of activities.
21. Indicate if problem behavior occurs when the child or client feels they will not get their way, providing context.
22. In the final section, explain how you and others respond to the problem behavior and what interventions are used to calm or distract the child or client.
23. Conclude by reflecting on possible communications or self-stimulatory reasons behind the problem behavior to inform future assessments.
24. After completing all sections, review the form for accuracy. Save any changes, and consider options to download, print, or share the form as needed.

Complete the Open Ended Functional Assessment Interview online to support effective behavioral assessment.