ABA treatment plan template with a fictional example

An ABA treatment plan template gives a clinic a consistent place to record referral context, goals, targets, measurements, prompts and review decisions. This fictional autism treatment plan and blank table show one way a clinic might organize those fields.

Fictional example only. Adapt this to your clinic’s own policy and professional judgment. It is not clinical, legal or regulatory advice and does not claim to meet any payer, regulator or certification-body requirement.

What a treatment plan holds

A plan can hold the background considered by the clinician, an observable goal, a starting baseline, targets, how observations are measured, prompt levels, mastery criteria and a review point. The supervising clinician chooses the content for a real client; this layout sets no clinical standard.

ABA Treatment Plan Examples and Goal Examples

ABA treatment plan examples help a clinic see how a goal, target, prompt level and mastery criterion fit together. The fictional break-card goal below concerns communication; a clinic could use the same layout for a play or daily-living goal with measures chosen by its clinician. These examples of ABA treatment plan goals illustrate measurable wording, not recommended targets or expected outcomes. Client B and every number below are invented. The example shows a record format that must be adapted to the individual client and clinic policy.

Fictional goal and target record
Plan fieldFictional entry
GoalClient B requests a break using the agreed card during a table activity.
TargetPresent the break card when a break is requested.
BaselineIn an invented starting observation, 2 of 10 opportunities were independent.
MeasurementCount independent responses out of recorded opportunities for this target.
Prompt hierarchyFictional clinic sequence: model, gesture, independent. Record the level used on each trial.
Mastery criterionIllustrative clinic choice: 8 of 10 independent opportunities across 3 consecutive sessions, subject to clinician confirmation.
ReviewClinician reviews the observations and decides whether to continue or amend the plan.

The criterion and baseline are fictional arithmetic, not a clinical recommendation.

ABA Prompt Hierarchy and Prompt Fading

An ABA prompt hierarchy names the levels of help a team records and their order. In the fictional break-card example, the clinic lists model, gesture and independent responses, then records the level used on each opportunity. Prompt fading describes how support may be reduced as the clinician reviews the learner’s responses. Least-to-most and most-to-least are different approaches; the supervising clinician chooses an approach and scoring rule for a real target. The software stores the defined levels and observations but does not choose a clinical approach.

Mastery Criteria in ABA: Fictional Examples

Mastery criteria in ABA specify a measurement, threshold and review span before a clinician decides whether a target has been mastered. The fictional table uses 8 of 10 independent opportunities across 3 sessions as a placeholder, not a standard or treatment recommendation. A criterion should state how prompts and missing observations are handled so later reviewers understand the count. The team can inspect the source trials and plan version before a clinician confirms mastery; TherapyCRM does not graduate a target automatically.

Blank ABA treatment plan template to copy

Use the blank fields as a starting layout and adapt them to the clinic’s own review and approval process.

Blank plan and goal template
FieldFill in for your clinic
Client and plan context[Client reference, plan version and review point]
Goal and target[Observable goal and active target]
Baseline[Starting observation and how it was collected]
Measurement[What to count or observe, and scoring rule]
Prompt hierarchy[Clinic-defined levels and codes]
Mastery criterion[Clinician-chosen threshold and review span]
Review decision[Clinician decision, date and next version if amended]

Versioning and clinician review

A clinic can keep a record of the plan version used for a session, then review observations before amending goals or targets. Version history helps a later reader see which instructions were active at the time. It does not decide whether a target has been mastered.

TherapyCRM keeps versioned plans and Session Runner trial data together, while SOAP-style notes pass through clinician review. The ABA data collection and therapy progress tracking pages describe the product workflow. TherapyCRM serves English-language practices in Canada outside Quebec. It is practice management software with a clinical record, not a physician EMR, and has no EMR certification. It has no telehealth or video visits and does not submit insurance or government claims, including Ontario Autism Program claims.

Frequently asked questions

What should an ABA treatment plan include?

A clinic may record goals, targets, baseline observations, measurement rules, prompt levels, mastery criteria and a review point. The supervising clinician decides the content for a real client.

What is an ABA treatment plan example?

The fictional table shows a break-card goal with a target, baseline, measurement rule, prompt hierarchy and review decision. Its numbers are placeholders, not expected results.

What is a prompt hierarchy in ABA?

It is a clinic-defined ordering of prompt levels. The team records the level used for each observation so later review has context.

How are ABA mastery criteria chosen?

A supervising clinician chooses the measurement, threshold and review span for a real target. The fictional criterion in this guide is only an example of how to write those fields.

Can I copy the blank treatment plan template?

Yes. The HTML table can be copied and adapted to the clinic’s policy and professional judgment. It is not a submission form.

Does TherapyCRM keep treatment plan versions?

Yes. TherapyCRM keeps versioned plans with session observations. Clinicians review changes and confirm mastery; targets are not graduated automatically.