Behaviour Support Plan Template
Student name:
Date:
Pertinent background information (if relevant):
Behaviours in need of support 
a. Target behaviours (rank in priority)
No. 1
No. 2
No. 3
No. 4
b. Known warning signs of impending behaviour
No. 1
No. 2
No. 3
No. 4
c. Known triggers of impending behaviour
No. 1
No. 2
No. 3
No. 4 
d. Preventative strategies and techniques (to implement in response to or in anticipation of known triggers)
No. 1
No. 2
No. 3
No. 4
Proactive strategies and techniques
In the classroom (e.g. a particular class)
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Before school
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
At assemblies
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
In corridors and shared areas
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Recess and lunch
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
After school
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Camps/excursions/incursions
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
At home
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
At second home (if applicable)
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Online, social media, gaming and films
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Other
a. Target behaviours
b. Strategies
	i.	Beginning date/Concluding date
d. Who is responsible for implementation?
Good behaviour recognition
a. What works to promote good behaviour for this student?
b. How will we know if the recognition is successful?
c. Who is responsible for providing good behaviour recognition?
d. When and how often is behaviour recorded?
Consequences 
a. List consequences
b. Who is responsible for giving consequences?
c. When and how often are statements or approaches  recorded?
Crisis plan - No.1
a. Behaviours
b. Actions
c. Who is responsible?
Crisis plan - No.2
a. Behaviours
b. Actions
c. Who is responsible?
Crisis plan - No.3
a. Behaviours
b. Actions
c. Who is responsible?
Crisis plan - No.4
a. Behaviours
b. Actions
c. Who is responsible?
Student’s preferred contact people at the school
Person 1 - name and position
Person 2 - name and position
Person 3 - name and position
Person 4 - name and position
Review 
a. Review date
b. Who is involved?
c. How is it monitored?
Sign-off on the BSP
Principal name:
Principal signature:
Date:
Parent/guardian name:
Parent/guardian signature:
Date:
Student name:
Student signature:
Date: