Student Information Worksheet (required)
Step 1: Background Information
The first step in addressing challenging behaviors is gathering information about the student. Behavior does not happen in a vacuum, so it’s important to understand any significant background information, including the student’s strengths, needs, and preferences.
Begin by completing the Student Information Worksheet to gather and organize key details, including the student's background and preferences, that will guide your intervention decisions throughout the process.
Does the student have a medical diagnosis or significant medical history?
For example, ADHD (attention-deficit/hyperactivity disorder), ASD (autism spectrum disorder), dyslexia, NAS (neonatal abstinence syndrome), or CP (cerebral palsy)
A medical diagnosis can help inform behavior intervention by providing insight into how a student’s neurological, emotional, or physical condition may influence their behavior, attention, and ability to regulate in the classroom.
What is currently happening in the student’s life that could potentially affect behavior?
For example, sickness, pain, lack of sleep, hunger, medication change, or change in living arrangement (divorce, marriage, new baby).
No, we can't control these, but we can adjust our expectations and support level.
For example, loves to help, kind to others, good sense of humor, hard worker, positive attitude, shares well, excels at a particular academic subject or task, always on time, passionate about a hobby or other interest, honest, self-starter, friendly, etc.
We can build off of these strengths!
Does the student have any known or potential skills deficits or struggles? For example, academic skills (e.g., writing, reading comprehension), executive functioning skills (e.g., organization, planning, focus), social-emotional skills (e.g., navigating social situations, self-regulation), or communication skills.
These are potential triggers or areas that need extra support, accommodations, or skill building.
Is there a known history of potentially traumatic events or ACES (adverse childhood experiences)?
Per the CDC:
Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). Examples include:
Experiencing violence, abuse, or neglect.
Witnessing violence in the home or community.
Having a family member attempt or die by suicide.
Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding. Examples can include growing up in a household with:
Substance use problems.
Mental health problems.
Instability due to parental separation.
Instability due to household members being in jail or prison.
When you look at background information like this, it’s not about labeling the student, it’s about helping you understand where they’re coming from so you can respond in a way that works. For Jordan, knowing he’s had a rough start in life with inconsistent adults might help explain why he struggles with trust, structure, or following directions. For example, maybe it isn't that he won’t listen, it might be that he’s still learning how to feel safe and supported.
What stands out is how social and hands-on he is. That tells us a lot! You can lean into those strengths by giving him movement breaks, interactive tasks, or leadership roles with younger students. And instead of waiting for behavior issues to happen, this kind of info helps you stay one step ahead by finding ways to connect with him before he escalates.
If you’re not sure what motivates him anymore or whether sensory issues are at play, that’s okay—it just means you’ve got more to learn, and that’s part of the process. Use this kind of info as a starting point to experiment, reflect, and build a stronger connection with him.