Active RCT · 70 Years of Science · 1,000+ Families · Pilot School Signed

The 47-page IEP is useless
during an active meltdown.
NeuroPath Health isn't.

NeuroPath Health scales 70 years of proven behavioral science — backed by 20+ peer-reviewed publications and 1,000+ families of real-world data — so every school, clinic, and care agency has the right answer at the right moment. No clinical ego. No drift. No guessing.

NeuroPath Health — Marcus J. · Grade 4 · BIP Active
Staff Query — Real Time
New aide (Day 1): "Marcus is refusing every transition and I have no idea what his plan says. He's escalating. What do I do right now?"

Counter-control protocol: No direct commands. Green/Red Card: "your way" (5-min delay) vs "my way" (transition now + preferred activity). Voice flat. Body sideways. Max 5 words. Wait 30 seconds.

Source: Marcus's BIP §4.2 · Counter-Control Management Protocol · Incident Log: 3 Monday post-lunch escalations · SLP de-escalation sequence
IEP 2024–25 BIP v3 Incident History SLP Cards Onboarding Podcast
1 in 9
U.S. school-age children with a neurodevelopmental diagnosis
200–500%
Higher suicide risk for children with unaddressed behavioral needs
40–50%
Technical adequacy score of school FBAs and BIPs — the documents we rely on
42%
Of school clinicians report supervisors never discuss evidence-based assessment
The Stakes — This Is Not a Discipline Problem

Unaddressed behavioral needs
don't stay in the classroom. They follow children for life.

The behavioral crisis in schools is a public health emergency hiding behind compliance paperwork. The consequences of getting this wrong are not measured in detentions — they are measured in decades.

200–500%

Higher Suicide Risk

Children with frequent, unaddressed behavior problems face a 200–500% higher risk of suicide attempts compared to peers who receive early evidence-based intervention.

20–25

Years of Life Lost

Individuals with severe, unmanaged mental illness die 20–25 years earlier than the general population — often because behavioral symptoms interfere with treatment of chronic physical conditions.

$150M

What Institutions Are Spending

Children's Mercy Hospital committed $150M for their "Illuminate" initiative. Nationwide Children's received a $50M donation to scale behavioral health. Major health systems are proving the problem is real. We provide the scalable software layer.

"Early evidence-based intervention and integrated care can improve long-term outcomes related to employment, social integration, and the reduction of chronic disability."

— Clinical Research Literature on Pediatric Behavioral Health
Why Human Practitioners Are Failing

The system has a clinical ego problem.
NeuroPath Health doesn't.

The gap between what the research says works and what practitioners actually do is not a knowledge problem. It's a behavioral one. And it costs children their futures.

🧠

Clinical Judgment Bias

Experienced clinicians believe their intuition outperforms objective, standardized assessment tools — often resisting evidence-based protocols as a "threat to their clinical judgment."

Experience is negatively correlated with openness to evidence-based assessment.

👓

Diagnostic Overshadowing

Providers incorrectly attribute psychiatric symptoms — depression, anxiety — to a child's intellectual disability rather than treating them as separate, treatable conditions.

Only 41% of physicians feel confident providing equal care to patients with disabilities.

📉

Clinical Drift in Schools

Without supervision or feedback loops, school clinicians drift from evidence-based protocols over time. 42% report their supervisors never discuss evidence-based assessment.

FBAs and BIPs score 40–50% on technical adequacy. They're legally required. They're often inadequate.

🤖

NeuroPath Has No Clinical Ego

Our AI doesn't have biases, doesn't take shortcuts, and never "already knows the dance." It adheres strictly to 70 years of evidence-based science — every time, for every client, for every new staff member.

Zero clinical drift. Zero diagnostic overshadowing. Zero judgment bias.

The Micro Problem — Static Document Failure

You handed a clinically inadequate 47-page PDF
to a brand-new aide.

School FBAs score 40–50% on technical adequacy — vague behavior definitions, no clear hypotheses connecting behavior to function. Then we give that document to a paraprofessional in an industry with 30%+ annual turnover and expect it to guide them through a live crisis. It cannot.

