WA Mapping Document – Behavior Intervention Plan
11/07/11, 2/23/2012,
SUMMARY: Webform & Report.
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Form 2 - Prior Written Notice
Page 1
11/8/2011
**THE FOLLOWING BLOCK is repeated for each TARGET BEHAVIOR area**
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Form 2 - Prior Written Notice
Page 2
11/8/2011
WA – Behavioral Intervention Plan
Wizard:
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Create Form upon selecting New
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Ability to Create or Select a Meeting record (if IEP not linked)
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Ability to Link to an IEP
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Form Type = Behavioral Intervention Plan
Security: Ability to Add, Edit, View, Delete
Form Summary Screen: Display Form Creation Date, Linked IEP/Meeting Date or Meeting Date
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Page Header (pg 2+): Name (First, Middle, Last, Qualifier), ID, Date of Meeting
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Maintenance, Manage Letterhead, Set Systemwide (or User) Options
- Plan Name = Form Type (Individualized Education Program (IEP)
- Letterhead, Report Header = District Name (up to 6 lines)
District Logo jpg
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Student Name
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Student ID
Grade
Neighborhood School
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Placement School
Case Manager
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Initial Implementation Date
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Plan developed by current IEP Team
Current Date
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Revision Dates
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Reinforcers
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Additional Information
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Person Responsible
Target Behavior Block
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Target Functions
Form 2 - Prior Written Notice
Basic Information, Demographics, First, Middle, Last, Qualifier
– read-only
Student, Demographics, Student ID
Student, Enrollment, Grade as of the date of this form
Display Enrollment Location if Associated Organization does not exist.
Ability to add/edit Associated Organization Record.
Student, Educational Information, Associated Organization, Type =
Neighborhood School, Alternate Code = HS (Based on Security)
Student, Basic Information, Enrollment, Location as of the date of this form
Student, Program, Placement, Staff, Position = Case Manager as of the date of this
form
Text Box
Save as Statement Type = ‘CaseManager’
Linked IEP form, IEP Start Date.
Save to text box, allow user to modify date on this form only
If no form linked, ability to type data in text box.
Text statement only
Form creation date, allow user to modify date on this form.
Saves to Form Information Start Date.
Text Box
Also display meeting history when a new meeting date is selected through Form
Information.
Student, Statements, Category = BIP, Subcategory = Reinforcers
Ability to enter narrative text
Student, Statements, Category = BIP, Subcategory = Additional Information
Ability to enter narrative text
Ability to Add multiple Staff names and/or Positions
Ability to enter narrative text
This block will be handled as an individual form much like the IDAR in the ER report
Initial implementation will use Statement List Dialog for each one of the Checkbox
lists below. Final Implementation should take that and put it in a popup.
Only one Target Function per block
Items 15-22 – comprise the rest of the block
Ability to select a single statement : i.e. Escape/Avoidance, Attention from adults
or peers, Access to a tangible. Use full text (from description) for the top of the
section (i.e. Escape/Avoidance (activity/task, persons, transitions/change),
Attention from adults or peers, Access to a tangible (preferred food, toy,
activity))
Statement Category = BIP, Subcategory = Target Function, Level = Attention,
Escape, Tangible, etc., Statement Description contains full text of the Target
Function
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11/8/2011
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Low Level Behaviors
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Target Behaviors
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Antecedents
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Antecedent Strategies
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Alternative Behaviors
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Acceptable Consequences
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Teaching Strategies
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Data Collection Procedures
Form 2 - Prior Written Notice
Save as Statement
Statements: Statement Category = BIP, Subcategory = Low Level Behaviors
Statement List Dialog - Set up checkbox list for each available Behavior
Ability to enter narrative text.
Save as attachments to Target Function Statement
Only one Target Behavior per Target Function
Ability to select a single Statement, Category = BIP, Subcategory = Target
Behaviors, Levels (ie Disruptive Behavior, Aggressive, Self-Injurious etc) Allow
filtering by Level
Ability to enter narrative text.
18, 19, 20, 21, 22 will allow level filtering to allow statements that are
appropriate for the Target Function based on the Target Function’s Level.
