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This means many people lost their jobs. It also means many clients \u003Ca href=\"https:\/\/www.forbes.com\/sites\/katiejennings\/2022\/07\/21\/an-autism-therapy-company-abruptly-cuts-off-care-to-children-as-it-lays-off-staff\/?sh=7f2f203347a6\" target=\"_blank\"\u003Eabruptly lost access to needed services\u003C\/a\u003E.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ESince this happened, I've talked to parents from all over wanting to know how to recognize a private equity backed company or how to spot warning signs or clues of a low-quality provider.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EIt won't always be possible to see shutdowns\/company closures coming, and just because things start off going well doesn't mean they will continue that way. Just ask all the families who started off 2020 happily receiving ABA services, and then COVID hit, and then.....yeah.\u003C\/p\u003E\u003Cp\u003EWhile there is always some level of trust required, and some element of risk when initiating services with \u003Cu\u003Eany\u003C\/u\u003E provider, I also care very much about helping caregivers develop the skills to weed out low-quality providers and avoid the worst of the bunch.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe biggest tip I can give is the title of this post: \u003Cb\u003E\u003Ci\u003Einterview providers.\u003C\/i\u003E\u003C\/b\u003E\u003C\/p\u003E\u003Cp\u003EPlease don't just Google providers in your area, and sign up for services with the company that answers the phone the quickest. This is far, far too important not to do your due diligence. Treat this with the same level of seriousness as researching a new car to buy, or choosing your child's pediatrician, or deciding which private school is best. Choices are great, but choices also come with a responsibility to carefully evaluate each choice. Despite what many people think, nope, low-quality ABA treatment is \u003Cu\u003ENOT\u003C\/u\u003E better than no treatment at all.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ETONS of resources below--- use them, share them, download and print them. Listen to your \"parent gut\", ask questions, and watch for discrepancies between what you are being told and what you actually receive. No provider should start off the client\/company relationship lying to you, hiding information, dodging your calls, etc. Yet, I hear stories like that from families all the time (e.g. \"\u003Ci\u003EIts been bad like this since the very beginning...\u003C\/i\u003E\"). Be a picky parent, and advocate for what you know your child needs.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EMany of the anti-ABA voices out there are products of low-quality, unethical, and terrible ABA services. The potential for harm and mistreatment is high in situations where clients are working with poorly trained, poorly supervised, poorly equipped, or horribly overworked RBTs, BCaBA's, or BCBAs. If it doesn't feel right, it probably isn't right. Conversely, if it seems too good to be true it likely is.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E**Caregiver resources**\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EHiring Solo Providers: \u003Ca href=\"https:\/\/researchautism.org\/what-to-look-for-when-choosing-an-aba-therapist\/\" target=\"_blank\"\u003EHiring Direct Staff\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2020\/12\/hiring-bcba.html\" target=\"_blank\"\u003EHiring a BCBA\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/05\/diy-aba.html\" target=\"_blank\"\u003EParent-Led services\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EChoosing a Company: \u003Ca href=\"https:\/\/www.iloveaba.com\/2021\/07\/choosing-aba-provider-pt-ii.html\" target=\"_blank\"\u003ECenter or Clinic\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.autismparentingmagazine.com\/choosing-aba-provider\/\" target=\"_blank\"\u003EChoosing an ABA Provider\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.stepstoprogress.com\/blog\/aba-therapy\/5-questions-to-ask-when-choosing-an-aba-provider\/\" target=\"_blank\"\u003EQuestions to Ask a Potential Provider\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iidc.indiana.edu\/irca\/articles\/tips-for-choosing-a-provider-for-applied-behavior-analysis-aba.html\" target=\"_blank\"\u003ETips for Choosing a Provider\u003C\/a\u003E, \u003Ca href=\"chrome-extension:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/http:\/\/www.autism-help.org\/autism-downloads\/aba%20Provider-Guidelines.pdf\" target=\"_blank\"\u003ESample Interview Questions\u0026nbsp;\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\" target=\"_blank\"\u003EMore Tips for Choosing\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EEvaluating the Quality of Treatment: \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/02\/is-this-aba.html\" target=\"_blank\"\u003EIs it ABA\u003C\/a\u003E?, \u003Ca href=\"https:\/\/childmind.org\/article\/know-getting-good-aba\/\" target=\"_blank\"\u003EIs it Good ABA\u003C\/a\u003E?, \u003Ca href=\"https:\/\/www.autismparentingmagazine.com\/high-quality-aba-treatment\/\" target=\"_blank\"\u003EHigh Quality Treatment\u003C\/a\u003E, \u003Ca href=\"https:\/\/manhattanpsychologygroup.com\/how-do-i-recognize-high-quality-aba\/\" target=\"_blank\"\u003EHow to Recognize High Quality ABA\u003C\/a\u003E, \u003Ca href=\"https:\/\/marybarbera.com\/tameika-meadows-finding-good-aba-therapy\/\" target=\"_blank\"\u003EWhat is Good ABA\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.behaviorbabe.com\/quality-indicators\" target=\"_blank\"\u003E30 Indicators of Quality ABA\u003C\/a\u003E, \u003Ca href=\"https:\/\/journals.lww.com\/jaanp\/Fulltext\/2020\/08000\/Helping_parents_choose_treatments_for_young.7.aspx\" target=\"_blank\"\u003EHelping Parents Choose Treatment\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EWhat is Private Equity: \u003Ca href=\"https:\/\/mclaughlinadvisors.com\/news\/f\/private-equity-and-applied-behavior-analysis-autism-and-beyond-1\" target=\"_blank\"\u003EPE and ABA\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.wfae.org\/health\/2022-03-17\/the-new-trend-in-autism-care-private-equity-investment\" target=\"_blank\"\u003EPE and Autism Care\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.thenation.com\/article\/society\/private-equity-autism-aba\/\" target=\"_blank\"\u003EThe Impact of PE\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.linkedin.com\/pulse\/which-pe-firms-have-invested-aba-provider-list-karen-chung\/\" target=\"_blank\"\u003EList of PE backed providers\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EEthical Responsibilities of RBTs, BCBAs, and BCaBAs (P\u003Ci\u003Eractitioners have ethical guidelines, not companies\/organizations. Consumers can file complaints\u0026nbsp;about unethical organizations\u0026nbsp;to their insurance provider, Better Business Bureau, applicable accreditation\u0026nbsp;board, or are encouraged\u0026nbsp;to consider legal action\u003C\/i\u003E): \u003Ca href=\"https:\/\/www.bacb.com\/ethics-information\/ethics-codes\/\" target=\"_blank\"\u003EBACB Ethics\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.abaethicshotline.com\/faqs\/\" target=\"_blank\"\u003EABA Ethics Hotline\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.apbahome.net\/general\/recommended_links.asp\" target=\"_blank\"\u003EReporting Licensed Practitioners\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003ESigns of a Low-Quality\/Unethical Provider: \u003Ca href=\"https:\/\/howtoaba.com\/good-aba-vs-bad-aba\/\" target=\"_blank\"\u003EGood v. Bad ABA\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2011\/08\/how-to-have-very-short-career-in-aba.html\" target=\"_blank\"\u003ESigns of Low Quality Staff,\u003C\/a\u003E\u0026nbsp;\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8359641\/\" target=\"_blank\"\u003EExploring Quality in ABA\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EFood for Thought about the current state of the industry: \u003Ca href=\"https:\/\/www.spectrumnews.org\/features\/deep-dive\/low-standards-corrode-quality-popular-autism-therapy\/\" target=\"_blank\"\u003ELow standards in the ABA Industry\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EFree Handouts: \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/1Ql3NBK32zn1MUSfvzUkh9XsWxyICKDt7\/view?usp=sharing\" target=\"_blank\"\u003ETips for Screening ABA Providers\u0026nbsp;\u003C\/a\u003E, \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/0B9BLpV8fyJh8cXplbC1fYm94WXM\/view?usp=sharing\u0026amp;resourcekey=0-LD39zWhD-5EYgpHgqEeQ6w\" target=\"_blank\"\u003EWhat to Expect When Initiating ABA Services\u003C\/a\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/466985567388457122\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/07\/parentscaregivers-interviewing-aba.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/466985567388457122"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/466985567388457122"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/07\/parentscaregivers-interviewing-aba.html","title":"Parents\/Caregivers: Interviewing ABA Providers "}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEh99isLGaXZmT5XlW4m1pPt9C8qF5g9Iu97oN5sgqThIsHHtW8ZRtGvW6v80KEGa2w9yXc7l_OSmSDKZ4xV22QsF3jijQKhMDOnlB4ZDaFaU0kOsIK-8eD63lXg52A4fQ3EFHr99Yc-mHNCUKLQhWbeCuvQ7j2vuqlqQZY7H5TcrnYzdVvjo8uxYqjyIA\/s72-w257-h353-c\/florian-schmetz-LPckxbrqE5w-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-8376268509701097542"},"published":{"$t":"2022-05-20T13:05:00.001-04:00"},"updated":{"$t":"2022-05-20T13:05:19.337-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"behavior"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Community\/Public"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Sensory Needs"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Social Skills"}],"title":{"type":"text","$t":"Party Time"},"content":{"type":"html","$t":"\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhXL79MkzbZjyy__r9Q_VULnr67xUPSe-cGhadF_FMwVei00mhgv-MAS94JU-zVwRebjFyH7oXNc1RWexwhHaisydAf3P5puzhPVS9Hm8AI29xamWWNLIRFNe3hnzJLwGbvKIpBYctLPHjFAwNNx1Rncg5qcUTX6fPXZF54Ps1f0P4sv5ZZcqKZR_redA\/s7731\/19010111.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"5157\" data-original-width=\"7731\" height=\"277\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhXL79MkzbZjyy__r9Q_VULnr67xUPSe-cGhadF_FMwVei00mhgv-MAS94JU-zVwRebjFyH7oXNc1RWexwhHaisydAf3P5puzhPVS9Hm8AI29xamWWNLIRFNe3hnzJLwGbvKIpBYctLPHjFAwNNx1Rncg5qcUTX6fPXZF54Ps1f0P4sv5ZZcqKZR_redA\/w416-h277\/19010111.jpg\" width=\"416\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u0026nbsp;Birthday parties. Let's talk about it.\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EParties, gatherings, events, picnics, etc., where there will be lots of people, noise\/music, activity, chatter\/laughing, and hidden, unspoken rules for \"appropriate\" behavior.\u003C\/p\u003E\u003Cp\u003EThe event may even be outdoors, which brings a whole host of safety concerns.\u003C\/p\u003E\u003Cp\u003EOr, the event could be near a body of water (pool party), which definitely adds even more safety concerns.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor parents with Autistic children, or another disability, do you just not go??? Is that the way to do this? How do you get a child through elementary school without ever attending a birthday party?? These days, kids have to invite the whole class. So in an average school year, your child may receive several birthday invitations, to loud, active, parties full of running, screaming kids, hopped up on sugar and soda.\u003C\/p\u003E\u003Cp\u003EBefore we jump into what to do, let's back up a bit and describe the challenges: \u003Ci\u003EWhy are birthday parties sometimes so not fun, and so very \u003Cb\u003Ehard\u003C\/b\u003E?\u0026nbsp;\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003EBirthday parties\/large gatherings are (often) loud, full of junk food\/ice cream\/candy\/cake, full of people, tantalizing presents, music or entertainment, and the expectation to socialize (\"You kids go play\"). All of this can combine for quite the sensory nightmare.\u003C\/p\u003E\u003Cp\u003EYour Autistic child may find the event overstimulating, scary, uncomfortable, or painful (overstimulation that one cannot leave can be painful). Your child also may be unable to tell you any of that, which leaves demonstrating the discomfort through their behavior.\u003C\/p\u003E\u003Cp\u003EI have seen this up close many times, both \"on the clock\" and off the clock. I've been at kids birthday parties and seen that girl or boy seriously struggling and having an awful time, or attended birthday events with clients to provide support during the party.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EI think its critical to reset expectations and have a clear understanding of just how scary parties can be for Autistic children or adolescents (I'm not mentioning adults because,\u0026nbsp;\u003Ci\u003E\u003Cu\u003Etypically\u003C\/u\u003E\u003C\/i\u003E, adults with disabilities are not forced to attend events they seem not to enjoy, the way small children are).\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe questions below should be carefully considered based on your child's age, temperament, sensory profile, and support needs, with strategies in place in case the party experience goes badly. Have a plan, then have a backup plan, and \u003Cb\u003Edon't go it alone\u003C\/b\u003E. Bring at least 1 other adult with you, or if you are hosting the event, assign helpers among family ands friends who know what to do and will quickly jump in if your child is having a hard time.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThings to Consider:\u003C\/p\u003E\u003Cp\u003E-\u0026nbsp;\u003Cb\u003EDo you have to attend\u003C\/b\u003E\/throw the party? No really, think about that. What would happen if you just...didn't go? Or what would happen if your child didn't have a 4th birthday party? I'm pretty sure the earth would still keep spinning. Sometimes, the level of support that would be needed as well as the needed accommodations aren't feasible. In that case, is it better to force your child through something they are unlikely to enjoy, or to just skip it? I'm not saying forever, and this could even be a case by case decision. Small party at a neighbor's home? Sure. Huge community pool party with 6 clowns, a DJ, and group party games? Maybe not.\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E- Don't try to stay the whole time, instead play it by ear. For some children, they aren't excited about the cake (feeding issues are common with Autism). They don't care about the social games or group activities. They don't yet have the ability to wait, so they won't understand why they can't start ripping into set aside food or activities (and may not understand why they can't open someone else's gifts). What will YOUR child do at the party that they find fun, entertaining, and is safe? Think about that, before you take them to a 2 hour birthday party.\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E- Understand that vigilant supervision may be needed. This does mean dropping your child off may not be a safe option (as the party host will be super busy), and if you stay with your child, you may need to keep them in eyesight at all times. It isn't unusual for my clients to 100% \"veer off from the group\" during parties, only to be found sometime later upstairs in a closet, or trying to access YouTube on the family laptop, or casually digging through someone's refrigerator. These can be very embarrassing moments, that could easily be prevented by keeping a close eye on your child, especially if the party or event will be held outdoors.\u003C\/p\u003E\u003Cp\u003E- Speaking of embarrassing, there is nothing embarrassing about accommodations or supports. If you are taking your child to a party or event where they can't wear their noise canceling headphones, or freely STIM (family members, sadly, can be very judgmental about stimmy kids at birthday parties)\u0026nbsp; without being treated poorly, that may not be the kind of event you want to attend. Again, parties are overstimulating for many Autistics. So it makes sense that they will do MORE of what helps them calm or regulate in response to being at the party. In other words, if most of the kids are quietly playing Candyland, but your child is in a separate room happily squealing and jumping, while chewing on a straw, \u003Ci\u003Ewill this be a problem for other people at the party\u003C\/i\u003E? If so, I don't think your child is the problem.\u003C\/p\u003E\u003Cp\u003E- Take preferred foods, toys, and leisure items with you. Please do not expect that your child who eats 3 foods at home, will magically attend a birthday party and chow down on Cheetos, cake, and pizza. If they won't eat it at home, they likely won't eat it at the party. Also, don't withhold stim items or comfort toys because the child is in public, and other people will see. Those favored items may help keep your child calm and comfortable, in a chaotic and loud setting. On that note, it can be helpful to bring items your child may grab, snatch, or steal, if they see it in public. For example, I worked with a boy once who loved to suck on pencils. If he was out somewhere and saw a pencil, he would try to grab it and put it in his mouth. So in that situation, I'd recommend bringing oral sensory items with you so the child doesn't need to hunt throughout someone else's home for something to satisfy that chewing desire. Think about things like this in advance, and plan accordingly.\u003C\/p\u003E\u003Cp\u003E- The biggest tip, and the one I see cause parents the most pain and distress, is this: \u003Cb\u003EPlease don't expect your child to be a different person socially\u003C\/b\u003E, just because you're at a birthday party. If your child is not very social at home, they likely won't be very social with 23 other kids present. In fact, they may exhibit new behaviors you usually don't see at home (such as pushing, swatting at, or running off to get away from the other kids). This can be very hard for parents to watch. So can bullying and stigma, such as if your child DOES want to join the play, and the other kids are being mean or cruel to your child. Remember that earlier tip about close supervision? It's very important to watch how your child interacts with the other children, so you can stop any bullying or rudeness in its tracks, and so you can monitor when your child's social battery is \"full\". Most of my clients fill up that social battery very fast.....maybe 15-25 minutes of social interaction, and they're \u003Cu\u003Edone\u003C\/u\u003E. And that is OKAY. Not all children want to \"Go play\" with their peers for hours and hours. Observe your child, redirect them to solo play or maybe a calming activity as needed, and when they seem to be all done with being around so many people, its time to head for the door so the event can end on a high note. Don't be ashamed or embarrassed to say \"S\/He's ready to go now. Thanks for inviting us, bye guys!\".\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EI hope the largest theme coming across in this post is that large events\/birthday parties aren't necessarily about you, as the parent. They aren't about the party host, the games, the clown, catching up with friends, hanging out, etc. They are about helping your child be successful, in what is likely a highly overstimulating scenario.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EIt is important to provide your child with the support and tools they need to engage with the event, to endure the event (again, consider if it would be best not to go if they seem to just be \"enduring\" parties), or to excel at the event. Whether the bar is set at engagement, endurance, or excelling, will depend on your child.\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003EAnd don't lose hope and feel defeated if right now, you are at an \u003Ci\u003Eendurance\u003C\/i\u003E level. That doesn't mean things will always be that way! As your child grows and matures, and most importantly as they develop more skills and abilities, they may begin to enjoy parties. Maybe even, to have \u003Cb\u003Efun\u003C\/b\u003E at parties.\u003C\/div\u003E\u003Cdiv\u003EGive it time, and be patient. Both with your child, and with yourself.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E*Recommended Resources \u0026amp; Resources:\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/mycanopy.org\/2020\/04\/over-stimulation-stress\/#:~:text=Children%20with%20autism%20can%20frequently,and%20get%20back%20on%20task.\" target=\"_blank\"\u003EAutism- Managing Overstimulation\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/autismspectrumnews.org\/four-faces-of-overstimulation\/\" target=\"_blank\"\u003EWhat is Overstimulation?\u0026nbsp;\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.spectrumnews.org\/news\/sensory-overload-in-autism-may-stem-from-hypervigilant-brain\/\" target=\"_blank\"\u003EAutism \u0026amp; Sensory Overload\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EGhanouni, P., \u0026amp; Quirke, S. (2022). \u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8788904\/\" target=\"_blank\"\u003EResilience and Coping Strategies in Adults with Autism Spectrum Disorder.\u003C\/a\u003E Journal of autism and developmental disorders, 1–12.\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/afirm.fpg.unc.edu\/prioritize-coping-and-calming-skills\" target=\"_blank\"\u003ECoping \u0026amp; Calming Skills\u0026nbsp;\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.spectrumnews.org\/news\/use-certain-social-strategies-linked-anxiety-autism\/\" target=\"_blank\"\u003EForced \"Fitting In' can cause harm\u0026nbsp;\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/raisingchildren.net.au\/autism\/school-play-work\/social-life\/parties-social-events-asd\" target=\"_blank\"\u003EParties \u0026amp; Social Events\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/theconversation.com\/how-coping-mechanisms-allow-autistic-people-to-manage-their-condition-85932\" target=\"_blank\"\u003EThe Mental Effort of Being Autistic\u0026nbsp;\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.autism.org.uk\/advice-and-guidance\/topics\/sensory-differences\/sensory-differences\/all-audiences\" target=\"_blank\"\u003ESensory Differences- A Guide\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/8376268509701097542\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/05\/party-time.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8376268509701097542"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8376268509701097542"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/05\/party-time.html","title":"Party Time"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhXL79MkzbZjyy__r9Q_VULnr67xUPSe-cGhadF_FMwVei00mhgv-MAS94JU-zVwRebjFyH7oXNc1RWexwhHaisydAf3P5puzhPVS9Hm8AI29xamWWNLIRFNe3hnzJLwGbvKIpBYctLPHjFAwNNx1Rncg5qcUTX6fPXZF54Ps1f0P4sv5ZZcqKZR_redA\/s72-w416-h277-c\/19010111.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1975984220568354575"},"published":{"$t":"2022-04-19T17:55:00.003-04:00"},"updated":{"$t":"2022-04-19T18:00:46.000-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"}],"title":{"type":"text","$t":"An Open Letter on ABA Reform"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEiEvl5cl04w5ryFyYzjmvL8aHugo3R9_teGrZpQYFYYZVksEOo9pUtoRzXCtVY_szYs3T_SvvqBKoVg-XOQLvttS7m85GwGWvOY0Uy_ILcPMIFikKTiTcZhsOgkxOzWJA-6E-0rJlopw87r56zC48kI4ZtHIv8DyAM6H8aQHd3KYqy3tQF2b5fEBDpUxg\/s3841\/brad-starkey-5qFGBb4yUyk-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"3361\" data-original-width=\"3841\" height=\"280\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEiEvl5cl04w5ryFyYzjmvL8aHugo3R9_teGrZpQYFYYZVksEOo9pUtoRzXCtVY_szYs3T_SvvqBKoVg-XOQLvttS7m85GwGWvOY0Uy_ILcPMIFikKTiTcZhsOgkxOzWJA-6E-0rJlopw87r56zC48kI4ZtHIv8DyAM6H8aQHd3KYqy3tQF2b5fEBDpUxg\/s320\/brad-starkey-5qFGBb4yUyk-unsplash.jpg\" width=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EI have been presenting\/speaking, writing, and training on\nthe topic of ABA Reform\/anti-ABA sentiments for some time now. I have spent\ntime engaging in intentional community and dialogue with people who disagree\nwith ABA, and even have traumatic experiences from therapy services (some which\nreally should never have been called “ABA”), as well as doing the work daily in\nmy sphere of influence to train up\/mentor\/coach supervisees on this topic. Lots\nof listening, closing my mouth, being open to changing my own mind, being open\nto critique and feedback, and letting people tell their own stories.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both;\"\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EI’m not alone in this. I know many ABA clinicians and\nproviders who are also moving away from defensiveness and being closed off to criticism\nor shutting down Autistic voices because they disagree with ABA. I know people\npersonally who have completely changed the way they practice, and I have\nmentors in this field that I look up to who have helped model for me the way\nforward, towards a more compassionate and respectful ABA. There is still lots\nof work to be done, and I know many providers committed to doing that work,\nevery day, across all their clients.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EHowever—\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EI get lots of comments, questions, and emails, from anti-ABA\npeople who want me to do more. They want me to close up shop, rip up my\ncertification, terminate all my client contracts, and find something else to\ndo. They want ABA to just go away. Reform isn’t enough, changed mindsets isn’t\nenough, and listening to the Autistic community isn’t enough.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ETo that, I want to openly and publicly say: I respect your\npoint of view, and I’m not here to tell people what to think. You have formed\nan opinion and are 100% convinced it is correct.\u0026nbsp; You believe ABA is conversion therapy, it is\nabuse, it is terrible, and that any ABA provider must therefore be terrible.\nYou aren’t interested in dialogue or collaboration, you want ABA providers to\nshut up, and go away.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EI hear you.