Free Behavior Intervention Incident Report

I. Incident Details

II. Student Information

III. Description of Behavior

Emily repeatedly disrupted the class by talking loudly and refusing to follow instructions during a math lesson.

IV. Immediate Response

The teacher redirected Emily to a quiet area in the classroom and provided her with alternative assignments to complete independently.

V. Intervention Plan

An intervention plan will include:

• Scheduled breaks to help Emily refocus.

• Positive reinforcement strategies to encourage appropriate behavior.

VI. Follow-Up Actions

Following the incident, the teacher will:

• Monitor Emily's behavior closely during future math lessons.

• Adjust the intervention plan as needed based on Emily's response and progress.

VII. Outcome/Evaluation

The initial implementation of the intervention plan resulted in:

• Improved focus and engagement from Emily during math lessons.

• Continued evaluation is necessary to determine the long-term effectiveness of the plan.

VIII. Recommendations

To further support Emily's behavior, it is recommended to:

• Involve Emily's parents in developing additional strategies to address her attention-seeking behavior.

• Collaborate with the school counselor or behavior specialist to explore further interventions if needed.

IX. Parent/Guardian Communication

A meeting will be scheduled with Emily's parents to:

• Discuss the incident and the intervention plan.

• Seek their input and collaboration in supporting Emily's behavior in the classroom.

X. Signature

[YOUR NAME], Teacher In-Charge

Date: [DATE]

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