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LaVigna Fred SappRes-Care, Inc. Hank Thompson Debbie Conway Melanie NunezSukhen Dey, Ph.D.KBAMichael D. KegleyDr. Sukhen DeyBill & Melanie NunezMichael D.Kegley The StaffKristin Taylor Keith GrimaudRobin D. Slunder Key Services Brian LernerbrianPreferred CustomerC. Todd DisstonIUS MISSY VITALEOhio Casualty GroupSundeep DronawatMicrosoft Word 6.0DSIBette Ann Mobley sschillingVOCAIABA Bob SheltonPowerbook UserDr. Thomas J. Willis amber reillySocial Services Craig StinsonR.C.SAntoinette FinneganRCS Prue ScarlettAlex SandersonHO120MP Mark Reason Mr Clarke John SmithSystem Administrator Fiona LeggatRuthBeavan, MichaelMICHAEL WILLIAM BEAVANAdminjdrfMandyGaryAuthorised UserBenedict Wiseman C. Willson Chevi DavisCatherine JonesoX _bfk  f k KS!!y""3%;% &&;&@&''--6.9.000022"5%566IIMMPPQQASGSOTUTUUMaSa[aaahhiibjejkkrrnuquv vvv2x5xxx9<OWFIorCFf11LLXXZZ}A_bchh== ''6.9.hh6t6tttFF$(]abflp37AE^bfIABA/HARDDRIVE:Temporary Items:Word Work File A 1966IABA3Admin.:SUMMER INST:Hannah:Kirkpatrick, J.-A-SI 7/00IABA3Admin.:SUMMER INST:Hannah:Kirkpatrick, J.-A-SI 7/00IABA3Admin.:SUMMER INST:Hannah:Hannah, A.-7/00-SanitizedIABA9HARDDRIVE:Temporary Items:AutoRecovery save of Hannah, A.IABA3Admin.:SUMMER INST:Hannah:Hannah, A.-7/00-SanitizedIABA3Admin.:SUMMER INST:Hannah:Hannah, K.-7/00-Sanitized John Marshall_55 Gig HD:Documents:SI:2000 SI:2000 SI 2000 Reports:Reports copy:Hannah, K.-7/00-Sanitized copy John MarshallQ55 Gig HD:Documents:SI:2000 SI:2000 SI 2000 Reports:Reports copy:*web:report1.doc John MarshallQ55 Gig HD:Documents:SI:2000 SI:2000 SI 2000 Reports:Reports copy:*web:report1.doc N]\u0!J-xX6;*o()0^`0o(.m m ^m `o()N^`No(.)^`o()0^`0o(.0^`0o(.  ^ `o()?fsg^0!J-_X eN] 6;+=EFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcde@k"EE$NF`UDVD_F``hd^h` ![\dmnopq{|1LXZ},0A^_bchko=gk  K O   NR48GK59Z^VZKO#'LPZ^04!!!!e"i"""$$d%h%%%`&d&z&~&&&'''(( * * ----..6.9.l.p.%/)/{//)0-0v0z0]1a111"2&2 44445566x7|7u;y;<<p?t?DDGGTMXMzM~MNNNNOOQQARERSSTT-U1UsUwUUUVV(W,WWW5Y9YSZWZN[R[[[[[Z\^\\\']+]]]^_'_+_T`X`EbIbccffgghhhhiiiijjblfl_ncnVoZooobrfrRsVs6t7t;tttttuuyy||}}~~~~<@y}"HLŅɅ7;ˆ,0bf̉ЉԌ، W[!%{ܓ-1؜ܜ6:JN#x|+/z~"dhNRްĹȹjn%)]a0Fjn$(]abflp37AE.:EFVW]^bef0 @1 1 1& 1. 1@ 1 1 1 1 1 1 1 1 1 1 1 1 1" 1$ 1J 1L 1P 1V 1 1 1 1.12141<0 @0 @0 @0> @1| @0 @0 @102@10@11"0@1*1N1@02@04@11111@11@1@10F@10@11*@1h@1@0d@11@0j@10@1H0@1\0@10N@0R@1p1@1x1 @11!@10:#@11@$@11%@11:&@10R(@10t)@11d,@11-@11.@11n/@11\0@101@1102@113@11R4@114@115@10:7@119@1 1;@1(1<@101 =@181=@1@0?@1H1@@1P1B@1X1~D@1`0D@1h1>G@1p0H@1x1J@11L@11M@10*N@11R@11S@11TT@11U@11U@10U@1118X@11xZ@10\@11b@1 1d@11d@106e@1"1e@1*1g@121g@1:1i@1B1i@1J1zk@1R1l@1Z1m@1b0p@1j1r@1r1:t@1z1u@10w@11@11@10@10ܑ@10ʖ@11N@11@11@11@11@11ԫ@10@11@11@11@11x@1 1|@11@10ܶ@1"0@1*1@120,@1:1 @1B1@1J1t@1R12@1Z0@1b1@1j0@1r1p@1z1@10@10@11X@10@10@11 @118@11@11"@10t@11,@11$@11@10@11$@10@1@10@141@10@10j@10 @1 1@1(0@101V@181@1@0@1H1<@1P0@1X1r @1`1H @1h0 @1p1l@1x1@10@11z@10@1d1\@10@10@10*@10~@10@10\@10@11!@10,"@11x#@11*$@10$@1%@10%@10\(@10/@11/@10n0@12@1 12@1(0 4@1005@181\7@1@1F=@1H0LA@1P1A@1X0xD@1.E@1`08E@1h0F@1p0HG@1x0JH@10H@10BM@11O@11ZP@10 0@1F 1@1N 0"@1V 1B@1^ 0և@1f 1@1n 0@10@0*@0V@0̌@0@1v 0N@0@1~ 0‘@1 1@1 0Ē@1 04@1 0H@1 0@1 0ԕ@1 06@1 0H@1 0r@1 0ę@1 1H@1 0Κ@1 0d@1 0@1 0Z@011@0@120@140~@1@1 0@0^@0@1 0B@0\@0^@GTimes New Roman5Symbol3 Arial;Helvetica9New York5Geneva"A $$H`4i\$HDIYs$;d@;7BEHAVIOR ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLAN John Marshall John Marshall DyK http://www.iaba.comyK *http://www.iaba.com/@ _PID_HLINKS'AdN^http://www.iaba.com/" FMicrosoft Word DocumentNB6WWord.Document.8 ՜.+,D՜.