BEHAVIOUR SUPPORT PLAN
© 2014 | DEPARTMENT OF EDUCATION AND EARLY CHILDHOOD DEVELOPMENT | PSYCH4SCHOOLS

STUDENT‘S NAME & DETAILS
STUDENT’S NAME
DATE
PERTINENT BACKGROUND INFORMATION (IF RELEVANT)

BEHAVIOURS IN NEED OF SUPPORT (RANK IN PRIORITY)
1.
TARGET BEHAVIOURS
GOAL
KNOWN WARNING SIGNS OF IMPENDING BEHAVIOUR
POSSIBLE FUNCTIONS OF BEHAVIOUR
KNOWN TRIGGERS OF IMPENDING BEHAVIOUR
PROACTIVE STRATEGIES & TECHNIQUES
2.
TARGET BEHAVIOURS
GOAL
KNOWN WARNING SIGNS OF IMPENDING BEHAVIOUR
POSSIBLE FUNCTIONS OF BEHAVIOUR
KNOWN TRIGGERS OF IMPENDING BEHAVIOUR
PROACTIVE STRATEGIES & TECHNIQUES
3.
TARGET BEHAVIOURS
GOAL
KNOWN WARNING SIGNS OF IMPENDING BEHAVIOUR
POSSIBLE FUNCTIONS OF BEHAVIOUR
KNOWN TRIGGERS OF IMPENDING BEHAVIOUR
PROACTIVE STRATEGIES & TECHNIQUES
4.
TARGET BEHAVIOURS
GOAL
KNOWN WARNING SIGNS OF IMPENDING BEHAVIOUR
POSSIBLE FUNCTIONS OF BEHAVIOUR
KNOWN TRIGGERS OF IMPENDING BEHAVIOUR
PROACTIVE STRATEGIES & TECHNIQUES
5.
TARGET BEHAVIOURS
GOAL
KNOWN WARNING SIGNS OF IMPENDING BEHAVIOUR
POSSIBLE FUNCTIONS OF BEHAVIOUR
KNOWN TRIGGERS OF IMPENDING BEHAVIOUR
PROACTIVE STRATEGIES & TECHNIQUES

PROACTIVE STRATEGIES & TECHNIQUES: IN THE CLASSROOM
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: BEFORE SCHOOL
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: AT ASSEMBLIES
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: IN CORRIDORS & SHARED AREAS
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: RECESS & LUNCH
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: AFTER SCHOOL
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: CAMPS / INCURSIONS / EXCURSIONS
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: AT HOME
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: SECOND HOME (IF APPLICABLE)
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: SOCIAL MEDIA, FILM, ONLINE
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: OTHER
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

PROACTIVE STRATEGIES & TECHNIQUES: OTHER
TARGET BEHAVIOURS
GOAL
STRATEGIES
BEGINNING DATE
REVIEW DATE
WHO IS RESPONSIBLE FOR IMPLEMENTATION?

GOOD BEHAVIOUR RECOGNITION
WHAT WORKS TO PROMOTE GOOD BEHAVIOUR FOR THIS STUDENT?
HOW WILL WE KNOW IF THE RECOGNITION IS SUCCESSFUL?
WHO IS RESPONSIBLE FOR PROVIDING GOOD BEHAVIOUR RECOGNITION?
WHEN AND HOW OFTEN IS BEHAVIOUR RECORDED?

CRISIS PLANS – SHORT TERM REACTIVE STRATEGIES
1.
BEHAVIOURS
ACTIONS
WHO IS RESPONSIBLE?

2.
BEHAVIOURS
ACTIONS
WHO IS RESPONSIBLE?

3.
BEHAVIOURS
ACTIONS
WHO IS RESPONSIBLE?

4.
BEHAVIOURS
ACTIONS
WHO IS RESPONSIBLE?

STUDENT‘S PREFERRED CONTACT PEOPLE AT THE SCHOOL
1. NAME & POSITION
2. NAME & POSITION
3. NAME & POSITION
4. NAME & POSITION

REVIEW
REVIEW DATE
WHO IS INVOLVED?
HOW IS IT MONITORED?

BEHAVIOUR SUPPORT PLAN SIGN OFF
PRINCIPAL NAME
SIGNATURE
DATE

PARENT / GUARDIAN NAME
SIGNATURE
DATE

STUDENT NAME
SIGNATURE
DATE