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Behavior Support Plan Template - | dds

Behavior Support Plan Template District of Columbia Developmental Disabilities Administration Behavior Support Plan Template rev 1 1 Identification Person s Name: Date of Birth: Person s Age: Day Placement: Residential Placement: Date of Plan: Date of Revision: Date of Plan Expiration Name of BSP developer: 2 Purpose Describe the reason(s) or clinical rationale for the necessity of the Behavior Support plan. 3 Relevant History Describe background information that is relevant to the current Behavior (s) of interest. Describe prior nonrestrictive intervention strategies used to address target behaviors, and their results.

Behavior Support Plan Template District of Columbia Developmental Disabilities Administration Behavior Support Plan Template rev 8.09.2013 3 3 Focused Support/Reinforcing Alternative Behaviors: For each target behavior, specify the differential reinforcement strategies for promoting an alternative behavior, or competing behavior, that the person already knows

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