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBut I’m committed to change. For myself, for those\nprofessionals within my sphere of influence, for the clients and the client\nfamilies I support and work with every day, and for the field in general, as\nfar as my own advocacy and activism will allow. I speak out regularly about\n\u003Ca href=\"https:\/\/www.iloveaba.com\/2021\/05\/good-better-or-great.html\" target=\"_blank\"\u003Ebetter ways to do ABA\u003C\/a\u003E, i\u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/12\/selecting-aba-employer.html\" target=\"_blank\"\u003Essues with this field\/industry\u003C\/a\u003E, and the need to \u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/06\/runnin-on-empty.html\" target=\"_blank\"\u003Ebetter support clinicians\u003C\/a\u003E, and \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/10\/aba-staff-training.html\" target=\"_blank\"\u003Ebetter train Technicians\u003C\/a\u003E. I feel strongly about ALL of\nthese issues.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ETo Autistics I say: keep speaking up and keep speaking out.\nYes, you will find that trying to dialogue with some ABA providers or company\nowners will be an exercise in futility. But, there are those of us out here who\nWILL listen. Who won’t shut you down, who are willing and interested in\nengaging in respectful communication and truly want to learn. We are here.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EYou may not want to speak to us, you may not want to\ndialogue with us, and you may not want us to continue supporting individuals\nand families, but again: We are here. We will remain here, and we will commit\nto growth, own up to our mistakes, and stop acting like we know it all. We don’t\nknow all. No one knows all. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ESo for those who ARE interested in learning, growing,\ncommunication, collaboration, and improving the quality and soul of ABA\nservices: \u003Cb\u003EWe are here\u003C\/b\u003E. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ELet’s work together.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u003Cbr \/\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E** Recommended Reading:\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/inappropriate-behavior.com\/what-is-aba\/\" target=\"_blank\"\u003EWhat is ABA\/Can it be Reformed?\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.youtube.com\/watch?v=VY4KVIi0h4Q\" target=\"_blank\"\u003EToward ABA Reform\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/practicalfunctionalassessment.com\/2021\/09\/09\/a-perspective-on-todays-aba-by-dr-greg-hanley\/\" target=\"_blank\"\u003EA Perspective on Todays ABA\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2020\/11\/aba-haters-pt-ii.html\"\u003Ehttps:\/\/www.iloveaba.com\/2020\/11\/aba-haters-pt-ii.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2021\/08\/trauma-informed-aba.html\"\u003Ehttps:\/\/www.iloveaba.com\/2021\/08\/trauma-informed-aba.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/03\/normalization.html\"\u003Ehttps:\/\/www.iloveaba.com\/2018\/03\/normalization.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/anchor.fm\/beautiful-humans\/episodes\/Ep-26-ABA-Reform-Movement-with-Jo-Ramirez-Messina-and-Jeff-Newmanpart-2-ei4foh\" target=\"_blank\"\u003EABA Reform Movement podcast episode\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/alldayaba.org\/blog\/f\/the-best-facebook-groups-about-applied-behavior-analysis-aba\" target=\"_blank\"\u003EList of ABA Facebook Groups\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34525220\/\" target=\"_blank\"\u003EToward Trauma Informed Applications of Behavior Analysis\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/behavioralobservations.com\/what-is-trauma-informed-aba-session-131-with-camille-kolu\/\" target=\"_blank\"\u003EWhat is Trauma Informed ABA podcast episode\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cspan style=\"background-color: white; color: #303030; font-size: 17px;\"\u003ETaylor, B. A., LeBlanc, L. A., \u0026amp; Nosik, M. R. (2018). Compassionate Care in Behavior Analytic Treatment: Can Outcomes be Enhanced by Attending to Relationships with Caregivers?.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; box-sizing: inherit; color: #303030; font-size: 17px;\"\u003EBehavior analysis in practice\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #303030; font-size: 17px;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; box-sizing: inherit; color: #303030; font-size: 17px;\"\u003E12\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #303030; font-size: 17px;\"\u003E(3)\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/asatonline.org\/research-treatment\/book-reviews\/review-of-compassionate-care-behavior-analytic-treatment\/\" target=\"_blank\"\u003ECompassionate Care in ABA\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003C\/div\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/1975984220568354575\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/04\/an-open-letter-on-aba-reform.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1975984220568354575"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1975984220568354575"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/04\/an-open-letter-on-aba-reform.html","title":"An Open Letter on ABA Reform"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEiEvl5cl04w5ryFyYzjmvL8aHugo3R9_teGrZpQYFYYZVksEOo9pUtoRzXCtVY_szYs3T_SvvqBKoVg-XOQLvttS7m85GwGWvOY0Uy_ILcPMIFikKTiTcZhsOgkxOzWJA-6E-0rJlopw87r56zC48kI4ZtHIv8DyAM6H8aQHd3KYqy3tQF2b5fEBDpUxg\/s72-c\/brad-starkey-5qFGBb4yUyk-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-3847442548085693861"},"published":{"$t":"2022-04-09T12:30:00.003-04:00"},"updated":{"$t":"2022-04-09T12:30:30.293-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"}],"title":{"type":"text","$t":"Quote of the Day"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjSSgfwIWjgsnjsbJ6wlCCQvfvx76HBV2uh9yL-wKSc2bzOi3E7R_7qIFHARAB8YaVklq0KewxRH6h7ZRiadEPdnlLUFSng3747nhz4RgxliaSBbIWBAzItESospeJW-T8zZj-ezmae3gvFafRz7yFcrO82KqpgnmH6R4ZlbHZZiNc52t6ZnQnEeNb0OQ\/s244\/db.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"137\" data-original-width=\"244\" height=\"192\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjSSgfwIWjgsnjsbJ6wlCCQvfvx76HBV2uh9yL-wKSc2bzOi3E7R_7qIFHARAB8YaVklq0KewxRH6h7ZRiadEPdnlLUFSng3747nhz4RgxliaSBbIWBAzItESospeJW-T8zZj-ezmae3gvFafRz7yFcrO82KqpgnmH6R4ZlbHZZiNc52t6ZnQnEeNb0OQ\/w341-h192\/db.jpg\" width=\"341\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\"\u003Cb\u003E\u003Ci\u003EMcABAs\u003C\/i\u003E\u003C\/b\u003E\" is my own created term to refer to the low-quality, murky billing practices, mass produced interventions (\"cookie cutter\" programs), undertrained or nontrained RBTs, and overworked and harried clinicians, kind of ABA providers.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ESimilar to how when your body is hungry and in need of sustenance, I don't recommend reaching for a greasy fast food bag of empty calories, if you are in need of high-quality, professional, ethical behavior analytic services I don't recommend calling up a McABA.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhKPuqCrbZJNDXVIfhTTYRcrcjBl2njY6Kfa5_fJ70kV6eA4IqdySKCV51cqNzLsgthrTN-9X7qhIRk-5xgNj_8tFcKBuX8WnLsEbNbJYogOKmy0UgEvChdwH2rPXfhXKQlIznv83FHLZadxEP5fNKXmrNEx2Zhwoc0cE66jqFFY1F_meusCV9Ca9ulvg\/s3160\/fernando-andrade-R3f2emOt1bU-unsplash.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"3160\" data-original-width=\"3160\" height=\"320\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEhKPuqCrbZJNDXVIfhTTYRcrcjBl2njY6Kfa5_fJ70kV6eA4IqdySKCV51cqNzLsgthrTN-9X7qhIRk-5xgNj_8tFcKBuX8WnLsEbNbJYogOKmy0UgEvChdwH2rPXfhXKQlIznv83FHLZadxEP5fNKXmrNEx2Zhwoc0cE66jqFFY1F_meusCV9Ca9ulvg\/s320\/fernando-andrade-R3f2emOt1bU-unsplash.jpg\" width=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe problem is, low-quality providers \u003Cb\u003Emay not look\/seem like\u003C\/b\u003E a low-quality provider. Unlike fast food chains, you can't just look for the obvious golden arches or the blatant drive thru window.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAs a caregiver, parent, or person seeking ABA services for themselves, it is critical to learn to weed through your options, weigh one place against another, and look for \u003Cspan style=\"color: red;\"\u003Ered flag \u003C\/span\u003Econcerning signs and indicators of a low-quality provider.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe following resources should help:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/04\/weeding-out-bad-youre-fired.html\"\u003Ehttps:\/\/www.iloveaba.com\/2018\/04\/weeding-out-bad-youre-fired.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\"\u003Ehttps:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2011\/08\/how-to-have-very-short-career-in-aba.html\"\u003Ehttps:\/\/www.iloveaba.com\/2011\/08\/how-to-have-very-short-career-in-aba.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2021\/07\/choosing-aba-provider-pt-ii.html\"\u003Ehttps:\/\/www.iloveaba.com\/2021\/07\/choosing-aba-provider-pt-ii.html\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/marybarbera.com\/tameika-meadows-finding-good-aba-therapy\/\"\u003Ehttps:\/\/marybarbera.com\/tameika-meadows-finding-good-aba-therapy\/\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/3847442548085693861\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/04\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3847442548085693861"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3847442548085693861"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/04\/quote-of-day.html","title":"Quote of the Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjSSgfwIWjgsnjsbJ6wlCCQvfvx76HBV2uh9yL-wKSc2bzOi3E7R_7qIFHARAB8YaVklq0KewxRH6h7ZRiadEPdnlLUFSng3747nhz4RgxliaSBbIWBAzItESospeJW-T8zZj-ezmae3gvFafRz7yFcrO82KqpgnmH6R4ZlbHZZiNc52t6ZnQnEeNb0OQ\/s72-w341-h192-c\/db.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-3636880238195083593"},"published":{"$t":"2022-03-16T09:18:00.002-04:00"},"updated":{"$t":"2022-03-16T09:18:25.423-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cp\u003E\u003Ci\u003E\u003C\/i\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ci\u003E\u003Ca href=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEhSGi1HUjsoRu6L1ETZiFEQ4zGGjTtoQz29S5DAZGC1hJKnWZM6z3KuWfoMKk4q5WflxPL8imAG-EqQa3pxX80nKrqDjWwk0p95lE3i_v0f1XYABoy9nAUiUG3pxL_5PeLM28vlHV06Sh5aWjHHZAS9UH3FWR0NeNduMaP05tAON_twVxhL_A7cnZ5dbg=s4032\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"4032\" data-original-width=\"3024\" height=\"320\" src=\"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEhSGi1HUjsoRu6L1ETZiFEQ4zGGjTtoQz29S5DAZGC1hJKnWZM6z3KuWfoMKk4q5WflxPL8imAG-EqQa3pxX80nKrqDjWwk0p95lE3i_v0f1XYABoy9nAUiUG3pxL_5PeLM28vlHV06Sh5aWjHHZAS9UH3FWR0NeNduMaP05tAON_twVxhL_A7cnZ5dbg=s320\" width=\"240\" \/\u003E\u003C\/a\u003E\u003C\/i\u003E\u003C\/div\u003E\u003Ci\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003C\/i\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\"The mind is not a vessel that needs filling, but wood that needs igniting\"\u003C\/i\u003E Plutarch\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\"Autism isn't something a person has, or a shell that a person is trapped inside. There's no normal child hidden behind the autism\"\u003C\/i\u003E \u003Ca href=\"https:\/\/philosophy.ucsc.edu\/SinclairDontMournForUs.pdf\" target=\"_blank\"\u003EJ Sinclair\u003C\/a\u003E\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThere used to be a school of thought in the Autism world that the individual was somewhat of an \"empty vessel\" waiting to be filled. A blank slate, trapped within a hard to understand shell and wanting to emerge.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ENo.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EAnd what a harmful, disparaging view of individuality.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAutism is not being without\/lacking, it's being differently tuned with interacting with the world, environment, people, and situations.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EIt's sometimes being MORE when the situation calls for less, or being LESS when the situation needs more....Less attentive, less sensitive. Or possibly more attentive or more sensitive.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThere is no one clear way to be Autistic.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EWhat is super important to know is that every client you work with already is full of information and knowledge when you meet them. Some cannot share or demonstrate that knowledge, but that doesn't mean it isn't there. Or maybe they show it in a way you aren't used to, or aren't prepared for.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003ERegardless, the capacity to learn and grow is within all of us.\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/3636880238195083593\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/03\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3636880238195083593"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3636880238195083593"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/03\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/blogger.googleusercontent.com\/img\/a\/AVvXsEhSGi1HUjsoRu6L1ETZiFEQ4zGGjTtoQz29S5DAZGC1hJKnWZM6z3KuWfoMKk4q5WflxPL8imAG-EqQa3pxX80nKrqDjWwk0p95lE3i_v0f1XYABoy9nAUiUG3pxL_5PeLM28vlHV06Sh5aWjHHZAS9UH3FWR0NeNduMaP05tAON_twVxhL_A7cnZ5dbg=s72-c","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5548658117593302466"},"published":{"$t":"2021-12-07T15:29:00.009-05:00"},"updated":{"$t":"2021-12-17T09:34:14.328-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Telehealth"}],"title":{"type":"text","$t":"Telehealth: Welcome to the Future."},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-kIIl4TXoMxI\/Ya_D0aijIzI\/AAAAAAAAHnI\/OooBYC7hbg4oX6zNvn4mkcNGYTFeUhWOgCNcBGAsYHQ\/s508\/istockphoto-1279020087-170667a.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"339\" data-original-width=\"508\" height=\"269\" src=\"https:\/\/1.bp.blogspot.com\/-kIIl4TXoMxI\/Ya_D0aijIzI\/AAAAAAAAHnI\/OooBYC7hbg4oX6zNvn4mkcNGYTFeUhWOgCNcBGAsYHQ\/w403-h269\/istockphoto-1279020087-170667a.jpg\" width=\"403\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cb\u003E\u003Ci\u003EIs Telehealth ABA here to stay post-pandemic\u003C\/i\u003E?\u0026nbsp;\u003C\/b\u003EOr should we wave goodbye to a solution that solved many problems when COVID first hit? What does the future of ABA look like?\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EWell, definitely across many other industries: \u003Ca href=\"https:\/\/www.forbes.com\/sites\/joemckendrick\/2021\/08\/31\/remote-and-hybrid-work-is-here-to-stay-and-thats-why-quality-of-worklife-matters\/?sh=123bfdf67091\" target=\"_blank\"\u003EHybrid or Remote work is here to stay.\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAs COVID continues...and continues, now is the time to start looking ahead and considering where Telehealth belongs in the world of ABA. Front and center? Or a \"break glass in case of emergency\" temporary solution?\u003C\/p\u003E\u003Cp\u003EDuring 2020, many of us relied on remote services and\/or technology to teach our kids, bring our groceries, attend professional conferences, receive doctor check ups, or check in on family and friends. Video calls became a way of life. ABA therapy was not exempt from that reality.\u003C\/p\u003E\u003Cp\u003EBut many ABA companies that were forced to embrace Telehealth during the height of the pandemic are now starting to look into moving away from Telehealth, re-opening clinics at full capacity, going back to school based services, and reintroducing group therapy formats (such as social skill groups). Carefully, of course, and while following local and state level mandates.\u003C\/p\u003E\u003Cp\u003EI see lots of discussion and news content focused on should ABA Telehealth continue for clients (\u003Ci\u003EIs this the best decision for the clients\u003C\/i\u003E). But little focus on \"What about for the professionals?\". Do ABA providers have a preference between Telehealth services and non-Telehealth services?\u003C\/p\u003E\u003Cp\u003EThe answer to that question may vary according to comfort level\/familiarity with technology, age of client\/populations served, and the specific ABA provider. RBT's may be less comfortable with Telehealth than BCBAs. Or, vice versa. There are pros and cons on both sides of this issue, but the main takeaway here is this type of clinical decision needs to be made with all parties involved. And that includes the professionals\/providers, not just company owners\/employers, or clients and client families.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFirst, let's clarify what is meant by Telehealth:\u003C\/p\u003E\u003Cp\u003ETelehealth ABA services are provided virtually through HIPAA compliant means, usually a combination of video and audio that occurs live-time during the session. Typically, funding or clinical need is most appropriate for Telehealth BCBAs. While RBTs \u003Ci\u003Ecan\u003C\/i\u003E work virtually as appropriate for the client, funding does not always allow for this.\u003C\/p\u003E\u003Cp\u003ETelehealth typically is utilized for homebased services, although clinic or school based providers can utilize Telehealth as well.\u003C\/p\u003E\u003Cp\u003EVirtual service delivery already has a long, established history in other fields such as Mental health counseling, Psychological services, and Medicine. \u003Cu\u003ETelehealth is not new\u003C\/u\u003E. However, the field of ABA embracing Telehealth IS fairly new. Prior to COVID, many insurance funders did not even have billing codes for Telehealth services.\u003C\/p\u003E\u003Cp\u003EAt the BCBA level, all service delivery can utilize Telehealth (as appropriate for the particular client), including assessment, parent support, and RBT supervision.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ESo why the pushback against Telehealth? Why do some funding sources, employers, or practitioners seem so against Telehealth? Well, sometimes Telehealth is applied with a broad brush to clients it may not be appropriate for. I know of clinicians who are currently very anti-Telehealth because of how they've seen it done, or having it thrust it upon them at work with little to no training or support. If you are a BCBA who hates Telehealth, did anyone take the time to train you on its use? Do you have someone to reach out to with troubleshooting and questions? If you are a RBT who hates Telehealth, was it explained to you at the onset of the case? Did you know going in the BCBA would not be on-site with you? Its important to separate personal bias and preference from the use of technology to provide services. Just because you do not \u003Ci\u003Elike\u003C\/i\u003E Telehealth, does not mean its all bad.\u003C\/p\u003E\u003Cp\u003EWhen utilized in an evidence based and ethically sound ways, Telehealth has numerous benefits. I have been utilizing Telehealth to service families since 2010. If it had not been an option, these families may have gone without help and assistance. For international or rural families, professional help may not be located up the street. It may be located in a different state, or country.\u003C\/p\u003E\u003Cp\u003ETelehealth allows me to clinically supervise in discreet, non-disruptive ways that minimize client reactivity. It allows me to easily hold progress meetings with client families who may not be available during scheduled therapy sessions. I can have a 20 minute videocall with a client's dad while he's on his lunch break at work. Trying to do that in person\/on-site would present many logistical challenges.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003ETelehealth allows me to work for a living while also being home to support my OWN family, during this pandemic craziness. I have a few close friends who are new moms, and if they did not have the option to work via Telehealth through their maternity leave and beyond, they would have been left with no choice other than resigning from their positions.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ELastly, I think the largest benefit of Telehealth ABA services may be explained in this data:\u003C\/p\u003E\u003Cul style=\"box-sizing: inherit; color: #52565a; font-family: Poppins; font-size: 14px;\"\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EUnited States – 1996 BCBAs in the state of MA\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cu\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003EUnited States –\u003C\/span\u003E\u0026nbsp;\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E107 BCBAs in the state of Nebraska\u003C\/span\u003E\u003C\/u\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EUnited Kingdom – 321 BCBAs\u0026nbsp;\u0026nbsp;\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EAustralia – 111 BCBAs\u0026nbsp;\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EUnited Arab Emirates – 104 BCBAs\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003ERussian Federation – 33 BCBAs\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EIndia – 27 BCBAs\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003ESpain – 26 BCBAs\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003EBrazil – 10 BCBAs\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003Cli style=\"box-sizing: inherit;\"\u003E\u003Cspan style=\"box-sizing: inherit; font-weight: bolder;\"\u003E\u003Cu\u003ENigeria – 1 BCBA\u003C\/u\u003E\u003C\/span\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cspan style=\"color: #52565a; font-family: Poppins;\"\u003E\u003Cspan style=\"font-size: 14px;\"\u003E(Source:\u003Ca href=\"https:\/\/qbs.com\/what-in-the-world-pandemic-lessons-for-aba-service-delivery\/\" target=\"_blank\"\u003E www.QBS.com\u003C\/a\u003E)\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cp\u003EThese numbers are a very sober reminder that Telehealth is not just about personal preference, pandemics, or open-minded employers. As the demand for ABA continues to grow, the supply is not keeping up. We have far more people in need of service, than qualified providers available to help.\u003C\/p\u003E\u003Cp\u003ETelehealth makes it possible for 1 BCBA to service clients who may live in different zip codes, states, or countries. It helps companies with dire staffing deficits open up their services to more clients, it helps RBT's in dire staffing areas receive clinical support and BCBA help, and it attracts (and possibly retains) BCBAs located out of area.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EGone are the days where the ABA provider needs to spend 7 hours in their car crisscrossing the city to see 3 clients. Now with Telehealth, not only can those 3 clients be seen WITHOUT traffic jams, but the provider could add on more clients in the same day. Removing the commute means staff spend more time working, and less time sitting in traffic (aka increased productivity).\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EOpening up Telehealth services means getting families off of waiting lists, and starting up services. No more waiting months to locate and hire a BCBA in the area.\u003C\/p\u003E\u003Cp\u003EAlso, sickness\/illness: What about minor but still contagious illnesses, such as pink eye, stomach virus, strep throat, rashes, etc.? The provider doesn't need to cancel the session when they can just implement Telehealth instead.\u003C\/p\u003E\u003Cp\u003EWhat about when staff move out of area? Instead of losing quality providers, forcing the family to accept the transition, and disrupting care, how about the BCBA remains on the cases via Telehealth?\u003C\/p\u003E\u003Cp\u003EJust being able to offer Telehealth\/work from home as an option to employees\/staff means being a more open-minded, accommodating, and future focused employer. It is attractive to applicants when a work setting provides options.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAgain, Telehealth may not be the appropriate choice for every client or family. But, when appropriately utilized Telehealth can make the job of the ABA clinician easier and more efficient. And what employer isn't a fan of efficiency? ;-)\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E*Further Reading\/Resources:\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2020\/03\/what-does-telehealth-aba-look-like.html\" target=\"_blank\"\u003EWhat does Telehealth ABA Look Like?\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.exceptionallives.org\/blog\/telehealth-children-with-disabilities\" target=\"_blank\"\u003ETelehealth for Children with Disabilities\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.relias.com\/blog\/telehealth-and-aba-best-practices\" target=\"_blank\"\u003ETelehealth ABA - Best Practices\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.childserve.org\/telehealth-therapy-moving-forward-while-staying-home\/\" target=\"_blank\"\u003EMoving Forward while Staying Home\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/centralreach.com\/practical-guidelines-to-deliver-aba-telehealth-services-in-the-wake-of-the-coronavirus-outbreak\/\" target=\"_blank\"\u003EPractical Guidelines for Telehealth ABA\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/accupointmed.com\/therapy-during-covid-19-implementing-telehealth-for-aba-therapy\/\" target=\"_blank\"\u003ETherapy During COVID 19\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/ceuey.com\/wp-content\/uploads\/2020\/04\/Lerman2020_Article_RemoteCoachingOfCaregiversViaT.pdf\" target=\"_blank\"\u003ETelehealth: Challenges \u0026amp; Solutions\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/link.springer.com\/article\/10.1007\/s40617-020-00499-8\" target=\"_blank\"\u003ERapid Conversion from Clinic to Telehealth ABA\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24341643\/\" target=\"_blank\"\u003EGuidelines for TelePsychology\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7430127\/\" target=\"_blank\"\u003EGuidelines for Telehealth Related Ethics\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/casproviders.org\/july-1-2020-is-telehealth-here-to-stay-in-aba\/\" target=\"_blank\"\u003EIs Telehealth ABA Here to Stay?\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/5548658117593302466\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/12\/telehealth-welcome-to-future.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5548658117593302466"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5548658117593302466"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/12\/telehealth-welcome-to-future.html","title":"Telehealth: Welcome to the Future."