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Is this what ABA should look\nlike? What should I expect from services? Can I request that the provider\nstart\/stop doing (blank)\u003C\/i\u003E?”. \u003Cspan style=\"mso-spacerun: yes;\"\u003E\u0026nbsp;\u003C\/span\u003EIssues can\nrange from the simple to the complex, such as answering questions like “\u003Ci\u003EIs this\na good Behavior Plan\u003C\/i\u003E?” to “\u003Ci\u003EHow many hours a week of therapy does my child need? Does it have to be 40?\u003C\/i\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\"\u003EDoing this regularly, I hear LOTS of crazy stories. Lots of\nsad stories. And lots of “Wait…..\u003Cu\u003EWhat\u003C\/u\u003E?!” stories. I love when I get to tell the\nclient everything looks great, and the intervention being provided is sound,\nethical, and evidence - based. But I don’t always get to say that \u003Cspan style=\"font-family: \u0026quot;Segoe UI Emoji\u0026quot;,sans-serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol-ext; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: \u0026quot;Segoe UI Emoji\u0026quot;;\"\u003E☹\u003C\/span\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\"\u003EOf course every scenario and situation is different, so its\nhard to summarize the main takeaways for ensuring you and your child are\nreceiving high-quality 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\"\u003E\u003Cb\u003EBut.\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\"\u003EThere are a few general points that I usually explain to\npeople during these consults, that I would love to openly share. I hope its helpful\nfor any who need it.\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\"\u003EFirst things first--- if you are wondering or questioning if\nyou are receiving high-quality services, or if intervention is “working”, then\nunfortunately I’d have to say….. probably not.\u0026nbsp;\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EPeople who are accessing great special education, Speech\nservices, Occupational therapy, or ABA, generally don’t wonder if they are. The\nwondering and questioning is usually a sign that your “parent gut” is picking\nup on an issue. When you dig into it further, usually more issues or problems\nare revealed. So tip #1 is if you are currently skeptical or doubtful of the\nservices being provided, \u003Cu\u003E\u003Cspan style=\"color: red;\"\u003EDO NOT\u003C\/span\u003E\u003C\/u\u003E ignore that. Don’t minimize it and don’t brush\nit off. Investigate further.\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\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\"\u003ETip #2 is: Attitude matters. I talk to so many people who\nsay “Well he\/she is an expert in their field, so who cares if they’re kind of\narrogant... condescending…rude…never returns phone calls…..mistreats me”. Nope.\nFull stop. It is not okay for a professional to treat you like trash, just\nbecause they are highly knowledgeable and in demand. Asking for qualifications\n+ basic human decency is not too big of an ask.\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\"\u003ETip #3: As the parent or caregiver, you should expect to be\ninvolved in your child’s intervention process. Any school, therapist, or\nprovider, who is treating you like an unwanted green bean dish at the buffet is\nnot acting with your best interests in mind. It is not unusual to expect to\nhave treatment goals explained to you, in detail, minus the jargon, until you\nunderstand. It is not unreasonable to expect your questions to be answered, and\nyour feedback to be incorporated into treatment. This is your CHILD we are talking\nabout. Of COURSE you should expect to be treated respectfully and like a team member.\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\"\u003ETip #4: You should know the ethical obligations of the service\nprovider. If you are receiving ABA services, do you know what is considered unethical\nbehavior for a BCBA? What about for a RBT? No? Then how will you know if the\nteam is behaving unethically? I’ve spoken with families of children who exhibit\nhighly violent or dangerous behaviors, and there isn’t even a Behavior Plan in\nplace. That shouldn’t happen and is unethical treatment. If you don’t know what\nyou should be getting, its kinda hard to ask for it.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003ELast tip: Look for progress. This is probably the #1 complaint\npeople have when I speak with them, is their child has been participating in\nXYZ treatment for ABC amount of time and nothing is better Nothing has improved.\nLanguage is still a huge area of deficit, no new skills are being demonstrated,\nbehavior at home is still awful and challenging, they still can’t go out to eat\nas a family, the child still isn’t toilet trained, etc. Now the specific amount\nof progress, I can’t tell you that part. It varies by individual. But you\nshould expect to SEE the intervention working. If your child was tantrumming\nfor 5 hours a day when services began, is it less now? If your child would only\neat 4 foods when services began, is it more now? Has the intervention helped\nany of the areas that are highest priority to you as the parent? No? Then why\ncontinue??\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\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003ERegardless of the specific intervention, treatment, or\ntherapy, these basic tips should help answer many of those “parent gut”\nquestions that start whispering to you that something is wrong, even if you can’t\npinpoint specifically what is wrong.\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003EListen to that instinct, do more digging, ask more\nquestions, and reach out for clinical help or guidance when you need to!\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\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:\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Cbr \/\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.bacb.com\/ethics-information\/ethics-codes\/\" target=\"_blank\"\u003EEthical Guidelines for ABA Providers\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/inte.asha.org\/Code-of-Ethics\/\" target=\"_blank\"\u003EEthical Guidelines for Speech Pathologists\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.aota.org\/practice\/practice-essentials\/ethics?_ga=2.9482485.1397308942.1664849046-1090437946.1664849046\" target=\"_blank\"\u003EEthical Guidelines for Occupational Therapists\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/a\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/sites.ed.gov\/idea\/\" target=\"_blank\"\u003EIEP\/Special Education Law Resource\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/societyforpsychotherapy.org\/informed-consent-in-clinical-practice-the-basics-and-beyond\/\" target=\"_blank\"\u003EInformed Consent in Therapy\u003C\/a\u003E (\u003Ci\u003E\u003Cspan style=\"font-size: x-small;\"\u003Ewhen disabled adults or children are being treated, it is the parent who must give informed consent\u003C\/span\u003E\u003C\/i\u003E)\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\n\n\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2017\/11\/the-parents-role-in-aba-therapy.html\" target=\"_blank\"\u003EParent Participation in Therapy\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.nea.org\/resource-library\/code-ethics-educators\" target=\"_blank\"\u003ECode of Ethics for Educators\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.parentcenterhub.org\/disputes-landing\/\" target=\"_blank\"\u003EDisputing an IEP\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E\u003Cp class=\"MsoNormal\"\u003E\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4433419\/\" target=\"_blank\"\u003EParent Involvement in the Therapeutic Process Improves Care\u0026nbsp;\u003C\/a\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\/7847861533460097806\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/10\/assessing-quality-of-intervention.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7847861533460097806"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7847861533460097806"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2022\/10\/assessing-quality-of-intervention.html","title":"Assessing the Quality of Intervention"}],"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\/AVvXsEiDrEAoqFC8AnBlITiy6D1fbBKFriVkw51wR5Wvuvdb8OJeNOLJC3cLHHun4SQTe3-vqq-lQQ96uiM4UoSvDXsfZIHYKl5ppQVSj0zePtA1U-9W4lDAfQ4xO93NIdsNtOCCbaMtL1QFK1fBzn7DqMEL3JkgRgVkMmeGiaWUVkL243GYiysYGGOc0Fel1A\/s72-w294-h414-c\/raquel-martinez-SQM0sS0htzw-unsplash.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":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-6518015104504071214"},"published":{"$t":"2021-11-02T09:24:00.005-04:00"},"updated":{"$t":"2022-01-15T07:16:27.028-05:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Feeding"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Life skills"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Sensory Needs"}],"title":{"type":"text","$t":"Picky or Problem?"},"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\/-ovaeNdwrdT8\/YYE70OespiI\/AAAAAAAAHic\/GBus4P7akCEoaCsTQoHdeI3e33fGDF87QCNcBGAsYHQ\/s508\/istockphoto-1160752056-170667a.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"339\" data-original-width=\"508\" height=\"238\" src=\"https:\/\/1.bp.blogspot.com\/-ovaeNdwrdT8\/YYE70OespiI\/AAAAAAAAHic\/GBus4P7akCEoaCsTQoHdeI3e33fGDF87QCNcBGAsYHQ\/w356-h238\/istockphoto-1160752056-170667a.jpg\" width=\"356\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIts common, its common, its common.\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;\"\u003EThat is the first thing that needs to be said to any caregiver who ended up here while researching \"picky eater\" + Autism. You are not the only one experiencing this.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EAutistic individuals (because this is not just an issue for children) exhibit higher rates of food refusal, and a more limited food repertoire, when compared to typically developing individuals (Bandini et al, 2010).\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EExamples? Sure.\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;\"\u003EAcross my clients, I regularly see issues with:\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cb\u003ERigidity around meals\u003C\/b\u003E (where to sit at the table, what plate to eat off, which spoon to use, must have the tablet in order to eat)\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cb\u003EFood refusal challenging behavior\u003C\/b\u003E (throwing plates, flinging cups to the floor, spitting food out, tantrums, pouring liquids out onto the floor)\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cb\u003EHighly selective food intake\u003C\/b\u003E (daily diet consists of less than 10 foods, likes chicken nuggets but only from a specific fast food place, will only take specific liquid from a specific sippy cup or bottle)\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;\"\u003ETo define the term, a picky eater can be described as regularly refusing foods, or consistently only eating the same foods with little to no variation permitted.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EMany parents of toddlers deal with a picky eating phase at some point or another, and often the child outgrows it.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003ESo, what is the critical determining factor when it comes to Autism that tips the scale from someone who is just \"picky\" to a serious health problem\/eating disorder and concern? Usually, it is a combination of variables that must be examined and weighed:\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\u003Cspan style=\"font-family: times;\"\u003EHow old is the individual? If out of the toddler phase, how frequently is this issue happening (weekly? daily? or only at holiday meals?)\u003C\/span\u003E\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\u003Cspan style=\"font-family: times;\"\u003EDoes food refusal occur with challenging or aggressive behavior?\u003C\/span\u003E\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\u003Cspan style=\"font-family: times;\"\u003EIs this impacting school\/daycare, or the ability to go into community locations?\u003C\/span\u003E\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\u003Cspan style=\"font-family: times;\"\u003EWill the individual skip several consecutive meals (refuse to eat across more than one day)?\u003C\/span\u003E\u003C\/i\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ci\u003E\u003Cspan style=\"font-family: times;\"\u003EIs this impacting the individual's weight, organs, toileting\/digestion, skin, hair, or nutrition? Is your doctor concerned?\u003C\/span\u003E\u003C\/i\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;\"\u003EThe key factor for seeking out intervention for this issue is when the food selectivity is causing harm to the individual. When any specific behavior impacts the health\/body of the person exhibiting it, that is clinically referred to as a \"self-injurious\" behavior. Self-injurious behaviors should not be ignored, and often require intervention and treatment.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003ESo w\u003Cspan\u003Ehat to do?\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u0026nbsp;It may be helpful to reframe the way we view picky eaters. Sometimes families can view this behavior as their child willfully choosing to make meals a dreadful adventure. Choosing to be difficult and fling plates across the room in order to cause chaos. However, \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/02\/everyday-fba.html\" target=\"_blank\"\u003Echallenging behaviors often occur for complex or multifaceted reasons\u003C\/a\u003E. Some Autistics use the term \"sensory eater\" and not \"picky eater\" to describe this issue, and explain it like this:\u0026nbsp;\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Cspan style=\"background-color: white;\"\u003E\"\u003C\/span\u003E\u003Cspan style=\"background-color: white;\"\u003EPicky eaters don’t like a variety of foods, much like the sensory eater. However, when picky eaters try new foods, it doesn’t cause a sensory overload....\u003C\/span\u003E\u003Cspan style=\"background-color: white;\"\u003EThere is a sensitivity to textures, where children can only handle one texture, such as smooth, pureed foods. In this case, they might be able to eat yogurt, however, hand them a bag of chips or a slice of turkey and they immediately begin to gag\"\u003C\/span\u003E\u003Cspan style=\"background-color: white;\"\u003E (\u003C\/span\u003E\u003Ca href=\"https:\/\/researchautism.org\/its-not-picky-eating-5-strategies-for-sensory-food-sensitivities\/\" style=\"background-color: white;\" target=\"_blank\"\u003Ewww.researchautism.org\u003C\/a\u003E\u003Cspan style=\"background-color: white;\"\u003E).\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; font-family: times;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white; font-family: times;\"\u003EIf a specific food texture, smell, sight, or tactile experience is causing significant distress, if there are tooth or gum issues making eating painful or uncomfortable, if the individual has trouble swallowing, or if unknown allergies are present, making digestion painful or uncomfortable, doesn't it make sense for the individual to refuse a food (or eventually, any food that looks like THAT food) or exhibit excessive selectivity? Now, imagine the individual has no means to communicate how food makes them feel. Doesn't it make sense that they may cry, spit, hit or punch, or fling a plate onto the floor?\u0026nbsp;\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;\"\u003EWhen seeking out Feeding Intervention (which is a clinical specialty), it is important to first obtain medical rule out. This means first speaking with your doctor to discuss the issue, and see if the individual's health has been impacted. The doctor may also be able to make a referral to a qualified specialist.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003ENot every professional will be trained in feeding interventions, so this isn't as simple as just asking the current therapist to also target feeding. I see families do that a lot, without also asking about the therapist's qualifications to address this issue.\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003EIt probably doesn't need to be said, but feeding challenges can have serious health complications and you don't want to gamble on unproven treatments, untrained professionals, or questionable practices. Not only could they harm your child, they could worsen\/ingrain the problem even further.\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"font-family: times;\"\u003ESLPs, BCBAs, OTs, Healthcare professionals, and Multi-Disciplinary clinics or facilities, can all incorporate feeding intervention into therapy goals. The \u003Ca href=\"https:\/\/www.choa.org\/medical-services\/gastroenterology\/feeding-and-swallowing\/multidisciplinary-feeding-program\" target=\"_blank\"\u003EChildren's Healthcare of Atlanta\u003C\/a\u003E recommends the following step-by-step process for initiating feeding intervention\/feeding therapy:\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cspan style=\"font-family: times;\"\u003EMedical Screening\u003C\/span\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cspan style=\"font-family: times;\"\u003EBehavioral Evaluation\u003C\/span\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cspan style=\"font-family: times;\"\u003ENutrition Assessment\u003C\/span\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cspan style=\"font-family: times;\"\u003EOral-Motor Skills Assessment\u003C\/span\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003Cp\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\u003Cspan\u003E\u0026nbsp;\u003C\/span\u003E\u003Cspan\u003ERemember, before seeking out therapy or treatment talk to your doctor \u003C\/span\u003E\u003Cb\u003Efirst\u003C\/b\u003E\u003Cspan\u003E. Also, any feeding intervention that occurs on-site will need a caregiver training portion where the parents are taught how to implement the procedure at home\/in the community.\u003C\/span\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*Further Reading:\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"http:\/\/www.thinkingautismguide.com\/2010\/07\/autism-feeding-issues-and-picky-eaters.html\" target=\"_blank\"\u003E\u003Cspan style=\"color: black; font-family: times;\"\u003EAutism Feeding Issues\u003C\/span\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: times;\"\u003EKinnaird, E., Norton, C., Pimblett, C., Stewart, C., \u0026amp; Tchanturia, K. (2019). Eating as an autistic adult: An exploratory qualitative study.\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: times;\"\u003EBandini LG, Anderson SE, Curtin C, Cermak S, Evans EW, Scampini R, Maslin M, Must A. (2010). Food selectivity in children with autism spectrum disorders and typically developing children.\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: times;\"\u003E\u003Ca href=\"https:\/\/marybarbera.com\/autism-picky-eating-feeding-tips\/\" target=\"_blank\"\u003EAutism \u0026amp; Picky Eating\u003C\/a\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.autismdietitian.com\/blog\/picky-eating-problem-feeding\" target=\"_blank\"\u003E\u003Cspan style=\"color: black; font-family: times;\"\u003EProblem Eating\u003C\/span\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/wmuace.com\/videos\/pediatric-feeding\" target=\"_blank\"\u003E\u003Cspan style=\"color: black; font-family: times;\"\u003EAssessment \u0026amp; Treatment of Pediatric Feeding Disorders\u003C\/span\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2831447\/\" target=\"_blank\"\u003E\u003Cspan style=\"color: black; font-family: times;\"\u003EFeeding Problems in Children with Autism\u003C\/span\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.thelily.com\/your-eating-disorder-could-be-a-sign-of-neurodivergence-it-was-for-me\/?fbclid=IwAR3UDGUj5sVyJW1bwSOV0NTyR0HU0oe369U1vd7c6TinDV39QT4_RF-O2hA\" target=\"_blank\"\u003EEating Disorders Can be a Sign of NeuroDivergence\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\/6518015104504071214\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/11\/picky-or-problem.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/6518015104504071214"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/6518015104504071214"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/11\/picky-or-problem.html","title":"Picky or Problem?"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-ovaeNdwrdT8\/YYE70OespiI\/AAAAAAAAHic\/GBus4P7akCEoaCsTQoHdeI3e33fGDF87QCNcBGAsYHQ\/s72-w356-h238-c\/istockphoto-1160752056-170667a.jpg","height":"72","width":"72"},"thr$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":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-7508290702324856926"},"published":{"$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-5423129906139563514"},"published":{"$t":"2021-04-27T09:27:00.006-04:00"},"updated":{"$t":"2021-04-27T10:15:08.406-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Life skills"}],"title":{"type":"text","$t":"Teaching Flexibility"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-zNfaEFky-1o\/YIgQ3nIjn7I\/AAAAAAAAHPY\/-9lkKqd6BhEdoBP2scqX0Dm8jGMRQ94jgCNcBGAsYHQ\/s625\/photo-1612933510543-5b442296703b.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"625\" data-original-width=\"500\" height=\"365\" src=\"https:\/\/1.bp.blogspot.com\/-zNfaEFky-1o\/YIgQ3nIjn7I\/AAAAAAAAHPY\/-9lkKqd6BhEdoBP2scqX0Dm8jGMRQ94jgCNcBGAsYHQ\/w292-h365\/photo-1612933510543-5b442296703b.jpg\" width=\"292\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan face=\"\u0026quot;Open Sans\u0026quot;, apple-system, blinkmacsystemfont, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, arial, sans-serif\" style=\"background-color: white;\"\u003E\u003Ci\u003E\u003Cspan style=\"font-size: x-small;\"\u003E\"\u003C\/span\u003E\u003Cspan\u003ERestricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history:\u003C\/span\u003E\u003C\/i\u003E\u003C\/span\u003E\u003C\/p\u003E\u003Col style=\"background-color: white; box-sizing: border-box; font-family: \u0026quot;Open Sans\u0026quot;, apple-system, blinkmacsystemfont, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, arial, sans-serif; margin-bottom: 0px; margin-top: 0px;\"\u003E\u003Cli style=\"box-sizing: border-box; margin-bottom: 0.4rem;\"\u003E\u003Cb\u003E\u003Ci\u003E\u003Cspan\u003EInsistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat same food every day).\"\u003C\/span\u003E\u003C\/i\u003E\u003C\/b\u003E\u003C\/li\u003E\u003C\/ol\u003E\u003Cp\u003ESource-\u0026nbsp; www.CDC.gov\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIt is part of the diagnostic criteria for Autism to struggle with Rigidity.\u003C\/p\u003E\u003Cp\u003EWhat is Rigidity? It is an inflexibility, an inability to tolerate change or unexpected events, to varying levels of difficulty.\u003C\/p\u003E\u003Cp\u003EThis is something many of my clients struggle with, and it can be quite life impacting in negative ways. Issues around rigidity can affect the school day, relationships\/social ties, life at home, transitions, community integration, and vocation\/employment success (for older clients).\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ESome examples can include:\u003C\/p\u003E\u003Cp\u003E- Difficulty tolerating a change in teacher\u003C\/p\u003E\u003Cp\u003E-Difficulty staying calm if something breaks, loses power, or the battery dies\u003C\/p\u003E\u003Cp\u003E-Difficulty staying calm if mom or dad drive past Wal-Mart but we don't go inside\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E-Insistence on the same routine every day, Monday-Sunday\u003C\/p\u003E\u003Cp\u003E-Refusal to change eating habits, clothing choices, etc., from one day to the next\u003C\/p\u003E\u003Cp\u003E-Difficulty sleeping if traveling, away from home, or the bedtime routine is different\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EAs rigidity is a core characteristic of Autism, treating or intervening on it must be approached carefully. The goal should not be to turn an inflexible person into a flexible person. The goal should be to help the learner adapt to an ever-changing world that will NOT stay constant, and increase the learners coping skills to accept what they cannot control.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003ETo a degree, most of us are creatures of habit. We buy a certain brand of makeup, we brush our teeth a certain way, we park in the same place when we go to work, we always sit in the 2nd row for our college lectures, etc. It isn't inherently a problem to like sameness and predictability in your life.\u003C\/p\u003E\u003Cp\u003EBut.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThis does become a problem when the reaction to the routine being disrupted, is explosion, aggression, self-harming, etc. For example, I have specific restaurants where I order the same thing \u003Cb\u003Eevery\u003C\/b\u003E time I go. If I went one day and that item wasn't available, I'd be dissapointed, annoyed... I might even leave and go eat somewhere else. But I would not become a danger to myself or others, and I would not perseverate on that annoyance for hours or days.\u003C\/p\u003E\u003Cp\u003ESo how do we help our clients, students, and loved ones calmly accept life's inevitable changes?\u003C\/p\u003E\u003Cp\u003EABA provides many, many strategies to teach flexibility and tolerance to change. Let's discuss a few:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Col style=\"text-align: left;\"\u003E\u003Cli\u003EWhat are we teaching instead? This should be priority #1, it is truly that important. We cannot just rip away established patterns and rituals, we have to first identify the \u003Ca href=\"https:\/\/theautismhelper.com\/all-about-the-replacement-behavior\/\" target=\"_blank\"\u003Ereplacement behavior(s)\u003C\/a\u003E. This could include teaching the ability to request (\"I wanted the red cup\"), to wait (\"We \u003Cb\u003Ewill\u003C\/b\u003E go to Wal-Mart, but I'm stopping at Wendy's FIRST\"), to self-manage anger and disappointment (\"I can see you are angry. Let's do our deep breaths, okay?\"), and\/or to problem solve (\"Oh no, your tablet's battery died. How do we fix that?\").\u003C\/li\u003E\u003Cli\u003EDo we have rule out for underlying issues? It is not uncommon that Autism co-occurs with other diagnoses. Is the learner just \"rigid\", or are they OCD? Or struggling with an undiagnosed Anxiety disorder?\u0026nbsp;\u003C\/li\u003E\u003Cli\u003EIntentionally, and systematically, introduce change. I work with so many families who try to skirt this issue by avoiding changing things in their child's environment, giving in to the rituals, even driving out of the way in the community to avoid passing places that will trigger the child. I know this seems like the \u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/07\/the-easy-way-vs-hard-way.html\" target=\"_blank\"\u003Eeasy way\u003C\/a\u003E to manage this problem, but in reality it will make things worse. It is almost presenting a lie to the learner to act as if nothing in their environment need ever change. That just isn't real life. We need to help the learner by introducing small, intentional changes (start super small) and then helping them tolerate that change. Speaking of tolerate....\u003C\/li\u003E\u003Cli\u003EHelp the learner develop a \"plan of action\" when they are triggered. This will be highly specific to the individual learner, so I cannot give a recipe for this. What is most important is to utilize \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/02\/everyday-fba.html\" target=\"_blank\"\u003Efunction based intervention\u003C\/a\u003E to teach a strategy to the child for de-escalation. For example: When there will be a substitute teacher at school, inform the learner. (If possible) Talk about how they feel about this change. Empathize with their distress, and do not minimize it. Engage in action steps such as pacing, squeezing a stress ball, humming, and deep breathing with closed eyes. Remind the learner of the things they can control\/the things that are unchanged. For example: \"I know you're angry that Mr. Walker is not here today. That's disappointing. We can go in the hallway and take a break, and when we come back in you let me know if we're doing our writing journal or sight word folder first. Okay?\".\u003C\/li\u003E\u003Cli\u003EIn Step # 4 I referenced \"Empathy\". I know it can be frustrating and stressful when your client\/child\/student explodes over a moved seat, a different bowl at breakfast, or a broken toy. You might think \"\u003Ci\u003EWHAT IS THE BIG DEAL\u003C\/i\u003E?!\". Well, do \u003Cu\u003Eyou\u003C\/u\u003E like change? If we're honest, most of us do not like unexpected, unrequested change. It makes us angry, and we feel annoyed. So even if you can't fully relate to the size of the explosion, you can relate to the feeling, right? That \"relating\" is empathy. Put yourself in the learners shoes, and treat them the way you would want to be treated if you were that upset and agitated.\u003C\/li\u003E\u003C\/ol\u003E\u003Cp\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**More resources below:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/childmind.org\/guide\/parents-guide-to-autism\/rigid-eating-habits-in-children-on-the-spectrum\/\" target=\"_blank\"\u003ERigid Eating Habits\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/asatonline.org\/research-treatment\/clinical-corner\/food-selectivity\/\" target=\"_blank\"\u003EFood Selectivity\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.spectrumnews.org\/news\/toolbox\/scale-tests-mental-flexibility-children-autism\/\" target=\"_blank\"\u003EInflexible Thinking\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/researchautism.org\/use-inflexibility-to-teach-flexibility\/\" target=\"_blank\"\u003EUse Inflexibility to Teach Flexibility\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.socialthinking.com\/Articles?name=superflex-team-unthinkables-five-step-power-plan\" target=\"_blank\"\u003ESuperFlex Curriculum\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/raisingchildren.net.au\/autism\/behaviour\/understanding-behaviour\/changing-routines-asd\" target=\"_blank\"\u003EIntentionally Changing Routines\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan face=\"BlinkMacSystemFont, -apple-system, \u0026quot;Segoe UI\u0026quot;, Roboto, Oxygen, Ubuntu, Cantarell, \u0026quot;Fira Sans\u0026quot;, \u0026quot;Droid Sans\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, sans-serif\" style=\"background-color: white; color: #212121; font-size: 16px;\"\u003EPoljac E, Hoofs V, Princen MM, Poljac E. \u003Ca href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28070785\/\" target=\"_blank\"\u003EUnderstanding Behavioural Rigidity in Autism Spectrum Conditions: The Role of Intentional Control.\u003C\/a\u003E J Autism Dev Disord. 2017 Mar;47(3):714-727.\u0026nbsp;\u003C\/span\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cspan face=\"BlinkMacSystemFont, -apple-system, \u0026quot;Segoe UI\u0026quot;, Roboto, Oxygen, Ubuntu, Cantarell, \u0026quot;Fira Sans\u0026quot;, \u0026quot;Droid Sans\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, sans-serif\" style=\"background-color: white; color: #212121; font-size: 16px;\"\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\/5423129906139563514\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/04\/teaching-flexibility.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5423129906139563514"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5423129906139563514"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/04\/teaching-flexibility.html","title":"Teaching Flexibility"}],"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\/-zNfaEFky-1o\/YIgQ3nIjn7I\/AAAAAAAAHPY\/-9lkKqd6BhEdoBP2scqX0Dm8jGMRQ94jgCNcBGAsYHQ\/s72-w292-h365-c\/photo-1612933510543-5b442296703b.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-1088269105195103351"},"published":{"$t":"2021-02-21T13:52:00.002-05:00"},"updated":{"$t":"2021-02-21T14:05:27.587-05:00"},"category":[{"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":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Programs"}],"title":{"type":"text","$t":"Adulting 101"},"content":{"type":"html","$t":"\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-OjpYUdINr-I\/YDKrMPG8sjI\/AAAAAAAAHKo\/zVybgjEUba00fJ3y_lr911Ni8hs5XNTJgCNcBGAsYHQ\/s750\/photo-1574538298279-26973f60efa3.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"750\" data-original-width=\"500\" height=\"353\" src=\"https:\/\/1.bp.blogspot.com\/-OjpYUdINr-I\/YDKrMPG8sjI\/AAAAAAAAHKo\/zVybgjEUba00fJ3y_lr911Ni8hs5XNTJgCNcBGAsYHQ\/w235-h353\/photo-1574538298279-26973f60efa3.jpg\" width=\"235\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003EI don't work with adult clients often, but I do regularly work on life skills\/building independence, and pre-vocational training stuff with children and adolescents.\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EThe thing about adulting is that trying to shove a bunch of information and life lessons into your grown child is a bit too late. Especially if we're talking about Autistic adult children who may or may not ever live independently, may or may not hold down steady jobs\/have a career, and may or may not attend college or technical school.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EWayyyy before you think you need to start teaching this stuff, is when I recommend teaching this stuff. :-)\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor any parent, its a hard thing to look at your 10 -year- old and start thinking about teaching them to do laundry, independently grocery shop, change a flat tire, or shop online. But, if you expect your child to do all these things one day as an adult, then\u003Cb\u003E yes\u003C\/b\u003E, absolutely start teaching it early.\u003C\/p\u003E\u003Cp\u003EYour teen or adult child can start learning \u003Cu\u003Etoday\u003C\/u\u003E, to do things like:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Col style=\"text-align: left;\"\u003E\u003Cli\u003EPersonal care\/Hygiene\/Grooming\u003C\/li\u003E\u003Cli\u003EShopping \u0026amp; Money Management\u003C\/li\u003E\u003Cli\u003EElectronic Use \u0026amp; Internet Safety\u003C\/li\u003E\u003Cli\u003EVocational Training (*\u003Cspan style=\"font-size: x-small;\"\u003Ewhich should be a natural extension of interests, hobbies, or strengths\u003C\/span\u003E)\u003C\/li\u003E\u003Cli\u003EDriving or Navigating Public Transportation\u003C\/li\u003E\u003Cli\u003ETime Telling\/Time Organizational skills\u003C\/li\u003E\u003Cli\u003EEmployment Seeking (resumes, interviews, etc.)\u003C\/li\u003E\u003Cli\u003ESelf-Advocacy\/Assertiveness ---- probably my #1 Adulting 101 skill to teach\u003C\/li\u003E\u003C\/ol\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor children with disabilities (not just Autism), it may take more time, more repetition, and more real-world practice for these skills to be taught. Which means starting sooner rather than later is the way to go. Think about your own adulting for a second-- when you first left home, did you know how to scramble eggs without burning them? Or manage a credit card responsibly? Or negotiate with a pushy salesman when buying a used car? If you answered \"yes\" to these questions, then you were far superior to most of us!\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThe reality is that whether your child will ever be able to live separately from you or not, as a parent I'm sure you want to help them be as independent as possible, and be able to make decisions about their life\/have a say in their own life. Teaching some common 'Adulting 101' type of skills can be the way to do this, and be sure to combine that instruction with actual \u003Cb\u003Ereal world practice\u003C\/b\u003E. Despite what we may like to think, \u003Ca href=\"https:\/\/successfulstudent.org\/20-life-skills-not-taught-in-school\/\" target=\"_blank\"\u003Eschool will not teach our children everything they could possibly ever need to know by graduation day\u003C\/a\u003E. Nope.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EWhat do I mean by real world practice? Well, I've worked with high school age clients before who received vocational\/life skills training at school, or through a special program that helped them get part-time jobs. The problem was, these skills didn't generalize outside of those settings. If Charles learned to cook chicken breasts at school with Ms. Larson, that did not automatically mean he could cook chicken breasts at home, with Mom and Dad. If Kacey helped out in a local daycare classroom every Tuesday afternoon, that didn't not mean she could successfully baby-sit her younger brother at home.\u003C\/p\u003E\u003Cp\u003ELike any other skill, life skills need explicit, intensive instruction, as well as multiple \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/03\/generalization-teaching-loosely.html\" target=\"_blank\"\u003Egeneralization opportunities\u003C\/a\u003E in real world situations. \u003Ci\u003EMultiple generalization opportunities\u003C\/i\u003E means that the instructor\/supervisor needs to differ. The setting needs to differ. The materials\/items used need to differ.\u003C\/p\u003E\u003Cp\u003EDon't just teach your child to wash\/load the dishes at home. Let them practice at the neighbor's home, at Grandma's house, etc. The steps of the skill will vary a bit as it is generalized across opportunities, and that's a good thing! There are very few adulting tasks that are done the exact same way, every time. We also know that many Autistics lean towards rigidity and sameness of routine, which can be a good thing or can be highly detrimental to learning if it gets in the way of doing something differently. For example, if the sink, dishwashing liquid brand, or the equipment used (e.g. type of dishwasher) change, can your child still wash the dishes?