"A paraprofessional facing an active behavioral crisis cannot query a PDF. Situational guidance requires real-time synthesis that static documents categorically cannot provide."

— KKI Caregiver AI Empowerment Trial, Clinical Rationale (Active RCT, 40 Families)
01

Clinically Inadequate Documents

School FBAs and BIPs score only 40–50% on technical adequacy. Vague behavior definitions. No clear hypotheses. Legally required, clinically weak — and we treat them as the truth.

02

30%+ Annual Staff Turnover

Every new aide resets behavioral progress to zero. No structured knowledge transfer exists. The new hire guesses on Day 1 — and the child absorbs the cost.

03

A Clinical Vocabulary No One Understands

Counter-control paradigms, demand-avoidance profiles, differential reinforcement — dense clinical language incomprehensible to non-clinical school staff at exactly the moments it matters most.

04

1 in 3 Americans in a Provider Shortage Area

Specialists in therapy, psychiatry, and counseling are projected to remain scarce through 2037. The workforce cannot scale. The documents they produce are inadequate. A new model is required.

The Solution — The Science Is Settled. The Problem Is Scale.

70 years of proven science.
Not enough humans to deliver it.

The behavioral science works. We have 20+ peer-reviewed publications and 1,000+ families of real-world data proving it. The problem has never been what to do — it's that there will never be enough trained specialists to get this science to the people on the ground. NeuroPath Health is the infrastructure to scale it infinitely.

70yr

Proven Applied Behavioral Science

Seven decades of evidence-based behavioral analysis — the most rigorous, replicable framework in behavioral health. We didn't invent it. We built the infrastructure to scale it infinitely.

20+

Peer-Reviewed Publications

Every protocol in NeuroPath's framework is backed by published, peer-reviewed research. Not clinical opinions — documented, replicable science that holds up in an IEP meeting or a courtroom.

1K+

Families of Real-World Data

Over 1,000 families of annotated behavioral outcome data — systematically collected with experimental rigor. Not a lab dataset. Real behaviors, real outcomes, real training signal.

RCT

Active 40-Family Randomized Trial

The KKI Caregiver AI Empowerment Trial is running now. Parallel-arm design measuring caregiver self-efficacy, school implementation fidelity, and daily IBRST data. Publishable in 6 months.

⚡ Why This Moat Is Insurmountable

A competitor can rent GPT-4 in six weeks. They cannot compress 70 years of behavioral science, 20+ peer-reviewed publications, and 1,000+ families of annotated real-world outcome data into a training dataset. This moat compounds permanently with every new deployment.

5 Core Outputs NeuroPath Health Generates

  • Real-time crisis query — plain English in, cited protocol out
  • Staff onboarding podcast — new aide knows the child before Day 1
  • IEP advocacy deck — research-backed, auto-generated in minutes
  • IBRST incident tracking — longitudinal behavioral evidence base
  • Treatment prediction — Phase 2 LLM recommendation engine
Go-To-Market

Three markets. Same problem.
One platform.

Undertrained staff, high turnover, no real-time behavioral support — this pattern repeats everywhere. NeuroPath sells to whoever controls the budget and lives the problem daily.

Vertical 1
🏫

Special Education
Districts

FBAs score 40–50% on technical adequacy. 30%+ annual staff turnover. The Director of Special Ed writes $50K out-of-district checks when interventions fail.

The Sales Hack

Price under $14,500 → Director signs without board vote → deploy in days. No RFP. No 6-month wait.

BuyerDirector of Special Ed
BudgetIDEA + PD Funds
ComplianceFERPA · No PHI
Pilot status✓ Warm intro secured
Vertical 2
🩺

SLPs, OTs &
Allied Health

Allied health professionals handle complex diagnoses but receive zero behavioral training. When behavior blocks progress, they're forced to reduce or terminate programming entirely.

The Value Prop

NeuroPath acts as a real-time behavioral co-pilot — keeping therapy sessions on track the moment behavior becomes a barrier.

BuyerPractice owner / clinic director
BudgetPractice operating budget
ProcurementDirect · No bureaucracy
U.S. market200,000+ practitioners
Vertical 3
🏠

IDD Self-Directed
Care Agencies

Medicaid-funded agencies supporting adults with IDD. Direct-care staff have zero behavioral training. A state specialist visits once a month. Same 30%+ turnover as schools.