}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-kIIl4TXoMxI\/Ya_D0aijIzI\/AAAAAAAAHnI\/OooBYC7hbg4oX6zNvn4mkcNGYTFeUhWOgCNcBGAsYHQ\/s72-w403-h269-c\/istockphoto-1279020087-170667a.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-700286843190520186"},"published":{"$t":"2021-11-28T15:04:00.001-05:00"},"updated":{"$t":"2021-11-28T15:04:50.475-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Home Tips"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"}],"title":{"type":"text","$t":"Preparing the Home Environment for Therapy, Part II"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-_CEetWy384A\/YaPgL-lZ8WI\/AAAAAAAAHlg\/tU9vc5C53GMkR5PzeldCOQslZZrdWE8hQCNcBGAsYHQ\/s712\/photo-1611612898524-2c46c6ac1888.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"712\" data-original-width=\"500\" height=\"424\" src=\"https:\/\/1.bp.blogspot.com\/-_CEetWy384A\/YaPgL-lZ8WI\/AAAAAAAAHlg\/tU9vc5C53GMkR5PzeldCOQslZZrdWE8hQCNcBGAsYHQ\/w298-h424\/photo-1611612898524-2c46c6ac1888.jpg\" width=\"298\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003ESee \u003Ca href=\"https:\/\/www.iloveaba.com\/2015\/06\/checklist-preparing-home-enviornment.html\" target=\"_blank\"\u003EPart I\u003C\/a\u003E, which is helpful for families needing to know how to prepare the home for ABA services.\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EI couldn't just leave this topic 1\/2 complete.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EOf course, it is important for families to know what to expect of home-based ABA services and general \"Do This\" \u0026amp; \"Don't\u0026nbsp;Do This\" guidelines, but it's also important for ABA staff and clinicians to know when home based ABA services are inappropriate, the home setting is unsafe or hazardous, the home setting needs stricter guidelines, or is downright dangerous to staff and\/or the client.\u003C\/p\u003E\u003Cp\u003EI'm not ignoring ABA that occurs in other settings, but for clinic or school based ABA services the environment\/facility is typically set up in advance. It is monitored and controlled by management or clinicians, and regularly cleaned and maintained. Certain items are prohibited to be on-site, there may even be security or at the least, janitorial staff.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThe home setting is unique because as the staff going in, we do not have full control over the environment. We don't know what hazards are present unless someone tells us. Sometimes we don't even know how many people (or animals) will be in the home from one session to the next. We may not know what is broken\/damaged in the home, or may pose a health concern when we arrive on Day 1, ready to work.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ESo, \u003Cu\u003Ethis is a pretty big deal.\u0026nbsp;\u003C\/u\u003E\u003C\/p\u003E\u003Cp\u003ETo all the company owners and supervisors\/BCBAs, this kind of \"home safety checklist\" needs to be developed with a home inspection occurring before the case starts (during intake\/assessment). RBTs should not have to walk blindly into the home of a stranger, with no idea what dangers or challenges may be present.\u003C\/p\u003E\u003Cp\u003EI recommend that whoever schedules the assessment and makes initial contact with new families explain the company policy related to home safety, make sure to answer any parent questions or address parent concerns, and do a walk-through inspection (this could also occur virtually).\u003C\/p\u003E\u003Cp\u003ECompanies will vary with what is required or expected of the home setting, and sometimes state regulations or funder specifications will apply.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EUnsafe\/Inappropriate conditions in the home may negatively affect the client, such as: profuse sweating through the session because sessions occur in the non-ventilated and dusty attic, the parent blaring loud rock music throughout the session, or being unable to let the client play in the backyard due to huge amounts of dog feces.\u003C\/p\u003E\u003Cp\u003EUnsafe\/Inappropriate conditions in the home can also negatively affect staff, such as: excessive and unwanted flirting and sexual jokes from the client's father, having to park in a nearby unsafe area as only street parking is available, or bringing pests into your own home that crawled into your materials bag during the session.\u003C\/p\u003E\u003Cp\u003EHow exactly is learning or teaching supposed to occur under these conditions??\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EI could fill this post with pages and pages of home-based horror stories, but instead I'll just simply say: Home based ABA won't be possible for every family that wants it, for a\u0026nbsp;\u003Ci\u003Evariety\u003C\/i\u003E\u0026nbsp;of reasons.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cb\u003EAnd that's ok\u003C\/b\u003E.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EServices may need to occur at school, at the clinic or center, or in the community (such as at a library) until issues in the home can be adequately and safely addressed both for the benefit of the client, and staff.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E**Resources:\u003C\/p\u003E\u003Cp\u003EFree \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/1v1vwsYpYnj1xFREJJnuDZwIyticoXxbF\/view?usp=sharing\" target=\"_blank\"\u003Echecklist download\u003C\/a\u003E to help set policy\/establish minimum requirements for home-based ABA services to occur.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/behavioralhealthinsurance.com\/blog\/employee-safety-for-a-home-based-aba-agency\/\" target=\"_blank\"\u003EHome Based Employee Safety\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.sbsaba.com\/5-steps-to-ensure-physical-safety-during-aba-therapy\/\" target=\"_blank\"\u003EEnsuring Safety during In-Home sessions\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/link.springer.com\/article\/10.1007\/s40617-021-00609-0\" target=\"_blank\"\u003EFirearms \u0026amp; Home-Based ABA: Considerations for Safe Practice\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/700286843190520186\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/11\/preparing-home-environment-for-therapy.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/700286843190520186"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/700286843190520186"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/11\/preparing-home-environment-for-therapy.html","title":"Preparing the Home Environment for Therapy, Part II"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-_CEetWy384A\/YaPgL-lZ8WI\/AAAAAAAAHlg\/tU9vc5C53GMkR5PzeldCOQslZZrdWE8hQCNcBGAsYHQ\/s72-w298-h424-c\/photo-1611612898524-2c46c6ac1888.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-8966044859506222411"},"published":{"$t":"2021-10-20T15:26:00.005-04:00"},"updated":{"$t":"2021-10-20T15:26:36.159-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-6NHr83GPOgs\/YXBtOs_p4xI\/AAAAAAAAHg8\/um9pgIqfzCss-IjYeP7sVeFFf2M6GevdwCNcBGAsYHQ\/s745\/photo-1464374288807-174911d4adb9.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"745\" data-original-width=\"500\" height=\"326\" src=\"https:\/\/1.bp.blogspot.com\/-6NHr83GPOgs\/YXBtOs_p4xI\/AAAAAAAAHg8\/um9pgIqfzCss-IjYeP7sVeFFf2M6GevdwCNcBGAsYHQ\/w249-h326\/photo-1464374288807-174911d4adb9.jpg\" width=\"249\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EToday's quote is from...me! From a recent podcast interview with Dr. Mary Barbera:\u003C\/span\u003E\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Ci\u003E\u003Cspan style=\"background-color: white; color: #111111; font-size: 16px;\"\u003E\"Good ABA start with parents. So, for any parent or caregiver, if you are trying to determine a quality place for your child to receive ABA services, you really have to start by looking at what's the goal of intervention. I really feel like that's like the foundational first step, because if you are speaking with a company or a provider and they're talking about: 'We're going to fix this, we're going to correct blank, we're going to make your child more...\/ We're going to remove stigma',\u0026nbsp; and other words like that, all of those words are getting at normalization. Which should not be the goal. The goal should not be to magically make it as if your child were born differently. The goal should be to give the client as many supports as needed to contact the things they to need to contact in life. For example, letting people know when you want food, using the bathroom,\u0026nbsp; attending school, etc., because in certain parts of the world children with disabilities don't attend\u003C\/span\u003E\u003Cspan style=\"background-color: white; color: #111111; font-size: 16px;\"\u003E\u0026nbsp;school. So, we really have to look at what this means for the client and removing barriers to being able to do different things in their life. And then we address each barrier one by one. That should be the goal of ABA. 'We're going to help your child do _____\/We're going to make it easier for your child to do ____\". That should be the kind of language that is being said by a provider, or by a company.\u0026nbsp; It should be very, very concerning when you are contacting an ABA provider saying you need help and that provider is instead telling you, 'Here's what we're going to do', and they're not listening to you and they're not taking your input and they're just saying, 'Oh, yeah, yeah, we know what to do. We know autistic kids. Here's the standard protocol. Here's the strategy'. No, that is not how that should work. Absolutely not.\"\u003C\/span\u003E\u003C\/i\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EGood ABA services are a must for some people. Yes, \u003Cb\u003Epeople\u003C\/b\u003E. Not just small children.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIt can be a must for disabilities beyond Autism.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIt can be a must inside of the classroom.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIt can be a must in adult day programs and residential settings.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIt can be a must when harmful, destructive, violent problem behaviors are serving as a barrier to least restrictive settings and placements.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EABA intervention at its core, is about teaching new skills and removing barriers that get in the way of learning and being successful in life. \u003Cu\u003ENOT\u003C\/u\u003E a push for \u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/03\/normalization.html\" target=\"_blank\"\u003Enormalization.\u003C\/a\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EQuality intervention that is generalized across caregivers and settings, can bring about amazing long-term success and developmental gains.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003ETake a listen \u003Ca href=\"https:\/\/marybarbera.com\/tameika-meadows-finding-good-aba-therapy\/\" target=\"_blank\"\u003EHERE\u003C\/a\u003E for more tips on distinguishing between good \u0026amp; bad ABA providers.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/8966044859506222411\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/quote-of-day_20.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8966044859506222411"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8966044859506222411"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/quote-of-day_20.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-6NHr83GPOgs\/YXBtOs_p4xI\/AAAAAAAAHg8\/um9pgIqfzCss-IjYeP7sVeFFf2M6GevdwCNcBGAsYHQ\/s72-w249-h326-c\/photo-1464374288807-174911d4adb9.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-953490235331641692"},"published":{"$t":"2021-10-06T10:42:00.001-04:00"},"updated":{"$t":"2021-10-06T10:49:32.779-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"}],"title":{"type":"text","$t":"This is Hard."},"content":{"type":"html","$t":"\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-Ii9Wv6BYJpM\/YV21lG4FxHI\/AAAAAAAAHf4\/AIDmnAgCE08gaPobhsgmkNFR_-fLvmj2QCNcBGAsYHQ\/s509\/istockphoto-1283028373-170667a.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"339\" data-original-width=\"509\" height=\"238\" src=\"https:\/\/1.bp.blogspot.com\/-Ii9Wv6BYJpM\/YV21lG4FxHI\/AAAAAAAAHf4\/AIDmnAgCE08gaPobhsgmkNFR_-fLvmj2QCNcBGAsYHQ\/w357-h238\/istockphoto-1283028373-170667a.jpg\" width=\"357\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u0026nbsp;\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\"\u003Cb\u003EThis is hard\u003C\/b\u003E\" is a statement I often hear from families both in the midst of intervention, and pre-intervention during the assessment phase.\u003C\/p\u003E\u003Cp\u003EFamilies without support and services find it hard helping their Autistic child navigate the world, and families in the midst of therapies and interventions find generalizing them to be hard.\u003C\/p\u003E\u003Cp\u003EIt's hard to consistently generalize an intervention plan outside in the home, on the weekends, on Sunday at the grocery store, on vacation at Grandma's house, or at 6am on a Saturday when your child only slept 2 hours.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBut its also hard to supervise\/monitor your child 24-7, to break up sibling fights all day long because your child can't share, to find quality childcare options when your child is highly aggressive, or to figure out if your child is ill or sick when they can't tell you.\u003C\/p\u003E\u003Cp\u003EBoth are hard.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIt is rarely a discussion of hard vs easy, and much more common is a decision regarding which \"hard\" is acceptable. Yes, toilet training is hard work. On the flip side, changing an 8 year-olds diaper isn't exactly easy. Nor is it easy to afford to buy diapers for that many years.\u003C\/p\u003E\u003Cp\u003EYes, teaching your child to use utensils instead of eating with their hands is hard. On the flip side, restricted diet and issues around mealtimes can be made worse if the child will only eat finger foods (typically, starches and carbs). That is also hard.\u003C\/p\u003E\u003Cp\u003EYes, it is hard to consistently follow a Behavior Plan when in public with your child. On the flip side, being asked to leave locations, having friends ask that you not visit, or being scared someone will call the police on your child during a public outburst, is a hard reality to live out.\u003C\/p\u003E\u003Cp\u003EYou have to decide which \"hard\" to accept.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EI intentionally use the phrase \"intervention plan\" and not \"ABA therapy\", because maybe your child isn't receiving ABA services. Maybe you don't want that, or can't access it.\u003C\/p\u003E\u003Cp\u003EBut are they receiving Speech services? OT? PT? In special education at school? Attending an Autism preschool program?\u003C\/p\u003E\u003Cp\u003EIf so, these are all interventions designed to minimize developmental delays and target current deficits.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EWhatever kind of intervention your child participates in, there are a few components that tend to be the same across different therapies:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E1. Consistency. In order to be effective, the intervention must be applied consistently. Frequent staff turnover, frequently canceling appointments, or other issues like this can negatively impact results.\u003C\/p\u003E\u003Cp\u003E2. Training must carry over to the home setting\/caregivers. There is no way to generalize the intervention if you have no idea what it is.\u003C\/p\u003E\u003Cp\u003E3. Caregiver Participation. In order for #2 to happen, the caregivers must be willing and available to participate in the intervention\/treatment plan.\u003C\/p\u003E\u003Cp\u003E4. Focus on progress vs miracles. Progress can be slow, it can be up and down, and at times it can mean treading water. Sometimes an absence of regression IS progress. If you have sky high expectations of the intervention process, this can cause \"provider hopping\" where families move from one agency, provider, or intervention to the next looking for magic. That just is not how quality, ethical treatment works.\u003C\/p\u003E\u003Cp\u003E5. Individualized Intervention. It doesn't matter if your child receives 30 minutes of Speech each week, or 15 hours of ABA. Are the treatment goals and the teaching methodology \u003Cb\u003Esuitable and appropriate\u003C\/b\u003E for your child? \"Cookie-cutter\" intervention is when treatment is applied in a lazy, vague, and generic way across multiple clients. In order for intervention to be effective, it must meet your child where they are and incorporate their unique interests and motivation(s).\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E*More resources below:\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2017\/07\/happy-or-therapy.html\" target=\"_blank\"\u003EHappy or Therapy?\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/07\/the-easy-way-vs-hard-way.html\" target=\"_blank\"\u003EThe Easy Way vs The Hard Way\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.interventionsunlimited.com\/editoruploads\/files\/Iowa%20DHS%20Autism%20Interventions%206-10-11.pdf\" target=\"_blank\"\u003EEvidence Based ASD Interventions\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.rethinked.com\/blog\/blog\/2017\/04\/19\/effective-interventions-for-autism-spectrum-disorders\/\" target=\"_blank\"\u003EEffective ASD Interventions\u003C\/a\u003E\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/953490235331641692\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/this-is-hard.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/953490235331641692"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/953490235331641692"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/this-is-hard.html","title":"This is Hard."}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-Ii9Wv6BYJpM\/YV21lG4FxHI\/AAAAAAAAHf4\/AIDmnAgCE08gaPobhsgmkNFR_-fLvmj2QCNcBGAsYHQ\/s72-w357-h238-c\/istockphoto-1283028373-170667a.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-2471566671163413485"},"published":{"$t":"2021-10-05T15:08:00.000-04:00"},"updated":{"$t":"2021-10-05T15:08:09.594-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Life skills"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003E\"\u003Ci\u003EIf you want to see competence, it helps if you look for it\u003C\/i\u003E\"\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003EDouglas Biklen\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-UqhW7x3yMHs\/YVyidd8JrcI\/AAAAAAAAHfw\/Sv2avKtbir005IvcPe_j2_TjCTW57YPRwCNcBGAsYHQ\/s500\/photo-1585776245865-b92df54c6b25.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"243\" src=\"https:\/\/1.bp.blogspot.com\/-UqhW7x3yMHs\/YVyidd8JrcI\/AAAAAAAAHfw\/Sv2avKtbir005IvcPe_j2_TjCTW57YPRwCNcBGAsYHQ\/w365-h243\/photo-1585776245865-b92df54c6b25.jpg\" width=\"365\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp style=\"text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003ETo presume competence is very important considering the work that many ABA professionals do with highly vulnerable populations who may be unable to reliably communicate\/self-advocate and could also have high support needs on a daily basis. \u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EIt is important to always place a high value on dignity and self-determination, to whatever degree is possible for the individual (your child, student, client, etc.). \u003Ci\u003EWhat do YOU want to eat (and absolutely NOT want to eat)? Where do YOU want to sit? Is that shirt comfortable? Do you like this school? Are you feeling okay? Are you hungry...tired....ill...bored....sad?\u0026nbsp;\u0026nbsp;\u003C\/i\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EIt may not be possible for the individual to answer questions like this, but to presume competence is to assume that the individual \u003Cb\u003Eabsolutely has an opinion\u003C\/b\u003E on these matters, even if they are currently unable to communicate that opinion to anyone. Make sense?\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EHere are more tips on how professionals\/teachers\/caregivers can work toward intentionally presuming competence:\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Always ask before giving assistance and let the person tell\nyou what you may do to be helpful (for those who cannot tell you, read body language\/cues for removal of assent).\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Treat adults as adults. Use a typical\ntone of voice, just as if speaking with a friend or co-worker.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- In general do\nnot assume a person can’t read, but also don’t assume they can.\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Speak to the\nperson directly, not the support person, parent, or companion.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Don’t assume a person\nwho has limited or no speech cannot understand what is being said around them, or to them. People\nusually understand more than they can express.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Never pretend you understand\nwhat is said when you don’t! Ask the person to tell you again what was said.\nRepeat what you understand.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Do not try to finish a person’s sentence, or cut\nthem off. Listen until they have finished talking, even if you think you know\nwhat they might say.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- You might not be able to see someone’s disability. \u003Cu\u003EAll disabilities are not visible\u003C\/u\u003E. There\nare many disabilities that are hidden within a person.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Avoid using\nstereotypes in your thinking. We all have different personalities and our own\nways of doing things. To find out what a person prefers, ask them directly (when possible).\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Offer compliments but avoid giving a lot of praise when people with\ndisabilities do typical things.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Avoid speaking for others.\nEncourage a person to speak on their own behalf. If you must restate something,\nbe careful not to change the original meaning.\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Be mindful of your body language, tone of voice, and\nother gestures that may influence a person’s decision\/desire to please those in\nauthority.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- A support person should be low-key, almost “invisible”\nto others. Don’t “over-support.”\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Let a person make their own decisions. Don’t\ntake over and make decisions for them. It can be difficult for some with disabilities to\nmake quick decisions. Be patient and allow the person to take their time.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Focus on what a person CAN do, instead of hyperfocusing on deficits.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E- Find ways to include a person in a conversation.\nDo not talk about the person to others as if they’re not there\/not in the room.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ELink to Reference: \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/1hjmjGsszHqCCc6pFb5TdubO95XAlMDVD\/view?usp=sharing\" target=\"_blank\"\u003ECurriculum for Self-Advocates\u003C\/a\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/2471566671163413485\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2471566671163413485"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2471566671163413485"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/10\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-UqhW7x3yMHs\/YVyidd8JrcI\/AAAAAAAAHfw\/Sv2avKtbir005IvcPe_j2_TjCTW57YPRwCNcBGAsYHQ\/s72-w365-h243-c\/photo-1585776245865-b92df54c6b25.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-739192153905344923"},"published":{"$t":"2021-09-04T15:58:00.000-04:00"},"updated":{"$t":"2021-09-04T15:58:46.290-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"behavior"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"In the Event of Crisis ..."},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-iA-8fzIguec\/YTPPcIAINvI\/AAAAAAAAHcQ\/G_-gFHs-xWoM31yFSIRvR--dc9_VQHkUQCNcBGAsYHQ\/s500\/crisis.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"366\" data-original-width=\"500\" height=\"234\" src=\"https:\/\/1.bp.blogspot.com\/-iA-8fzIguec\/YTPPcIAINvI\/AAAAAAAAHcQ\/G_-gFHs-xWoM31yFSIRvR--dc9_VQHkUQCNcBGAsYHQ\/s320\/crisis.jpg\" width=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EWhen it comes to the treatment or reduction of challenging,\ndisruptive, dangerous problem behaviors, regardless of the setting or\npopulations served, this will often be referred to as “Crisis Intervention”.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThis concept is far broader than ABA, as many institutions\nand facilities will create, monitor, and implement crisis interventions whether\nanyone on site has received ABA training, credentialing, or licensure, or not\n(examples: police, schools, daycares, residential settings, prisons, etc.).\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBeing such a broad topic, that can look about 10,000\ndifferent ways depending on the setting and availability of highly trained\nspecialists, it should come as no surprise that crisis behavior scenarios\nfrequently result in injury or even death. If you do some online searches for\nnews stories related to seclusion and restraint, regardless of the setting, you\nwill see what I mean.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThis issue is also larger than disability. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EYes, most of the horror stories we see on the news where\nsomeone was seriously injured during a restraint DO involve people with\ndisabilities (whether it was known at the time, or not). But in the absence of\ndisability or mental health issues, crisis management can still lead to serious\ninjury or death. That could be for the person(s) responding to the crisis, or\nto the person(s) having the crisis.