\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EIt is hard to look at your children when they are young and know with certainty what their future holds. That has nothing to do with Autism, I think any parent would agree with that. Since we don't know what the future will bring, it makes sense to start preparing our children for an uncertain future \u003Cu\u003Enow.\u003C\/u\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/p\u003E\u003Cp\u003EYou may be wondering, \"How young is too young to focus on this?\". It may surprise you to learn that I start teaching life skills (Adulting 101) with clients as young as 2 or 3. Yup, its true.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EA toddler can learn to clean up their toys. A toddler can learn to put their empty cereal bowl in the sink. A toddler can learn to pour their own juice. A toddler can learn to put dirty clothes in a washer, or pull clean clothes from a dryer. Why not?? If your children are young and you don't know where\/how to start with this, just start with teeny-tiny baby steps:\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003ELet your child help as you complete household chores.\u003C\/li\u003E\u003Cli\u003ESlow down before leaving the house, and let your child put their \u003Ci\u003Eown\u003C\/i\u003E shoes on, or put their \u003Ci\u003Eown\u003C\/i\u003E coat on, or grab their \u003Ci\u003Eown\u003C\/i\u003E bookbag.\u003C\/li\u003E\u003Cli\u003ECooking is a life skill. As early as you can, introduce no-heat recipes such as making a sandwich or fruit salad.\u003C\/li\u003E\u003Cli\u003EWhen in public settings, help your child pay for their own meal, or hand the cashier money for purchases. Let your child place items on the conveyer belt at the grocery store, or teach them to shop by giving them a visual grocery list.\u003C\/li\u003E\u003Cli\u003EAllow older children to have some responsibility for younger children. Let your 6 -year-old help you care for the 1-year-old.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EThere are \u003Cb\u003E\u003Cu\u003ESO\u003C\/u\u003E\u003C\/b\u003E many resources out there for teaching life skills and increasing adaptive functioning. This doesn't need to be hard or overwhelming!\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003EAsk your child's therapists for help and ideas, or talk to their school and see if there are any specialized trainings, classes, or programs available for students on the Spectrum. Most school districts have far more programs and community connections than most parents know about.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EYou got this!\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\u003ERESOURCES-\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/05\/autism-functional-skill-training.html\" target=\"_blank\"\u003EFunctional Skill Training\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/autismawarenesscentre.com\/looking-aheadlife-skills-what-do-our-asd-kids-need-to-succeed\/\" target=\"_blank\"\u003EASD Life Skills\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/essentialforliving.com\/\" target=\"_blank\"\u003EEssential for Living\u0026nbsp;\u003C\/a\u003E\u0026nbsp;Assessment Tool\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/tacanow.org\/family-resources\/life-skills\/\" target=\"_blank\"\u003ETACA Life Skills\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.totalspectrumcare.com\/5-key-life-skills-for-kids-with-autism\/\" target=\"_blank\"\u003ETotal Spectrum Life Skills\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/learningforapurpose.com\/2019\/09\/01\/the-best-functional-life-skill-resources-for-individuals-with-autism\/\" target=\"_blank\"\u003ETeaching Everyday Life Skills\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003ESpectrum News:\u0026nbsp;\u003Ca href=\"https:\/\/www.spectrumnews.org\/news\/severity-predicts-autistic-childrens-ability-to-learn-life-skills\/\" target=\"_blank\"\u003ESeverity predicts autistic children’s ability to learn life skills\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EOrganization for Autism Research: \u003Ca href=\"https:\/\/researchautism.org\/daily-living-skills\/\" target=\"_blank\"\u003ETransition to Adulthood\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/partingtonbehavioranalysts.com\/pages\/afls\" target=\"_blank\"\u003EThe Assessment of Functional Living Skills\u003C\/a\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/lifeskillslady.com\/?fbclid=IwAR2Q-mXKqeKu9clQEddSfL0m6fxayhD2umGIXY3AFDv2iKeyr2W7R9aVb1Y\" target=\"_blank\"\u003EThe Life Skills Lady\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/drexel.edu\/autismoutcomes\/topics\/transition-to-adulthood\/\" target=\"_blank\"\u003ETransition to Adulthood Research Findings\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\/1088269105195103351\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/02\/adulting-101.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1088269105195103351"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1088269105195103351"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2021\/02\/adulting-101.html","title":"Adulting 101"}],"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\/-OjpYUdINr-I\/YDKrMPG8sjI\/AAAAAAAAHKo\/zVybgjEUba00fJ3y_lr911Ni8hs5XNTJgCNcBGAsYHQ\/s72-w235-h353-c\/photo-1574538298279-26973f60efa3.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-734052133903012634"},"published":{"$t":"2020-12-12T10:53:00.004-05:00"},"updated":{"$t":"2021-10-30T08:33:33.181-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Therapy start up"}],"title":{"type":"text","$t":"Hiring a Behavior Analyst"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-7U_wYjvUB6M\/X9TYTJcTUQI\/AAAAAAAAHCw\/R4dtUNfJDvsZ6POSAK69tCyxMNG6Eiq1QCNcBGAsYHQ\/s2048\/fc1eba1cb160e48ad26390936bd5d2c4.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"2048\" data-original-width=\"1536\" height=\"361\" src=\"https:\/\/1.bp.blogspot.com\/-7U_wYjvUB6M\/X9TYTJcTUQI\/AAAAAAAAHCw\/R4dtUNfJDvsZ6POSAK69tCyxMNG6Eiq1QCNcBGAsYHQ\/w271-h361\/fc1eba1cb160e48ad26390936bd5d2c4.jpg\" width=\"271\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cp\u003EIf you are unfamiliar with ABA services, you may first hear about it as a recommendation post-diagnosis. Or, from a school system recommending behavioral services. Or, you might seek out an ABA provider if persistent, challenging, or harmful behaviors are happening in your home, in the community, or at your child' school.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor most people, the process of starting up ABA services will involve multiple steps, an extensive timeline, and lots \u0026amp; lots of paperwork (seriously.... \u003Ci\u003Ea mountain of paperwork\u003C\/i\u003E). To briefly summarize, the child must be diagnosed, an ABA provider must be found\/identified, an intake assessment must occur, insurance authorization has to happen, staff must be assigned to the case, and only then do services actually begin. I would say a best case scenario would be all of that occurring within 1-2 months. Unfortunately though, best case scenarios don't always happen.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EJust like there are valid, honest reasons \u003Ca href=\"https:\/\/www.iloveaba.com\/2015\/08\/when-aba-isnt-for-you.html\" target=\"_blank\"\u003Ewhy ABA therapy isn't for everyone\u003C\/a\u003E, there are valid reasons why starting services with the ABA agency\/clinic up the street isn't the best idea. Sometimes it will make much more sense to work with a solo practitioner\/BCBA.\u003C\/p\u003E\u003Cp\u003EIf you aren't familiar with the title BCBA, a Board-Certified Behavior Analyst is someone trained in the science of Behavior Analysis, holding a Masters degree or higher, who has gone through roughly 1-2 years of highly regimented supervised experience and passed a rigorous exam. BCBAs can practice independently, so this means you do not need to go through a company or agency to work with one. Similar to physicians, BCBAs have specialties. All BCBAs will possess a standard skillset\/range of knowledge on behavior, but the specialty will be a combination of an individuals post-certification experiences and training. For example, some BCBAs specialize in feeding disorders. Others have worked with early intervention populations exclusively, and others focus more on OBM (Organizational Behavior Management) rather than special needs populations.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor most families, it seems like a simple equation: need ABA services ---\u0026gt; call up a local company ----\u0026gt; start services. But, there are some scenarios where this would actually be a bad idea:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003EBrief or Short Term Consultation\u003C\/u\u003E - Most ABA companies are focused on servicing clients needing intensive, multi-year therapy for many hours each week. If you have a specific behavioral need or only need short term help, it actually would be faster, and simpler, to just work directly with a solo BCBA.\u0026nbsp; And on that note, lets talk about speed of services starting up....\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003EDelay to Onset of Services\u003C\/u\u003E - I regularly talk to families who are sitting on wait lists to access services. Or, their child completed an initial assessment with a company, but they haven't heard anything for 30, 60, days and counting. There could be many reasons why you experience a significant delay to start services, but the most common reasons would be staffing (no available staff), and funding issues (problems with getting services authorized or company is not in network with your insurance provider). If you need help \u003Cb\u003Enow\u003C\/b\u003E, I strongly suggest contacting a solo BCBA rather than a company\/agency.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003EWanting Highly Experienced Staff\u003C\/u\u003E - As part of my role, I regularly conduct intake assessments with families new to ABA. Many times they will ask me if I will be the one working directly with their child, and I then explain that ABA treatment utilizes a tiered-service delivery model. In a tiered model, the supervisor\/BCBA is usually the most degreed and experienced person on that case. The individual working directly with the client, is usually called an ABA Therapist, or Registered Behavior Technician (if they are credentialed). The education and experience of the direct staff can vary, and a high-quality company will have a rigorous training and onboarding process for direct staff before they can work with clients (a poor quality company will not). If you want Masters degree level clinicians working with your child, that can be hard to find at a company.\u0026nbsp;\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003ERural\/International\/Low Supply Area\u003C\/u\u003E - I have worked privately with families as a Consultant for many years. The main reason why these families chose to hire me instead of going to a company\/agency, is because in this was not an option for their area. Some of these families lived in very rural areas with no ABA providers for miles. Others lived outside of the US, where knowledge of ABA can be minimal or absent. For others, there were TONS of ABA companies in their area. The problem with that though, is that high demand can = insane wait lists. I'm talking sitting on a wait list for 1-3 years. In these situations, it makes far more sense to work with a solo BCBA via Telehealth\/technology. I \u003Cb\u003Edo not recommend \u003C\/b\u003Esitting on a wait list for any significant length of time without also pursuing other options.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003ENo Diagnosis\/Non-ASD Diagnosis\u003C\/u\u003E - In most states that have Autism mandates for insurance coverage, a diagnosis of Autism is required to receive ABA treatment. If your child is not diagnosed, you're stuck on a wait list just to get a diagnosis (which can happen), or your child has a non-Autism diagnosis, then you may not be able to receive services from an ABA company. Not all companies accept private pay clients, especially the very large ones. In this situation, it would make more sense work with a solo BCBA.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003EFunding Issues\/Insurance Issues\u003C\/u\u003E - Similar to the above point, there can be challenges with accessing ABA therapy through your insurance. For some, a high annual deductible must be met before insurance will kick in. Or, per session co-pays might be very high (keep in mind there will be multiple sessions per week). Sometimes the insurance may cover an amount of ABA that is very minimal, or does not allow for quality supervision of treatment. I have worked with families\u0026nbsp; where due to their specific insurance plan, I could only see them once a month. That is \u003Cb\u003Enot \u003C\/b\u003Eenough for high-quality services.\u0026nbsp;\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003ELanguage Barriers\u003C\/u\u003E - If you live in an area where that predominate language is not your first language, you may experience a barrier to accessing treatment. For example, many families in Atlanta speak Chinese or Spanish as their first language. But not all ABA companies in Atlanta have Chinese or Spanish speaking staff, or translators available. So what does this mean? It means it can be challenging to initiate services, participate in assessment, and understand what is going on in therapy. If this is your situation, you may want to find a solo BCBA who speaks your first language for ease of understanding and communication. Another bonus is this BCBA would be able to provide translated documents and paperwork to you, in your dominant language.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003E\u003Cu\u003EProfessional seeking Consultation\u003C\/u\u003E - Lastly, what if you are not a parent seeking services for your child, but rather a related professional who wants to collaborate with a BCBA? Maybe you are a teacher, SLP, Psychologist, or PT, and you have a particular client\/student with challenging behaviors and need some help. This is not a scenario that would be appropriate for calling up an ABA company. It would be far more feasible (and faster) to locate a BCBA and ask about individual consultation. Keep in mind that ethically, the caregivers of the specific client must consent to this consultation as well.\u003C\/li\u003E\u003C\/ul\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EThere will be exceptions to all of the points above, depending on the area where you reside, the funding sources available, the quality of local providers, and your specific behavioral needs.\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003EFor example, it is often more difficult for parents of older children or adults to access services. Also, not all agencies accept all insurances. Or maybe your current ABA provider seems to have a revolving door of staff, and just when you acclimate to the team members: they change. These are all scenarios where you may want to consider private consultation.\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003EJust keep in mind that if services in your area are lacking\/low quality, full of impossible waitlists, or if you have funding challenges, you \u003Cu\u003Edo\u003C\/u\u003E have other options available to receive ABA intervention for your child.\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*Resources:\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.bacb.com\/services\/o.php?page=101135\" target=\"_blank\"\u003EBACB Certificant Registry\u003C\/a\u003E\u0026nbsp;\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/choosing-aba-agency.html\" target=\"_blank\"\u003EIdentifying a Quality ABA Provider\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2017\/01\/faq-common-questions-parents-ask-about.html\" target=\"_blank\"\u003EQuestions to Ask a New Provider\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.carlylecenter.com\/carlyle-blog\/2019\/4\/8\/how-to-find-an-aba-program-and-bcba-to-fit-your-childs-needs\" target=\"_blank\"\u003EHow to Find an ABA Provider\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/asatonline.org\/research-treatment\/clinical-corner\/sensory-issues-bcba-right-person\/\" target=\"_blank\"\u003EDo I Need a BCBA?\u003C\/a\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Ca href=\"https:\/\/www.tameikameadowsconsulting.com\/offered-services\" target=\"_blank\"\u003EConsultation Services\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\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\/734052133903012634\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/12\/hiring-bcba.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/734052133903012634"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/734052133903012634"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/12\/hiring-bcba.html","title":"Hiring a Behavior Analyst"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-7U_wYjvUB6M\/X9TYTJcTUQI\/AAAAAAAAHCw\/R4dtUNfJDvsZ6POSAK69tCyxMNG6Eiq1QCNcBGAsYHQ\/s72-w271-h361-c\/fc1eba1cb160e48ad26390936bd5d2c4.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5522426549955312509"},"published":{"$t":"2020-10-25T17:09:00.004-04:00"},"updated":{"$t":"2020-10-25T17:20:11.487-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Home Tips"},{"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","$t":"Homeschooling In a Pandemic"},"content":{"type":"html","$t":"\u003Cp\u003E\u0026nbsp;\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-0jet90oSO80\/X5XoJVf4ceI\/AAAAAAAAG4E\/18cT7juJw2cdyp6Tkq1t1Y_Q8wE5nF_QACNcBGAsYHQ\/s751\/photo-1597933471507-1ca5765185d8.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"501\" data-original-width=\"751\" height=\"269\" src=\"https:\/\/1.bp.blogspot.com\/-0jet90oSO80\/X5XoJVf4ceI\/AAAAAAAAG4E\/18cT7juJw2cdyp6Tkq1t1Y_Q8wE5nF_QACNcBGAsYHQ\/w404-h269\/photo-1597933471507-1ca5765185d8.jpg\" width=\"404\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E*Recommended Resources:\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/asatonline.org\/for-parents\/education\/guidance\/covid-19\/\" target=\"_blank\"\u003EHelping your ASD child cope with COVID\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/childmind.org\/remote-learning-resources-for-families\/\" target=\"_blank\"\u003EStrategies for supporting learning at home\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.time4learning.com\/homeschooling\/special-needs\/\" target=\"_blank\"\u003EHomeschooling special needs children\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/08\/mastering-homeschooling.html\" target=\"_blank\"\u003EMastering Homeschooling\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EPodcast Episode: \u003Ca href=\"https:\/\/www.yolanderobinson.com\/episode19.html\" target=\"_blank\"\u003E\"Take Off the Cape\"\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EDuring this global pandemic, schools have been as impacted as everyone else when it comes to figuring out a New Normal.