Why They Can Buy Directly

Under self-directed care, agencies hold "Employer Authority" — they control their Medicaid waiver budgets and procure independently, no state approval needed.

BuyerAgency director / CCS
BudgetMedicaid waiver funds
ProcurementDirect · Employer Authority
Market size$50B+ Medicaid IDD waivers
The School District Sales Hack

$14,500. Director signs today.
No board vote needed.

Every Director of Special Education has a discretionary spending threshold — typically $10K–$25K — below which they can sign a contract without a school board vote. We price our pilot just under it. Deploy in days, not months.

1
Director says yes
Warm intro via clinical co-founder
2
IT & FERPA review
Vertex AI VPC passes every district audit
3
Sole Source Justification
20+ publications + 1,000+ families = unique. No RFP.
$14,500 signed — no board vote
Year 2: district-wide at $80K–$150K with 12mo of IBRST data
The Pilot — Already In Motion

$14,500. No board vote.
We deploy next week.

Our clinical co-founder has an existing relationship with the Director of Special Education at a rural Maryland school district. Priced under the Director's discretionary spending threshold — they sign, we deploy, no board approval needed.

Phase 1 Pilot Structure

SettingRural Maryland school district, K–12
BuyerDirector of Special Education (warm intro)
Pilot Price$14,500 — under discretionary threshold
Funded ViaIDEA funds + Professional Development budget
UsersSpecial ed staff, paraprofessionals, 1:1 aides
Data InputIEPs, behavioral plans, incident logs — FERPA, no PHI
Primary MetricStaff protocol fidelity + behavioral confidence
SecondaryDaily IBRST incident frequency & severity
Year-EndEd. psychology publication + district-wide renewal ($80K–$150K)

The Approval Path — Navigated in Weeks

  • Step 1 — Director says yes (warm intro, pre-sold on the problem)
  • Step 2 — IT & FERPA review (Vertex AI VPC passes every district audit)
  • Step 3 — Student Data Privacy Agreement (pre-negotiated template, done in days)
  • Step 4 — Sole Source Justification (3-year database = unique; no RFP needed)
  • Step 5 — Director signs at $14,500 (no board vote at this price point)
  • Year 2 — Board vote for district-wide contract backed by 12 months of IBRST outcome data
  • District-wide renewal at $80K–$150K — the moment the pilot was always building toward
Who NeuroPath Health Serves

One platform. Five audiences.
One mission: scale the science.

🏫

School Districts

The new aide starts Monday. NeuroPath makes sure she's ready before the first crisis — not after. Real-time guidance, zero clinical ego, zero drift from the evidence-based protocol.

  • Real-time crisis guidance cited from the child's own records
  • Staff onboarding podcast auto-generated before Day 1
  • IEP advocacy decks built from clinical data automatically
  • Knowledge continuity across 30%+ annual staff turnover
  • Funded via IDEA funds and PD budgets — no new budget line
🩺

SLPs, OTs & Allied Health

Allied health professionals support individuals with complex diagnoses but receive zero behavioral training. When challenging behaviors emerge, sessions break down — and providers are forced to reduce or terminate programming entirely.

  • Real-time behavioral co-pilot during therapy sessions
  • Guidance when behavior blocks progress — not after the session ends
  • Instant access to counter-control and demand-avoidance protocols
  • Client-specific guidance, not generic advice
  • Keeps therapy on track without requiring a behavioral specialist on-site
🏠

IDD Staffing Agencies

Agencies supporting adults with IDD via Medicaid waivers face the same crisis as schools: untrained direct-care staff, 30%+ turnover, and a behavioral specialist who visits once a month. Under self-directed care, they control their own budgets.

  • Direct-care staff get real-time behavioral guidance — no specialist required
  • Onboarding podcast for every new hire before their first shift
  • Funded through Medicaid waiver budgets — agencies buy directly
  • "Employer Authority" means no procurement bureaucracy
  • Consistent evidence-based protocols despite constant staff turnover
🏠

Caregivers & Families

Stop advocating from emotion alone. Upload your child's full EHR from MyChart. Enter every IEP meeting as a data-equipped clinical partner — not an overwhelmed parent with a stack of binders.