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThis is a very weighty and complex topic, and I can’t\npossibly cover everything anyone should know about crisis intervention. However,\ndue to the seriousness of crisis scenarios and the increased risk of harm\n(again, for the person intervening, the person or having a crisis, or even both\nof those people), I very much want to share some resources and information about managing behavioral crises.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EFirst, some terms. Here is my favorite definition of a\ncrisis:\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ci\u003EA time of intense difficulty, trouble, or danger; a time\nwhen a difficult or important decision must be made.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ci\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EDuring a behavioral crisis, the individual is having intense\ndifficulty or trouble. They are having a hard time (not giving you a hard\ntime). Decisions must be made, not just regarding what to do RIGHT NOW, but in\nthe future, in case this happens again. Which, without the proper supports in\nplace, the crisis event is \u003Cu\u003Ehighly likely\u003C\/u\u003E to happen again. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EViewing a crisis through this lens takes the responsibility\noff of the individual having the crisis, and onto the supports in place (or\nlack thereof). When a crisis event occurs, ask yourself these questions:\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoListParagraphCxSpFirst\" style=\"mso-list: l0 level1 lfo1; text-indent: -.25in;\"\u003E\u003C!--[if !supportLists]--\u003E\u003Cspan style=\"mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;\"\u003E\u003Cspan style=\"mso-list: Ignore;\"\u003E1.\u003Cspan style=\"font: 7.0pt \u0026quot;Times New Roman\u0026quot;;\"\u003E\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;1.\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C!--[endif]--\u003EDoes this individual know how to safely\nde-escalate during a crisis event?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoListParagraphCxSpLast\" style=\"mso-list: l0 level1 lfo1; text-indent: -.25in;\"\u003E\u003C!--[if !supportLists]--\u003E\u003Cspan style=\"mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;\"\u003E\u003Cspan style=\"mso-list: Ignore;\"\u003E2.\u003Cspan style=\"font: 7.0pt \u0026quot;Times New Roman\u0026quot;;\"\u003E\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;2.\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C!--[endif]--\u003EIf yes, then why are they not using that tool?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003ETruly individualized and effective de-escalation tools are\nbest understood as the means by which an individual in a crisis state can\nidentify they are approaching a crisis state, select a de-escalation method,\nimplement the method, and lastly evaluate how well the method worked once they\nare calm again.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EDepending on the setting, availability of support help, and\nthe understanding of de-escalation (or lack thereof), this “returning to\nneutral” process can take minutes, hours, days, or may not occur at all. It may\ninvolve a team of people, a caregiver or support person, or happen independently.\nWhen it doesn’t occur at all, that typically results in emergency room visits\nor admittance into an inpatient facility.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EI do not know your work setting, the populations you serve,\nor your job title, but if you are reading this post I have to assume you have\neither experienced a crisis event with a client\/student\/etc. or want to be\nequipped if it should happen.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ERight here I have to point out a very common myth, that can\nbe quite dangerous when people believe it: In the field of ABA, clients who\nexhibit (or have a history of exhibiting) highly violent or dangerous problem\nbehaviors may be classified as exhibiting “severe behavior”. \u003Cspan style=\"color: red;\"\u003EIt is a myth that \u003Cb\u003Eonly severe behavior clients can have\ncrisis events.\u003C\/b\u003E \u003C\/span\u003EThat is not true at all. Clients with non-violent or\nless disruptive problem behaviors, under the right set of combined circumstances,\ncould have a behavioral crisis. For example, what if their home routine is significantly\ndisrupted, they are ill, dealing with a change of medication, and also recently\nstarted puberty? These setting events when \u003Ci\u003Ecombined\u003C\/i\u003E, could trigger a\ncrisis event. For this reason, it is important for professionals and practitioners\nto be properly trained and equipped for crisis conditions, far before they are\nneeded.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ENow I want to speak specifically to ABA implementers (RBT’s,\nparaprofessionals, etc.) who work directly with clients: \u003Cb\u003E\u003Cspan style=\"color: red;\"\u003EIf you are working with clients where you are regularly\nresponding to crisis events or working with clients with a known history of\ncrisis events, you should be following the policies of the physical management\ntraining you received. If you have not received any physical management\ntraining, then you should not be working with those clients. It is dangerous for\nyou, and dangerous for them.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/b\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EAgain, crisis events could potentially happen at any time,\nwith any client\/student\/etc. It would be unwise to think “Oh I don’t work with severe\nbehavior individuals, so this doesn’t apply to me”. For ANY of us (disabled or\nnot, mental health issues or not) the right set of circumstances could trigger\na crisis event. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EIf \u003Ci\u003Eyou\u003C\/i\u003E were in the midst of a crisis event, who would\nyou want helping \u003Ci\u003Eyou\u003C\/i\u003E? Someone reacting on impulse or instinct, or\nsomeone who has been thoroughly and properly trained on safe de-escalation? \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003ESo what can be done? Glad you asked.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003EThere are many, many crisis intervention and de-escalation\nresources readily available. If you are not in the position to set policy or\nchoose employee trainings, you can still request additional training from your\nemployer and send them recommendations of evidence-based methodologies. You can also always communicate when you feel ill-equipped\nor prepared to work with a specific student\/client\/etc. or feel unsafe.\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EResearch shows that in the absence of individualized,\nevidence- based crisis interventions, individuals will contact injury to self\nand others (\u003Ca href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.2307\/1593681\" target=\"_blank\"\u003EBurke, Hagan-Burke, \u0026amp; Sugai, 2003\u003C\/a\u003E), receipt of medications with\nserious side-effects that rarely correct the causes of the behaviors (\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3279713\/\" target=\"_blank\"\u003EFrazier et al, 2011\u003C\/a\u003E),\nreceipt of intrusive, ineffective interventions that are punishment-led (\u003Ca href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1098300708318797\" target=\"_blank\"\u003EBrown et al, 2008\u003C\/a\u003E), and increased negative interactions (\u003Ca href=\"https:\/\/psycnet.apa.org\/record\/1994-46855-001\" target=\"_blank\"\u003ELawson \u0026amp; O’Brien, 1994\u003C\/a\u003E).\n\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003EIn ‘\u003Ca href=\"https:\/\/www.nc-aba.com\/wp-content\/uploads\/2017\/02\/Stevenson-et-al.-Effects-of-Function-Based-Crisis-Intervention.pdf\" target=\"_blank\"\u003EEffects of Function-Based Crisis Intervention on theSevere Challenging Behavior of Students with Autism\u003C\/a\u003E ‘, the following procedures\nare recommended for crisis intervention planning-\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBe cognizant of crisis needs and function when designing a\nbehavior plan for students with crisis behaviors, and operationally describe\nsteps to be taken for each phase of escalation. When describing these steps, be\naware of the behavioral function. Change the quality of reinforcement delivered\nbetween appropriate and inappropriate behavior, and prompt appropriate behavior\nbefore providing access to calming activities. Train staff to competence on the\nintervention strategies (which most often includes role play scenarios during\ntraining, not just discussion\/lecture).\u0026nbsp;\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u003Cbr \/\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E*Recommended Resources (please share!):\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E~Find the number for the mental health crisis\/emergency\nsupport services in your state, and save it in your cell phone\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E~For caregivers, if your child is on medication the Physician\/Psychiatrist\nwill likely have an after-hours or emergency help desk. Save that number in\nyour cell phone\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003Ehttps:\/\/crisisintervention.com\/\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003Ehttps:\/\/www.pcmasolutions.com\/\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003Ehttps:\/\/www.marcus.org\/autism-training\/crisis-prevention-program\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003Ehttps:\/\/qbs.com\/safety-care\/\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/cmaconsult.com\/crisis-intervention-strategies\/\" target=\"_blank\"\u003ECrisis Intervention Strategies\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"http:\/\/elisabethcassinari.com\/prevention-crisis-behavior-steps-take-prior-emergency\/\" target=\"_blank\"\u003EPrevention of Crisis Behavior\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/dbhdd.georgia.gov\/filling-gap-georgia-access-point\/behavioral-support\" target=\"_blank\"\u003ECrisis Help in Georgia\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.hindawi.com\/journals\/complexity\/2018\/5128157\/\" target=\"_blank\"\u003EASD \u0026amp; Crisis Behaviors\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.amazon.com\/Handbook-Intervention-Developmental-Disabilities-Psychology-ebook-dp-B00C7HGHUQ\/dp\/B00C7HGHUQ\/ref=mt_other?_encoding=UTF8\u0026amp;me=\u0026amp;qid=\" target=\"_blank\"\u003EHandbook of Crisis Intervention and Developmental Disabilities\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.amazon.com\/Autism-Spectrum-Disorder-escalation-Strategies\/dp\/1849055033\" target=\"_blank\"\u003EASD \u0026amp; De-Escalation\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/institute.crisisprevention.com\/Verbal-Intervention-Tips.html?code=GSIT01SPVI\u0026amp;src=PPC\u0026amp;utm_source=google\u0026amp;utm_medium=cpc\u0026amp;utm_campaign=spvi_resource202011\u0026amp;utm_content=tofu_gen\u0026amp;gclid=Cj0KCQjwssyJBhDXARIsAK98ITR9Vt_QYkUgRwo7o-t_wYGbBTXPjWWJEYky2_uXxAPqdiFC6Sq0aWkaAklZEALw_wcB\" target=\"_blank\"\u003ECrisis Prevention Institute\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.lehsd.org\/cms\/lib\/NJ50000067\/Centricity\/Domain\/1039\/ASD%20Deesc%20Handouts%202018.pdf\" target=\"_blank\"\u003EASD \u0026amp; Stages of Behavioral Escalation\u003C\/a\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"file:\/\/\/C:\/Users\/treas\/Downloads\/Crisis%20Curriculums%20RB%20edit.pdf\" target=\"_blank\"\u003ENationally Certified Crisis Training Providers\u003C\/a\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/739192153905344923\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/09\/in-event-of-crisis.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/739192153905344923"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/739192153905344923"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/09\/in-event-of-crisis.html","title":"In the Event of Crisis ..."}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-iA-8fzIguec\/YTPPcIAINvI\/AAAAAAAAHcQ\/G_-gFHs-xWoM31yFSIRvR--dc9_VQHkUQCNcBGAsYHQ\/s72-c\/crisis.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1766894173547344586"},"published":{"$t":"2021-08-01T14:18:00.004-04:00"},"updated":{"$t":"2021-12-28T10:25:53.241-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"Trauma Informed ABA "},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;Recommended Reading: \u003Ca href=\"https:\/\/www.iloveaba.com\/2020\/11\/aba-haters-pt-ii.html\" target=\"_blank\"\u003EWhat is the ABA Reform Movement\u003C\/a\u003E\u0026nbsp;(ABA Haters Pt. II)?\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-Jfkx1xmXG1I\/YQblXJh78jI\/AAAAAAAAHYo\/kfbhXHuv7PEgbVIhfmW_eS78XK6legZZQCNcBGAsYHQ\/s2048\/susan-wilkinson-EDJKEXFbzHA-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1578\" data-original-width=\"2048\" height=\"297\" src=\"https:\/\/1.bp.blogspot.com\/-Jfkx1xmXG1I\/YQblXJh78jI\/AAAAAAAAHYo\/kfbhXHuv7PEgbVIhfmW_eS78XK6legZZQCNcBGAsYHQ\/w385-h297\/susan-wilkinson-EDJKEXFbzHA-unsplash.jpg\" width=\"385\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EYou may be a caregiver, professional, teacher, or someone\nsimply interested in ABA as you read this.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ERegardless of how connected you are to the ABA community,\nyou might not be aware of ABA Reform, what it is, why it is needed, and changes\nthat are being made, right now, in both large and small ways. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EIn case you are unaware, let me walk you through the ongoing\nconversation a bit. It will help shed some light on why \"Trauma Informed\nABA\" is a thing, and why it’s a \u003Cb\u003Emuch-needed\u003C\/b\u003E thing:\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBoth within and outside of the professional ABA community,\nthere are people who want to see ABA adapt, listen more to the very populations\nwe serve, reflect on our past (and sometimes current) practices, grow, learn,\nand in general: Evolve. The way to bring about this change does differ, with\nsome people wanting ABA therapy to end\/be abolished, some people wanting to see\nwide, sweeping change at the top levels of the field, and other people\nbelieving that practitioners doing their job differently everyday, in small and\nimpactful ways is how we accomplish change. Different people have different\nperspectives, so it makes perfect sense to me that although many people are\ntalking about changing and improving ABA therapy, there is little consensus on\njust how to do that.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ESo how does this connect to trauma informed ABA?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ETrauma Informed ABA can be operationally defined as\nrecognizing that someone's history, lived experience through their own eyes,\nand mistreatment or microaggressions has a direct impact on how they behave. It\nis viewing someone through the context of who they are in the world, and how\nthey self-identify OR are identified or labeled by others. For\nexample, a history of abuse, crisis event, significant illness or injury, neglect, mistreatment, prejudice, misjudgment, or\nsocial rejection, are all traumatic events that should influence how any\nintervention or therapy is applied and carried out. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EIn a nutshell, trauma informed ABA is an intentional\ndecision to provide services and care in a highly personalized, unique,\nperson-respecting manner, and to recognize that we are all products of our\nenvironment. For good, or for bad.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EIf you are an ABA professional, you may be thinking \"\u003Ci\u003EWell....obviously.\nI already do this in my practice\u003C\/i\u003E\". I'd invite you to dig a little deeper\nand consider some of the strategies and techniques you implement through the\nlens of your client (put yourself in their shoes). \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EFor example, I've worked with many young children who have\nbeen kicked out\/asked to leave multiple daycares or preschool settings before I\never met them. How did those experiences affect them? What must it have felt\nlike to be in a setting where you are excluded, not wanted, misjudged, and your\nneeds weren't met? What kind of interventions and consequences to problem\nbehavior were attempted before the facility realized they could not meet the\nchild's needs? How did those failed attempts at consequences make that child\nfeel? But here is the problem: for most of the clients I serve, \u003Cu\u003EI cannot\njust ask them these questions\u003C\/u\u003E. Even if they communicate by speaking, they\ndon't always have the vocabulary, cognitive understanding, or desire\/motivation\nto answer these kind of questions. And of course, asking someone's caregiver or\nparent to speak on the client’s traumatic experience is not quite the same as\nasking the person who lived through it. Is it starting to sink in now??\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EAs ABA professionals, we must approach each client uniquely\nand specifically, meaning we make little assumption from one client to the\nnext. We modify and tailor intervention to what the client needs and prefers,\nnot what we think is best or should happen. We collaborate with caregivers,\nparents, and other professionals working with that client, and we design\nintervention in a way that respects client dignity, autonomy, choice, and\nagain: preferences. If my client hates washing dishes, is it unethical to\nutilize reinforcement to teach them this skill because their parents want them\nto wash dishes? If my client has a meltdown in a public space, should I\nimmediately take them out to respect their dignity in that moment or is that\n\"reinforcing escape behaviors\"? If my client is non-compliant, is physical\nprompting necessary? How do I respond during a session when my client revokes\ntheir assent? What about a client who is older or able to communicate, and\ntells me they don’t want to receive ABA therapy. How should I respond? How do I\nselect treatment goals for a client who has no means to communicate? How do I\nmake sure I am embedding client choice? Is it ethical to create a Behavior Plan\nfor stereotypy? What about teaching play skills? Is this ethical or not?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThese are not easy questions to answer, which is the whole\npoint. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EFor client A who has a very specific background, I may\nanswer these questions one way. But then with client B who has a history of\ntrauma, school refusal\/aversion to authority figures, or past experiences with a\nlow-quality ABA provider, my answers could be completely different. And that is\nhow this should work, with the intervention package looking quite different\nfrom one person to the next. That’s a GOOD thing.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cspan style=\"mso-spacerun: yes;\"\u003E\u0026nbsp;\u003C\/span\u003EIf the care being\nprovided is individualized, focused on what is best for that \u003Cb\u003Eindividual\u003C\/b\u003E\n(and not just their caregivers\/parents), and trauma informed, then the\nintervention will ultimately be far more helpful, impactful, and SAFER\/less\nharmful to the individual receiving therapy services.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThere's tons of valuable information, research, and\nresources about trauma informed ABA (here is a \u003Ca href=\"https:\/\/cuspemergence.com\/tiba-series\/\" target=\"_blank\"\u003Emassive list\u003C\/a\u003E of resources). I\nurge any ABA professional reading this to dig into this methodology and embed\nit into the way you do your job. Listen to Autistics who speak about their life\nexperiences, meltdowns, sensory issues, and their daily challenges. I have\nworked with many Autistic RBTs or BCBAs, and learned so much from them talking\nabout their own experiences as a child, in school, in therapy, as an adult, etc.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cspan style=\"mso-spacerun: yes;\"\u003E\u0026nbsp;\u003C\/span\u003EIn order to gain new\nperspective, \u003Cu\u003Eyou have to be willing to be wrong\u003C\/u\u003E. Be willing to say\n\"Wow, I didn't know that\", “\u003Cb\u003EI don’t know\u003C\/b\u003E\/I need to research\nthat further”, or \"I never thought it about that way\". This how we\nlearn.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThere is a movement happening all around us, and while it\nmay have many differing voices, that does not negate the need for change. We\nCAN do better at how we help our clients, how we listen to our clients\n(especially those who do not communicate by speaking), and how we serve the\ndisabled community.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E*Check out these great resources to learn more:\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.basicsabatherapy.com\/blog\/trauma-informed-behaviorism\" target=\"_blank\"\u003ETrauma Informed Behaviorism\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/ceuey.com\/product\/trauma-informed-care-for-behavior-analysts\/\" target=\"_blank\"\u003ETrauma Informed Care for Behavior Analysts\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/behavioralobservations.com\/what-is-trauma-informed-aba-session-131-with-camille-kolu\/\" target=\"_blank\"\u003E'What is Trauma Informed ABA?'\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/practicalfunctionalassessment.com\/2021\/05\/05\/a-perspective-on-todays-aba-by-dr-greg-hanley\/\" target=\"_blank\"\u003EA Perspective on Today's ABA\u003C\/a\u003E (Dr Hanley)\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/vimeo.com\/515409708\" target=\"_blank\"\u003EABA Provider Listening Pledge\u003C\/a\u003E (video)\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.csa.virginia.gov\/Content\/doc\/Autism_and_Trauma_The_Compatability_of_ABA_and_Trauma_Informed_Practices_2019.pdf\" target=\"_blank\"\u003EThe Compatibility of ABA \u0026amp; Trauma Informed Practice\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/earlychildhood.ehe.osu.edu\/files\/2018\/07\/Summer-Institute-AM-Breakout.pdf\" target=\"_blank\"\u003EExamining Challenging Behaviors from a Trauma Lens\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.washingtonpost.com\/lifestyle\/2019\/10\/16\/how-listening-autistic-adults-helped-me-understand-support-my-son\/?fbclid=IwAR1UWmyA7WGPgvw4D1WlZ32HDfo2D7zTG2NMbimLV5gjTi6d9alDM1HQbtE\" target=\"_blank\"\u003EParent perspective on the importance of listening to Autistic voices\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/1766894173547344586\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/08\/trauma-informed-aba.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1766894173547344586"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1766894173547344586"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/08\/trauma-informed-aba.html","title":"Trauma Informed ABA "}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-Jfkx1xmXG1I\/YQblXJh78jI\/AAAAAAAAHYo\/kfbhXHuv7PEgbVIhfmW_eS78XK6legZZQCNcBGAsYHQ\/s72-w385-h297-c\/susan-wilkinson-EDJKEXFbzHA-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-2471166264526354194"},"published":{"$t":"2021-07-21T12:09:00.006-04:00"},"updated":{"$t":"2021-07-21T12:28:34.232-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Therapy start up"}],"title":{"type":"text","$t":"Choosing an ABA Provider, Pt. II"},"content":{"type":"html","$t":"\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-jvItynNrshQ\/YPhF6nSN9SI\/AAAAAAAAHX0\/poJJmcLLMj47N9BdOIUKkvApLATm8PCtwCNcBGAsYHQ\/s500\/photo-1600821986515-3ef5b0f29f39.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"377\" data-original-width=\"500\" height=\"252\" src=\"https:\/\/1.bp.blogspot.com\/-jvItynNrshQ\/YPhF6nSN9SI\/AAAAAAAAHX0\/poJJmcLLMj47N9BdOIUKkvApLATm8PCtwCNcBGAsYHQ\/w335-h252\/photo-1600821986515-3ef5b0f29f39.jpg\" width=\"335\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003EI already have a post with tips for \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\" target=\"_blank\"\u003Eevaluating the quality of your in-home ABA provider\u003C\/a\u003E.\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBut what about those families who want clinic\/center (these words are pretty interchangeable, so for this post I will just use \"center-based ABA\") based services? What questions should families ask during intake? What are some potential red flags? Should parents directly observe sessions or is that too distracting?\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EKeep reading, and hopefully I can help answer these types of questions.\u003C\/p\u003E\u003Cp\u003EAs ABA therapy services continue to grow and expand (fueled largely by increased funding, which leads directly to increased providers\/companies) center based treatment is becoming more prevalent.\u003C\/p\u003E\u003Cp\u003EWhen I was first certified as a BCBA, there were less than 5 center options in my local area. Today, I would estimate that number to be over 100. If you are reading this and you live in a fairly urban or metropolitan area, then you likely know of at least a handful of ABA centers in your area.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EParents contact me all the time with so many questions about center based treatment. When it comes to ABA therapy, the experience can be quite different from other therapies.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EMany families have experienced center based treatment via Speech Therapy, Physical Therapy, Counseling or other Mental Health services, or Occupational Therapy. But these are usually 30 to 50 minute appointments that occur once a week. ABA therapy is often highly intensive, and sessions can occur daily. There is also (usually) a focus on setting up a day that resembles a preschool experience, including large group instruction, recess, school readiness instruction, toilet training, lunch\/meals eaten as a group, Art or Music, etc. It is a busy, very planned out, full day experience.\u003C\/p\u003E\u003Cp\u003ECenters differ as far as policy and procedure, so there will be variability from one company to the next regarding how parents are included in the intervention process. There will also be variability related to state laws, funder requirements, or if the center is part of a chain (usually owned by \u003Ca href=\"https:\/\/www.thenation.com\/article\/society\/private-equity-autism-aba\/\" target=\"_blank\"\u003Emassive private equity firms\u003C\/a\u003E) or a small center with an owner on-site. So just know that some of the suggestions below may be more or less applicable to your situation.