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThe most recent stats indicate that globally, there are 1.2 billion children learning outside of the classroom due to school closures (source: \u003Ca href=\"https:\/\/www.weforum.org\/agenda\/2020\/04\/coronavirus-education-global-covid19-online-digital-learning\/\" target=\"_blank\"\u003EWe Forum\u003C\/a\u003E) . E-learning has increased dramatically, with parents and caregivers now finding themselves thrust into the role of \"Home Education Assistant\".\u0026nbsp;\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EI have multiple clients who are learning at home this year, and both the parents and the children are struggling to adjust to this unanticipated change.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EFor the children, it may be hard to understand why they aren't at school, why the regular routine has been so disrupted, and why they have to sit and learn at a computer all of a sudden.\u003C\/p\u003E\u003Cp\u003EFor the parents, this is an added stressor during an already challenging year, it is hard to navigate a school at home schedule while also working from home (or returning to work on-site), and for parents of ASD children there are added unique challenges to help the child benefit from online learning.\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EVery few of the clients I serve are able to sit and learn through a device\/computer screen for an entire school day. That just isn't happening. So what we are doing instead is helping the caregivers in the home learn how best to support their child's school day with this new format. Especially since none of us really know for sure when schools will be \"back to normal\".\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003EBelow are some tips I share with my client families, I hope they are helpful for you and your children:\u003C\/p\u003E\u003Cp\u003E\u003Cbr \/\u003E\u003C\/p\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003ETip #1 is THE MOST important tip: Talk to your treatment team. By \"treatment team\", I mean the ABA team\/case BCBA, Speech Therapist, Teacher, Counselor, etc. The best person to ask about your child's learning is a professional who already knows and works with your child. Seriously, I have had so many meetings this year with client teachers, and the teachers were all so understanding, accommodating, and willing to work together, because\u003Cu\u003E this year is hard for all of us\u003C\/u\u003E. You will have no idea how much the online school day can be modified until you ask.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003EA daily schedule will be your BFF. It will be nearly impossible to adjust to the demands of school at home without a consistent schedule in place. Create a schedule based on when your child needs to log-on\/be active in class vs. when they can work on assignments off-screen\/off-camera. Be sure to include breaks (Pleeeeeease don't expect your child to sit at a computer screen all day with 0 breaks. That won't end well), meal times, reinforcement time\/play, and calming or sensory activities as needed. Just like the rest of us, your child is probably highly stressed from the challenges of 2020. Though they may be unable to communicate that, just depending on ability level.\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003ESeek help if you are physically unable to supervise your child's online learning. I have some client families where both parents are working from home right now. It is tough, but they are able to adjust their day so at least one parent is always monitoring the child's learning. I have other client families where this is not at all possible. Every household is different. Consider having a neighbor, grandparent, older sibling, or family friend monitor your child during the school day. For some families, \"monitoring\" may be all that is needed. For other families, see the next tip.....\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003EDO understand that for some children, sitting at a laptop and attending for more than a few seconds at a time \u003Cb\u003Ewill not be possible\u003C\/b\u003E. It won't. You are not a bad parent if this is the case. You have not failed, and you should not beat yourself up. This simply means your child will need a high level of support to benefit from schooling at home. I have some clients in this scenario, and it does mean that an adult must sit with the child and help them participate in online school. But guess what? For these types of kids, a 6- hour school day is not the goal. A 4- hour school day isn't even the goal. We work on helping the child participate as much as possible, and then we take breaks. Then we try some more. Then we take breaks....get the picture? Which leads me to my last tip....\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003ELet's get real. And I mean, \u003Cb style=\"text-decoration-line: underline;\"\u003Ereally real\u003C\/b\u003E. We are in the midst of a pandemic. Families are struggling mentally, emotionally, financially, etc. Your child with ASD may not understand what is going on, and why all of a sudden you are acting like a teacher. Stress levels, anxiety, and depression, are sky-high for many people. You have to assess your capacity as a parent to do school at home. It truly is not for everyone. And that's OK! Please re-read tip #1. Talk to the school. Talk to your child's teacher. Explain your situation, and discuss the barriers to teaching your child at home. See what strategies or modifications the school can make. You might be surprised how many options you have that you just don't know about. You are not Superman or Superwoman, and are under no requirement to be perfect. Do the best you can, in the surreal circumstances we all find ourselves in right now. Best of luck to you!\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cp\u003E\u003C\/p\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-4vdb8v8uYt4\/X5Xn-0tgfcI\/AAAAAAAAG4A\/RieYvvzOQf85s5f9tgSlDeFRS_gxj6_LwCNcBGAsYHQ\/s1102\/Do-the-Best-You-Can-Until-You-Know-Better.-8.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1102\" data-original-width=\"735\" height=\"376\" src=\"https:\/\/1.bp.blogspot.com\/-4vdb8v8uYt4\/X5Xn-0tgfcI\/AAAAAAAAG4A\/RieYvvzOQf85s5f9tgSlDeFRS_gxj6_LwCNcBGAsYHQ\/w284-h376\/Do-the-Best-You-Can-Until-You-Know-Better.-8.jpg\" width=\"284\" \/\u003E\u003C\/a\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\/5522426549955312509\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/10\/homeschooling-in-pandemic.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5522426549955312509"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5522426549955312509"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2020\/10\/homeschooling-in-pandemic.html","title":"Homeschooling In a Pandemic"}],"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\/-0jet90oSO80\/X5XoJVf4ceI\/AAAAAAAAG4E\/18cT7juJw2cdyp6Tkq1t1Y_Q8wE5nF_QACNcBGAsYHQ\/s72-w404-h269-c\/photo-1597933471507-1ca5765185d8.jpg","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":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-7603121124579227075"},"published":{"$t":"2019-12-14T08:50:00.002-05:00"},"updated":{"$t":"2021-09-26T18:01:35.422-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Social Skills"}],"title":{"type":"text","$t":"Crafting Connections"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-j7gUWJFmnNI\/XfTnTC9-cyI\/AAAAAAAAFtE\/sN-fZDKNqj8owsvwz2w9aDr5Lg-RW3syQCNcBGAsYHQ\/s1600\/photo-1444840535719-195841cb6e2b.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\/-j7gUWJFmnNI\/XfTnTC9-cyI\/AAAAAAAAFtE\/sN-fZDKNqj8owsvwz2w9aDr5Lg-RW3syQCNcBGAsYHQ\/s400\/photo-1444840535719-195841cb6e2b.jpg\" width=\"400\" \/\u003E\u003C\/a\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\/-7jFSgQ68ahw\/XfTnTHFqXrI\/AAAAAAAAFtA\/yv27FjqNL4cyoQygGNL2ayJfREk0xw2bgCNcBGAsYHQ\/s1600\/photo-1500995617113-cf789362a3e1.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\/-7jFSgQ68ahw\/XfTnTHFqXrI\/AAAAAAAAFtA\/yv27FjqNL4cyoQygGNL2ayJfREk0xw2bgCNcBGAsYHQ\/s400\/photo-1500995617113-cf789362a3e1.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EImpairments in social communication are a key deficit of Autism, and can be seen across the varying range of the spectrum.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cu\u003ESocial communication\u003C\/u\u003E is a big word that can include many difficulties, such as making friends, maintaining friendships, being appropriate near peers, sharing or turntaking, empathy or perspective taking, initiating peer play, joining ongoing peer play, responding to peers, self-advocacy, conflict-resolution, getting AND keeping a job, etc.\u003C\/span\u003E\u003Cdiv\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EWhen clinicians throw around the term \"social skills\", we are really talking about a lottttt of skills!\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003ESome people have the mistaken belief that ABA therapy only focuses on 1:1 instruction, and therefore isn't appropriate to target peer social interaction. Nope, not true.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EABA therapy can absolutely include targeted social skills instruction. Depending on the age of the learner and their specific social deficits, that will impact how social goals are assessed and selected.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EParents of very young children usually want to work on: sharing, playing with peers instead of isolating, playing with toys instead of hoarding toys, reducing aggression towards peers, etc.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EParents of teens or young adults usually want to work on: initiating conversation, increasing MLU (jargon translation= you want your child to use more than 1-2 words to make a statement or answer a question), buying items in the community, talking to community helpers (e.g. a police officer), going on job interviews, assertiveness, dating, etc.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EThere are also many ABA programs that offer formal social skill groups to families, where learners are grouped together based on interests, abilities, age, or other factors, to participate in games and activities as a group. But the games are far more than just \"games\", they are actually carefully designed to target specific social skill deficits. If you are already receiving ABA therapy services, ask if your child can participate in a social group with other clients.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EBehavior Analysis has many empirically validated strategies to add to the social skills conversation, and also (depending on the funding source) the ABA provider can target social skills in a group format, at school, or out in the community, to ensure proper generalization. For example:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cbr \/\u003E\n\u003Cul\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EReinforcement for the win!\u003C\/span\u003E Social skills training should include reinforcement individualized to the learner, and also should work to pair (transfer) reinforcement to peers, as pre-intervention the learner may not find interacting with peers to be all that fun ;-(\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EData collection\u003C\/span\u003E. If no one is collecting data, reviewing that data, and evaluating that data to make treatment decisions then what is happening is \u003Ca href=\"https:\/\/www.iloveaba.com\/2013\/02\/is-this-aba.html\" target=\"_blank\"\u003E\u003Cu\u003Enot\u003C\/u\u003E ABA\u003C\/a\u003E.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EGeneralization\u003C\/span\u003E. Also known as, \"real life\". Learning social skills in the ABA clinic, or at school, or on the playground, will not necessarily generalize to other settings and other kids. Intentional generalization into real-world, real life scenarios is a must.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EStructure\u003C\/span\u003E. This may sound weird, but it does NOT mean that the learner must do the same thing, in the same order, for each peer interaction. It means that the learner should be able to predict what will happen in social group today, they know the rules of social group, and they understand what rewards they contact during social group. These things should be somewhat predictable, from the perspective of the learner.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EBreak down concepts visually or tangibly\u003C\/span\u003E. Help learners understand abstract concepts through video modeling, games, visuals, or manipulatives, that they can touch, see, etc.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EFollow an evidence based curriculum.....just not too closely\u003C\/span\u003E. While it is important to have a tool to create the lesson plan for social instruction, I'd also recommend individualizing the curriculum as much as possible across learners. Modifying the curriculum to make the content more relevant to the learner will go a long way to helping social instruction gains \"stick\", and be salient for the individual receiving intervention.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: yellow;\"\u003EBehavior management.\u003C\/span\u003E So obviously, challenging or disruptive behaviors will interfere with learning during social interaction time. These behaviors can also frighten, intimidate, or confuse other peers present, which works against the goal of interacting with peers. This is why ABA providers are a qualified to implement these kinds of interventions, because we already have the tools to decrease inappropriate behaviors and increase appropriate behaviors, and keep the social interaction on track.\u003C\/span\u003E\u003C\/li\u003E\n\u003C\/ul\u003E\n\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E*Resources:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003E\u003Ca href=\"https:\/\/mission-cognition-share.com\/\"\u003EMission Cognition\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003E\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.amazon.com\/Crafting-Connections-Contemporary-Behavior-Enriching\/dp\/0975585991\/ref=asc_df_0975585991\/?tag=hyprod-20\u0026amp;linkCode=df0\u0026amp;hvadid=312710253827\u0026amp;hvpos=1o1\u0026amp;hvnetw=g\u0026amp;hvrand=15492146059382333172\u0026amp;hvpone=\u0026amp;hvptwo=\u0026amp;hvqmt=\u0026amp;hvdev=c\u0026amp;hvdvcmdl=\u0026amp;hvlocint=\u0026amp;hvlocphy=9010807\u0026amp;hvtargid=pla-565339076635\u0026amp;psc=1\u0026amp;tag=\u0026amp;ref=\u0026amp;adgrpid=61681020945\u0026amp;hvpone=\u0026amp;hvptwo=\u0026amp;hvadid=312710253827\u0026amp;hvpos=1o1\u0026amp;hvnetw=g\u0026amp;hvrand=15492146059382333172\u0026amp;hvqmt=\u0026amp;hvdev=c\u0026amp;hvdvcmdl=\u0026amp;hvlocint=\u0026amp;hvlocphy=9010807\u0026amp;hvtargid=pla-565339076635\"\u003ECrafting\nConnections\u003C\/a\u003E\u0026nbsp;(I love this book!)\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003ESocial\nSkills Training for Youth with Autism Spectrum Disorders, Otero, Tiffany L. et\nal.\u0026nbsp;Child and Adolescent Psychiatric Clinics, Volume 24, Issue 1, 99 - 115\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003EA Review of\nPeer-Mediated Social Interaction Interventions for Students with Autism in\nInclusive Settings,\u0026nbsp;Watkins, L., O’Reilly, M., Kuhn, M. et al. J Autism\nDev Disord (2015) 45: 1070\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003E\u003Ca href=\"https:\/\/www.iidc.indiana.edu\/pages\/Making-and-Keeping-Friends-A-Model-for-Social-Skills-Instruction\"\u003EMaking\n\u0026amp; Keeping Friends\u003C\/a\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cspan style=\"font-size: 10pt; line-height: 107%;\"\u003EBaker, J.E.\n(2004). Social Skills Training: For Children and Adolescents with Asperger\nSyndrome and Social-Communication Problems. Shawnee Mission, KS: Autism\nAsperger Publishing Co.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cspan style=\"font-family: \u0026quot;times\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cdiv class=\"MsoNormal\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\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\/7603121124579227075\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/12\/crafting-connections.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7603121124579227075"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/7603121124579227075"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/12\/crafting-connections.html","title":"Crafting Connections"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-j7gUWJFmnNI\/XfTnTC9-cyI\/AAAAAAAAFtE\/sN-fZDKNqj8owsvwz2w9aDr5Lg-RW3syQCNcBGAsYHQ\/s72-c\/photo-1444840535719-195841cb6e2b.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1768485226920244789"},"published":{"$t":"2019-11-27T10:00:00.003-05:00"},"updated":{"$t":"2021-09-26T18:01:21.169-04:00"},"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":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"}],"title":{"type":"text","$t":"Home Tips: Sibling Interaction"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/--I7Hy6HC3aU\/Xd6MD37BuTI\/AAAAAAAAFq0\/hI8faV8hOAsZHkXlBiudvCi2505Usc1oACNcBGAsYHQ\/s1600\/photo-1451471016731-e963a8588be8.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"700\" data-original-width=\"1052\" height=\"265\" src=\"https:\/\/1.bp.blogspot.com\/--I7Hy6HC3aU\/Xd6MD37BuTI\/AAAAAAAAFq0\/hI8faV8hOAsZHkXlBiudvCi2505Usc1oACNcBGAsYHQ\/s400\/photo-1451471016731-e963a8588be8.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nFor truly any child, the sibling relationship can be a combination of great\/horrible, best friends\/worst enemies, play partner\/nemesis.\u003Cbr \/\u003E\nAnyone with a sibling knows this is the truth, especially when you and your sibling(s) were young kids.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nBUT, when a child with ASD is tossed into the mix then totally normal sibling hi-jinks can take a more drastic turn.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nA big concern of the families I work with is sibling interaction, or lack thereof. Usually, the issues fall into one of these categories:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n- The typically developing children ignore the Autistic child, and have learned it's easier to just leave them alone\u003Cbr \/\u003E\n- The typically developing children fully give in to whatever the Autistic child wants, and have learned that letting their sibling bully them is better than making their sibling upset\u003Cbr \/\u003E\n- The typically developing child IS the bully, and has learned that their Autistic sibling won't put up much of a fight\/won't stick up for themselves\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nAs a professional, I see it as a great benefit when my clients have siblings living in the home because now I have a built-in pool of peers to reach for whenever we are targeting social-emotional or play goals. Win-win!