  • Upload full EHR directly from MyChart or hospital portal
  • One unified record across all providers and specialists
  • Real-time behavioral guidance for home de-escalation
  • IEP advocacy documentation generated in minutes
  • Complete continuity every time a teacher or aide changes
💊

Payors & Health Plans

Children with unaddressed behavioral needs cost you 200–500% more in crisis events. NeuroPath's school and agency outcome data is the ROI evidence base for value-based PMPM contracts.

  • Active RCT generating publishable outcome data now
  • Avoided out-of-district placements ($42K per student)
  • Reduced crisis hospitalizations ($28K per event avoided)
  • Reduced ER and behavioral crisis visits
  • PMPM pricing tied directly to measurable outcomes

Coming Next

The same infrastructure works wherever undertrained staff encounter complex behavioral needs without adequate support.

  • Pediatric emergency departments (triage vs. crisis intervention)
  • Foster care and residential treatment facilities
  • Juvenile justice and diversion programs
  • Primary care pediatricians managing behavioral referrals
  • Any setting where the specialist-to-client ratio is inadequate
Case Study · A Parent’s Story

45 PDFs. 7 Providers. One Exhausted Parent.
And the Tool That Should Have Existed Years Ago.

De-identified case study. Child: “Leo.” Parent: “Sarah.” All clinical details are real.

Real Family · De-Identified N=1 · But It Represents Thousands

“I didn’t need more reports. I needed one tool that could answer a panicked aide’s question at 10:07 on a Tuesday morning — in plain English, in real time, cited directly from Leo’s own records.”

— Sarah, Leo’s mother. Parent advocate. Accidental behavioral data analyst.
Part I — Who Leo Is

A mind that outpaces its own scaffolding.

Leo is twice-exceptional — 2e. His intellectual gifts are unmistakable. He reads years above grade level. He makes connections that stop adults mid-sentence. By every measure, he is extraordinary.

He also has profound executive functioning deficits. The neural machinery most of us use automatically — to shift attention, tolerate demands, regulate frustration, transition between tasks — does not work for Leo the way it works for neurotypical children. When Leo is mid-task and told to stop, he doesn’t experience this as a simple request. He experiences cognitive stuckness — a neurological inability to disengage.

From the outside, this looks like severe noncompliance. A power struggle. A defiant child who refuses to listen. To a new aide with no context, Leo on a bad morning looks like a behavioral emergency. What he actually needs is something very specific: a counter-control protocol — a research-validated approach that offers autonomy within structure, eliminates direct demands, and uses precise language and a Red/Green card system to give Leo a pathway out of cognitive freeze without triggering escalation.

The Counter-Control Protocol — in plain English:

  • No direct commands. “You need to stop” → “Your way or my way?”
  • Green card = “your way” (5-minute delay). Red card = transition now + preferred activity waiting.
  • Voice flat. Body sideways. No eye contact during peak escalation. Max 5 words per instruction.
  • Wait 30 seconds before re-engaging. Silence is protocol, not permissiveness.
Part II — The Team That Couldn’t Talk to Itself

Seven specialists. Zero shared operating system.

Leo’s care team is extraordinary: speech therapists, occupational therapists, 1:1 classroom aides, general education teachers, special education coordinators, school principals, and an external clinical psychology team at one of the most respected pediatric behavioral institutes in the country. Each is deeply skilled. Each cares genuinely about Leo.

And every single one of them had to be taught about Leo from scratch.

This is the part that doesn’t make it into research papers. The part that happens at 11pm the night before a new aide starts. The part that happens in the 10-minute window before a parent has to leave for work, desperately trying to explain years of clinical history to a well-meaning paraprofessional who has never heard the phrase “counter-control” in their life.

Sarah describes her role on Leo’s team:

“I became the human API. I was the only connection point between all the systems that were supposed to be working together. Every time there was a new provider, a new school year, a new aide — I had to re-initialize the whole thing. Re-explain Leo. Re-upload his history. Beg people to read the reports. Watch it fail. Reset.”