Student, Statements, Category = BIP, Subcategory = Antecedents.
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
Student, Statements, Category = BIP, Subcategory = Antecedent Strategies
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
Student, Statements, Category = BIP, Subcategory = Alternative Behaviors
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
Student, Statements, Category = BIP, Subcategory = Acceptable Consequences
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
Student, Statements, Category = BIP, Subcategory = Teaching Strategies
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
Student, Statements, Category = BIP, Subcategory = Data Collection Procedures
Level can be null (these will be available for all) or can match category of the Target
Function (these will only show if they match the Target Function’s Level)
Set up checkbox list for each available Antecedent
Ability to enter narrative text
Save as attachments to Target Function Statement
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11/8/2011
Field
Field Name
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Grade
Warning
/Error
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School
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WA – Behavioral Intervention Plan
Validation Rules
Rule
Error Message (48)
Missing Grade
Missing Grade
E
Missing Enrollment
School
Missing School
Case Manager
E
Missing Case Manager
Missing Case Manager
Initial
Implementation
Date
Reinforcers
E
Missing Initial
Implementation Date
Missing Initial
Implementation Date
E
Missing Reinforcers
Missing Reinforcers
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Additional
Information
W
Missing Additional
Information.
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Reponsible Party
E
Missing Person
responsible
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Target Function
E
Missing Target Function
Missing Additional
Information, is this
correct?
Missing Person
Responsible for
implementing the
plan.
Missing Target
Function selection.
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Low Level
Behaviors
E
Missing Low Level
Behaviors
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Antecedents
E
Missing Antecedents
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Antecedent
Strategies
E
Missing Antecedent
Strategies
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Alternative
Behaviors
E
Missing Alternative
Behaviors
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Acceptable
Consequences
E
Missing Acceptable
Consequences
20
Critical Teaching
Skills
E
Missing Critical Teaching
Skills
21
Data Collection
E
Missing Data Collection
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Form 2 - Prior Written Notice
Page 5
Missing Low Level
Behaviors information
for the Target
function.
Missing Antecedent
information for the
Target function.
Missing Antecedent
Strategies for the
Target function.
Missing Alternative
Behaviors for the
Target function
Missing Acceptable
Consequences for the
Target function
Missing Critical
Teaching Skills for the
Target function.
Missing Data
Collection for the
Target function
Error Description (1024)
The student’s Enrollment,
Grade field is blank. The
grade must be active as of
the date of this form,
The student’s Enrollment,
Location field is blank. The
location must be active as of
the date of this form.
This form is missing the
Case Manager. Please
correct your data.
This form is missing the
Initial Implementation Date.
Please correct your data.
This form is missing data in
the ‘Reinforcers’ section.
This form does not reflect
any ‘Additional Information’
is this correct?
This form does not indicate
who is responsible for
implementing this plan.
This form does not indicate
what Target Function this
page is for (ie Attention,
Escape, Tangible)
This form is missing data in
the Low Level Behaviors
section.
This form is missing data in
the Antecedent section.
This form is missing data in
the Antecedent Strategies
section.
This form is missing data in
the Alternative Behaviors
section.
This form is missing data in
the Acceptable
Consequences section.
This form is missing data in
the Critical Teaching Skills
section
This form is missing data in
the Data Collection section.
11/8/2011
Revision History:
2/23/2012: Changed screen shots to match new form design
Technical Documentation
Form/DB fields: Letterhead, Enrollment (Grade/School), Meeting Staff Control, Associated Organization (Home School),
Placement, Statements (goalbook built check boxes and text box)
NOTE: Statements link from Target Function (#14)
Form Summary: Meeting information, Linked IEP form
SQL Add/Insert: N/A
Report: N/A
Field
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QU_Area
WA_BIP
WA_BIP
QU_Section
CoverPage
CoverPage
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WA_BIP
CoverPage
Form 2 - Prior Written Notice
WA – Behavioral Intervention Plan
Q&A’s FORM ID#_______
QU_Subsection FAW_State
CaseManager
InitialImpleme
Date
ntationDate
RevisionDates
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FAW_Notes
Text
Text
11/8/2011