\u003Cbr \/\u003E\nUsually though, the sibling relationship is so strained and broken that we can't include the brother or sister in the session until we work on sibling interaction \u003Cb\u003Efirst\u003C\/b\u003E.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nSo there is the 1st tip: until the sibling relationship is repaired, just tossing the kids together to work on skills will likely not end well.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nNeed more tips? Okay:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Col\u003E\n\u003Cli\u003EStep back from the problems, and focus on what you DO want to see - Are there issues with name-calling and teasing? Then you want to see \u003Cu\u003Erespect\u003C\/u\u003E. Are there issues with hitting or kicking? Then you want to see \u003Cu\u003Ecalm bodies\u003C\/u\u003E. Are there issues with always having to win every game? Then you want to see \u003Cu\u003Eplaying by the rules\u003C\/u\u003E. When it comes to behavior: focus on what you DO want, rather than what you don't want.\u003C\/li\u003E\n\u003Cli\u003EStart small- Baby-step your way to success rather than jumping into the deep end. If your children start attacking each other 5 minutes into playing Candyland, then let's play the game for 3 minutes. Or 2 minutes. Start at a level where everyone can be successful, and gradually increase your expectations over time.\u003C\/li\u003E\n\u003Cli\u003ETeach functional communication - Ensure that your children are able to communicate (vocally or non-vocally) what they do and do not want. Usually when functional communication is lacking, there will be lots of aggression instead. Make sure the children are taught how to communicate \"I don't want to play\", so there will be no need to hit, punch, or kick.\u0026nbsp;\u003C\/li\u003E\n\u003Cli\u003EIt's OK to dislike your sibling - Sometimes my clients just don't seem to like their siblings very much. Especially if the sibling is much younger. While we can't force \"like\", what we can do is maintain an expectation of respect. It is not okay to throw blocks at your baby sister because she's annoying. Nope.\u0026nbsp; Instead, how about taking a break from the situation, asking to wear headphones, or practicing patience and self-calming?\u0026nbsp;\u003C\/li\u003E\n\u003Cli\u003ERemember, relationships evolve over time - This should be good news for someone! As adults, we tend to forget that in our childhood we felt differently about our siblings at different ages. This is completely normal. I have some clients I have worked with for years, and I have seen the ebb and flow in their children's relationships. From \"I can't stand you!\" to \"I want to sit next to Erica!\". This will happen. Just because your children have a terrible relationship right now does not mean it will always be that way.\u003C\/li\u003E\n\u003C\/ol\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\nLastly, any quality ABA provider can include sibling interaction goals into the treatment plan, provide parent training to help you generalize strategies when the therapists are not around, and intentionally plan for play dates or \u003Ca href=\"https:\/\/www.iloveaba.com\/2011\/12\/community-outings.html\" target=\"_blank\"\u003Ecommunity outings \u003C\/a\u003Ewith all the siblings (basically, moving from rehearsal to a live show).\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-nlyepypKC84\/Xd6PaLL07BI\/AAAAAAAAFrA\/kEPwCknFgk4Ozo4LSFBJe0tShExJoxdNgCNcBGAsYHQ\/s1600\/photo-1448301566816-a036b4240d58.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\/-nlyepypKC84\/Xd6PaLL07BI\/AAAAAAAAFrA\/kEPwCknFgk4Ozo4LSFBJe0tShExJoxdNgCNcBGAsYHQ\/s400\/photo-1448301566816-a036b4240d58.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n*Resources:\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/bsci21.org\/my-kids-wont-stop-fighting-how-aba-can-reduce-sibling-rivalry\/\" target=\"_blank\"\u003E\u003Cbr \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/bsci21.org\/my-kids-wont-stop-fighting-how-aba-can-reduce-sibling-rivalry\/\" target=\"_blank\"\u003EHow ABA can Reduce Sibling Rivalry\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/bcotb.com\/playing-with-siblings\/\" target=\"_blank\"\u003EPlaying with Siblings\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.autismparentingmagazine.com\/strengthening-asd-sibling-relationship\/\" target=\"_blank\"\u003EStrengthen the ASD Sibling Relationship\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.iidc.indiana.edu\/pages\/siblings-perspectives-some-guidelines-for-parents\" target=\"_blank\"\u003ESibling Perspectives \u0026amp; ASD\u003C\/a\u003E\u003C\/div\u003E\n\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\/1768485226920244789\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/11\/home-tips-sibling-interaction.html#comment-form","title":"2 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1768485226920244789"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1768485226920244789"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/11\/home-tips-sibling-interaction.html","title":"Home Tips: Sibling Interaction"}],"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\/--I7Hy6HC3aU\/Xd6MD37BuTI\/AAAAAAAAFq0\/hI8faV8hOAsZHkXlBiudvCi2505Usc1oACNcBGAsYHQ\/s72-c\/photo-1451471016731-e963a8588be8.jpg","height":"72","width":"72"},"thr$total":{"$t":"2"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-2546877887283456204"},"published":{"$t":"2019-09-25T11:23:00.002-04:00"},"updated":{"$t":"2021-09-26T18:00:41.425-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"behavior"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"}],"title":{"type":"text","$t":"The Creation Station"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-vpjJsGOTCUM\/XYuEcaJvoUI\/AAAAAAAAFno\/S_adu7LTcYke4GLuXM1W0xeA8a0MSAViQCNcBGAsYHQ\/s1600\/osman-rana-iYzwb0JcnWE-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1067\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/1.bp.blogspot.com\/-vpjJsGOTCUM\/XYuEcaJvoUI\/AAAAAAAAFno\/S_adu7LTcYke4GLuXM1W0xeA8a0MSAViQCNcBGAsYHQ\/s400\/osman-rana-iYzwb0JcnWE-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Ci\u003EQuestion: What are you creating??\u003C\/i\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nI hear statements all the time from teachers, parents, supervisees, etc., that will sound something like \"S\/he is getting SO aggressive\", or \"These behaviors came out of nowhere!\".\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThere can be a disconnect in the language used to make it sound as if suddenly, on its own, for some random reason, problem behaviors are rapidly escalating.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nCan that happen? Hmmmm, possibly.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Self-harmful behaviors can have an underlying and undetected medical cause.\u003Cbr \/\u003E\n*A significant life disruption (change of school, death of a parent) can lead to what most people call \"acting out\" behaviors, in a child who previously had no history of aggression.\u003Cbr \/\u003E\n*Sometimes very old behaviors can make a resurgence, for reasons that are not always clear.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cu\u003EHowever\u003C\/u\u003E, upon close analysis, systematic manipulation of the environment (controlling variables), thorough caregiver interview, and direct observation, the culprit in these scenarios is often: \u003Cb\u003ECREATION.\u003C\/b\u003E\u003Cbr \/\u003E\nTo be more specific, someone\/some variable has created a scenario that is reinforcing problem behaviors. Pretty much 100% of the time no one intended to create the problem behavior, but regardless, the problem behavior is now here. Fully created.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nI talk a lot on my blog about how to intervene upon problem behavior, or how to decrease the intensity of problem behavior, but what many people need to know is \"What does it look like to actually create problem behavior?\" (so one can do the opposite, of course!).\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\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.\n\u003Cu\u003ELack of consistency\u003C\/u\u003E - Want to create some problem behaviors right here, right\nnow? Your 1st step is to be as inconsistent as possible. Inconsistent rules,\nexpectations, consequences, and hearing one thing from mom and a different\nthing from dad, can all cause problem behavior to rapidly increase. Think of\nconsistent consequences and problem behavior as being like oil \u0026amp; water.\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.\u003Cu\u003E\nLack of \"pay off\" for appropriate behaviors \u003C\/u\u003E- On a different note,\nlet's take the focus off the problem behavior for a moment. When the individual\ndoes NOT tantrum, spit, throw things, or kick, what happens?? Do they receive\nthe same (or higher) amount of adult attention when they are quiet, calm, and\non task? No? Then that is why problem behavior is going sky high.\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.\n\u003Cu\u003EResponse effort is too high\u003C\/u\u003E - Response effort is a fancy way of describing what\nI have to do to get what I want. Would you wash my car for $10? Maybe. But I\ndoubt you would wash it for $.10. A dime is likely not valuable enough for you\nto do the work of washing a dirty car. From the perspective of your\nchild\/client, is what you are offering them WORTH what you are asking them to\ndo?\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.\n\u003Cu\u003EFoundational skills are neglected or skipped\u003C\/u\u003E - Sometimes what looks like\nproblem behavior can actually be a skill-deficit. What in the world am I\ntalking about??\u0026nbsp;\u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/05\/the-art-of-skill-acqusition.html\" target=\"_blank\"\u003ESkill Acquisition\u003C\/a\u003E. That's what. When your\nchild\/client\/student does not have the ability to perform a skill, instead of\nsaying \"I don't know how to do that, can you help me?\", they may be\nmuch more likely to break a pencil, run out of the classroom, bite, etc.\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\n5.\n\u003Cu\u003EFunction-based treatment, what's that??\u003C\/u\u003E - Treatment that is designed based on\nopinions, non-evidence based interventions, therapist\/teacher preferences,\netc., is not likely to work. Function-based intervention seeks to understand\nthe \"why\" behind problem behavior, and then provides the\nlearner\/child\/client with a more appropriate way to get that \"why\"\nmet.\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\n6.\n\u003Cu\u003EWait, and wait, and wait to intervene\u003C\/u\u003E - I see this one a lot. Maybe the most.\nHere is a scenario:\u0026nbsp;\u003Ci\u003EDavid is 3 years old. He hates going to Kroger with\nhis parents. If they take him, he will yell, refuse to sit in the cart, and hit\nhis head. Fast forward to David at age 10. He is bigger and stronger now. He\nstill hates going to Kroger, but now he also hates going to Publix or\nWal-Mart. If a parent takes him anyway, he falls to the ground and slams his\nhead against the floor.\u0026nbsp;\u003C\/i\u003ESee what happened there? The problem behavior\ngrew and expanded over time, as David learned more effective ways to get what\nhe wanted (to leave the store). It is vitally important to intervene on problem\nbehaviors early, and effectively. The sooner you can address the barriers of\nproblem behaviors, the sooner you can teach new skills and better ways to\ncommunicate with others, across settings, and as the individual ages.\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*More Resources:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/theautismhelper.com\/applied-behavior-analysis-reducing-problem-behaviors\/\" target=\"_blank\"\u003EABA \u0026amp; Reducing Problem Behaviors\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/iancommunity.org\/cs\/articles\/prob_behav\" target=\"_blank\"\u003EAutism \u0026amp; Problem Behavior\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/bsci21.org\/the-four-functions-of-behavior-made-simple\/\" target=\"_blank\"\u003E\u003Cbr \/\u003E\u003C\/a\u003E\n\u003Ca href=\"https:\/\/bsci21.org\/the-four-functions-of-behavior-made-simple\/\" target=\"_blank\"\u003EFunctions of Behavior\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.marybarbera.com\/reduce-problem-behaviors-autism-intervention\/\" target=\"_blank\"\u003EReducing Problem Behaviors\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\"\u003Ca href=\"https:\/\/www.amazon.com\/More-Meltdowns-Strategies-Out-Control\/dp\/1932565620\/ref=sr_1_1?crid=3R9SCUG90IOGR\u0026amp;keywords=jed+baker+no+more+meltdowns\u0026amp;qid=1569424137\u0026amp;s=gateway\u0026amp;sprefix=jed+baker+%2Caps%2C170\u0026amp;sr=8-1\" target=\"_blank\"\u003ENo More Meltdowns\u003C\/a\u003E\" by Jed Baker\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\/2546877887283456204\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/09\/the-creation-station.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2546877887283456204"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2546877887283456204"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/09\/the-creation-station.html","title":"The Creation Station"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/1.bp.blogspot.com\/-vpjJsGOTCUM\/XYuEcaJvoUI\/AAAAAAAAFno\/S_adu7LTcYke4GLuXM1W0xeA8a0MSAViQCNcBGAsYHQ\/s72-c\/osman-rana-iYzwb0JcnWE-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-6248142122847448433"},"published":{"$t":"2019-06-22T10:20:00.002-04:00"},"updated":{"$t":"2021-09-26T17:59:22.111-04:00"},"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":"Staff training"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Supervisor Tips"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Therapy start up"}],"title":{"type":"text","$t":"'P' is for Priority"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/1.bp.blogspot.com\/-q8PrmWbWEnw\/XQ43F165TbI\/AAAAAAAAFjM\/zftXOHLR2V46zifN046M52f4pVsXgK--wCLcBGAs\/s1600\/leo-rivas-30808-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1063\" data-original-width=\"1600\" height=\"265\" src=\"https:\/\/1.bp.blogspot.com\/-q8PrmWbWEnw\/XQ43F165TbI\/AAAAAAAAFjM\/zftXOHLR2V46zifN046M52f4pVsXgK--wCLcBGAs\/s400\/leo-rivas-30808-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nSuggested Reading:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.iloveaba.com\/2014\/05\/the-why-of-selecting-goals-for.html\" target=\"_blank\"\u003EThe \"Why\" of Selecting Intervention Goals\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nA large part of the BCBA role is designing treatments\/intervention. There are many tools to help facilitate this process, such as caregiver or client interview, administering a full assessment, record review, observation, Functional Analysis, etc. A competent BCBA will collect information from a variety of sources and then compile the information to come up with a plan of action.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIn an ideal world, this plan of action would be as comprehensive, detailed, and lengthy, as it needed to be for the individual client to benefit from treatment. But since this is rarely an ideal world, all kinds of issues and constraints can lead to having to \u003Cu\u003Eprioritize treatment goals\u003C\/u\u003E. Basically, this means to ask (and answer) the question: \"\u003Cb\u003EWhat are the MOST important things to work on?\u003C\/b\u003E\".\u003Cdiv\u003E\u003Cbr \/\u003E\nWhile many clients may need some level of support for the rest of their lives, often therapy services have a specific timeframe or clock to work within, as well as limits on how services must be provided (what location, at what intensity, etc.) that are set by the funding source and not by the clinician.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThe 1st thing to know before jumping into prioritizing goals, is to throw any pre-formed ideas out the window. I will give some general guidelines below, but even with these guidelines the most important variable to consider when prioritizing ABA treatment goals is the individual receiving treatment. Yes, this is more important than looking at the assessment grid.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThe context of the learning environment, individual reinforcement history, the needs and concerns of caregivers, level of family stress, and the functionality of specific skills are all highly important variables that must be weighed carefully against clinician recommendations.\u003Cbr \/\u003E\nJust because I think an 8 -year- old should know how to independently ride a bike, that doesn't mean bike riding is an important skill for the family. It also doesn't mean that bike riding is functional for the particular client, or even a preferred interest. So it would be foolish to attempt to prioritize treatment goals without looking through the lens of the individual receiving services.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nOnce a thorough assessment of client needs and strengths has been conducted, then the guidelines below should be helpful for deciding what needs to be targeted, and in what order of priority:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Col\u003E\n\u003Cli\u003E\u003Cspan style=\"color: blue;\"\u003EDevelopmental Functioning \u003C\/span\u003E- For the clients chronological age, what should they be able to do? Particularly with very young clients (under 5) I recommend having a solid knowledge of developmental norms to be able to help the client contact success across settings. Being able to sit and attend in a group for 10 minutes may not be a big goal for the parents, but you can bet it's a big goal at school. ASD impacts developmental functioning, so it's important to prioritize intervention goals that will help the client access age-appropriate settings, activities, and social experiences.\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"color: blue;\"\u003ECurrent Problem Behaviors\/Barriers to Improvement\u003C\/span\u003E - This is likely the #1 reason why consumers reach out to ABA professionals for help, so it's usually no mystery which challenging behaviors are causing the most stress to the household. Tantrums, spitting, elopement, biting, no play skills, etc., all put a strain on the entire family. However, it will be very important to prioritize where to begin with behavioral intervention as to avoid overwhelming either the client or the household with an 88- page behavior plan. Start small, but with high impact.\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: blue;\"\u003EFunctional Skills\/Daily Living Skills \u003C\/span\u003E\u003C\/span\u003E- This is my 2nd favorite area to target for intervention, because most consumers who initiate ABA therapy services due so because daily life is \u003Cspan style=\"background-color: yellow;\"\u003Ehard\u003C\/span\u003E. In order to make daily life less hard, it's critical to focus on practical, self-help skills. For example: requesting, making choices, toileting, dressing, tooth-brushing, establishing a bedtime routine, independent eating, etc. When daily living skills improve, it lessens the weight and stress placed on other members living in the household. Improving daily living skills also helps to increase the independence of the client, for years to come.