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Request a break from a family member at home or on an outing

PK, K-2, 3-5OpportunitiesTemplateReview and individualize before use. How templates are made
When to use this goal

For students whose break request works at school and whose family wants to use it at home, in the store, or at family gatherings. Fits when the family has agreed to collect simple data and the school team has shared the card and the routine. Base the choice on family report.

Baseline
Ask the family to tally one routine for a week: break requested, problem behavior, or neither. Agree on which precursors count and where the break spot is at home and in the car. Keep the data sheet to one line per day so it actually gets filled in.
Tips
Use the same card and phrase as school. Families honor every request at first, with a short timed break, and then shorten or delay breaks only after the school team has done so. Outings start short and preferred. Pair with bh-rep-013 (waiting) for the moment when a break is not possible, such as in a checkout line.
Limits
Family data are self-reported and uneven; treat them as a second data source, not the primary one for the IEP. Home routines differ from school demands, so progress may not transfer in either direction without planning.

Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID bh-rep-028.

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Student

How the goal refers to the student

Skill

What the student will do

Something an adult can see, count or time.

Condition

When or under what conditions

Support

Support allowed

Criterion

Number of opportunities in which the behavior is demonstrated, out of a fixed number.

Sample numbers. Replace them with the student's data.

Criterion wording

Data collection

Each planned or naturally occurring opportunity is recorded as correct/independent, prompted, or not demonstrated.

How often data are collected
Mastery rule

How many measurements must meet the criterion.

Timeframe

Timeframe

Goal

By the annual IEP review date, at home during a non-preferred routine (homework, bath, clean-up) with the break card in a fixed spot, the student will request a break from the family member using the card or taught phrase before the defined problem behavior independently in at least 4 of 5 opportunities, across 3 consecutive weekly family data summaries, as measured by opportunity-by-opportunity data collected daily at home during one routine, summarized weekly by the family.

Baseline: 1 of 5 opportunities.

  • Condition
  • Observable behavior
  • Criterion
  • Measurement method

ObjectivesCopy by fieldData sheet

Measurability check11 of 11 met
  • Met: Observable behavior. Stated as an action.

  • Met: Condition. Stated.

  • Met: Unit fits the behavior. Opportunities fits this behavior.

  • Met: Explicit criterion. Number and unit stated.

  • Met: Mastery rule and schedule. Both stated.

  • Met: Method produces the metric. Opportunity (trial) recording gives opportunities data.

  • Met: Review timeframe. Stated.

  • Met: Baseline and target compatible. Same unit, change in the right direction.

  • Met: Aligned with area of need. Still about Replacement Behaviors.

  • Met: Level of support. Defined.

  • Met: Blanks filled in. Nothing left to fill in.

Checks structure and wording only. Whether the goal fits the student is the team's call.

Short-term objectives (optional)

When are objectives required?

Required for students on alternate assessments (34 CFR §300.320(a)(2)(ii)); some states require them for everyone.

Build objectives by

Paste into your IEP system

Most district systems have a separate box for each part of a goal. Copy them one at a time, or all at once as labeled text.

Area of need
Behavior & Classroom Expectations - Replacement Behaviors
Baseline
1 of 5 opportunities.
Annual goal480 characters
By the annual IEP review date, at home during a non-preferred routine (homework, bath, clean-up) with the break card in a fixed spot, the student will request a break from the family member using the card or taught phrase before the defined problem behavior independently in at least 4 of 5 opportunities, across 3 consecutive weekly family data summaries, as measured by opportunity-by-opportunity data collected daily at home during one routine, summarized weekly by the family.
Timeframe
By the annual IEP review date
Condition
At home during a non-preferred routine (homework, bath, clean-up) with the break card in a fixed spot
Behavior
The student will request a break from the family member using the card or taught phrase before the defined problem behavior independently
Criteria
In at least 4 of 5 opportunities, across 3 consecutive weekly family data summaries
Evaluation method
Opportunity-by-opportunity data
Schedule
Daily at home during one routine, summarized weekly by the family

Copied as plain text, with straight quotes and plain dashes.

Matching data sheet

Opportunity tracker. One box per opportunity in each session.

The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.