The behavioral plan that Leo’s clinical team had spent years developing — validated, evidence-based, effective — lived in a 47-page PDF that nobody read, that nobody could query, and that provided exactly zero guidance to anyone during an active crisis.

Part III — The Breaking Point

She built the tool herself. Out of desperation.

At a critical juncture in Leo’s school placement, Sarah needed to prove that the behavioral framework was working — that the data supported it and the district needed to commit to it. This meant doing something no parent should ever have to do:

What Sarah had to do manually — over weeks of nights and weekends:

01Manually reviewed 45+ historical clinical reports spanning years of Leo’s care
02Synthesized behavioral data to track how the counter-control framework shifted Leo’s profile over time
03Built a custom “Blueprint” PDF presentation — visuals, data, narrative — entirely from scratch
04Designed visual support tools: availability cards, First-Then schedules, transition protocols
05Recorded custom audio overviews so busy teachers and aides could understand the science of counter-control during their commute
06Wrote plain-English explanations of how Leo’s pharmacological support (Guanfacine) worked in concert with the behavioral plan — a connection his prescribers had never documented across systems

Sarah is not a behavioral scientist. She is a parent who loves her child — and who became, by sheer necessity, one of the most informed experts on his behavioral profile in any room she entered.

The Blueprint she built worked. The school committed to the framework. Leo’s outcomes improved meaningfully when the adults around him consistently implemented the counter-control protocol.

“I built NeuroPath Health manually. With my hands. For one child. It took months. Every parent of a complex kid is trying to do this. Most of them never succeed — not because they don’t try hard enough, but because the system has never built a tool that makes it possible.”

— Sarah
Part IV — The Tool That Should Have Existed

What if NeuroPath Health had existed five years ago?

This is not hypothetical. It is a description of a tool that now exists — and what it would have meant for Leo, for Sarah, and for every aide who ever guessed wrong on his worst days.

Without NeuroPath Health
  • New aide arrives Monday. Sarah spends Sunday night re-explaining Leo’s entire clinical history.
  • The 47-page behavioral plan exists. Nobody has read it.
  • A meltdown starts at 10:07am. The aide guesses. It escalates.
  • The aide quits after 6 weeks. Sarah starts over from zero.
  • The clinical team’s recommendations never reach the classroom intact.
  • Sarah manually synthesizes 45 reports across weeks of lost sleep to prove the framework works.
With NeuroPath Health
  • Before Day 1, the new aide listens to Leo’s auto-generated onboarding podcast during her commute.
  • At 10:07am, she types her question. NeuroPath responds in seconds with the counter-control protocol, cited from his own BIP.
  • The aide doesn’t guess. She knows exactly what to do.
  • Knowledge continuity survives every turnover, every new school year, every substitute.
  • The data from every incident feeds Leo’s longitudinal behavioral record automatically.
  • Sarah walks into the IEP meeting with an auto-generated advocacy deck that synthesizes 5 years of outcomes in minutes — not months.
NeuroPath Health — Leo · Grade 3 · Counter-Control Protocol Active
New Aide — Day 1 — 10:07 AM
Aide (Day 1, no prior training): “Leo is refusing to leave the reading corner and raising his voice. He won’t respond to me. What do I do right now?”

Counter-control — active: Do not issue a direct command. Present the Green/Red card. Say (max 5 words, flat voice, body sideways): “Your way or my way?” Green = 5-min delay before transition. Red = transition now + Minecraft when we arrive. Wait 30 seconds. Do not fill the silence.

Source: Leo’s BIP §4.2 · Counter-Control Protocol · Incident Log: 8 transition refusals, 7 resolved with this protocol · OT Sensory Profile
BIP v4 Counter-Control Protocol Onboarding Podcast Pharmacology Notes
The Takeaway

This is not a hypothetical. This is a description of what we built.

Leo’s story is not an edge case. He is the child sitting in your district’s most underprepared classroom right now, being managed by a well-meaning aide who has never heard the word “counter-control” and has no way to find out what it means before the crisis peaks.

