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Nd Program Development for Problem Behavior. Pacific Grove, CA: Brooks/Cole Publishing. FUNCTIONAL ASSESSMENT INTERVIEW FORM YOUNG CHILD Child with Problem Behavior(s): Age: Yrs Date of Interview: Mos Interviewer: Sex: M F Respondent(s): A. DESCRIBE THE BEHAVIOR(S) 1. What are the behaviors of concern? For each, define how it is performed, how often it occurs per day, week, or month, how long it lasts when it occurs, and the intensity in which it occurs (low, medium, high). Behavior.

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How to fill out the Functional Assessment Interview online

Completing the Functional Assessment Interview online can help gather important insights regarding a child's behavior. This guide provides a clear and supportive framework to understand and fill out each section of the form effectively.

Follow the steps to complete the Functional Assessment Interview with ease.

  1. Use the ‘Get Form’ button to access the Functional Assessment Interview form and open it for editing.
  2. Begin by entering the child's details in the first section, including the child's name, age, date of the interview, and the interviewer's name. Ensure that this information is accurate as it sets the context for the assessment.
  3. In section A, describe the behaviors of concern. For each behavior, specify how it is performed, its frequency, duration, and intensity. Be comprehensive to provide clear context.
  4. In section B, assess potential ecological events affecting the child’s behavior. Document medications, medical complications, sleep cycles, eating habits, and daily routines.
  5. In section C, identify the contexts of behavior occurrences by noting the times of day, settings, social interactions, and specific activities related to the behaviors.
  6. Section D focuses on understanding the child's play abilities. Provide detailed observations about how the child plays alone and with others, including reactions to different play scenarios.
  7. In section E, distinguish the function of undesired behaviors. Reflect on what the child gains or avoids through their behaviors.
  8. Complete section F by evaluating the efficiency of the undesired behaviors, including physical effort and corresponding payoffs.
  9. In section G, define the primary communication methods used by the child. Document expressive and receptive communication abilities.
  10. Finally, summarize key findings in sections H and I, focusing on supportive events and developing summary statements for major predictors and consequences.
  11. After completing the form, ensure all changes are saved. You can download, print, or share the completed document as needed.

Start filling out the Functional Assessment Interview online to better understand the child's behavior.

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Functional assessments include a combination of subjective questioning as well as various objective functional tests. Some of the test that may be performed as part of a functional/musculoskeletal assessments may include: Postural observation – observation of neck, back and foot alignment.

Examples include: Field Tests: 6 Minute Walk Test, Shuttle Walk Test, Step Test. Laboratory Tests: Maximal Oxygen Uptake- VO2 Max, VO2 Peak-Aerobic Capacity.

Description. The FAST is a type of indirect functional assessment method. It is comprised of a self-report checklist designed to identify whether maladaptive behavior is maintained via attention and tangibles, escape, sensory stimulation, or pain attenuation.

There are only score designations. All you need to do is circle the number of questions answered “Yes” and enter the number of items circled in the “Total” column. The designations are referred to as Potential Sources of Reinforcement: Social (attention/preferred items) = Items 1 to 4.

The FAST is a type of indirect functional assessment method. It is comprised of a self-report checklist designed to identify whether maladaptive behavior is maintained via attention and tangibles, escape, sensory stimulation, or pain attenuation.

What is included in a functional behavior assessment? The 6-step process Step 1: Collect the data. ... Step 2: Analyze the data. ... Step 3: Develop a hypothesis. ... Step 4: Form a behavior support plan. ... Step 5: Implement a behavioral intervention plan. ... Step 6: Evaluate.

Five main outcomes of a FAI: clear description of problem behaviors. Identify immediate antecedents. Identify ecological or setting events. Identify consequences for maintaining problem behaviors and potential functions. Summary statements.

Functional Assessment Interview (FAI; O'Neill et al., 1997). The FAI takes approximately 45-90 minutes to administer and provides the following outcomes: description of the interfering behavior, events or factors that predict the behavior, possible function of the behavior, and summary statements (behavior hypothesis).

The Functional Assessment Interview (FAI; O'Neill et al., 1997) is a semi-structured interview with 11 sections, which is designed to gather information about a behavior and the circumstances under which it occurs.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232