+,h$ hp  'IABA/wsY 8BEHAVIOR ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLAN Title 8 Oh+'0 0< X d p |'8BEHAVIOR ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLANEHAJohn MarshallSMohnNormalrJohn MarshallSM8hnMicrosoft Word 9.0 @ @pZ@8uS@[UINOTE: This report was written by a participant in Institute for Applied Behavior Analysis Summer Institute ( HYPERLINK "http://www.iaba.com" http://www.iaba.com) on  Assessment and Analysis of Severe and Challenging Behavior. All identifying information has been changed. This report is presented as an example of the type of report that participants will be able to write after completing the course.2. By August 1 next year  By Feb. 1 next year 3 jbjb^^^^h<h<fcl4 PPP8 Q(Q6$bYYYYYYYYhhhhhhh, $hYYYYYhF^YYRnF^F^F^YYYhF^YhF^F^cfig$RtiϞ6$,P[n=gig<SgF^igF^ COMPREHENSIVE FUNCTIONAL ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLAN Client Confidential Date of Report: July 26, 2000 Referral Date: June 27,2000 Period of Report: July 26 2000 July 28, 2000 Writers Name: Karen Alison Hannah IDENTIFYING INFORMATION Name: Jay Jones Date of Birth: November 5, 1966 Address: 456 Enny Boulevard Ennytown, CA Referral Source: ABC SSS Corie Brown REASONS FOR REFERRAL Jay was referred by ABC/SSS Corie Brown for an evaluation. The purposes of the evaluation were to assist Jay in securing the services and programming which would enable him to develop and to use his capabilities, to get the most out of the educational opportunities that can be made available to him and to enable him to develop and to use his capabilities for more independent, normal living and more productive activity than his behavior problems presently permit. Accordingly, it was requested that the evaluation focus on these behavior problems, which were characterized as Physical Aggression, and the type(s) of behavioral services, support strategies, programming, professional competencies and skills, and environments required eliminating, minimizing, or managing them. Specifically, Jay has engaged in hitting his peer at the work site with a broom and has tried to hit his peer in the face by engaging in the action of snapping a cloth at his peers face. DESCRIPTION OF ASSESSMENT ACTIVITIES This assessment is based on information obtained from the following sources: A. Interviews with Jay Jones (consumer) July 26, 2000 (20 min.). Micki Smith (SSS Job Coach) July 26, 2000 (1.5 hours.), and Missy Allen (Sr. Employment Specialist.) July 26, 2000 (45 minutes); B. Direct Observations of Jay (consumer) in the following settings; The Steamer Restaurant, work site July 26, 2000 (1.75 hours); C. Review of the following records provided by ABC/SSS; i.) Whittier Area Cooperative Education Program, Case Study Summary, 1985. ii.) DEF Regional Center - I.P.P. Person Centered Plan, 1999 iii.) Developmental Disabilities Center Assessment, 1986 iv.) ABC Individual Service Plan, 1999 D. A Reinforcement Survey completed by K. Alison Hannah through information obtained through interviews and records review. E. Telephone Conferences; Cathy Jones (Mother) July 26, 2000 (30 minutes) BACKGROUND INFORMATION I. Brief Client Description. A. General. Jay is a 33 year old Caucasian male of medium, stocky build. He weighs approximately 210lbs and is 5 foot 9 inches in height. Upo,-./01kbbbb $$Ifa$$$IfTl\pb04 la123456kbbbb $$Ifa$$$IfTlU\pb04 la6789:;kbbbb $$Ifa$$$IfTl^\pb04 la;<=>?@kbbbb $$Ifa$$$IfTlg\pb04 la@ABCDEkbbbb $$Ifa$$$IfTl^\pb04 laEFGHIJKLMkbbbbk]W,^,$a$ $$Ifa$$$IfTl\pb04 laEFJKL8v ~       " $ J L 40J5j5U j5U5CJ5>*CJCJ jUOJQJ5M8 ,^,$a$ $0^`0a$ $0^`0a$ * 00P/ =!"#$%|HHL XG(HHLd'`iter s Name: ey completed by the writerWriter Protocol prepared by: MikeAny Any townReferral Source: Sims and Sims Services, Inc. Mike was referred by Sims and Sims Services, Inc. ()MikeMikeMikeMikellowing records provided by i.) Local iv.) SSS MikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMike is attending the MikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMIKEMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMIKEMike  Oh+'0 0< X d p |'8BEHAVIOR ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLANEHAJohn MarshallSMohnNormalrJohn MarshallSM9hnMicrosoft Word 9.0 @$e @pZ@8uS@TUI 2002, Institute