\u0026nbsp;\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan style=\"color: blue;\"\u003EParent \u0026amp; Caregiver Training\u003C\/span\u003E- My \u003Cb\u003Efavorite\u003C\/b\u003E area to target for intervention! If the client has low treatment hours, minimal availability for therapy, minimal access to other services or treatment, less than ideal educational placement, etc., then really the #1 goal of treatment should always be parent training. When parents or caregivers are trained in behavior analytic methodology, they are empowered to help their child themselves. This is the equivalent of handing someone a fish, vs. teaching someone HOW to fish. When you teach parents how to fish, you give them the ability to teach their child for years to come, to advocate for their child's needs, and to recognize low-quality therapies and clinicians before precious time, energy, and money can be wasted.\u003C\/li\u003E\n\u003C\/ol\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n*Further Resources:\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/bcotb.com\/how-to-prioritize-aba-therapy-goals\/\" target=\"_blank\"\u003EHow to Prioritize ABA Therapy Goals\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3004694\/\" target=\"_blank\"\u003E3 Important Things to Consider When Starting Intervention\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"http:\/\/trishakatkin.com\/blog\/10-essential-life-skills-for-students-with-autism\" target=\"_blank\"\u003E10 Essential Life Skills for Students with Autism\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv style=\"background-color: white; box-sizing: border-box; font-family: Arial, sans-serif; font-size: 14px; margin-bottom: 20px; margin-top: 10px; padding: 10px 0px;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\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\/6248142122847448433\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/06\/p-is-for-priority.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/6248142122847448433"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/6248142122847448433"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/06\/p-is-for-priority.html","title":"'P' is for Priority"}],"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\/-q8PrmWbWEnw\/XQ43F165TbI\/AAAAAAAAFjM\/zftXOHLR2V46zifN046M52f4pVsXgK--wCLcBGAs\/s72-c\/leo-rivas-30808-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1415325737698227378"},"published":{"$t":"2019-03-06T14:11:00.002-05:00"},"updated":{"$t":"2021-09-26T17:58:19.760-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"behavior"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"}],"title":{"type":"text","$t":"Early Intervention at Any Age"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-ISHDJLENU8E\/XIAa6ROmBCI\/AAAAAAAAFc0\/wDi5b5PRVvMDWK7HSBRx3gzYWZLAcYtOgCLcBGAs\/s1600\/photo-1487521916606-6ba43a72537c.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"692\" data-original-width=\"1082\" height=\"255\" src=\"https:\/\/3.bp.blogspot.com\/-ISHDJLENU8E\/XIAa6ROmBCI\/AAAAAAAAFc0\/wDi5b5PRVvMDWK7HSBRx3gzYWZLAcYtOgCLcBGAs\/s400\/photo-1487521916606-6ba43a72537c.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\"Early intervention\" usually brings up images of toddlers or pre-schoolers completing puzzles, learning to put on a jacket, or labeling photos. In its truest sense, early intervention is better described as \"intervening early\". When thought of that way, the concept (and corresponding strategies) can be applied at any age to intervene on challenges or issues that are preventing your child from being as successful as they could be.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EI often get questions from parents or caregivers about behavior issues, such as sleep routine (\"How do I get him to sleep in his own bed?\"), feeding challenges (\"How do I get her to eat more than creamed corn?\"), or issues with rigidity (\"If he can't sit in the red chair, he screams\"). The best response to these questions, is not to allow the problem behavior to get embedded in the first place. It's probably the \u003Ci\u003Eleast helpful response\u003C\/i\u003E, but arguably the most accurate response.\u003C\/span\u003E\u003Cdiv\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u0026nbsp;As soon as you see a problem behavior has been established, seek help or further education right then and there. ~Don't wait.~\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u0026nbsp;I repeat, don't wait and think the behavior will just go away magically on it's own. The same recommendation is true for skill deficits. If there is a particular skill your child is struggling with, seek help or further education to help them learn the skill. Don't wait and think the skill will magically appear in it's own time.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EJust ask any ABA professional and they will tell you that untangling a behavior knot that has been in place for weeks, months, or even years, is difficult. It may seem like problem behaviors pop up overnight, but they rarely leave overnight. Meaning that it typically takes hard work and effort to \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/02\/everyday-fba.html\"\u003Ereduce or replace\u003C\/a\u003E challenging behaviors.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EThe hard truth for many families is \u003Cb\u003Equality treatment just isn't accessible\u003C\/b\u003E. It could be a funding issue, there could be a lack of local providers, or maybe other environmental barriers to accessing available treatment are in place. I meet families of older children all the time who haven't even heard of ABA treatment. You can't request a therapy you don't know exists.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EYes, accessing intensive and quality treatment is always going to be the ideal option. But for those who cannot, it's helpful to know that there are still options available to you and your child. What is most important is to have expectations for your child, set realistic goals (such as teaching your child to use a spoon), and then work diligently toward each goal. Don't overload both you and the child by tackling multiple things at once, as this is a marathon and not a \u003Ca href=\"https:\/\/www.iloveaba.com\/2017\/12\/sprinter-vs-marathoner.html\"\u003Esprint\u003C\/a\u003E.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003ESee below for other tips:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cbr \/\u003E\n\u003Col\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003ELook into \u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/03\/paying-for-aba.html\"\u003Efunding sources\u003C\/a\u003E in your local area, and see what your insurance will cover. The local school system typically has resources available through special education that most families just don't know about. Ask if there is a parent advocate\/liaison to help you navigate all the treatment options.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EConsider pursuing intensive treatment or consultation, and then following through on your own. Nowadays, many parents attend ABA conferences, enroll in behavior analytic coursework, or even pursue the \u003Ca href=\"https:\/\/www.bacb.com\/rbt\/\"\u003ERBT credential \u003C\/a\u003Ejust to learn about the science. You can also pursue free training events that may be offered at local colleges, ABA clinics, or research institutions. The more you can learn about Autism, behavior, and ABA, the better equipped you will be to handle challenging behaviors. You can also work intensively (and briefly if needed) with a BCBA and then follow through with their recommendations on your own.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003ELearn as much as you can from your child's teachers. Special education teachers have so much knowledge and experience creating accommodations and breaking down instructional material for children who learn in unique ways. I would suggest regularly reaching out to the teacher to ask questions about issues at home, to pick their brain for ideas, and actually observing in the classroom to get ideas about what can be replicated at home. For example: nearly all my clients follow a daily schedule in the school setting, but not at home. Why?? The same benefits that are achieved at school from having a consistent daily routine, can easily be achieved at home by using the same technique.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003ELook for activities\/groups\/classes that welcome children with disabilities. I cannot emphasize enough the importance of peer models, and making sure your child spends time around typically developing peers. There are many fun kid activities like karate, gymnastics, or swim, that do offer accommodations so individuals with special needs can participate. Beyond the actual skill that is being taught, your child is learning to learn within a group, to follow an authority figure, to socialize\/be appropriate around other kids, and most importantly they are integrating into their local community.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EAvoid the establishment of \u003Cspan style=\"color: red;\"\u003Estrict rituals or routines\u003C\/span\u003E. Now this one is easier said than done, but it's super important. Most of the older clients I work with have particular challenging behaviors that have been allowed to persist for years and years. The longer a behavior is embedded, often the more difficult the intervention will be. So how do you know the difference between a simple preference (\"I like to sit in the green chair at dinner\") vs. a rigid ritual (\"I MUST sit in the green chair at dinner\")? Look at what happens when the ritual is interrupted, or cannot occur....does intense problem behavior follow? If so, then just close your eyes and imagine what the behavior will look like in 5 years, 10 years, and 15 years. If you're not okay with how the behavior will likely grow over time, then it's time to intervene.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EIntentionally set aside time for active engagement with your child. If you're wondering what in the world \"active engagement\" means, it basically means to focus on extending an interaction for as long as you can. Get down on the child's level, and read a book to your child, paint together, bounce them on a huge yoga ball, or line up cars together. The actual activity doesn't matter much, what is more important is that both you and the child are socializing, and not you socializing with the child and receiving no socialization in return. Talking is teaching! By talking to your child, engaging them in an activity, and socializing with them 1:1, you are teaching many skills at once. Point to objects together, play with a toy, sing songs and dance, laugh and make eye contact, tickle the child, model language use (\"c-u-p\"), etc.\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EHave household rules. Schools have rules, right? So does any workplace, the library, the grocery store, even the slide at the playground has rules concerning how to use it. But does your child have rules at home? Are there certain things they cannot do? Do they know what the rules are? You will help your child grow into independence and maturity immensely, if you set expectations of their behavior and follow through with consequences when those expectations are not met.\u003C\/span\u003E\u003C\/li\u003E\n\u003C\/ol\u003E\n\u003Cdiv\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E*More resources below for ways to intervene early, and help your child be as successful as they can as they age. \u003Cb\u003ERemember\u003C\/b\u003E, just because a resource may state \"ages 0-3\" that does NOT mean you can't use the same general strategy with your older child. The point is to intervene early as much as you can, teaching important life skills and reducing problem behaviors as soon as they appear.\u0026nbsp;\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.iidc.indiana.edu\/pages\/Early-Intervention-for-Young-Children-on-the-Autism-spectrum-Parents-Perspective\"\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EASD Early Intervention\u0026nbsp;\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.iloveaba.com\/2016\/02\/the-basics-intervention-for-early.html\"\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EASD Early Learners\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.parentcenterhub.org\/parent-participation-ei\/\"\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EParent Participation in Early Intervention\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/blog.asha.org\/2017\/10\/03\/new-free-toolkit-for-parents-of-young-children-and-members-who-interact-with-them\/\"\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EEarly Intervention Toolkit for Parents\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Ca href=\"https:\/\/www.nationalautismcenter.org\/resources\/for-families\/\"\u003E\u003Cspan face=\"Helvetica Neue, Arial, Helvetica, sans-serif\"\u003EA Parents Guide to Evidence Based Practices and Autism\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\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\/1415325737698227378\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/03\/early-intervention-at-any-age.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1415325737698227378"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1415325737698227378"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/03\/early-intervention-at-any-age.html","title":"Early Intervention at Any Age"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/3.bp.blogspot.com\/-ISHDJLENU8E\/XIAa6ROmBCI\/AAAAAAAAFc0\/wDi5b5PRVvMDWK7HSBRx3gzYWZLAcYtOgCLcBGAs\/s72-c\/photo-1487521916606-6ba43a72537c.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-1271622648111258421"},"published":{"$t":"2019-02-06T14:05:00.001-05:00"},"updated":{"$t":"2021-09-26T17:58:01.033-04:00"},"category":[{"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","$t":"Before You Teach"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-BT31laXauPc\/XFsvhK1SP_I\/AAAAAAAAFbs\/jlKCYu4t_-gFAxLgqhiGOXQL7M6q9Vg6QCLcBGAs\/s1600\/santi-vedri-707620-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1068\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/3.bp.blogspot.com\/-BT31laXauPc\/XFsvhK1SP_I\/AAAAAAAAFbs\/jlKCYu4t_-gFAxLgqhiGOXQL7M6q9Vg6QCLcBGAs\/s400\/santi-vedri-707620-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E*Recommended Reading:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Ca href=\"https:\/\/www.iloveaba.com\/2012\/10\/dtt-discrete-trial-teaching.html\"\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EDiscrete Trial Teaching\u003C\/span\u003E\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Ca href=\"http:\/\/kidmechanix.com\/ready-learn-group\/\"\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EPre-Requisite Skills to Group Instruction\u003C\/span\u003E\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.thoughtco.com\/learn-foundation-skill-academic-success-3110357\"\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\"Learning to Learn\" skills\u0026nbsp;\u003C\/span\u003E\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EOne of the most important components of quality instruction, in addition to accurate assessment, ongoing data collection, and an individualized system of reinforcement, is the understanding of how Pre-Requisite Skills impact learning and progress.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EThink of any skill you are trying to teach like a ladder. For some clients, moving from rung 2 straight to rung 5 is fairly simple, and for others that is nearly impossible. What is a logical mastery progression for one client, could cause another client to derail any progress gains. Skill acquisition is an \u003Ca href=\"https:\/\/www.iloveaba.com\/2018\/05\/the-art-of-skill-acqusition.html\"\u003Eart\u003C\/a\u003E, and requires some serious fine-tuning at times in order to ensure the client continues to progress.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EWhat cannot be left out of this conversation is the pre-requisite skills to what you are working hard to teach. Or, what is \u003Ci\u003Eunderneath\u003C\/i\u003E what you are teaching. Have you broken the skill down as far as you can? Are you sure?\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ESome examples:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ETeaching playing with toys according to function --\u0026gt; How many toys can the client interact with for more than a few seconds?\u003C\/span\u003E\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/i\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ETeaching motor imitation --\u0026gt; Does the client attend? If not, how will they see the action to imitate?\u003C\/span\u003E\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/i\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ETeaching a listener responder instruction (\"sit down\") --\u0026gt; How many adult demands does the client currently follow\/Who else in the client's life is requiring sitting behavior?\u003C\/span\u003E\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/i\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ETeaching play behavior through coloring\/drawing --\u0026gt; Does the client interact with crayons\/markers ever? Do they have any idea what to do with a crayon?\u003C\/span\u003E\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/i\u003E\n\u003Ci\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003ETeaching a vocal manding repertoire\u0026nbsp;--\u0026gt; How many sounds does the client currently make per hour, if any?\u0026nbsp;\u003C\/span\u003E\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EWhen designing intervention it can be quite overwhelming to decide where to start first, what skills should be prioritized, and which deficits are impacting the client the most on a day-to-day basis. BUT, once you start to examine the underlying skill deficits that are causing many responding errors, it gets much easier to streamline\/maximize therapy sessions by focusing on those pivotal areas of learning that will positively impact other areas.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EWhen progress on a particular program or target stalls, regresses, or is inconsistent, beyond modifying prompt levels, reinforcement, or changing the stimuli, along with the suggestions below, it's a good idea to also focus on the skill(s) underneath the skill you are teaching:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cbr \/\u003E\n\u003Cul\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EExamine the data closely, what kind of progress has the client made on the specific program\/target over time?