ACT Functional Assessment Flipchart: Adult Edition (18+)

Description

Know when ACT fits, which process to target, and where to start, without picking metaphors at random.

The ACT Functional Assessment Flipchart (Adult Edition) is a step-by-step visual tool for BCBAs and behavioral health clinicians working with adults. Each client-facing page has a matching clinician page with a suggested script or question bank, so you can guide the conversation with confidence while it stays natural and client-led.

HOW IT WORKS
Set the flipchart up as a tent in a binder. The client sees simple, illustrated pages while you follow the clinician prompts on your side. You move from values, to uncomfortable thoughts and feelings, to Away Moves and Toward Moves. Then you explore what avoidance costs, form a hypothesis about which ACT repertoire to target, and finish with a plain-language consent conversation.

WHAT’S INCLUDED

• 36-page printable flipchart (11 × 8.5 in, landscape)
• Client pages with matching clinician pages
• The ACT Matrix, introduced one quadrant at a time
• 85 sample questions across Values, Thoughts & Feelings, Away Moves and Toward Moves
• 29 questions on workability and creative hopelessness (110+ questions in total)
• 6 illustrated metaphor scenes, plus a “What’s at the Root of It All?” page
• 8 suggested scripts written in everyday language
• Paired-choice assessment with behavioral signs and verbal tells for six ACT repertoires
• Consent-for-treatment script
• 2 printable worksheets: an ACT Matrix and a What’s Working? table
• How to ACT tips, guidance for selecting exercises and metaphors, and guidance for integrating ACT into ABA treatment plans
• Step-by-step binder setup instructions

WHO IT’S FOR
BCBAs, BCaBAs, therapists, counselors and other behavioral health clinicians who want a structured, observable way to bring ACT into their work with adult clients.

WHY CLINICIANS LIKE IT

• Turns ACT from abstract to practical, with clear next steps
• Keeps treatment targets observable and grounded in behavioral principles
• Shows clients what ACT is before you ask for consent
• Flexible: use every page or only the ones your client needs

FORMAT
Instant digital download (PDF). No physical item will be shipped. Print single-sided and place the pages in a ½-inch or 1-inch binder with page protectors.

PLEASE NOTE
This resource supports assessment and treatment planning. It is not a diagnostic tool or a complete ACT curriculum. Use it within your scope of practice and competence. For personal or single-clinician use only; please don’t share or resell.

Also available: School-Age Edition (ages 6–12) and Teens (13-18)

Created by Michelle Szydlowski, M.A., BCBA | Values Driven Behavior