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFirst, let's answer a few questions-\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\"\u003Ci\u003EWhich is best, home or center based ABA\u003C\/i\u003E?\" - There is no concrete answer to this. It depends on your child, their needs, the priority of intervention, etc. Obviously, if peer\/social interaction is a priority then center based services have the advantage of peers being on-site. However, many parents have concerns that their children will pick up new challenging or inappropriate behaviors if they spend their whole day with other disabled children. So as you can, there are pros and cons to center -based treatment, just like with home -based treatment.\u003C\/p\u003E\u003Cp\u003E\"\u003Ci\u003EWhy do we have to agree to block scheduling\u003C\/i\u003E?\" - A block schedule is when the center only offers a few options for scheduling. For example: 'Part time - 8am-12pm, Full time 8am-5pm'. This usually has to do with consistency in scheduling staff, and the major disruptions to other clients that can be caused by changing staff schedules. For the most part, centers do not have the same scheduling flexibility as in-home treatment. If your family needs a more flexible, adaptable schedule that can change from time to time, then you probably would not be a good fit for center based treatment.\u003C\/p\u003E\u003Cp\u003E\"\u003Ci\u003EMy spouse and I both work full-time and center based is easier because it has the same schedule as day care\/preschool\u003C\/i\u003E\" - Yes, many parents prefer center based intervention due to the schedule (child is there all day). However, \u003Cb\u003EABA is not respite\u003C\/b\u003E. It is important to look beyond the ease of the schedule, and to determine if a center based setting is the best fit for your child and their needs. Also, 2 working parents can make parent involvement very difficult when it comes to center based intervention. Which brings me to the next commonly asked question........\u003C\/p\u003E\u003Cp\u003E\"\u003Ci\u003EHow does parent training\/caregiver support happen at a center if both parents work full-time\u003C\/i\u003E?\" - This can be challenging. Usually, for center based intervention at least one parent will meet with the case BCBA on-site, each month, to go over client progress. If neither parent can do this on-site, this meeting could be held via Telehealth. If that still is not a feasible option, then it is likely center based intervention isn't a good fit. I would suggest home based services that occur in the evening hours or on the weekend, so parents can be actively involved with treatment.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ENow, let's talk about indicators of quality-\u003C\/p\u003E\u003Cp\u003EHigh-quality center based ABA providers will look like a high-quality home based provider for the most part. There should be credentialed individuals (e.g. RBT or BCaBA) working directly with your child and overseen by a BCBA, there should be an initial assessment conducted to create an individualized treatment plan, there should be ongoing monitoring of the intervention and data analysis, and there should be clear, transparent billing, supervision, and staff training policy and procedures.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EAs a parent, you should know who is working with your child on a weekly basis (this may vary, due to staff vacation, illness, or changes, but you should know when it varies). You should know what goals are being targeted with your child, and \u003Cb\u003Ehow\u003C\/b\u003E they are being taught (most parents never ask). You should know the Behavior Intervention Plan, or the strategies being used to reduce harmful or inappropriate behaviors. You have the right to watch\/view these procedures and be trained on how to implement them at home. The center facility should be clean, appropriately staffed, have both passive and active play areas, have an appropriate person to bathroom ratio, doors and windows should be secured (monitored with alarms, locks, etc.) to keep clients safe, there should be ample toys and materials, etc. Not only should you be able to tour the center as a parent, but you should be able to see where your child receives 1:1 intervention and to examine the therapy space.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAnd of course, I cannot leave out potential \u003Cspan style=\"color: red;\"\u003Ered flags\u003C\/span\u003E. Occurrence of any of the items below should raise your concerns, and lead to an action step (Speak with the facility Director or Manager, talk to your case BCBA, and if necessary, remove your child from the program)-\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003EThe absence of any of the criteria described for a high-quality ABA center\u003C\/li\u003E\u003Cli\u003EStaff\/Director or Manager are consistently angry, upset, or otherwise seem miserable. Do you want to work with people who are miserable every day? Then why would your child want to?\u003C\/li\u003E\u003Cli\u003EPoor communication\/No communication, specifically when it comes to billing\/invoices\/charges, clinical supervision, conflict with the staff, or behavioral strategies used\u003C\/li\u003E\u003Cli\u003EYour child experiences significant regression after starting services at the center\u003C\/li\u003E\u003Cli\u003EMassively high staff turnover. I say \"massively high\" because ABA as a field is known for \u003Ca href=\"https:\/\/www.forbes.com\/sites\/forbesbooksauthors\/2018\/11\/07\/improving-retention-in-aba-services\/?sh=950082f73b87\" target=\"_blank\"\u003Ehigh staff turnover.\u003C\/a\u003E But, if you have been at the center less than 30 days and can't keep track of who is on your child's team---\u0026gt; that is a problem.\u003C\/li\u003E\u003Cli\u003ELack of outdoor space where clients can play and get fresh air (many centers today are located in business\/office spaces that lack outdoor play areas)\u003C\/li\u003E\u003Cli\u003ELack of toys, materials, or manipulatives for clients to play and explore\u003C\/li\u003E\u003Cli\u003EAs a parent, you are pushed to sign on for an amount of treatment hours you are not comfortable with, and do not feel are necessary\u003C\/li\u003E\u003Cli\u003EAs a parent, you are never allowed on-site. Yes, there is HIPAA, and client confidentiality, and all sorts of reasons why parents may not be able to just walk in any time, without exception. BUT, the center should have figured out a way to remediate this issue. For example, a discreet meeting area or conference room where BCBA or Director meetings occur, a waiting area where parents can request to meet with their child's RBT or team members, or discreet observation windows where parents can view their child during therapy unobtrusively\u003C\/li\u003E\u003Cli\u003EAs a parent, you are pushed to terminate services with other providers to focus only on ABA. Or, you are pushed to terminate services with other providers and swap them out for services offered at the center\u003C\/li\u003E\u003Cli\u003EIf you do not know what your child is working on (treatment goals), never received any data, reports, or graphs, or your child is working on things you specifically rejected or said you wanted removed from their treatment plan----\u0026gt; that is a big problem.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E*Further Resources:\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E'\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\" target=\"_blank\"\u003EChoosing an ABA Provider, Part I\u003C\/a\u003E'\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E'\u003Ca href=\"https:\/\/www.forbes.com\/sites\/forbesbooksauthors\/2019\/05\/24\/home-based-vs-center-based-services-for-autism\/?sh=6e8032631d35\" target=\"_blank\"\u003EHome based or Center based ABA\u003C\/a\u003E?'\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E'\u003Ca href=\"https:\/\/asatonline.org\/research-treatment\/clinical-corner\/a-comparative-look-at-school-based-and-center-based-aba-programs\/\" target=\"_blank\"\u003EA Comparative Look at School \u0026amp; Center based Programs\u003C\/a\u003E'\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E'\u003Ca href=\"https:\/\/marybarbera.com\/home-aba-therapy-vs-aba-school\/\" target=\"_blank\"\u003EIn Home, or Center Based: Which is Better\u003C\/a\u003E?'\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.facebook.com\/permalink.php?story_fbid=3078592148911095\u0026amp;id=594323530671315\" target=\"_blank\"\u003EFacebook post about treatment hour recommendations\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/2471166264526354194\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/07\/choosing-aba-provider-pt-ii.html#comment-form","title":"2 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2471166264526354194"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2471166264526354194"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/07\/choosing-aba-provider-pt-ii.html","title":"Choosing an ABA Provider, Pt. II"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-jvItynNrshQ\/YPhF6nSN9SI\/AAAAAAAAHX0\/poJJmcLLMj47N9BdOIUKkvApLATm8PCtwCNcBGAsYHQ\/s72-w335-h252-c\/photo-1600821986515-3ef5b0f29f39.jpg","height":"72","width":"72"},"thr$total":{"$t":"2"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-7508290702324856926"},"published":{"$t":"2021-06-02T10:30:00.001-04:00"},"updated":{"$t":"2021-09-26T18:04:56.440-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"assessment"},{"scheme":"http://www.blogger.com/atom/ns#","term":"BCBA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"}],"title":{"type":"text","$t":"Client Assessment: An Overview"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-qDNmrZlceG8\/YLeVoKnp1II\/AAAAAAAAHS0\/rk1R_34gg9MnDRwZourEMyDcTK6sB2cHwCNcBGAsYHQ\/s344\/photo-1587613754760-cd9a285831b3.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"344\" data-original-width=\"321\" height=\"335\" src=\"https:\/\/1.bp.blogspot.com\/-qDNmrZlceG8\/YLeVoKnp1II\/AAAAAAAAHS0\/rk1R_34gg9MnDRwZourEMyDcTK6sB2cHwCNcBGAsYHQ\/w313-h335\/photo-1587613754760-cd9a285831b3.jpg\" width=\"313\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003ERecommended Reading:\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/marksundberg.com\/vb-mapp\/\" target=\"_blank\"\u003EVB -MAPP\u003C\/a\u003E assessment tool\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/partingtonbehavioranalysts.com\/products\/ablls-r-the-assessment-of-basic-language-and-learning-skills-revised\" target=\"_blank\"\u003EABLLS-R\u003C\/a\u003E assessment tool\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/partingtonbehavioranalysts.com\/pages\/afls\" target=\"_blank\"\u003EAFLS\u003C\/a\u003E assessment tool\u003C\/p\u003E\u003Cp\u003EThe \u003Ca href=\"https:\/\/practicalfunctionalassessment.com\/\" target=\"_blank\"\u003EPractical Functional Behavior Assessment\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThere are many commercial assessment tools out there that are purchased and utilized by ABA practitioners, typically at the BCBA level (BCBAs typically are the ones conducting \u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/01\/conducting-client-intakes.html\" target=\"_blank\"\u003Enew client intake\u003C\/a\u003E).\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EOften when I work with supervisees (meaning individuals pursuing BCBA certification) or very new practitioners, they have many questions about \u003Cb\u003EAssessment\u003C\/b\u003E. Such as, which tool to select for which client, pros and cons of each tool, what materials to use (particularly if the employer does not provide assessment kits), differences between assessing a younger child vs a young adult or adult, differences in assessing in the home vs community settings, etc. And of course, varying funder requirements will also influence which assessment tool is selected and even how much time is allowed to conduct an assessment.\u003C\/p\u003E\u003Cp\u003EIn summary, the questions focus on \"HOW\". \u003Ci\u003EHow do I pick the best assessment, for this client, in this particular setting, to gain the most helpful information?\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBecause at the end of the day, that IS the point of assessment: to gain valuable and salient information about the client that will guide programming and determine which goals to prioritize for treatment.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EPutting aside the specific options for a moment, the key characteristics of a quality client assessment will include the following:\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003EA variety of methods across both direct and indirect observation, interviews, checklists, tests, and\/or direct skill probing to identify and define targets for intervention\u0026nbsp;\u003C\/li\u003E\u003Cli\u003EThe priorities and areas of concern of the client, client caregiver\/parents, or other caregivers close to the client\u003C\/li\u003E\u003Cli\u003ERecord review of pertinent files or reports\u003C\/li\u003E\u003Cli\u003ESelection \u0026amp; measurement of goals\u003C\/li\u003E\u003Cli\u003EProblem behavior identification, measurement, and assessment\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EThe assessment process is an absolute necessity to beginning treatment with any client. Regardless of age, setting, areas of concern, treatment model, etc., without proper assessment the intervention isn't likely to be effective or achieve true long-lasting change.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EMore important than the specific tool to select, is the ability to \u003Ca href=\"https:\/\/www.iloveaba.com\/2016\/02\/supervisor-tips-case-conceptualization.html\" target=\"_blank\"\u003Econceptualize treatment \u003C\/a\u003Eand \u003Ca href=\"https:\/\/www.iloveaba.com\/2019\/06\/p-is-for-priority.html\" target=\"_blank\"\u003Eprioritize goals\u003C\/a\u003E. Assessment tools do have characteristics in common, and a big one is the assessor must already have an understanding and knowledge of capturing client attention, delivering the SD, prompting and prompt fading, data measurement, and conducting a thorough interview to gather important information about client functioning. For this reason, although some organizations will assign non-BCBAs to conduct assessments it is critical that the assessor (regardless of certification level) have the appropriate skillset and training to administer an assessment.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EIt is also important to recognize that the client's needs should guide assessment tool selection, and not just the tools that are available, the BCBA preference of tool, or other non-critical decision factors. Many organizations may only have 1 or 2 assessment tool options, which would then mean the clients served would need to be narrowed to the ones most appropriate for the assessment tools (e.g. if an organization does not have an appropriate assessment tool for early intervention, then early intervention clients should not be admitted).\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003ELastly, let's not forget that completing a thorough assessment is meaningless if it isn't then connected to goal setting. What was the point of identifying barriers to learning, maladaptive behaviors, and skill deficits impeding daily functioning, if these goals never show up in the treatment plan? Or are never addressed in therapy? It is possible to overfocus on the assessment tool to the point that important, necessary daily life skills get neglected. For example: assuming that because a client has \"filled\" an assessment grid, they are now done with therapy\/have no further need of intervention.\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EIf the assessment (when I use the word \"assessment\", I mean a combination of record review, interview, observation, and direct skill probing) identifies Gross Motor Skills, Manding, and Vocal Imitation as areas of significant concern, then programming for those areas should be reflected in the treatment plan. The absence of this, is often seen in \"cookie-cutter interventions\". Cookie-Cutter interventions can be recognized by their disconnect from the individual priorities or high need areas, and by their generic replication across multiple clients. While it is true that many clients with no prior intervention will present similarly (may share struggles with social skills or toileting), this is not the same thing as saying \"Here are the 10 goals I select for ALL 5 -year- olds\", or \"Here is how I teach Toileting for ALL toddlers\". If ABA is not customized and individualized, \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/02\/is-this-aba.html\" target=\"_blank\"\u003Eit isn't really ABA\u003C\/a\u003E.\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E*References -\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003ECooper, Heron, \u0026amp; Heward (2014). \u003Ca href=\"https:\/\/www.pearson.com\/store\/p\/applied-behavior-analysis\/P100000864138\" target=\"_blank\"\u003EApplied Behavior Analysis\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"http:\/\/elisabethcassinari.com\/assisting-individualized-assessment-procedures\/\"\u003Ehttp:\/\/elisabethcassinari.com\/assisting-individualized-assessment-procedures\/\u003C\/a\u003E (great resource!)\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EThe Council of Autism Service Providers (2020)\u0026nbsp;\u003Ca href=\"https:\/\/casproviders.org\/asd-guidelines\/\" target=\"_blank\"\u003EApplied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E*Awesome Resource -\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\"\u003Ca href=\"https:\/\/collective.dobettermovement.us\/course\/ablls-r-afls-vbmapp-esdm-peak-choosing-the-right-assessment-for-your-learner-with-autism\/\" target=\"_blank\"\u003EABLLS-R, AFLS, VBMAPP, ESDM, PEAK!?!? Choosing the Right Assessment for Your Learner with Autism\u003C\/a\u003E\"\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/7508290702324856926\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/06\/client-assessment-overview.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7508290702324856926"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7508290702324856926"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/06\/client-assessment-overview.html","title":"Client Assessment: An Overview"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-qDNmrZlceG8\/YLeVoKnp1II\/AAAAAAAAHS0\/rk1R_34gg9MnDRwZourEMyDcTK6sB2cHwCNcBGAsYHQ\/s72-w313-h335-c\/photo-1587613754760-cd9a285831b3.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5094794421648497887"},"published":{"$t":"2021-05-17T13:18:00.005-04:00"},"updated":{"$t":"2021-09-26T18:04:38.904-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"BCBA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"}],"title":{"type":"text","$t":"Good, Better, or Great?"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003Cspan style=\"font-family: georgia;\"\u003ERecommended Reading (\u003Cspan style=\"font-size: x-small;\"\u003Eseriously, go read this now\u003C\/span\u003E): \u003Ca href=\"http:\/\/onlythesheppards.blogspot.com\/2013\/09\/on-autism-and-aba-and-assholes.html\" target=\"_blank\"\u003EAutism \u0026amp; ABA \u0026amp; A$$holes\u003C\/a\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-VzVbvC9gR60\/YKKlRHzANAI\/AAAAAAAAHRk\/8UH677_fP7Ept9URHhNIdJxbORlWvjq7gCNcBGAsYHQ\/s500\/photo-1522148543752-8cdaa654a796.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"265\" src=\"https:\/\/1.bp.blogspot.com\/-VzVbvC9gR60\/YKKlRHzANAI\/AAAAAAAAHRk\/8UH677_fP7Ept9URHhNIdJxbORlWvjq7gCNcBGAsYHQ\/w398-h265\/photo-1522148543752-8cdaa654a796.jpg\" width=\"398\" \/\u003E\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EABA peeps: Do you want to be a \u003Ci\u003Egood\u003C\/i\u003E Behavior Analyst? Or a\u0026nbsp;\u003Cb\u003EGreat \u003C\/b\u003EBehavior Analyst?\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E'Behavioral Artistry' as described and defined in the 2019 Kevin Callahan et al. article, is the difference between being a practitioner following learned \"recipes\" or paint-by-number strategies, and a creative, passionate clinician, qualitatively better at their job.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EWe know the process of obtaining the BCBA credential: verified coursework, hands-on practical supervised experience, and passing a rigorous exam (www.Bacb.com). Completing these steps to satisfaction will yield a BCBA.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EBut will that BCBA be....pleasant? Professional? Funny? Warm? Engaging? Enjoyable to work for? Caring? Empathetic? Socially Mature?\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EDoes it matter what we know (skillset), if the experience of working with us\/for us is terrible?\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EI'm going to answer for everyone and say: No.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIf you have been working in this field for some time and have not come across the stereotypical \"cold, robotic\" BCBA, then how exciting for you. Unfortunately, your experience of not working for or with this type of person does not deny their existence. I have worked for quite a few arrogant, rude, empathy-deficient BCBA's, and have also helped fellow BCBA's (and myself) to self-correct when that good ole' bedside manner needs a realignment.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EThis is a problem.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIt's a problem because BCBA's most often fulfill a role focused on people, and socially valid behavior change. People need to like us, in order for services to be most effective. People need to listen to what we have to say, value our recommendations, and trust our data in order to yield any results.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-o9ei8HhWH4I\/YKKboE04OVI\/AAAAAAAAHRc\/dk_d7IwnhsI4oiBHtQvrAnZ4hh-vtk-rQCNcBGAsYHQ\/s308\/download.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cimg border=\"0\" data-original-height=\"126\" data-original-width=\"308\" src=\"https:\/\/1.bp.blogspot.com\/-o9ei8HhWH4I\/YKKboE04OVI\/AAAAAAAAHRc\/dk_d7IwnhsI4oiBHtQvrAnZ4hh-vtk-rQCNcBGAsYHQ\/s0\/download.jpg\" \/\u003E\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EAs a BCBA, do your supervisees enjoy working for you? Are they having a pleasant experience being supervised by you? Do your clients enjoy seeing you show up at their school, home, or clinic? Do the client parents or families enjoy working with you? What about your colleagues, the leadership over you, or other professionals you interact with to do your job (educators, SLP's, OT's, physicians, etc.)? Beyond data sheets, reports, and graphs, what is the \u003Cu\u003Equalitative experience\u003C\/u\u003E people have when they encounter you at work?\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp class=\"p p-first\" id=\"Par52\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EBasically, the big question here is: **What are the behaviors that make some BCBA's\u0026nbsp;\u003Cem\u003Ebetter\u003C\/em\u003E\u0026nbsp;than others?**\u003C\/span\u003E\u003C\/p\u003E\u003Cp class=\"p p-first\" id=\"Par52\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EThe concept of Behavioral Artistry was developed out of a need to address the interpersonal behaviors of Behavior Analysts (\u003Ci\u003Ewhich ones are most needed? what happens when they are lacking?\u003C\/i\u003E), and directly tie those behaviors to clinical outcomes. In case you missed that---\u0026gt; insufficient interpersonal skills can have negative impacts on treatment delivery, and client success. See why this topic is so important?\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par53\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par54\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EBCBA's with better interpersonal skills (as measured by specific behavioral characteristics), LOOK better when doing the job. They laugh more, they smile more, they pay attention better, they listen more carefully, they are more objective, they are more creative, they are optimistic, they are persistent, and other people have a better experience working with them.\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par54\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EI always find it so odd that in a role where many of us are working to help our clients be more flexible (Super Flex, anyone??), as BCBA's we can be some of the most rigid and inflexible clinicians, when compared to other disciplines. Why is that? Who exactly does that benefit??\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par55\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par5\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIn 2016 Leaf and colleagues examined the pervasive use of ABA in autism treatment, and pondered ways behavioral interventions could become less effective:\u003C\/span\u003E\u003C\/p\u003E\u003Cblockquote class=\"pullquote\" style=\"background-color: white; font-style: italic; margin: 1.3846em 1em; position: relative;\"\u003E\u003Cp id=\"Par6\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\"A danger inherent in any large scale, quickly growing area is a loss of focus on meaningful purpose, process, and outcomes. In the field of ABA, this might translate into dogmatic lack of attention to clinical significance, selection of impractical procedures, ritualistic data-collection, over-abundant use of off-putting, dehumanizing terminology, disregard of logistical realities, and insensitivity to consumer issues\"\u003C\/span\u003E\u003C\/p\u003E\u003C\/blockquote\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u0026nbsp;\u003Cspan style=\"background-color: white;\"\u003EAny part of this quote sound familiar? Or like anything you've experienced at work? Particularly in the current climate of the ABA industry, where Big Business can be more focused on \u003C\/span\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2021\/01\/the-ethics-of-big-business.html\" target=\"_blank\"\u003Eprofit than quality\u003C\/a\u003E\u003Cspan style=\"background-color: white;\"\u003E.