Sarah’s experience is not an outlier. She is every parent of a complex child — overqualified by desperation, underserved by a system that generates extraordinary clinical data and then traps it in a format that helps no one.

NeuroPath Health is the answer Sarah had to build herself, scaled infinitely — and delivered at the moment, to the person, who needs it most.

Is Leo in your school?

Every school has one.
Very few have a plan that works on Day 1.

Request a Pilot →
Staff Portal · Powered by the SFBI

No IEP to upload? Start here.

Answer 20 clinically-validated questions about a student. NeuroPath turns your answers into a structured behavioral profile — the foundation for real-time guidance, onboarding podcasts, and IEP advocacy materials.

Create a Student Behavioral Profile

Our intake questionnaire is built on the Structured Functional Behavior Interview (SFBI), a clinical tool validated by Dr. Edelstein and colleagues and published in Cognitive and Behavioral Practice (2022). No clinical background required — the system guides you step by step.

Behavior checklist — 24 categories with sub-types
Identify problem routines and triggers
Define the target behavior precisely
Map setting events and warning signs
Identify what consequences maintain behavior
Generate a functional hypothesis
Assign a unique Student ID automatically
Data feeds directly into NeuroPath's AI

Authorized staff only · FERPA protected · Access code required

Staff Access Portal

Student Behavioral Intake

Enter your access code to open the SFBI-based intake questionnaire.

Incorrect access code. Please try again.
Student Behavioral Intake — Structured Functional Interview
Confidential · FERPA Protected · Authorized Staff Only
Enrollment Information
Basic record details. A unique Student ID is auto-generated on submission.
ADHD
Autism Spectrum Disorder
Intellectual Disability
Speech / Language Delay
Anxiety Disorder
ODD / Conduct Disorder
Trauma History
Active IEP
Active BIP
504 Plan
No known diagnosis
1
Behavior Checklist
Check every behavior that is currently a concern. Sub-types appear for each category you select. Simple yes/no — detail comes later.
SFBI Step 1: A closed-ended categorical checklist prevents caregivers from missing concerns that aren't chief complaints. Checking broad categories first, then refining with sub-types, mirrors the validated clinical interview protocol.
Externalizing Behaviors
Verbal Aggression
Physical Aggression
Tantrums / Meltdowns
Noncompliance
Classroom Disruption
Property Destruction
Elopement / Running
Self-Injurious Behavior
Verbal Aggression — specify:
Threats of harm
Name-calling
Profanity
Yelling / screaming
Physical Aggression — specify:
Hitting
Kicking
Biting
Scratching
Throwing objects
Tantrums — specify:
Crying
Screaming
Floor drop / refusal to move
Stomping / pacing
Noncompliance — specify:
Ignores instructions
Vocal refusal ("No," "I won't")
Task avoidance / stalling
Classroom Disruption — specify:
Calling out without permission
Out-of-seat behavior
Bothering peers
Making unusual sounds
Property Destruction — specify:
Breaks own belongings
Breaks school property
Breaks others' belongings
Elopement — specify:
Leaves classroom
Leaves school building
Hides within school
Self-Injurious Behavior — specify:
Head banging
Self-biting
Scratching self
Hair pulling

Internalizing & Other
Anxiety / Worry
Separation difficulty
Social withdrawal
Repetitive / stereotypic behavior
Rigid / inflexible behavior
Attention / focus difficulties
Impulsivity
Peer relationship difficulties
2
Problematic Routines
When and where does the behavior most commonly occur? Identifying patterns is the first step toward prevention.
SFBI Step 2: Working systematically through daily routines helps caregivers who experience behavior as "unpredictable" identify patterns they couldn't see before.
School Routines — check all that are problematic
Morning arrival / drop-off
Circle time / group instruction
Independent seat work
Small group instruction
Transitions between activities
Transitions between classrooms
Lunch / cafeteria
Recess / unstructured play
Specials (art, gym, music)
End-of-day / dismissal
When told "no" / denied a request
Test-taking / assessments

3
Defining the Target Behavior
The one behavior that most warranted seeking additional support. Describe it so precisely that a stranger could recognize it.
SFBI Step 3: An operational definition is essential for measurement. The target is the behavior that "led to picking up the phone" — typically the highest-priority problem that escalates most or causes the greatest functional impact.
1 — Mildly disruptive10 — Dangerous / crisis-level
4
Identifying Triggers
Events that reliably precede and seem to set off the target behavior. Understanding them is the foundation of prevention.
SFBI Step 4: Combines open-ended and closed-ended questioning to identify antecedent events — the environmental conditions that evoke problem behavior.