for Applied Behavior Analysis, All Rights Reserved 3 jbjb^^^^^h<h<fl4 PPP8 Q(Q6$)bYYYYYYYYiiiiiii, /iYYYYY/iL^YYRnL^L^L^YYYiL^YiL^L^&dfg$RtϞ6$,P[tgg<))gwL^wgL^ COMPREHENSIVE FUNCTIONAL ASSESSMENT REPORT AND RECOMMENDED SUPPORT PLAN Client Confidential Date of Report: July 26, 2000 Referral Date: June 27,2000 Period of Report: July 26 2000 July 28, 2000 Writers Name: Karen Alison Hannah IDENTIFYING INFORMATION Name: Jay Jones Date of Birth: November 5, 1966 Address: 456 Enny Boulevard Ennytown, CA Referral Source: ABC SSS Corie Brown REASONS FOR REFERRAL Jay was referred by ABC/SSS Corie Brown for an evaluation. The purposes of the evaluation were to assist Jay in securing the services and programming which would enable him to develop and to use his capabilities, to get the most out of the educational opportunities that can be made available to him and to enable him to develop and to use his capabilities for more independent, normal living and more productive activity than his behavior problems presently permit. Accordingly, it was requested that the evaluation focus on these behavior problems, which were characterized as Physical Aggression, and the type(s) of behavioral services, support strategies, programming, professional competencies and skills, and environments required eliminating, minimizing, or managing them. Specifically, Jay has engaged in hitting his peer at the work site with a broom and has tried to hit his peer in the face by engaging in the action of snapping a cloth at his peers face. DESCRIPTION OF ASSESSMENT ACTIVITIES This assessment is based on information obtained from the following sources: A. Interviews with Jay Jones (consumer) July 26, 2000 (20 min.). Micki Smith (SSS Job Coach) July 26, 2000 (1.5 hours.), and Missy Allen (Sr. Employment Specialist.) July 26, 2000 (45 minutes); B. Direct Observations of Jay (consumer) in the following settings; The Steamer Restaurant, work site July 26, 2000 (1.75 hours); C. Review of the following records provided by ABC/SSS; i.) Whittier Area Cooperative Education Program, Case Study Summary, 1985. ii.) DEF Regional Center - I.P.P. Person Centered Plan, 1999 iii.) Developmental Disabilities Center Assessment, 1986 iv.) ABC Individual Service Plan, 1999 D. A Reinforcement Survey completed by K. Alison Hannah through information obtained through interviews and records review. E. Telephone Conferences; Cathy Jones (Mother) July 26, 2000 (30 minutes) BACKGROUND INFORMATION I. Brief Client Description. A. General. Jay is a 33 year old Caucasian male of medium, stocky build. He weighs approximately 210lbs and is 5 foot 9 inches in height. Upo,-./01kbbbb $$Ifa$$$IfTl\pb04 la123456kbbbb $$Ifa$$$IfTlU\pb04 la6789:;kbbbb $$Ifa$$$IfTl^\pb04 la;<=>?@kbbbb $$Ifa$$$IfTlg\pb04 la@ABCDEkbbbb $$Ifa$$$IfTl^\pb04 laEFGHIJKLMkbbbbk]W,^,$a$ $$Ifa$$$IfTl\pb04 la  EFJKL8v ~       " $ J L 40J5j5U j5U5CJ5>*CJCJ jUOJQJ5M8 ,^,$a$ $0^`0a$ $0^`0a$* 00P/ =!"#$%|HHL XG(HHLd'`iter s Name: ey completed by the writerWriter Protocol prepared by: MikeAny Any townReferral Source: Sims and Sims Services, Inc. Mike was referred by Sims and Sims Services, Inc. ()MikeMikeMikeMikellowing records provided by i.) Local iv.) SSS MikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMike is attending the MikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeSSSMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMIKEMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMikeMIKEMike NOTE: This report was written by a participant in Institute for Applied Behavior Analysis Summer Institute ( HYPERLINK "http://www.iaba.com" http://www.iaba.com) on  Assessment and Analysis of Severe and Challenging Behavior. All identifying information has been changed. This report is presented as an example of the type of report that participants will be able to write after completing the course.2. By August 1 next year  By Feb. 1 next year