\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par7\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp id=\"Par7\" style=\"background-color: white; margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cspan\u003E\u003Cspan\u003EBehavioral Artists are best viewed as organically talented BCBA's (meaning their greatness is more about who they are, than what they know)\u0026nbsp; who consistently demonstrate specific\u0026nbsp;interpersonal characteristics such as the following\u003C\/span\u003E\u003C\/span\u003E\u003Cspan\u003E:\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cul class=\"unordered\" style=\"background-color: white; clear: both;\"\u003E\u003Cli\u003E\u003Cp id=\"Par11\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003ELikes people: is able to establish rapport; demonstrates concern; wants to facilitate positive change;\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par12\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EHas “perceptive sensitivity”: pays careful attention to important indicators of client behavior that may be small, subtle, and gradual;\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par13\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EDoesn’t like to fail: sees difficult clients as a personal challenge to overcome, and as an opportunity for the client to succeed;\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par14\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EHas a sense of humor: recognizes and accepts that much in the educational and human services professions is bizarre, illogical, and humorous;\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par15\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003ELooks “for the pony”: is optimistic and sees behavior change in a “glass half-full” context; always believes programming will be successful; is less likely to burn out;\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par16\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIs thick-skinned: doesn’t take negative client actions towards herself or himself personally; maintains objectivity and positivity; and\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp id=\"Par17\" style=\"margin: 0.6923em 0px;\"\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIs “self-actualized”: does whatever is necessary and appropriate to facilitate and produce positive behavior change; is not under audience control; is creative\u003C\/span\u003E\u003C\/p\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EIf we want to be \u003Cb\u003Egreat\u003C\/b\u003E clinicians (which...… why wouldn't we want to be great?), then the measuring stick used needs to go far beyond goals mastered, assessment grids completed, and billable hour quotas met. Productivity does not equal excellent interpersonal skills.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EThe measuring stick used must include \u003Ci\u003Equalitative\u003C\/i\u003E measures, such as client feedback, supervisee feedback, warmth, and compassion.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003EReferences:\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"background-color: white;\"\u003ECallahan, K., Foxx, R. M., Swierczynski, A., Aerts, X., Mehta, S., McComb, M. E., Nichols, S. M., Segal, G., Donald, A., \u0026amp; Sharma, R. (2019). \u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6707962\/#CR39\" target=\"_blank\"\u003EBehavioral Artistry\u003C\/a\u003E: Examining the Relationship Between the Interpersonal Skills and Effective Practice Repertoires of Applied Behavior Analysis Practitioners.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white;\"\u003EJournal of autism and developmental disorders\u003C\/i\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"background-color: white;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white;\"\u003E49\u003C\/i\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"background-color: white;\"\u003E(9), 3557–3570\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"background-color: white;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cspan style=\"background-color: white;\"\u003ELeaf JB, Leaf R, McEachin J, Taubman M, Rosales S, Ross RK, et al. \u003Ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26373767\/\" target=\"_blank\"\u003EApplied behavior analysis is a science and therefore, progressive\u003C\/a\u003E.\u0026nbsp;\u003C\/span\u003E\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan class=\"ref-journal\" style=\"font-style: italic;\"\u003EJournal of Autism and Developmental Disorders.\u0026nbsp;\u003C\/span\u003E2016;\u003Cspan class=\"ref-vol\"\u003E46\u003C\/span\u003E:720–731.\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; color: #303030; font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; color: #303030; font-family: georgia;\"\u003E\u003Ca href=\"https:\/\/blog.difflearn.com\/2018\/01\/18\/bcbas-robots-just-mine\/\" target=\"_blank\"\u003EAre All BCBA's Robots or Just Mine\u003C\/a\u003E?\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; color: #303030; font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; color: #303030; font-family: georgia;\"\u003E\u003Ca href=\"https:\/\/marybarbera.com\/compassionate-care-interpersonal-skills\/\" target=\"_blank\"\u003EProviding Compassionate Care\u0026nbsp;\u003C\/a\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; color: #303030; font-family: georgia;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"background-color: white; color: #303030; font-size: 13px;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/5094794421648497887\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/05\/good-better-or-great.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5094794421648497887"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5094794421648497887"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/05\/good-better-or-great.html","title":"Good, Better, or Great?"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-VzVbvC9gR60\/YKKlRHzANAI\/AAAAAAAAHRk\/8UH677_fP7Ept9URHhNIdJxbORlWvjq7gCNcBGAsYHQ\/s72-w398-h265-c\/photo-1522148543752-8cdaa654a796.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-4478315490093943723"},"published":{"$t":"2021-04-16T12:56:00.000-04:00"},"updated":{"$t":"2021-04-16T12:56:00.309-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"}],"title":{"type":"text","$t":"Is It Effective?"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-qy3UG_nC8zs\/YHnA64tOUrI\/AAAAAAAAHOQ\/7JDvIcMvgK0Se6HPrdU2rJ7eTHjKbDeeACNcBGAsYHQ\/s750\/photo-1613579918100-bbf25d3691d0.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"750\" data-original-width=\"500\" height=\"340\" src=\"https:\/\/1.bp.blogspot.com\/-qy3UG_nC8zs\/YHnA64tOUrI\/AAAAAAAAHOQ\/7JDvIcMvgK0Se6HPrdU2rJ7eTHjKbDeeACNcBGAsYHQ\/w267-h340\/photo-1613579918100-bbf25d3691d0.jpg\" width=\"267\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EA current criticism of the ABA field\/industry is that as\nmore and more investors come in, expand existing companies, and open new and\nlarge, multi-state companies, quality assurance is decreasing.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cb\u003EHow are we intentionally and systematically evaluating the effectiveness\nof treatment, client outcomes, and individual client response to intervention?\u003C\/b\u003E Not just at a large, across clients level, but for each individual case\/client\/treatment plan (e.g. \"For THIS specific client, was treatment effective?\").\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EThere has been criticism aimed at ABA that it doesn’t work, lacks\nlarge group data comparisons, is only effective with specific ages\/ability levels,\nor is less effective at lower treatment hours. (See recommended reading below for\nmore on this).\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003ESometimes this criticism is in itself, flawed and\nmisinformed. Such as many funders viewing “successful treatment” as reducing\nor eliminating common Autistic characteristics, i.e. Stimming.\nEthically, a qualified BCBA or practitioner will not intervene on a behavior\nunless there is a demonstrated clinical need to do so. The goal of ABA is not “\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/03\/normalization.html\" target=\"_blank\"\u003Enormalization\u003C\/a\u003E”,\nso if we are measured by a “normalization” measuring stick, then yes…. We will\nfail.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBut, in other instances the criticisms about our field need to be heard,\nand embedded into how we practice.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EFor example, when an organization is reporting on “client\nsuccess rates”, common variables that are included are things such as: amount\nof time from 1\u003Csup\u003Est\u003C\/sup\u003E parent contact to services starting, how much of\nthe insurance authorization is being consistently utilized, how many states is\nthe company in\/what is the new market expansion rate, etc.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EBut what about: Are the caregivers\/parents satisfied with\ntreatment outcomes? Measuring social validity of the specific strategies and\ntechniques used? And very important--\u003Cspan style=\"font-family: Wingdings; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;\"\u003E\u003Cspan style=\"mso-char-type: symbol; mso-symbol-font-family: Wingdings;\"\u003Eà\u003C\/span\u003E\u003C\/span\u003E\nWhat does the actual client receiving services have to say about it? Is their\nexperience of ABA positive? Negative? Do their own self-determination goals and\nlife needs factor in to the ABA treatment plan? Was the client consulted and\ncollaborated with as the treatment plan was being compiled?\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EAnd, oh yes: \u003Cb\u003EAre we measuring practitioner satisfaction\nrates\u003C\/b\u003E? At the direct staff \u003Cu\u003Eand\u003C\/u\u003E supervisory level? If you think \u003Ca href=\"https:\/\/www.forbes.com\/sites\/forbesbooksauthors\/2018\/11\/07\/improving-retention-in-aba-services\/?sh=234de8d73b87\" target=\"_blank\"\u003Erevolving door RBT’s\u003C\/a\u003E, \u003Ca href=\"https:\/\/howtoaba.com\/bcba-burnout\/\" target=\"_blank\"\u003Eburned out BCBAs\u003C\/a\u003E, and \u003Ca href=\"https:\/\/www.iloveaba.com\/2019\/01\/quantifying-value.html\" target=\"_blank\"\u003Eunderpaid and undervalued practitioners\u003C\/a\u003E will\nhave no effect on the quality of treatment provided to consumers, you are\nliving in a fantasy world.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EI see few outcome measures like this in the field, but I do\nsee more of this \u003Ci\u003Estarting\u003C\/i\u003E to happen. Starting to become more prevalent at\nboth the practitioner, and the organizational level. Which is wonderful. There are some companies out there working very hard to go \u003Ci\u003Eagainst\u003C\/i\u003E the tide, and to stand out from the pack.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EWe have to look beyond progress to goal mastery\/completed targets, and completing\nthe assessment grid, to evaluate if our services are truly effective or not. And\nby “evaluate”, I mean putting on our clinical hat and collecting the data,\nexamining the data, making decisions based on the data, and letting the data\nguide how we do business and serve consumers, day in and day out. \u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EWe have to look beyond just decreasing and\nincreasing behaviors, because did we decrease\/increase the behaviors most\nsalient to the \u003Cu\u003Eindividual receiving services\u003C\/u\u003E? Or to their parent? The word “effective”\ncan encompass multiple complex variables, which means it will require input\nfrom multiple sources (funders, caregivers, clients, practitioners, and\norganizations\/agencies).\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003EWe have to \u003Ca href=\"https:\/\/collective.dobettermovement.us\/\" target=\"_blank\"\u003E#DoBetter\u003C\/a\u003E both as practitioners, and as\norganizations. There is far too much at stake here for the clients we serve,\nthe families we support, the stakeholders we report to, and the public\nperception of our field.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u0026nbsp;\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Co:p\u003E\u003Cbr \/\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E*Recommended Reading:\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.scottsdalepbs.com\/blog\/does-aba-therapy-really-work\" target=\"_blank\"\u003EDoes ABA Therapy Really Work\u003C\/a\u003E?\"\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/marybarbera.com\/aba-therapy-not-working\/\" target=\"_blank\"\u003EWhy is ABA Therapy not working\u003C\/a\u003E?\"\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.iloveaba.com\/2015\/08\/when-aba-isnt-for-you.html\" target=\"_blank\"\u003EWhen ABA Therapy Isn't For You\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E'\u003Ca href=\"https:\/\/www.altteaching.org\/us-government-reports-that-aba-doesnt-work\/\" target=\"_blank\"\u003EUS Govt. Reports that ABA doesn't work\u003C\/a\u003E'\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.researchgate.net\/publication\/283670943_Parent_Perceptions_About_Autism_Spectrum_Disorder_Influence_Treatment_Choices\" target=\"_blank\"\u003EParent Perceptions about ASD Influence Treatment Choices\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/AIA-02-2019-0004\/full\/html\" target=\"_blank\"\u003EWhy Caregivers discontinue ABA\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5639250\/\" target=\"_blank\"\u003EAn Evaluation of the Effects of Intensity and Duration on Outcomes\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.york.ac.uk\/inst\/spru\/pubs\/pdf\/BBMeASURe.pdf\" target=\"_blank\"\u003ESystematic Review of Tools to Measure Outcomes for Young Children with ASD\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\"\u003Ca href=\"https:\/\/www.sciencedirect.com\/topics\/psychology\/social-validity\" target=\"_blank\"\u003EWhat is Social Validity?\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E'\u003Ca href=\"https:\/\/asatonline.org\/for-parents\/becoming-a-savvy-consumer\/asd-intervention-how-do-we-measure-effectiveness\/\" target=\"_blank\"\u003EASD Intervention: How do we measure effectiveness?\u003C\/a\u003E'\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E'\u003Ca href=\"https:\/\/www.spectrumnews.org\/features\/deep-dive\/controversy-autisms-common-therapy\/\" target=\"_blank\"\u003EThe controversy over Autism's most common therapy\u003C\/a\u003E'\u003C\/p\u003E\u003Ch1 class=\"nova-e-text nova-e-text--size-xl nova-e-text--family-sans-serif nova-e-text--spacing-none nova-e-text--color-grey-900 research-detail-header-section__title\" style=\"background-color: white; color: #111111; font-family: Roboto, Arial, sans-serif; font-size: 1.375rem; font-weight: 400; line-height: 1.2; margin-bottom: 0px; margin-top: 0px; padding: 10px 0px 5px;\"\u003E\u003Cbr \/\u003E\u003C\/h1\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/4478315490093943723\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/04\/is-it-effective.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4478315490093943723"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4478315490093943723"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/04\/is-it-effective.html","title":"Is It Effective?"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-qy3UG_nC8zs\/YHnA64tOUrI\/AAAAAAAAHOQ\/7JDvIcMvgK0Se6HPrdU2rJ7eTHjKbDeeACNcBGAsYHQ\/s72-w267-h340-c\/photo-1613579918100-bbf25d3691d0.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-3066019220198568107"},"published":{"$t":"2021-03-18T13:10:00.006-04:00"},"updated":{"$t":"2021-04-16T13:02:10.122-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Programs"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Repetitive behaviors"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-o3MltkBgoG0\/YHnCuUbM1gI\/AAAAAAAAHOY\/ZXLJ1CPvCyYipuoOfVMBDRYkk-M5X-zHACNcBGAsYHQ\/s500\/2.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"226\" src=\"https:\/\/1.bp.blogspot.com\/-o3MltkBgoG0\/YHnCuUbM1gI\/AAAAAAAAHOY\/ZXLJ1CPvCyYipuoOfVMBDRYkk-M5X-zHACNcBGAsYHQ\/w340-h226\/2.jpg\" width=\"340\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EToday's QOTD is an amazing \u0026amp; fun discussion that I had the \u003Cb\u003Eprivilege\u003C\/b\u003E to join, with the dope people over at: \"\u003Ca href=\"https:\/\/www.abainsidetrack.com\/get-ceus\/\" target=\"_blank\"\u003EABA Inside Track\u003C\/a\u003E\".\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\"\u003Ci\u003ESpecial interests\u003C\/i\u003E\" are what we used to refer to as \"obsessive interests\/ritualized play\/info dumping\" or restrictive, repetitive interests or conversation topics.\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EIf you are an ABA peep, or a caregiver of an Autistic, then you know exactly what I'm referring to. For non-Autistics, it can be hard to understand the intense interest (often to the exclusion of other important tasks and activities) in Toy Story, or Thomas the Tank Engine, or obscure 1970 bands, or construction sites, or objects that spin, or Mickey Mouse Clubhouse.\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EA \u003Ci\u003Eunique special interest\u003C\/i\u003E is an item, show, song, toy, etc., that sparks a very intense, and very elaborate fascination. If there is a toy or figurine, then ALL the figurines must be purchased. If there is a DVD or TV show, then the ENTIRE show must be watched, with 0 interruptions. If the interest is a place or location (such as a special interest of watching garbage trucks), then we MUST go watch the thing, at the place, right now.\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EThere is an urgency to special interests that makes it difficult for teachers, therapists, caregivers, to transition the individual to other activities, or away from the special interest.\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cu\u003ESo how do we deal with this?\u003C\/u\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EWell, the old way is to try to remove or lessen the fascination. To try to block or put away the interest, particularly if it isn't \"age appropriate\". To say \"no, not right now\", or \"we're done with that\", or \"stop talking about that\".\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EBut is that the way we should approach this? Is that helpful or healthy, long term? And what does that say to the person with the special interest? Who may not cognitively understand why we CANNOT watch elevator videos on YouTube all day, every day.\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EInstead, let's talk about ways to include, embed, and incorporate special, unique interests into everyday life. Into instruction, into therapy, into school, into intervention. Think it can't be done?\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003EWell, research would disagree with you. ;-)\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003ETake a listen! This is \u003Cb\u003Egood stuff.\u003C\/b\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Ca href=\"https:\/\/www.abainsidetrack.com\/get-ceus\/episode-160-incorporating-unique-interests\" target=\"_blank\"\u003EABA Inside Track Podcast, Episode 160\u003C\/a\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E*Recommended Reading:\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Ca href=\"https:\/\/autisticnotweird.com\/autistic-obsessions\/\" target=\"_blank\"\u003EAutistic 'Obsessions' and Why We Really Need Them\u003C\/a\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"margin: 0px; padding: 0px;\"\u003E\u003Cbr style=\"background-color: white; color: #404040; font-family: \u0026quot;Source Sans Pro\u0026quot;, sans-serif; font-size: 16px; letter-spacing: 0.5px;\" \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/3066019220198568107\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/03\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3066019220198568107"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/3066019220198568107"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/03\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-o3MltkBgoG0\/YHnCuUbM1gI\/AAAAAAAAHOY\/ZXLJ1CPvCyYipuoOfVMBDRYkk-M5X-zHACNcBGAsYHQ\/s72-w340-h226-c\/2.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5847293391433682725"},"published":{"$t":"2020-11-28T13:51:00.007-05:00"},"updated":{"$t":"2021-09-11T22:02:17.466-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Reform"},{"scheme":"http://www.blogger.com/atom/ns#","term":"I love ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"ABA Haters Pt. II"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;*Recommended Reading: \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/06\/aba-haters.html\" target=\"_blank\"\u003EABA Haters\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-IstFc51dOiI\/X7w2BnDZdNI\/AAAAAAAAG9A\/rSLaZBzYvn88YaDX2fkMEUAj72Ko32crACNcBGAsYHQ\/s495\/bc.jpg\" style=\"margin-left: 1em; margin-right: 1em; text-align: center;\"\u003E\u003Cimg border=\"0\" data-original-height=\"495\" data-original-width=\"387\" height=\"415\" src=\"https:\/\/1.bp.blogspot.com\/-IstFc51dOiI\/X7w2BnDZdNI\/AAAAAAAAG9A\/rSLaZBzYvn88YaDX2fkMEUAj72Ko32crACNcBGAsYHQ\/w368-h415\/bc.jpg\" width=\"368\" \/\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EI feel very unqualified to write this post.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe ABA Reform movement (also referred to as Autistic Activists \u0026amp; Allies) is \u003Cb\u003E\u003Ci\u003Enot new\u003C\/i\u003E\u003C\/b\u003E, but you may be unaware of it. Many ABA peeps are.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThere's a vocal community of Autistics and pro-neurodiversity\/anti-ABA parents, individuals, and professionals who work diligently to spread the word about their viewpoint of ABA. Sometimes this is due to actual experience with ABA therapy, but not always.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIf you want to understand why an Autistic dislikes ABA therapy, obviously the best person to ask would be an \u003Ca href=\"https:\/\/twitter.com\/hashtag\/actuallyautistic?lang=en\" target=\"_blank\"\u003E#ActuallyAutistic\u003C\/a\u003E.\u003C\/p\u003E\u003Cp\u003EHowever, there are a couple of reasons why I am writing this post anyway, despite feeling unqualified to do so:\u003C\/p\u003E\u003Cp\u003E1. Lots and lots of parents come to my blog as a source of information about ABA. I don't want my silence on this topic to make it seem like I think ABA therapy is perfect with no flaws. I do think this industry has flaws, I have worked for \u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/12\/selecting-aba-employer.html\" target=\"_blank\"\u003Elow-quality employers\u003C\/a\u003E, and I think parents making treatment decisions for their child need to know how to navigate this issue.\u003C\/p\u003E\u003Cp\u003E2. Although there are some in the ABA Reform movement who are pushing more for \"ABA Eradication\" and less for \"ABA Reform\", I think ABA professionals should be a part of this conversation. We are the ones in the field, day in and day out, working with vulnerable populations who don't always have a voice (either figuratively or quite literally). We cannot just stand by and watch this ABA conversation happen, \u003Cb\u003Ewe need to join the conversation.\u003C\/b\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIf you think ABA, as a treatment or as an industry, is perfection and needs no improvement, you may want to stop reading now. \u0026lt;------------------------------------------\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIf however, you see the field's issues with \u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/06\/runnin-on-empty.html\" target=\"_blank\"\u003Eclinician burnout\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/10\/aba-staff-training.html\" target=\"_blank\"\u003Einefficient staff training\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/12\/selecting-aba-employer.html\" target=\"_blank\"\u003Elow-quality employers\u003C\/a\u003E, \u003Ca href=\"https:\/\/speakingofautismcom.wordpress.com\/2020\/06\/17\/autistic-play-is-appropriate-play\/\" target=\"_blank\"\u003Eperson-first treatment planning\u003C\/a\u003E, \u003Ca href=\"https:\/\/www.spectrumnews.org\/opinion\/viewpoint\/why-autism-research-needs-more-input-from-autistic-people\/?fbclid=IwAR3k8p_lCm2Xw_lPmZotDrPc1SwvdmtQrJmJF9QH4ePfCo8LnfvHlpgUfZw\" target=\"_blank\"\u003Equestionable research\u003C\/a\u003E, \u003Ca href=\"https:\/\/therapistndc.org\/masking-goals-autistic-middle-school-girls\/\" target=\"_blank\"\u003Eteaching Autistics to mask\u003C\/a\u003E, or \u003Ca href=\"https:\/\/institute.centralreach.com\/courses\/client-dignity-in-practice-best-practices-for-trauma-free-aba\" target=\"_blank\"\u003Erespecting client dignity\u003C\/a\u003E, and want to be a part of the CHANGE for the better, then read on.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EMy 1st post on anti-ABA'ers, or \"\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/06\/aba-haters.html\" target=\"_blank\"\u003EABA Haters\u003C\/a\u003E\" was written several years ago. I keep it up because I think it's important to see the evolution of change.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EMost of us do not change our minds about something instantly.\u003Ci\u003E It is a process.\u003C\/i\u003E We receive new information, analyze that information, reject it and return to old thinking, or accept it and enter into a different level of understanding. Of course, I'm also minimizing the reality of defensive mechanisms, circular logic, and cognitive dissonance, and how these concepts impact our ability to change our mind.\u003C\/p\u003E\u003Cp\u003EI used to think people were anti-ABA because they had never experienced quality ABA services, or maybe received ABA decades ago when there was less accountability of providers, more \"old school\" tactics used, etc. I thought if they could see for themselves what ABA can do, how it can help, and how we impact lives everyday, that anti-ABA'ers would \"come around\".\u003C\/p\u003E\u003Cp\u003EI have since changed my mind on that.\u003C\/p\u003E\u003Cp\u003EFor those of you that don't know, receiving low-quality\/unethical ABA treatment is not the only reason why someone may hate ABA.