FBA & PBSP Forms
Functional Behavior Assessment Consent
Functional Behavior Assessment
FBA Google Document (for students not on PowerSchool Special Education)
Positive Behavior Support Plan (PBSP) Forms
PBSP Google Document (for students not on PowerSchool Special Education):
PBSP Competing Behavior Pathway (duplicate as needed)
PBSP Implementation Action Plan & PBSP Review (duplicate as needed)
Behavioral Analysis Protocol (Supplemental tool from Simplifying Response to Intervention © 2012 Solution Tree Press)
FBA and PBSP Rubrics
These tools were developed by Abbey Mix, Kent ISD, Shannon Shy, Livingston ESA, and Renee Thelen, Ionia County ISD, and can be used to assess the quality of an FBA and PBSP.
Rubrics are an effective way to:
Improve consistency from one provider to the next.
Develop clear expectations for work that relfects both compliance and quality.
Provide structured opportunities for staff to reflect on their own work.
From the presentation The Rubric Roadmap: Your Guide to High Quality FBAs/Function-based BIPs & IEP Guidance by Renee Thelen, Abbey Miz, and Shannon Shy. Presented at the MASSW Conference, 2020.