\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EAre all the programs demonstrating need for troubleshooting, or just one particular program?\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EIs it necessary to return to some previously mastered concepts?\u0026nbsp;\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EIs therapy happening frequently enough\/is the program being taught frequently enough?\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EIs the teaching method consistent across the team?\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cb\u003EWatch the client carefully\u003C\/b\u003E during teaching trials to learn about the types of errors that are occurring (or if non-responsiveness is occurring)\u003C\/span\u003E\u003C\/li\u003E\n\u003Cli\u003E\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E(Super helpful tip) Observe a typically developing peer perform the specific target or skill. Compare that to how the client performs the target or skill. What's different\/missing?\u0026nbsp;\u003C\/span\u003E\u003C\/li\u003E\n\u003C\/ul\u003E\n\u003Cdiv\u003E\u003Cbr \/\u003E\u003C\/div\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Trebuchet MS, sans-serif\"\u003EReference:\u0026nbsp;\u003Ca href=\"https:\/\/files.eric.ed.gov\/fulltext\/EJ846778.pdf\"\u003E(2005). A Model for Problem Solving in Discrete Trial Training for Children with Autism\u003C\/a\u003E\u003C\/span\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\/1271622648111258421\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/02\/before-you-teach.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1271622648111258421"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/1271622648111258421"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2019\/02\/before-you-teach.html","title":"Before You Teach"}],"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:\/\/3.bp.blogspot.com\/-BT31laXauPc\/XFsvhK1SP_I\/AAAAAAAAFbs\/jlKCYu4t_-gFAxLgqhiGOXQL7M6q9Vg6QCLcBGAs\/s72-c\/santi-vedri-707620-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5813501609151408616"},"published":{"$t":"2018-08-28T10:17:00.001-04:00"},"updated":{"$t":"2021-09-26T17:55:58.641-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Autism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Home Tips"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Parent education"},{"scheme":"http://www.blogger.com/atom/ns#","term":"School\/Educators"}],"title":{"type":"text","$t":"Mastering Homeschooling"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-JpuPeOVEixE\/W4VWaEgKhYI\/AAAAAAAAFHc\/tfbbZ_FMC7MHPCplZfqH6O-uljVC2RjLQCLcBGAs\/s1600\/fb.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1070\" data-original-width=\"1600\" height=\"267\" src=\"https:\/\/3.bp.blogspot.com\/-JpuPeOVEixE\/W4VWaEgKhYI\/AAAAAAAAFHc\/tfbbZ_FMC7MHPCplZfqH6O-uljVC2RjLQCLcBGAs\/s400\/fb.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nFor a variety of reasons (some preference based, some due to circumstances) many parents today are choosing to homeschool their ASD child.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nThanks to technology, if you are a parent considering taking the often scary step into not just being Mom or Dad, but also Teacher, then there are websites, apps, and all sorts of tools that can help you. Which is great.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nSo is homeschooling all great, ALL the time? Hmmmm.....not really.\u003Cbr \/\u003E\nJust like any educator, \u003Cb\u003Eevery day\u003C\/b\u003E will not be sunshine and roses. However there's a huge difference between an occasional rough day, and ending each homeschooling lesson sobbing at your kitchen table. Let's avoid that 2nd scenario, when at all possible.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nMany of my clients are homeschooled by one or both parents, so I get an upfront view of the difficulties these parents have when it comes to teaching their own children.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\nThis post isn't about answering the question \"to homeschool, or not to homeschool\", as that's a decision parents should make. But, I do hope to give some helpful tips for making the homeschool process a bit easier and less frustrating.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cu\u003EMoving from Amateur to Master\u003C\/u\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/div\u003E\n\u003Ctable border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"MsoTableGrid\" style=\"border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184; width: 637px;\"\u003E\n \u003Ctbody\u003E\n\u003Ctr style=\"height: 39.1pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;\"\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border: 1pt solid windowtext; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Ci\u003E\u003Cb\u003E“Adapt” is now your favorite word\u003C\/b\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-left: none; border: 1pt solid windowtext; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Co:p\u003E\u003Ci\u003E\u0026nbsp;If you have spent any amount of time inside a Special Education classroom, or speaking with a Special Education teacher, then you should know that Adaptation is the name of the game. Most purchasable curriculum\u0026nbsp;does allow for\u0026nbsp; customization (some more than others), but if your child is not progressing well with the curriculum\/can't keep up, or isn't understanding the material, the beauty of homeschooling is that you can adapt the material to fit the child. I know some parents who don't even teach certain skills\/certain subjects because in the grand scheme of things it just isn't functional for their child. When I say \"adapt\", I mean the materials, the tests\/quizzes, the textbooks, the lesson plans, EVERYTHING! What you are teaching should be functional for your child, and presented in a manner they find interesting, and clear to understand. If it isn't, then you have some adapting to do.\u003C\/i\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n \u003C\/tr\u003E\n\u003Ctr style=\"height: 39.1pt; mso-yfti-irow: 1;\"\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-top: none; border: 1pt solid windowtext; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Ci\u003E\u003Cb\u003EReinforcement is key\u003C\/b\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Co:p\u003E\u003Ci\u003E\u0026nbsp;Life is about reinforcement. The quicker you accept that, the easier teaching will become. Using a combination of visual\/auditory supports, and tangible rewards, embed frequent, powerful, doses of reinforcement into teaching. Ideally, you want\u0026nbsp;your child to be a willing and compliant learner who enjoys learning, right? Well, the way to get there is by breaking tasks down (see the previous point) and wrapping up demands in a thick layer of reinforcement.\u003C\/i\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n \u003C\/tr\u003E\n\u003Ctr style=\"height: 40.9pt; mso-yfti-irow: 2;\"\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-top: none; border: 1pt solid windowtext; height: 40.9pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Ci\u003E\u003Cb\u003EKnowledge is your strongest weapon\u003C\/b\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; height: 40.9pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Co:p\u003E\u003Ci\u003E\u0026nbsp;Knowledge of subjects? Nope. I mean knowledge of your \u003Cu\u003Echild\u003C\/u\u003E. If you have a teaching background that's great, but many parents who choose to homeschool do not. But you definitely\u0026nbsp;do have knowledge\u0026nbsp;of your child :-) Use what you know about your child (temperament, motivation, personality, etc.) to design instruction. I know of a family where the mom created lesson plans focused around the movie \"Zootopia\", as that was a special interest for her daughter. So they used \"Zootopia\" to learn about history...math...science....etc. Use what you know about your own child to your advantage.\u003C\/i\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n \u003C\/tr\u003E\n\u003Ctr style=\"height: 39.1pt; mso-yfti-irow: 3;\"\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-top: none; border: 1pt solid windowtext; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Ci\u003E\u003Cb\u003E“Prompting” \u0026amp; “Teaching” are not synonymous\u003C\/b\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/i\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Co:p\u003E\u003Ci\u003E\u0026nbsp;See my \u003Ca href=\"http:\/\/www.iloveaba.com\/2011\/09\/prompting-101.html\"\u003EPrompting\u003C\/a\u003E post if you are unfamiliar with this word. Here is a common error I see many parents make when homeschooling: child responds incorrectly, parent delivers prompt, child responds incorrectly, parent delivers prompt...repeat\u0026nbsp;500 times. The problem with confusing a prompt with teaching, is \"What is the child learning\"?? A prompt is always intended to be lessened, or fully removed, so we can reach independence. If you stop prompting your child, and they suddenly have no idea what to do, then you have been \u003Cu\u003Eover- prompting\u003C\/u\u003E. Which will slow down the rate of acquisition (it will take longer for the child to learn).\u003C\/i\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n \u003C\/tr\u003E\n\u003Ctr style=\"height: 39.1pt; mso-yfti-irow: 4; mso-yfti-lastrow: yes;\"\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-top: none; border: 1pt solid windowtext; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Ci\u003E\u003Cb\u003EMasters seek help when they need it!\u003C\/b\u003E\u003C\/i\u003E\u003Co:p\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n  \u003Ctd style=\"background: rgb(231, 230, 230); border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; height: 39.1pt; mso-background-themecolor: background2; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 238.8pt;\" valign=\"top\" width=\"318\"\u003E\u003Cdiv class=\"MsoNormal\" style=\"line-height: normal; margin-bottom: 0in;\"\u003E\n\u003Co:p\u003E\u0026nbsp;\u003Ci\u003EThe most important tip is not to try and do everything on your own. Educators working for school systems know when to reach out for assistance, and so should educators working around their kitchen table. If your child has significant behavior issues, attention problems, or their academic performance is far below their age (a 7 year old working on Kindergarten level assignments) then you need some professional assistance to design intervention. Reach out to an educator, the support available through the homeschooling curriculum\/website, or a qualified BCBA so they can help you learn the best ways to teach your child.\u003C\/i\u003E\u003C\/o:p\u003E\u003C\/div\u003E\n\u003C\/td\u003E\n \u003C\/tr\u003E\n\u003C\/tbody\u003E\u003C\/table\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\u003Cbr \/\u003E\n*Resources:\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIf you aren't already familiar with \u003Ca href=\"https:\/\/www.teacherspayteachers.com\/\"\u003ETPT\u003C\/a\u003E (Teachers Pay Teachers) it's an awesome site full of resources made by and for educators\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/www.autismparentingmagazine.com\/value-homeschooling-child-autism-now\/\"\u003E\"The Value of Homeschooling\"\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Ca href=\"https:\/\/tacanow.org\/family-resources\/homeschooling-your-child-with-autism-spectrum-disorder-the-basics\/\"\u003E\"Homeschooling Your Child with Autism Spectrum Disorder\"\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\/5813501609151408616\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/08\/mastering-homeschooling.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5813501609151408616"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5813501609151408616"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/08\/mastering-homeschooling.html","title":"Mastering Homeschooling"}],"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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/3.bp.blogspot.com\/-JpuPeOVEixE\/W4VWaEgKhYI\/AAAAAAAAFHc\/tfbbZ_FMC7MHPCplZfqH6O-uljVC2RjLQCLcBGAs\/s72-c\/fb.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-5726488008432591607"},"published":{"$t":"2018-08-14T14:09:00.003-04:00"},"updated":{"$t":"2022-06-23T09:41:33.885-04:00"},"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":"Supervisor Tips"}],"title":{"type":"text","$t":"When Therapy is Too Short \u0026 Not so Sweet"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-5fQsvC3Gkfw\/W3MRZPzDaVI\/AAAAAAAAFG4\/rwijNqRVA0gGQK17l6jUWNj4AtJJSueQgCLcBGAs\/s1600\/rawpixel-570913-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cimg border=\"0\" data-original-height=\"1068\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/3.bp.blogspot.com\/-5fQsvC3Gkfw\/W3MRZPzDaVI\/AAAAAAAAFG4\/rwijNqRVA0gGQK17l6jUWNj4AtJJSueQgCLcBGAs\/s400\/rawpixel-570913-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E*Recommended Reading: \u003Ca href=\"http:\/\/www.iloveaba.com\/2015\/11\/how-much-therapy.html\"\u003ETherapy Intensity\/How Much Therapy\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EBehavior analytic research as well as best practices for ABA treatment recommend robust\/intensive treatment for the most significant results. Typically, \"focused\" treatment would require at least 15 hours a week of therapy, while more \"comprehensive\" treatment would require at least double that.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EThere are many reasons why therapy hours could be low. Maybe the funding source only approved half of the service authorization (e.g. BCBA asked for 30 hours per week, the insurance company approved 12). Or sometimes the family isn't available for therapy very often, or the child has multiple other therapies and a full day at school.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003ERegardless of the reason, if treatment hours will be low does that mean its \u003Cb\u003Epointless\u003C\/b\u003E to pursue ABA therapy at all?\u003C\/span\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003ENo. It does not.\u003C\/span\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EBUT, it does mean that the goals selected for treatment and the modality of treatment need to be super, \u003Cu\u003Esuper\u003C\/u\u003E realistic and practical.\u003C\/span\u003E\u003C\/div\u003E\u003Cdiv\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EIt's hard to know in advance how long it will take a client to progress through goals, or to reach mastery with a specific skill, but for the most part complex or multifaceted goals are going to take lots of repetition and time. So during intake, when I meet a family and they are discussing goals like toileting, language acquisition, severe problem behaviors, school refusal, etc., I explain very clearly that these goals will need a more comprehensive approach. ABA therapy every Tuesday for 2 hours, is not going to make much of a dent when it comes to comprehensive goals.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EHowever, if the family is requesting help with more focused goals such as shoe tying, eating with utensils, or following instructions, then such comprehensive treatment may not be necessary.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003ESo to parents: If your child has been receiving ABA services for some time with minimal progress, the problem could be that treatment is not intensive enough (doesn't occur at a high enough frequency).\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EBeyond keeping treatment goals highly realistic\/practical, if a client receives minimal therapy hours I also recommend the following:\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E1.\u003Cb\u003E \u003Ca href=\"http:\/\/www.iloveaba.com\/2017\/06\/rock-star-parent-training-bst.html\"\u003EIntensive parent training\u003C\/a\u003E\u003C\/b\u003E: If the ABA professional is only going to see the client once a week, what is the best use of that time? Working directly with the child, or the parent? If the professional works with the parent, then outside of session time (and when services end) the parent is now equipped to teach their child, handle challenging behavior, and modify the home environment to help the child be successful. To me, it just makes the most sense to teach the parent as much as you can during the time you have together so they can keep the demand on when you leave.\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E2. \u003Cb\u003ESelf-management\/Coping skills\u003C\/b\u003E: If appropriate for the client, teaching using more self-management strategies and less of an instructor-led format is very beneficial when therapy hours are low. I am a huge fan of implementing activity schedules\/checklists\/task analyses with clients, and showing them that they control their own reinforcement (not me). As long as they are doing what authority figures need them to, they will always be able to access what they want. Also, if behavioral issues are occurring and there is inadequate time for implementation of a comprehensive behavior plan then teaching replacement behaviors, or coping strategies, could be very helpful for the client. For example, when the client escalates and gets upset instead of the adults present reacting to that, the client can be taught how to independently de-escalate.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E3. \u003Cb\u003ESelf-help\/Adaptive functioning\u003C\/b\u003E: Think of adaptive goals as those daily living skills that are non-optional. You either do them, or someone has to assist you\/do them for you. Examples: getting dressed, feeding, toileting, cleaning up after yourself, etc. I have *sadly* had some clients with therapy hours \u003Cu\u003Efar-r-r\u003C\/u\u003E below what they actually needed. In situations like that, at a bare minimum I need to know from the family what day- to- day issues are causing the MOST difficulty in the household. Then we start to tackle those, being sure to take small bites of the problem rather than try to squeeze multiple goals into a 1 hour therapy session. For example, if the client fights the morning routine everyday before school and it's causing them to regularly be late to school, that is an awesome place to start. Just helping the parents tackle that one problem with clear strategies, visuals, and support, will make a huge impact in the day- to- day stress levels for the household.\u0026nbsp;\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan face=\"Verdana, sans-serif\"\u003EWith low therapy hours, the focus should zoom in and get very practical and answer the question, \"\u003Ci\u003EWhat can we do \u003Cb\u003Etoday\u003C\/b\u003E, to make a difference in this family's life\u003C\/i\u003E\".