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EOther reasons could include: being against the idea of \"treatment\" for a neurological difference, seeing Autism as a cultural identity and not a problem to solve, being against the high intensity of ABA services, taking issue with the tiered service-delivery model ABA uses, being angered by ABA providers or companies using \"cure\" or \"recovery\" talk (yes, this still happens today), viewing the origins of ABA as unethical and inhumane, viewing the current state of ABA as unethical and inhumane, and a strong displeasure with the lack of Autistic voices\/input in the top Autism advocacy organizations, Behavior Certification Board for Behavior Analysis, leadership\/ownership of ABA agencies and companies, or leadership in ABA state associations.\u003C\/p\u003E\u003Cp\u003EThese are valid points, and they deserved to be heard without the lens of professional defensiveness.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAgain, there are some in the ABA Reform community who think the best way to fix ABA is to\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EShut.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EIt.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EDown.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBut there are others who do want to see ABA improved, implemented more compassionately, and become more receptive to Autistic feedback and experiences. More about support and accommodations, and less about trying to force someone to not look or act Autistic.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBelow are a ton of great resources for more information about Autistic voices, differing views on ABA, and anti-Ableism advocacy. The best consumer is an informed consumer, and I think it's important to present the information and let people decide what is best for them.\u003C\/p\u003E\u003Cp\u003EIt is so important to be aware of what the main population served by ABA providers (*\u003Ci\u003E\u003Cspan style=\"font-size: x-small;\"\u003EIt is true that not all ABA professionals work within the Autism community, but a gigantic chunk of us do\u003C\/span\u003E\u003C\/i\u003E*) has to say about ABA therapy, and the ways it can improve.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIf you aren't willing to at least non-defensively listen, then what you're really saying is \u003Cb\u003E\u003Cu\u003Eyou aren't willing to change your mind\u003C\/u\u003E\u003C\/b\u003E. And how sad is that?\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E*Resources-\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/dobettermovement.us\/\" target=\"_blank\"\u003EDo Better Professional Movement\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/stopabasupportautistics.home.blog\/2019\/08\/11\/the-great-big-aba-opposition-resource-list\/\" target=\"_blank\"\u003EThe Great Big ABA Opposition List\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/autisticadvocacy.org\/\" target=\"_blank\"\u003EAutistic Self-Advocacy Network\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.facebook.com\/groups\/ABAReform\/\" target=\"_blank\"\u003EBCBAs + Autistics Towards a Reformed ABA Facebook group\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.facebook.com\/ABAReformPage\/\" target=\"_blank\"\u003EABA Reform Facebook page\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/anchor.fm\/beautiful-humans\/episodes\/Ep-26-ABA-Reform-Movement-with-Jo-Ramirez-Messina-and-Jeff-Newmanpart-2-ei4foh\" target=\"_blank\"\u003EBeautiful Humans Podcast: The ABA Reform Movement Ep. 26\u003C\/a\u003E\u0026nbsp;(Go take a listen, this is an amazing conversation!)\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/practicalfunctionalassessment.com\/2020\/11\/03\/a-perspective-on-todays-aba-by-dr-greg-hanley\/\" target=\"_blank\"\u003EA Perspective on Today's ABA from Dr. Greg Hanley\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/autisticmama.com\/even-new-aba-is-problematic\/\" target=\"_blank\"\u003E5 Important Reasons Even \"New ABA\" is Problematic\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/childmind.org\/article\/controversy-around-applied-behavior-analysis\/\" target=\"_blank\"\u003EThe Controversy Around ABA\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.spectrumnews.org\/opinion\/viewpoint\/stimming-therapeutic-autistic-people-deserves-acceptance\/\" target=\"_blank\"\u003EStimming Deserves Acceptance\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.realsocialskills.org\/blog\/nice-lady-therapists\" target=\"_blank\"\u003ENice Lady Therapists\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\"\u003Ca href=\"https:\/\/neuroclastic.com\/2020\/06\/02\/i-am-a-disillusioned-bcba-autistics-are-right-about-aba\/\" target=\"_blank\"\u003EI Am a Disillusioned BCBA\"\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.abainsidetrack.com\/home\/2019\/20\/7\/29\/episode-134-trauma-informed-care\" target=\"_blank\"\u003EABA Inside Track Podcast: Trauma Informed Care Ep 134\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/behavioralobservations.com\/what-is-trauma-informed-aba-session-131-with-camille-kolu\/\" target=\"_blank\"\u003EBehavioral Observations Podcast: What is Trauma Informed ABA Ep 131\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.altogetherautism.org.nz\/autism-no-puzzle-nothing-wrong-with-us\/#:~:text=To%20autistic%20people%2C%20the%20puzzle,the%20past%20referring%20to%20autism.\" target=\"_blank\"\u003EWhat's Wrong with the Autism 'Puzzle Piece' Symbol\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.forbes.com\/sites\/emilywillingham\/2013\/11\/13\/why-autism-speaks-doesnt-speak-for-me\/\" target=\"_blank\"\u003E\"Why Autism Speaks Doesn't Speak for Me\"\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.liebertpub.com\/doi\/10.1089\/aut.2020.0014\" target=\"_blank\"\u003EAvoiding Ableist Language: Suggestions for Autism Researchers\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/neuroclastic.com\/2020\/03\/04\/why-autism-aba-goes-against-everything-b-f-skinner-believed-in\/\" target=\"_blank\"\u003E\"Why Autism ABA Goes Against Everything B.F. Skinner Believed In\"\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"http:\/\/www.thinkingautismguide.com\/2017\/05\/eye-contact-for-recipients-validation.html\" target=\"_blank\"\u003EEye Contact for Recipients Validation\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.theguardian.com\/science\/blog\/2015\/jul\/16\/autism-doesnt-have-to-be-viewed-as-a-disability-or-disorder\" target=\"_blank\"\u003E\"Autism Doesn't Have to be Viewed as a Disability\"\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\"\u003Ca href=\"https:\/\/neuroclastic.com\/2019\/07\/15\/how-to-ask-an-autistic-101\/?fbclid=IwAR0CEVZpWFENltOh2WdgbKgP6GWZNetcNfpzwTj__mVqzCkSVJ_FF6TRPRI\" target=\"_blank\"\u003EHow To Ask an Autistic\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.today.com\/parents\/autism-terms-words-can-be-considered-insensitive-why-t227779\" target=\"_blank\"\u003EOutdated Autism Terms \u0026amp; Language\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.today.com\/parents\/autism-wars-why-parents-autistic-adults-are-battling-t227565?utm_source=facebook\u0026amp;utm_medium=news_tab\u0026amp;utm_content=algorithm\u0026amp;fbclid=IwAR0_7BNosmufSS_C6-a5TCL5H9LpJm97bAuz6EtbrkYGOI0dOtro0BZdmMA\" target=\"_blank\"\u003EAutism Wars\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.spectrumnews.org\/features\/deep-dive\/controversy-autisms-common-therapy\/\" target=\"_blank\"\u003EThe Controversy over Autism's Most Common Therapy\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EFor ABA Practitioners: \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/13Oh2BIhL2AONE1uS8ijMTZ9dznvh99t1\/view?usp=sharing\" target=\"_blank\"\u003EHow to Respond to ABA Hate\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.facebook.com\/groups\/ABAReform\/\" target=\"_blank\"\u003E\u003Cbr \/\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/5847293391433682725\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/11\/aba-haters-pt-ii.html#comment-form","title":"4 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5847293391433682725"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5847293391433682725"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/11\/aba-haters-pt-ii.html","title":"ABA Haters Pt. II"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-IstFc51dOiI\/X7w2BnDZdNI\/AAAAAAAAG9A\/rSLaZBzYvn88YaDX2fkMEUAj72Ko32crACNcBGAsYHQ\/s72-w368-h415-c\/bc.jpg","height":"72","width":"72"},"thr$total":{"$t":"4"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1840624004087385234"},"published":{"$t":"2020-09-05T09:57:00.004-04:00"},"updated":{"$t":"2020-09-05T10:00:44.130-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"audio\/video post"},{"scheme":"http://www.blogger.com/atom/ns#","term":"behavior"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cp style=\"text-align: center;\"\u003E\u0026nbsp;\"\u003Ci\u003EYou are not Superman, and you are not Superwoman. Take off the cape\u003C\/i\u003E.\"\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003ETameika Meadows\u0026nbsp;\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EToday's QOTD is from an amazing podcast I had the privilege to join: \"\u003Ca href=\"https:\/\/www.yolanderobinson.com\/podcast.html\" target=\"_blank\"\u003EShifting Perspectives\u003C\/a\u003E\", hosted by Yolande Robinson.\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EDuring the \u003Cu\u003Einsanity\u003C\/u\u003E that has been 2020, parents of Autistic children, teens, and adults, have had to repeatedly pivot and navigate new situations when it comes to lack of supports, no access to community providers, increased unemployment, schools or colleges shut down, homeschooling nightmares, increased anxiety, increased depression, and on and on.\u0026nbsp;\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EWe have all been impacted by this pandemic and global turmoil, but for families raising special needs children there are unique issues and factors that come with the territory.\u0026nbsp;\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EWhat is needed now is encouragement, support, practical strategies, and a reminder that \u003Cb\u003Eno one\u003C\/b\u003E should be trying to \"do it all\" right now. That just isn't possible. Focus on what can be changed and improved, and learn to adapt to what cannot.\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003EPodcast episode link:\u0026nbsp; Episode 19\u0026nbsp; \"\u003Ca href=\"https:\/\/www.yolanderobinson.com\/episode19.html\" target=\"_blank\"\u003ETake off the Cape\u003C\/a\u003E\"\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/--UiYdnSlBO0\/X1OZI2uDyNI\/AAAAAAAAGpc\/6ae0Afdo6Ak0s1PxWVs9i9r9W_N65PdwQCNcBGAsYHQ\/s500\/photo-1556761175-129418cb2dfe.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"375\" data-original-width=\"500\" height=\"300\" src=\"https:\/\/1.bp.blogspot.com\/--UiYdnSlBO0\/X1OZI2uDyNI\/AAAAAAAAGpc\/6ae0Afdo6Ak0s1PxWVs9i9r9W_N65PdwQCNcBGAsYHQ\/w400-h300\/photo-1556761175-129418cb2dfe.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: left;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"text-align: center;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/1840624004087385234\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/09\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1840624004087385234"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1840624004087385234"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/09\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/--UiYdnSlBO0\/X1OZI2uDyNI\/AAAAAAAAGpc\/6ae0Afdo6Ak0s1PxWVs9i9r9W_N65PdwQCNcBGAsYHQ\/s72-w400-h300-c\/photo-1556761175-129418cb2dfe.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-8782271244035094459"},"published":{"$t":"2020-06-11T13:09:00.005-04:00"},"updated":{"$t":"2021-03-03T08:55:05.711-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"A Look At Diversity \u0026 Behavior Analysis"},"content":{"type":"html","$t":"\u003Cfont face=\"helvetica\" size=\"2\"\u003E*Recommended Read:\"\u0026nbsp;\u003Ca href=\"https:\/\/bsci21.org\/behavior-analysis-and-the-diversity-issue\/\" target=\"_blank\"\u003EBehavior Analysis \u0026amp; The Diversity Issue\u003C\/a\u003E\", by Chelsea Wilhite, BCBA\u003C\/font\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003Cdiv\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-OCQsj9wJ6FU\/XuJkviQzWWI\/AAAAAAAAGKI\/bXmkDKS1Vw0PijAYd-hfaCif2qzdUBx9QCK4BGAsYHg\/s500\/photo-1573164713619-24c711fe7878.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"334\" data-original-width=\"500\" src=\"https:\/\/1.bp.blogspot.com\/-OCQsj9wJ6FU\/XuJkviQzWWI\/AAAAAAAAGKI\/bXmkDKS1Vw0PijAYd-hfaCif2qzdUBx9QCK4BGAsYHg\/s320\/photo-1573164713619-24c711fe7878.jpg\" width=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EWith the current backdrop of race, the police, and social activism happening in the US (and around the world), many ABA providers are seeking ways to improve the quality of services provided to all clients. ALL clients, regardless of race, may have encounters with the police where they may \"appear\" to be disrespectful, disobedient, or dangerous, simply due to cognitive, communication, social, behavioral, or emotional challenges.\u0026nbsp;\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EHow can we better help our clients advocate for themselves and their own needs? How can we better support black and brown clients? How can we better support clients who due to the severity of their problem behavior, or simply their size\/height, are at an increased risk for police interaction?\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EAll important questions to ask, but a far more pressing question to consider is: \u003Ci\u003EHow does a lack of diversity \u003Cb\u003Ewithin\u003C\/b\u003E the field, prepare providers to support and understand a diverse clientele?\u003C\/i\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Ci\u003E\u003Cbr \/\u003E\u003C\/i\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ci\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/i\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EAs part of the BACB ethical guidelines, providers are obligated towards cultural competency and awareness of how the dynamics of ethnicity and race could impact treatment, assessment, and overall quality of services. This could include gender, race, culture, national origin, religion, etc. (source: www.Bacb.com).\u0026nbsp;\u0026nbsp;\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EI have spent most of my career living and working in one state, and even so I regularly interact with clients of varying races, languages spoken (even if English is spoken, communication can be challenging), religion, sexual orientation, etc.\u0026nbsp;\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EIt's 2020..... I don't think anyone is exempt from needing to improve (and improve some more, and improve some more) upon their OWN biases, and areas of ignorance when it comes to relating across cultures.\u0026nbsp; If you work in this field, or plan to work in this field, you must be aggressively committed to being the best practitioner you can be to people who are nothing like you, don't believe what you believe, do not look like you, and didn't grow up how you grew up.\u0026nbsp;\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003ENow that you understand this isn't optional, let's take a look at current diversity in ABA:\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EStats are lacking. Many of our industry boards\/organizations do not publicly share demographic info, and the process of collecting this info is always voluntary for practitioners. As a result, we do not have hard, cold facts about diversity in this field. The exception to this would be gender data, which is more available.\u003C\/font\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EAs a field, our training\/education requirements around diversity and cultural competence are much less robust than the expectations around ethics, supervision, etc. There are also no CE requirements on this topic.\u003C\/font\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EResearch can be very hard to find that focuses on \u003Ci\u003Epractitioner\u003C\/i\u003E (not client) diversity, and how this impacts our field, and our profession. More research is badly needed in this area. (I for one would love to see research about the the practitioner experience of lack of diversity. Meaning, when you are always the only black BCBA in the room, what impact does that have?)\u003C\/font\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003ESource: (www.brianconnorsbcba.com)\u0026nbsp;\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EHow do these problems impact ABA as a whole? Glad you asked.\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\" style=\"background-color: white;\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cfont face=\"helvetica\" size=\"2\" style=\"background-color: white;\"\u003E\"\u003Cspan style=\"background-color: white; color: #3d3d3d;\"\u003EThe foundation of ABA looks at the antecedent (what comes before the behavior), the actual behavior and the consequence (what follows the behavior). What follows the behavior will either continue or strengthen\u0026nbsp;the behavior or weaken\u0026nbsp;the behavior. Therefore, the environment we live within could be providing a consequence\u0026nbsp;which either strengthens\u0026nbsp;or weakens the behavior. ....This developed culture is displayed in behaviors which get the need met of the individuals in the cultural group.\u003C\/span\u003E\u003C\/font\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cspan style=\"background-color: white; color: #3d3d3d;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cspan style=\"background-color: white;\"\u003EAs a behavior analyst, we are often working toward removing a behavior which the child’s social environment has deemed “inappropriate”. Certainly many times the behaviors are not effective in giving the child a healthy lifestyle. We need to remember the behavior is getting a need met and may be effective in their current environment. We must also remember when determining a replacement behavior, the behavior is appropriate to the child’s cultural community.\" (Source: www.thekeyconsult.com)\u003C\/span\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cfont color=\"#3d3d3d\"\u003EA very important takeaway here is that you do not serve clients in a vacuum. No one is just \"one\" thing, including your clients. We are all a product of the many environments\u0026nbsp;that have shaped us, throughout our life. To neglect to face this head on during all phases of treatment (from marketing, to hiring staff, to assessment, to actual services) is at least disrespectful to the dignity of the individual, and at most harmful to your clients.\u003C\/font\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EThis 2016 article (\u003Ci\u003EDeveloping the Cultural Awareness Skills of Behavior Analysts\u003C\/i\u003E) has some great recommendations to address this issue head on. To name a few:\u003C\/font\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EUnderstanding our own cultural, ethnic, and racial biases is the first step towards competence, and growth. As I like to put it, \"know your own stuff\".\u003C\/font\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003ELearn more about the clients cultural worldview through assessment, open dialogue, and by being sensitive to issues of power\/authority and how they creep into conversations of race.\u003C\/font\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EConsider language barriers. As I said above, even when I have worked with families who had been living in the US for years, sometimes language was a real barrier. Even if someone speaks English, they may struggle to communicate or to understand when English is spoken to them. This applies to written communication as well (paperwork, forms, emails, texts, etc.).\u003C\/font\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EHow diverse are your resources? Beyond flashcards, photos, manuals\/books, or the like, have you thought about teaching materials? If working with a Korean child, do you regularly bring only non-Korean dolls\/toys to sessions? Does that matter? Why or why not?\u003C\/font\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003ESo, how are YOU doing with applying these strategies? How is your employer doing with applying these strategies? Is your ABA workplace diverse? If you only look at senior leadership positions (CCO, CFO, CEO), is your workplace \u003Cu\u003Estill\u003C\/u\u003E diverse?\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont face=\"helvetica\" size=\"2\"\u003EOr are we applying our science to this issue in theory, but not in practice?\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; font-size: 17px; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont size=\"2\"\u003EReferences:\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Ca href=\"https:\/\/www.bacb.com\/ethics\/#ethics_requirements\"\u003E\u003Cfont\u003Ehttps:\/\/www.bacb.com\/ethics\/#ethics_requirements\u003C\/font\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Ca href=\"https:\/\/www.brianconnersbcba.com\/blog\/where-is-the-diversity-in-applied-behavior-analysis\"\u003E\u003Cfont\u003Ehttps:\/\/www.brianconnersbcba.com\/blog\/where-is-the-diversity-in-applied-behavior-analysis\u003C\/font\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"color: #303030;\"\u003EFong, E. H., Catagnus, R. M., Brodhead, M. T., Quigley, S., \u0026amp; Field, S. (2016). Developing the Cultural Awareness Skills of Behavior Analysts.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"color: #303030; font-family: arial, helvetica, clean, sans-serif;\"\u003EBehavior analysis in practice\u003C\/i\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"color: #303030;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"color: #303030; font-family: arial, helvetica, clean, sans-serif;\"\u003E9\u003C\/i\u003E\u003Cspan face=\"arial, helvetica, clean, sans-serif\" style=\"color: #303030;\"\u003E(1), 84–94. https:\/\/doi.org\/10.1007\/s40617-016-0111-6\u003C\/span\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont\u003E\u003Ca href=\"https:\/\/thekeyconsult.com\/culture-applied-behavior-analysis\/\"\u003Ehttps:\/\/thekeyconsult.com\/culture-applied-behavior-analysis\/\u003C\/a\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Ca href=\"https:\/\/www.covenant1516.org\/blogs\/2019\/6\/6\/the-current-status-of-african-americans-within-the-field-of-applied-behavior-analysis\" target=\"_blank\"\u003EThe Current Status of African Americans Within the Field of Behavior Analysis\u003C\/a\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Ca href=\"https:\/\/infogram.com\/1p57269dnr0gxvbp79zmyqzj1zh3ey5xgem\" target=\"_blank\"\u003ECertificant Demographic Information\u003C\/a\u003E, source: www.BACB.com\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cfont size=\"2\"\u003E\u003Cbr \/\u003E\u003C\/font\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; font-size: 17px; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp style=\"background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; color: #3d3d3d; font-family: montserrat, helvetica, arial, lucida, sans-serif; font-size: 17px; margin: 0px; outline: 0px; padding: 0px 0px 1em; text-size-adjust: 100%; vertical-align: baseline;\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/8782271244035094459\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/06\/a-look-at-diversity-behavior-analysis.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8782271244035094459"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8782271244035094459"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/06\/a-look-at-diversity-behavior-analysis.html","title":"A Look At Diversity \u0026 Behavior Analysis"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-OCQsj9wJ6FU\/XuJkviQzWWI\/AAAAAAAAGKI\/bXmkDKS1Vw0PijAYd-hfaCif2qzdUBx9QCK4BGAsYHg\/s72-c\/photo-1573164713619-24c711fe7878.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-7025521544449327491"},"published":{"$t":"2020-05-05T08:32:00.004-04:00"},"updated":{"$t":"2020-05-05T08:32:55.719-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Quote of The Day"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-HpIXcUKIag0\/XrFc5Q5q-eI\/AAAAAAAAGDw\/ZVVX1D01ZLsa2w2u3DtRIsrGzOggnFujgCNcBGAsYHQ\/s1600\/blog.png\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"640\" data-original-width=\"640\" height=\"400\" src=\"https:\/\/1.bp.blogspot.com\/-HpIXcUKIag0\/XrFc5Q5q-eI\/AAAAAAAAGDw\/ZVVX1D01ZLsa2w2u3DtRIsrGzOggnFujgCNcBGAsYHQ\/s400\/blog.png\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nWhen it comes to ABA therapy services?\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nOh yeah.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThis is \u003Cb\u003E1000% \u003C\/b\u003Etrue.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Suggested post: \u003Ca href=\"https:\/\/www.iloveaba.com\/2011\/08\/importance-of-parent-education.html\" target=\"_blank\"\u003EParents We Need You\u003C\/a\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/7025521544449327491\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/05\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7025521544449327491"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7025521544449327491"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/05\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-HpIXcUKIag0\/XrFc5Q5q-eI\/AAAAAAAAGDw\/ZVVX1D01ZLsa2w2u3DtRIsrGzOggnFujgCNcBGAsYHQ\/s72-c\/blog.png","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5369687926199079126"},"published":{"$t":"2020-04-18T11:57:00.001-04:00"},"updated":{"$t":"2021-09-26T18:04:08.159-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Telehealth"}],"title":{"type":"text","$t":"What Does Telehealth ABA Look Like- Parent Perspective"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-cJzyQiurVWU\/Xpsg5AVS_2I\/AAAAAAAAGB8\/rO10yYlZkXUIulUD-LKLIsUe8FiPjmhogCNcBGAsYHQ\/s1600\/photo-1586957067130-f3fe4fb76cf4.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"266\" src=\"https:\/\/1.bp.blogspot.com\/-cJzyQiurVWU\/Xpsg5AVS_2I\/AAAAAAAAGB8\/rO10yYlZkXUIulUD-LKLIsUe8FiPjmhogCNcBGAsYHQ\/s400\/photo-1586957067130-f3fe4fb76cf4.