DEPARTMENT OF EDUCATION

Individual Behaviour Plan – IBP (as per SESS continuum)

Student Name	DOB:	Year	Principal	School	Start date: Review date:
Student Support Team/Role:	Student Support Advisor/Invited Specialist:	Method of Assessment/data School keep records on attendance, participation and behaviour incidents.
Baseline Information	Strengths	Triggers
Goals	Assessment	Review (How did it go?) Date:
Learning Outcome: Condition: Criteria:
Learning Outcome: Condition: Criteria:
Learning Outcome: Condition: Criteria:

Outcome of Review:

Continue/Modify Student Support Plan

Requires intensive specialist support – complete Support Service Request form

Recommendations

Positive Support Strategies	Description/Steps	Resources	Who?	When?

Other strategies that have been put in place:

Signatures

Principal______________________________________	Student Support Advisor ___________________________________

Parent	______________________________	_________	Student _________________________________________

Date ______________________________________

Review ____________________________________