Closed-ended trigger checklist — check all that apply
Given a task or demand
Told "no" / denied access
Transition to less-preferred activity
Transition away from preferred activity
Following reprimand / correction
Unstructured / free time
Peer interaction / conflict
Adult attention directed elsewhere
Working alone
Difficult / non-preferred tasks
When asked to wait
Sensory triggers (noise, touch, light)
Change in routine / schedule
No clear trigger identified

5
Setting Events
Background conditions that make triggers more potent — they don't directly cause the behavior, but their presence explains why the same trigger causes a bigger reaction on some days.
SFBI Step 5: Setting events are distal antecedents — they "load the gun." A child who arrives sleep-deprived will respond more intensely to the same demand than a well-rested child.
Biological setting events
Lack of sleep
Hunger
Illness / not feeling well
Medication change / missed dose
Physical pain / discomfort

Environmental / social setting events
Conflict at home before school
Peer conflict earlier in day
Change in routine / unexpected event
Error correction / earlier failure
High-stimulation environment earlier
Parental conflict (reported)

6
Warning Signs & Precursor Behaviors
Small, early behaviors that appear before the full target behavior. Catching these is the most powerful lever for prevention.
SFBI Step 6: Behaviors exist in a response hierarchy. A child may whine → stomp → tantrum, all to achieve the same goal. Targeting mild precursors is safer and more practical for classroom staff than waiting for the full crisis.

Early warning signs — check all that typically precede the target behavior
Whining / complaining
Huffing / sighing loudly
Rolling eyes
Clenching fists
Stomping / pacing
Getting very quiet / shutting down
Talking back (mild)
Avoiding task / fidgeting
Increasing motor activity

7
Consequences — What Happens After?
Not "punishments" — whatever reliably follows the behavior in the environment. These are often what maintain the behavior over time.
SFBI Step 7: Identifying maintaining consequences is the most critical — and most difficult — step. Be honest. There are no wrong answers. This information is essential, not judgmental.
Things the student might GAIN from the behavior
Adult attention (even if corrective)
Peer attention / reaction
Access to preferred item
Access to preferred activity
Sensory stimulation
Things the student might AVOID or ESCAPE from
A difficult task or demand
A non-preferred activity
Social interaction with peers
Adult attention or presence
A transition

8
Functional Hypothesis — "The Million Dollar Question"
What does this behavior achieve for the student? Your best guess — even if imperfect — seeds an effective intervention.
SFBI Step 8: The "million dollar" synthesis questions — can you trigger it? can you turn it off? — confirm the functional hypothesis. Function-based interventions are significantly more effective than non-function-driven ones (Heyvaert et al., 2014).

Your best guess at the function of this behavior
Access to preferred item / activity (tangible)
Access to adult attention
Escape from demands / tasks
Escape from social interaction
Sensory / automatic reinforcement
Combination of functions
Unclear / I'm not sure

Profile Created

🔗 Backend integration (for your dev team):

To persist this data, uncomment the fetch() call in intakeSubmit() and point it to one of:

Option A — Google Sheets + Apps Script (free): See the Apps Script code in the source comments below. Deploy as a Web App and paste the URL into GOOGLE_SHEET_URL.

Option B — Airtable API: Create a base, grab your API key and base ID, uncomment the Airtable block.

All form data is logged to the browser console as JSON — ready to POST.
Step 1 of 9
Request a Pilot

Your staff starts Monday.
Are they ready?

NeuroPath Health is deploying pilots in special education, allied health, and IDD agencies. If you're a Director of Special Education, a clinic owner, an agency director, or an investor — we want to talk this week.

Schools: $14,500 pilot (IDEA/PD eligible) · Allied Health & IDD Agencies: contact us for pricing · [email protected]