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nIf your child was participating in any therapies before this global crisis began, those services likely transitioned to a telehealth model within the past 30 days or so.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIdeally, this process was explained to you, along with potential benefits vs risks, and you feel competent as a parent\/caregiver to utilize this remote model of therapeutic intervention.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIf not, you are the the reason for this post.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nFor far too many families, the decision to move to telehealth for ABA services was made for them, or presented as a \"take it or leave it\" option. This could be due to staffing issues (as more and more people are self-quarantining), more funders allowing for telehealth, or just the preference of the service provider. Maybe you are filled with anxiety and confusion as to how telehealth will be effective for \u003Ci\u003Eyour\u003C\/i\u003E child. You may think your child is too young to benefit, or too old to benefit, or can't attend to a screen, or attends TOO much to a screen, etc.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nWhatever your particular situation may be, I hope to help alleviate some of your concerns by providing an overview of Telehealth ABA.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nLet's dive in...\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nBefore our current quarantine reality, telehealth was being used quite effectively to provide ABA services to consumers in under served areas, to supplement in-person services, and to work with consumers internationally. I have also found benefit of telehealth when it comes to illness or travel (basically, being unavailable). If someone in the consumer home has a contagious illness, I can still support my client remotely using telehealth. Or if I am traveling for a professional conference, I can check in on my clients using telehealth. So even if you aren't currently a fan of telehealth, know that it does have benefit for many families.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nTo provide a definition, \u003Cb\u003E\u003Cu\u003ETelehealth\u003C\/u\u003E\u003C\/b\u003E is\u003Cspan style=\"background-color: white; font-family: \u0026quot;times new roman\u0026quot; , \u0026quot;stixgeneral\u0026quot; , serif; font-size: 15.9991px;\"\u003E\u0026nbsp;the use of communication technology to assist in education and treatment of health related conditions\u0026nbsp;\u003C\/span\u003E(Ferguson, Jenny et al. 2019).\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nTelehealth is not something to just jump into. Like any other therapeutic service, there are some foundational steps to complete first. \u003Cu\u003EBefore\u003C\/u\u003E beginning ANY telehealth therapeutic treatment, you and your service provider should be openly discussing the following:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv style=\"background: rgb(231, 230, 230); border: 1pt solid windowtext; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1pt 4pt;\"\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n1.\nTechnology Capability - As a caregiver, how comfortable are you with using technology? Do you have access to reliable wi-fi? Do you have a quality web cam, camera, or cell phone to use for video chats or calls? Will you need to purchase a headset or microphone, or are your computer speakers fine to use? Do you have a scanner and printer, if needed? If not, who will help you get up to speed with technology?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n2.\nScheduling \u0026amp; Availability - Are there time zone differences to consider? What is your schedule of availability to virtually meet with the service provider? Does telehealth increase or decrease your availability? What time of day would work best for your child? Are they more likely to be attentive in the am or pm? Is the telehealth schedule being created based on what works for your household, or just when the service provider says they have time?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n3.\nCaregiver Participation - Are your current stress and emotional levels at a point where you can do this? Has it been explained to you that telehealth may require an adult in the home assist with the session, \u003Cb\u003Efor the duration of the session\u003C\/b\u003E?\u0026nbsp; Do you know how to manage challenging behavior in the absence of the service provider being physically present? Do you understand how to provide reinforcement to your child, in the absence of the service provider being physically present? What will your other children be doing while you are assisting with the telehealth session? If you are also doing school at home right now, can you do both that \u003Ci\u003Eand\u003C\/i\u003E this?\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n4.\nUnique Client Needs - What does your child need in order to benefit from this? Visual supports? Token boards? If your child is very active and reinforced by physical touch or play, how will that happen virtually? Will it be upsetting or confusing to your child to see and hear the service provider, but they aren't physically there? Should the treatment goals be reduced for telehealth sessions? What abut the session length; can your child participate in a virtual 2 or 3 hour session? Will there be a Registered Behavior Technician (RBT) or direct therapist with you, as the Board-Certified Behavior Analyst (BCBA) joins in virtually? Or will it just be you and your child? \u003Ci\u003EWhich is likely to be more effective?\u003C\/i\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\" style=\"background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: none; padding: 0in;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThere are 3 main services delivered by ABA providers: \u003Cb\u003ESupervision, Direct Service, and Family Support \u003C\/b\u003E(commonly referred to as \"parent training\").\u003Cbr \/\u003E\nI will explain how each type of service could look using a telehealth format. Remember, the specific service that is selected for a telehealth modality should be decided by you and the service provider based on what would be most effective for your child. In other words, direct service via telehealth may not be a great idea, just depending on the specific needs of your child and the unique demands of your household.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cul\u003E\n\u003Cli\u003ESupervision is most often provided by the BCBA for a percentage of the hours the RBT or direct staff work with your child. Some providers may choose to have RBT's continue coming to your home, with the BCBA joining the session virtually. Other providers may have both the RBT and the BCBA conduct virtual sessions. There is no set answer to this, and it will vary by area and by provider. This is also a funding decision, as not all funders permit non-BCBAs to provide telehealth. In the event that you are only receiving services from a BCBA, they do not require supervision. However, RBTs and Board-Certified Assistant Behavior Analysts (BCaBAs) cannot practice independently.\u003C\/li\u003E\n\u003Cli\u003EDirect service is most often provided by the RBT or direct therapist. If the RBT you work with is able, in-person direct service can still occur with the BCBA supervising remotely. If not, the RBT and\/or BCBA may provide direct service virtually. Depending on the unique circumstances of treatment, direct service may need to be modified for telehealth. For example, goals may need to be reduced or placed on hold temporarily, like goals that require peers or going into the community. Any issues with your child attending, leaving the instructional area\/running off, or trying to hit\/disrupt the video call equipment can be addressed with the BCBA. They will be able to tell you how to help your child benefit from telehealth services. Please note that direct service provided virtually will most likely require an adult in the home assist with the session as far as prompting, delivering reinforcement, managing challenging behavior, troubleshooting technical difficulties, etc.\u003C\/li\u003E\n\u003Cli\u003EFamily support can occur with any parent or legal guardian, and will have specific goals and measurable outcomes. Family support can include your child, and it can also occur with just you and the BCBA (most funders only permit BCBAs to provide family support). Keep in mind that due to the virtual format, family support time may steal your attention and focus away from other household activities. For example, if the BCBA needs to virtually meet with you to review progress and discuss changes to the treatment plan, it may be unrealistic to try to do this as you simultaneously cook dinner or engage your other children.\u0026nbsp;\u003C\/li\u003E\n\u003C\/ul\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nDepending on the specific service being delivered, the amount of upheaval and stress in the client household, the current functioning of your Autistic child (will telehealth work for \u003Ci\u003Ethem\u003C\/i\u003E??),\u0026nbsp; and caregiver ability to fully participate, telehealth can be more or less beneficial to families.\u003Cbr \/\u003E\n\u003Cb\u003E\u003Cu\u003EAnd that is OKAY\u003C\/u\u003E\u003C\/b\u003E.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nYou are not required to continue therapy services in the midst of a global pandemic. Think about the pros vs the cons, and make the best decision you can for your family.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Resources \u0026amp; Further Information:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.youtube.com\/watch?v=4HKHQaSPoKo\" target=\"_blank\"\u003EABA Parent Training using Telehealth\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.behaviorbabe.com\/telehealth\" target=\"_blank\"\u003EBehavior Babe\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/centralreach.com\/practical-guidelines-to-deliver-aba-telehealth-services-in-the-wake-of-the-coronavirus-outbreak\/\" target=\"_blank\"\u003ECentral Reach\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/360behavioralhealth.com\/benefits-telehealth-people-with-autism\/\" target=\"_blank\"\u003EBenefits of Telehealth\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.youtube.com\/watch?v=FzKn8Tpf3VE\" target=\"_blank\"\u003E\u003Cbr \/\u003E\u003C\/a\u003E\n\u003Ca href=\"https:\/\/www.youtube.com\/watch?v=FzKn8Tpf3VE\" target=\"_blank\"\u003EABA Parent Training via Telehealth\u003C\/a\u003E\u0026nbsp;video 1, and \u003Ca href=\"https:\/\/www.youtube.com\/watch?v=QagYZsX5dwY\u0026amp;t=307s\" target=\"_blank\"\u003Evideo 2\u0026nbsp;\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.abainsidetrack.com\/home\/2020\/3\/27\/episode-119-aba-services-in-a-pandemic\" target=\"_blank\"\u003EPodcast: ABA services in a global pandemic\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/5369687926199079126\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/04\/what-does-telehealth-aba-look-like.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5369687926199079126"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5369687926199079126"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/04\/what-does-telehealth-aba-look-like.html","title":"What Does Telehealth ABA Look Like- Parent Perspective"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-cJzyQiurVWU\/Xpsg5AVS_2I\/AAAAAAAAGB8\/rO10yYlZkXUIulUD-LKLIsUe8FiPjmhogCNcBGAsYHQ\/s72-c\/photo-1586957067130-f3fe4fb76cf4.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-179675226926334168"},"published":{"$t":"2020-03-31T10:40:00.002-04:00"},"updated":{"$t":"2021-09-26T18:03:55.641-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"audio\/video post"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Telehealth"}],"title":{"type":"text","$t":"What Does Telehealth ABA Look Like? - Audio Post"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-q-XOrIWI7tg\/Xn-dlDOZ27I\/AAAAAAAAF48\/4a5_jSQa6NAJF9QoSituTC1DyNHmOmuwwCNcBGAsYHQ\/s1600\/1.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"625\" data-original-width=\"500\" height=\"400\" src=\"https:\/\/1.bp.blogspot.com\/-q-XOrIWI7tg\/Xn-dlDOZ27I\/AAAAAAAAF48\/4a5_jSQa6NAJF9QoSituTC1DyNHmOmuwwCNcBGAsYHQ\/s400\/1.jpg\" width=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003EHere we all are, in the midst of an \u003Cb\u003Eunprecedented\u003C\/b\u003E life event and trying our best to continue providing ABA services to the clients who need our help now more than ever.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003ESo yeah, no pressure or anything. :-)\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003EPrior to this pandemic, maybe you had some clinical telehealth experience, maybe you didn't, but either way I hope to provide either a review of information you already know, or a crash course in Telehealth 101.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003EI suspect that for many of us even after the current crisis ends, telehealth could become the \u003Ci\u003ENew Normal \u003C\/i\u003Eas far as the way we do our jobs. Don't you think?\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003EIf so, then it's pretty important to get your skill set up to speed with using technology to serve consumers.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003ESo take a breath, relax, and let's dive in to some strategies for implementing your ABA magic remotely!\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003EYou can \u003Ca href=\"https:\/\/1drv.ms\/p\/s!ApoQZv-tfwYGibo5gD6MCVwnJdKowA?e=KrbLi3\" target=\"_blank\"\u003Elisten to the audio presentation here.\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003E* HUGE* resource file for this presentation: \u003Ca href=\"https:\/\/drive.google.com\/file\/d\/1pU42mhqQDtQ-6m_tewa6odeMibGL5iGR\/view?usp=sharing\" target=\"_blank\"\u003EClick Here to Download\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"\u0026quot;verdana\u0026quot; , sans-serif\"\u003ESharing is caring, pass this resource along to your ABA colleagues! We're in this thing together.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-BgSUgK6a0F8\/XoDFU9nzdVI\/AAAAAAAAF9s\/ngtti2wH2TY5uK_-hDrWOF7Aqm93-XhLwCNcBGAsYHQ\/s1600\/photo-1524508762098-fd966ffb6ef9.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"266\" src=\"https:\/\/1.bp.blogspot.com\/-BgSUgK6a0F8\/XoDFU9nzdVI\/AAAAAAAAF9s\/ngtti2wH2TY5uK_-hDrWOF7Aqm93-XhLwCNcBGAsYHQ\/s400\/photo-1524508762098-fd966ffb6ef9.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/179675226926334168\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/what-does-telehealth-aba-look-like.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/179675226926334168"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/179675226926334168"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/what-does-telehealth-aba-look-like.html","title":"What Does Telehealth ABA Look Like? - Audio Post"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-q-XOrIWI7tg\/Xn-dlDOZ27I\/AAAAAAAAF48\/4a5_jSQa6NAJF9QoSituTC1DyNHmOmuwwCNcBGAsYHQ\/s72-c\/1.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-4653339403994970839"},"published":{"$t":"2020-03-26T20:49:00.001-04:00"},"updated":{"$t":"2021-04-16T13:12:49.037-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Employment"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"}],"title":{"type":"text","$t":"Quote of The Day"},"content":{"type":"html","$t":"Today's quote of the day is from ..... Me!\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nSee below for an excerpt about knowing your identity as a clinician, from my newest book, \u003Ca href=\"https:\/\/www.amazon.com\/Practical-Practitioner-Tameika-Meadows-BCBA\/dp\/B0858V3XQ4\/ref=sr_1_2?crid=29ZEONV02GZ8\u0026amp;keywords=practical+aba+practitioner\u0026amp;qid=1585268421\u0026amp;sprefix=practical+aba+%2Caps%2C142\u0026amp;sr=8-2\" target=\"_blank\"\u003EThe Practical ABA Practitioner\u003C\/a\u003E:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-29cSy1yk6SQ\/Xn1MJOrmveI\/AAAAAAAAF4w\/9uvg5GZKjtod_5oAFX8DkE6Hx87sdgSnQCNcBGAsYHQ\/s1600\/My%2BPost%2B%25281%2529.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"619\" data-original-width=\"1011\" height=\"390\" src=\"https:\/\/1.bp.blogspot.com\/-29cSy1yk6SQ\/Xn1MJOrmveI\/AAAAAAAAF4w\/9uvg5GZKjtod_5oAFX8DkE6Hx87sdgSnQCNcBGAsYHQ\/s640\/My%2BPost%2B%25281%2529.jpg\" width=\"640\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Recommended Reading:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.iloveaba.com\/2020\/01\/runnin-on-empty-ii.html\" target=\"_blank\"\u003ERunnin' on Empty\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/4653339403994970839\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/quote-of-day.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4653339403994970839"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4653339403994970839"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/quote-of-day.html","title":"Quote of The Day"}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-29cSy1yk6SQ\/Xn1MJOrmveI\/AAAAAAAAF4w\/9uvg5GZKjtod_5oAFX8DkE6Hx87sdgSnQCNcBGAsYHQ\/s72-c\/My%2BPost%2B%25281%2529.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-8078772369258922806"},"published":{"$t":"2020-03-04T08:37:00.004-05:00"},"updated":{"$t":"2021-09-26T18:03:02.530-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA Employment"},{"scheme":"http://www.blogger.com/atom/ns#","term":"BCBA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"I love ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"}],"title":{"type":"text","$t":"The ABA Practitioner Experience."},"content":{"type":"html","$t":"\u003Cdiv style=\"text-align: center;\"\u003E\n\"\u003Ci\u003EBad bosses compel good employees to leave\u003C\/i\u003E\"\u003Cbr \/\u003E\nwww.Forbes.com\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\"\u003Ci\u003EThe way your employees feel is the way your customers will feel. And if your employees don't feel valued, neither will your customers\u003C\/i\u003E\"\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\nSybil F. Stershic\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\"\u003Ci\u003EThe only thing worse than training your employees and having them leave not training them and having them stay\u003C\/i\u003E\"\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\nHenry Ford\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\"\u003Ci\u003EStrive not to be a Success, but rather to be of Value\u003C\/i\u003E\"\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\nAlbert Einstein\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\"\u003Ci\u003EYou don't get paid for the hour. You get paid for the value to bring to that hour\u003C\/i\u003E\"\u003Cbr \/\u003E\nJim Rohn\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-GoPFiNv6gCU\/XlFrBm47dFI\/AAAAAAAAFwU\/ITAuNzJ-hAwNQpwal446hjS0Z5PhFO3BQCNcBGAsYHQ\/s1600\/b.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"700\" data-original-width=\"1050\" height=\"266\" src=\"https:\/\/1.bp.blogspot.com\/-GoPFiNv6gCU\/XlFrBm47dFI\/AAAAAAAAFwU\/ITAuNzJ-hAwNQpwal446hjS0Z5PhFO3BQCNcBGAsYHQ\/s400\/b.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E\n\u003Cb\u003E\u003Cspan style=\"font-size: large;\"\u003EGet Excited!\u003C\/span\u003E\u003C\/b\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nFor those of you out there, laboring away, giving your all to your clients, working from 8am to 8pm every day (and getting paid for 1\/2 that time), typing up 20 page reports at 2 am, laminating flashcards until your fingers are sore, putting hundreds of miles on your car, going to work bruised, discouraged, and exhausted, and eating your lunch in your car...I have something for \u003Cu\u003EYOU.\u003C\/u\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nMy newest book, '\u003Ci\u003EThe Practical ABA\u0026nbsp;Practitioner\u003C\/i\u003E', uncovers and openly discusses \u003Cb\u003Eall \u003C\/b\u003Easpects of ABA practitioner life, as in the good, the bad, \u0026amp; definitely the ugly. ;-)\u003Cbr \/\u003E\nThis book is all about the practitioner experience working in this field, the day-to-day reality, how to plan out a successful career, and what common pitfalls to avoid. Especially for those of you brand new to the field, or newly certified.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIf you \u003Ci\u003Ewant\u003C\/i\u003E to work in this field, you need to read this book.\u003Cbr \/\u003E\nIf you're \u003Ci\u003Etired\u003C\/i\u003E of working in this field, you need to read this book.\u003Cbr \/\u003E\nIf you \u003Ci\u003ELOVE\u003C\/i\u003E working in this field, you need to read this book.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIn preparing to write this book, I talked to lots and lots of practitioners about their experiences working in this field, reached back into my own early days as an in-home ABA therapist, and I also perused the resources out there about ABA as a career: What's it like being a BCBA? What are the pros and cons to becoming an RBT? What are the joys, the pressures, and the challenging to meet expectations of this industry?\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nDying for some specific details about the book? Sure!\u003Cbr \/\u003E\n\u0026nbsp;\"\u003Ci\u003EThe Practical ABA Practitioner\u003C\/i\u003E\" addresses:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cul\u003E\n\u003Cli\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/04\/preventing-burnout.html\" target=\"_blank\"\u003EProfessional Burnout\u003C\/a\u003E. Yup. I dedicated an \u003Cb\u003Eentire chapter\u003C\/b\u003E to discussing loving what you do, but hating the way you have to do it, and being eternally exhausted. You're welcome.\u003C\/li\u003E\n\u003Cli\u003EThe end of the book is a \u003Cb\u003E\u003Ci\u003Ehuge treasure trove\u003C\/i\u003E\u003C\/b\u003E of practical practitioner tips and resources (handouts, job performance tips, staff satisfaction surveys, suggested parent policies, etc.) that will help you do your job better. Seriously, its just pages and pages of stuff. :-)\u003C\/li\u003E\n\u003Cli\u003EWork-Life balance as a busy full-time BCBA: Fiction or Reality?\u003C\/li\u003E\n\u003Cli\u003EDeveloping and refining your clinical identity as an ABA practitioner.\u003C\/li\u003E\n\u003Cli\u003EWhat are employers looking for when hiring RBT's? What about BCBA's?\u003C\/li\u003E\n\u003Cli\u003EShould you pursue BCBA certification? Is it \u003Ci\u003Ereally\u003C\/i\u003E for you?\u003C\/li\u003E\n\u003Cli\u003EHow to revitalize your passion for this field.\u003C\/li\u003E\n\u003Cli\u003EWhat kinds of pitfalls should newbie BCBA's watch out for (because they're vulnerable to these issues)?\u003C\/li\u003E\n\u003Cli\u003EWhy are the staff retention rates in this field so terrible? To put it another way, why are so many ABA companies\u0026nbsp;\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/11\/bleeding-staff.html\" target=\"_blank\"\u003Ebleeding staff\u003C\/a\u003E?\u003C\/li\u003E\n\u003Cli\u003ETips for choosing between various employment options, and red-flags to look out for.\u003C\/li\u003E\n\u003Cli\u003EHow to BE the change when working in less-than-ideal conditions.\u003C\/li\u003E\n\u003Cli\u003EHolding this field accountable for the way we treat direct staff\/ABA implementors.\u003C\/li\u003E\n\u003Cli\u003EHow to to develop your personal value system in this field, and practice with integrity.\u003C\/li\u003E\n\u003Cli\u003EHow to be truly successful as a practitioner, for years and years to come.\u003C\/li\u003E\n\u003Cli\u003EWhat are some of the main reasons why quality practitioners walk away from this field, and don't look back. \u003Ci\u003EAnd how we can keep them from walking away.\u003C\/i\u003E\u003C\/li\u003E\n\u003C\/ul\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-STr_WjJQMVY\/XlFqnZxViYI\/AAAAAAAAFwM\/5w7SdBvwnKI1g9C8zxdEGpU_KSpeq07VgCNcBGAsYHQ\/s1600\/photo-1504805572947-34fad45aed93.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"333\" data-original-width=\"500\" height=\"266\" src=\"https:\/\/1.bp.blogspot.com\/-STr_WjJQMVY\/XlFqnZxViYI\/AAAAAAAAFwM\/5w7SdBvwnKI1g9C8zxdEGpU_KSpeq07VgCNcBGAsYHQ\/s400\/photo-1504805572947-34fad45aed93.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nTreat yourself, and do something GREAT for your career... get this resource and be encouraged and strengthened.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.amazon.com\/Practical-Practitioner-Tameika-Meadows-BCBA\/dp\/B0858V3XQ4\/ref=sr_1_5?keywords=aba+practitioner\u0026amp;qid=1583253242\u0026amp;sr=8-5\" target=\"_blank\"\u003EClick here\u003C\/a\u003E to find this brand new resource on Amazon!\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-3B-dB7uHB1k\/Xl-vp3N5h3I\/AAAAAAAAFw8\/oeOqMFx_89cpGgSiZjlQbaNPvd7gcX2-QCNcBGAsYHQ\/s1600\/download.webp\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"293\" data-original-width=\"196\" src=\"https:\/\/1.bp.blogspot.com\/-3B-dB7uHB1k\/Xl-vp3N5h3I\/AAAAAAAAFw8\/oeOqMFx_89cpGgSiZjlQbaNPvd7gcX2-QCNcBGAsYHQ\/s1600\/download.webp\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cdiv class=\"blogger-post-footer\"\u003E\u003Ca href=www.iloveaba.com\u003EI Love ABA\u003C\/a\u003E\u003C\/div\u003E"},"link":[{"rel":"replies","type":"application/atom+xml","href":"https:\/\/www.iloveaba.com\/feeds\/8078772369258922806\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/the-aba-practitioner-experience.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8078772369258922806"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/8078772369258922806"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/03\/the-aba-practitioner-experience.html","title":"The ABA Practitioner Experience."}],"author":[{"name":{"$t":"Tameika Meadows, BCBA, Blog Author"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/17008810597417201971"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"32","height":"32","src":"\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEgKRu-32Kiv0YjGfVQQ0isn09_Q0rxpVUSLk206uq3faX3NIRWl2Ysmtq6cdZ5IPewos6C9xm3Fn_05hk7DBTKU0BOOraF03cyPTHWfXXjm5RyHAEAXnZ3oiK8cEXrAcg\/s220\/20161223_173533-1.jpg"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-GoPFiNv6gCU\/XlFrBm47dFI\/AAAAAAAAFwU\/ITAuNzJ-hAwNQpwal446hjS0Z5PhFO3BQCNcBGAsYHQ\/s72-c\/b.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}}]}});