\u003C\/span\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cspan face=\"Verdana, sans-serif\"\u003E\u003C\/span\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\/5726488008432591607\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/08\/when-therapy-is-too-short-not-so-sweet.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5726488008432591607"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/5726488008432591607"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/08\/when-therapy-is-too-short-not-so-sweet.html","title":"When Therapy is Too Short \u0026 Not so Sweet"}],"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:\/\/3.bp.blogspot.com\/-5fQsvC3Gkfw\/W3MRZPzDaVI\/AAAAAAAAFG4\/rwijNqRVA0gGQK17l6jUWNj4AtJJSueQgCLcBGAs\/s72-c\/rawpixel-570913-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-4560267775020232034"},"published":{"$t":"2018-07-25T14:52:00.004-04:00"},"updated":{"$t":"2021-09-26T17:55:44.135-04:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"ABA"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Ethics\/Professionalism"},{"scheme":"http://www.blogger.com/atom/ns#","term":"interventions"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Staff training"}],"title":{"type":"text","$t":"Fast \u0026 Furious ABA"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-_0o2kycWHmA\/W1i8cacTiKI\/AAAAAAAAFF0\/5r4PfmqTVOAb8c3n2fvIMrYJ-0V8PSkiACLcBGAs\/s1600\/fredo-figaredo-385771-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1067\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/3.bp.blogspot.com\/-_0o2kycWHmA\/W1i8cacTiKI\/AAAAAAAAFF0\/5r4PfmqTVOAb8c3n2fvIMrYJ-0V8PSkiACLcBGAs\/s400\/fredo-figaredo-385771-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-zgSsagvrZMQ\/W1jGsIQPb8I\/AAAAAAAAFGI\/EvBOFNno87IkNjomMSHE-A8qBZWBtjrwwCLcBGAs\/s1600\/caleb-george-352-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1067\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/4.bp.blogspot.com\/-zgSsagvrZMQ\/W1jGsIQPb8I\/AAAAAAAAFGI\/EvBOFNno87IkNjomMSHE-A8qBZWBtjrwwCLcBGAs\/s400\/caleb-george-352-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Ci\u003E\"In reality, there is no \u003Cu\u003Esingle\u003C\/u\u003E Lovaas model because the work done at UCLA was dynamic, creative, and ever-changing\"\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cbr \/\u003E\u003C\/i\u003E\n\u003Ci\u003E\"1:1 was certainly critical. It was the starting point of treatment. But as soon as possible we wanted children to be able to learn in small and then large groups\"\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cbr \/\u003E\u003C\/i\u003E\n\u003Ci\u003E\"You have to experiment and look at your results. When something works, you stay with it; when you try something that doesn't work, you drop it\"\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cbr \/\u003E\u003C\/i\u003E\n\u003Ci\u003E\"Ivar did not believe in protocols. He wanted us to probe and of course evaluate if what we were doing was effective\"\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Ci\u003E\u003Cbr \/\u003E\u003C\/i\u003E\n\u003Ci\u003E\"We needed to be flexible. And we needed to be \u003Cb\u003Ecritical thinkers\u003C\/b\u003E\"\u003C\/i\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nQuotes are from \"\u003Ca href=\"https:\/\/www.springer.com\/us\/book\/9783319409030\"\u003EThe Lovaas Model: Love it or Hate it, But first Understand It\"\u003C\/a\u003E (Ch. 2)\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nQuality, effective, and authentic ABA treatment will be dynamic and ever- evolving. If it isn't, then \u003Ca href=\"http:\/\/www.iloveaba.com\/2013\/02\/is-this-aba.html\"\u003Ethat's not ABA\u003C\/a\u003E.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nPretty simple.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment should be individual focused. This means that programming\/goals are functional for the person receiving treatment. Is it critical at this time that your 4 year old client learn to label a photo of a giraffe? No? Then why are you teaching it?\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment requires the active involvement and engagement of the parents or caregivers. Otherwise, who is all this for?? If your client can mand, wait appropriately, transition, and answer simple questions for you but can't do any of that with a parent, then what was the point of that?\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment puts a high value on staff training (as in: both initial AND ongoing training and supervision). When staff are not properly trained in conceptual ABA theory, as well as real-life application, that will absolutely impact the quality of treatment. While you're training, don't forget that critical thinking must often be taught as well. For example, \"\u003Ci\u003EAlways follow THIS protocol, except for when ______\u003C\/i\u003E\", or \"\u003Ci\u003EFollow the child's motivation by doing ________\u003C\/i\u003E\", or \"\u003Ci\u003EWhen in doubt, be sure to avoid ________\u003C\/i\u003E\". Create training scenarios where the staff must fill-in-the-blank of those types of critical thinking questions.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment uses assessment tools to guide and help conceptualize treatment planning, and not as a paint by number manual that \u003Cb\u003Emust\u003C\/b\u003E be followed grid by grid for every single client.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment is not a slave to any specific \"way\" of delivering intervention. You could absolutely \u003Cb\u003Elove\u003C\/b\u003E discrete trial, or incidental teaching, but if the method is not effective for a particular client then guess which one needs to change? (It's the method....not the client)\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n*Quality treatment understands and supports the need for a high level of clinical supervision and oversight. Regardless of the amount of supervision the funding source will approve, ask for the amount of hours needed to ethically oversee a case. If you cannot effectively provide supervision under the constraints set forth by the funding source, \u003Cu\u003Ethen do not accept the case.\u003C\/u\u003E\u003Cbr \/\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\n\u003Cu\u003E\u003Cbr \/\u003E\u003C\/u\u003E\nMy best (and often my favorite) kind of sessions are the ones that probably look highly chaotic. Lots of impromptu\u0026nbsp;suggestions, changing data sheets on the spur of the moment, jumping between training the staff and the parent, and on the spot functional analysis of behavior. These sessions may look chaotic, but the end result is treatment gold: Specific and intentional treatment improvements that will help the client learn more effectively, across both the ABA team and the parents.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nContrast that with some seriously poor examples I've observed of dead, \u003Ca href=\"http:\/\/www.iloveaba.com\/2018\/05\/the-boring-awards.html\"\u003Eboring sessions\u003C\/a\u003E, where the staff is glued in one spot for 2 hours, never deviates from the data sheet (even as scores begin to plummet), the client is disinterested and disengaged, and the parents are nowhere to be seen.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nQuality treatment must be \u003Cu\u003Edynamic\u003C\/u\u003E (lively, changing, energetic) both by design and in its application. This should be the goal of any quality ABA provider.\u003Cbr \/\u003E\nThink more of cars rapidly racing around a track, making minute -by -minute performance decisions and adjustments, and less of sitting on a motionless lake with a pole in the water, waiting for fish to come to you.\u003Cdiv\u003E\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/3.bp.blogspot.com\/-iSICQRZBhf4\/W1jFpl9yR5I\/AAAAAAAAFGA\/_CXrovBgHBIdN2SJQ5padmdkW9zfNowKQCLcBGAs\/s1600\/dieter-kuhl-502651-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1067\" data-original-width=\"1600\" height=\"266\" src=\"https:\/\/3.bp.blogspot.com\/-iSICQRZBhf4\/W1jFpl9yR5I\/AAAAAAAAFGA\/_CXrovBgHBIdN2SJQ5padmdkW9zfNowKQCLcBGAs\/s400\/dieter-kuhl-502651-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\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\/4560267775020232034\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/07\/fast-furious-aba.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4560267775020232034"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/4560267775020232034"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/07\/fast-furious-aba.html","title":"Fast \u0026 Furious 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$media":"http://search.yahoo.com/mrss/","url":"https:\/\/3.bp.blogspot.com\/-_0o2kycWHmA\/W1i8cacTiKI\/AAAAAAAAFF0\/5r4PfmqTVOAb8c3n2fvIMrYJ-0V8PSkiACLcBGAs\/s72-c\/fredo-figaredo-385771-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}},{"id":{"$t":"tag:blogger.com,1999:blog-910085778879504657.post-2555044759237877767"},"published":{"$t":"2018-05-02T12:24:00.002-04:00"},"updated":{"$t":"2021-07-13T13:15:14.541-04:00"},"category":[{"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":"Programs"}],"title":{"type":"text","$t":"The Art of Skill Acqusition"},"content":{"type":"html","$t":"\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\n\u003Ca href=\"https:\/\/4.bp.blogspot.com\/-JpTlOHh-mqk\/WunljJ40SvI\/AAAAAAAAE_Y\/FfUeCt1DKD4ej_6c1LXRHEBX35cBYhBWwCLcBGAs\/s1600\/luis-alfonso-orellana-246919-unsplash.jpg\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" data-original-height=\"1425\" data-original-width=\"1600\" height=\"355\" src=\"https:\/\/4.bp.blogspot.com\/-JpTlOHh-mqk\/WunljJ40SvI\/AAAAAAAAE_Y\/FfUeCt1DKD4ej_6c1LXRHEBX35cBYhBWwCLcBGAs\/s400\/luis-alfonso-orellana-246919-unsplash.jpg\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cbr \/\u003E\nAnd there absolutely\u003Ci\u003E is\u003C\/i\u003E an art to it.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nI will include TONS of links at the bottom of this post, because it's important to understand this post won't be a paint-by-numbers kind of thing. Teaching a new skill or behavior is not as simple as \"\u003Ci\u003EDo this-Do this-Do that-Done\u003C\/i\u003E\".\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIf you took 3 BCBA's and asked them to teach a child to ride a bike, you could end up with 3 different ways to teach that skill. \u003Cb\u003EAnd that's okay.\u003C\/b\u003E\u003Cbr \/\u003E\nThe expertise, related experiences, and unique professional identity of each BCBA will impact how they design treatment, and how they teach skills. As long as the end result is the child independently riding their bike, then the skill acquisition was a success. The exact path to the finish line is allowed to vary.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nParents and ABA professionals reach out to me fairly frequently to ask \"How do I teach my child\/client to (fill in any behavior here)\". My answer is usually some form of \"I'm not going to be able to answer that for you in a brief email\". Teaching skills, aka programming, aka skill acquisition, requires thinking\/intentional planning by someone with knowledge of the learners individual skillset, deficits, and strengths (professionals refer to this as \"assessment\").\u003Cbr \/\u003E\nIf you want shortcuts and don't want to think, or you want to rush over planning, or you don't know the learner very well, then you have no business designing treatment for them.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nIf you are a parent reading this and you work with an ABA team, ask for training in skill acquisition. If you are a parent who does NOT have the help of an ABA team, my first piece of advice is to get that help if you can. Even if you consult remotely with a BCBA for a few hours a month, that would be far more helpful than trying to implement skill acquisition on your own.\u003Cbr \/\u003E\nTrust me, the BCBA had to learn this skill via graduate level coursework, supervised work experience, and hands-on training with multiple learners. Translation being: skill acquisition is not as simple as it looks.\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\nSo to wrap up, if you are a parent needing help teaching your child a new behavior (making a bed, putting shoes on, completing a puzzle, putting toys away, etc.):\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Cbr \/\u003E\n\u003Col\u003E\n\u003Cli\u003EGet as much professional assistance as you can afford. Emphasize your need for parent training to that professional\u003C\/li\u003E\n\u003Cli\u003EExpect to put time into learning about skill acquisition. One meeting with a BCBA will likely\u0026nbsp; not be enough\u003C\/li\u003E\n\u003Cli\u003EHave a solid understanding of the following: what is the terminal goal (how do you define the skill as being \"learned\"), how far away is your child from the terminal goal (baseline data), what steps will your child need to have in order to learn the skill (pre-requisite skills), and what concepts do YOU need to know in order to teach the skill (do you know how to prompt? do you know how to reinforce? do you understand motivation?)\u003C\/li\u003E\n\u003C\/ol\u003E\n\u003Cdiv\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cb\u003E\u003Ca href=\"https:\/\/drive.google.com\/file\/d\/1YuPB6iI-8Zxjc9KIy8GVWDSro0cTBohU\/view?usp=sharing\"\u003EFree Parent Handout: The Art of Skill Acquisition\u003C\/a\u003E\u003C\/b\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: center;\"\u003E\n\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cbr \/\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n*Links: (some great resources here!)\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cspan style=\"background-color: white; color: #222222;\"\u003EHeflin, J., \u0026amp; Alaimo, D. F. (2007).\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #222222;\"\u003EStudents with autism spectrum disorders: Effective instructional practices\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #222222;\"\u003E. Upper Saddle River, NJ: Pearson\/Merrill Prentice Hall.\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white; color: #222222;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cspan style=\"background-color: white; color: #222222;\"\u003ECrockett, J. L., Fleming, R. K., Doepke, K. J., \u0026amp; Stevens, J. S. (2007). Parent training: Acquisition and generalization of discrete trials teaching skills with parents of children with autism.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #222222;\"\u003EResearch in developmental disabilities\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #222222;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #222222;\"\u003E28\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #222222;\"\u003E(1), 23-36.\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white; color: #222222;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Ca href=\"https:\/\/vcuautismcenter.org\/resources\/factsheets\/printView.cfm\/936\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003EDesigning Instructional Programs for Skill Acquisition\u003C\/span\u003E\u003C\/a\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: #222222; font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: #222222; font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Ca href=\"http:\/\/www.lovaas.com\/meetingpoint-2007-09-article-04.php\"\u003EWhy Discrete Trial teaching works\u003C\/a\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003Ehttps:\/\/www.iidc.indiana.edu\/pages\/a-brief-explanation-of-discrete-trial-training\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: #222222; font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003ELeaf, J. B., Oppenheim-Leaf, M. L., Call, N. A., Sheldon, J. B., Sherman, J. A., Taubman, M., … Leaf, R. (2012). COMPARING THE TEACHING INTERACTION PROCEDURE TO SOCIAL STORIES FOR PEOPLE WITH AUTISM.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #303030;\"\u003EJournal of Applied Behavior Analysis\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #303030;\"\u003E45\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003E(2), 281–298. http:\/\/doi.org\/10.1901\/jaba.2012.45-281\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cdiv style=\"text-align: left;\"\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: #222222; font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cspan style=\"font-size: medium;\"\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003Ehttps:\/\/www.aare.edu.au\/publications-database.php\/1200\/Teaching-functional-skills-to-autistic-children-in-natural-settings:-Skill-acquisition,-maintenance-and-generalisation\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Ca href=\"https:\/\/vcurrtc.org\/resources\/viewContent.cfm\/1018\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EUsing a Task Analysis for Instruction\u003C\/span\u003E\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cbr \/\u003E\n\u003C\/span\u003E\u003Cul style=\"background-color: white; margin-bottom: 15px; margin-top: 0px;\"\u003E\n\u003Cli class=\"citation\" style=\"line-height: 1.3em; list-style-type: none; margin-bottom: 10px; text-indent: -40px;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u0026nbsp;Luiselli, J. K. (2008).\u0026nbsp;\u003Ci\u003EEffective practices for children with autism: Educational and behavioral support interventions that work\u003C\/i\u003E. New York: Oxford University Press.\u003C\/span\u003E\u003C\/li\u003E\n\u003C\/ul\u003E\n\u003Cdiv style=\"text-indent: -40px;\"\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif; font-size: medium;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/div\u003E\n\u003Cspan style=\"font-size: medium;\"\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003E\u003Ca href=\"https:\/\/www.iidc.indiana.edu\/pages\/Teaching-Tips-for-Children-and-Adults-with-Autism\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003ETeaching Tips for Children and Adults with Autism\u003C\/span\u003E\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003Ehttps:\/\/www.letstalksls.com\/resource-library\/autism\/dos-and-donts-teaching-children-autism\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: white; color: #303030;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003ESecan KE, Egel AL, Tilley CS. Acquisition, generalization, and maintenance of question-answering skills in autistic children.\u0026nbsp;\u003C\/span\u003E\u003Ci style=\"background-color: white; color: #303030;\"\u003EJournal of Applied Behavior Analysis\u003C\/i\u003E\u003Cspan style=\"background-color: white; color: #303030;\"\u003E. 1989;22(2):181-196. doi:10.1901\/jaba.1989.22-181.\u003C\/span\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: white; color: #303030;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"background-color: white; color: #303030;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003EAnderson\u003C\/span\u003E,\u0026nbsp;\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003ES. R.\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003ETaras\u003C\/span\u003E,\u0026nbsp;\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003EM.\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E, \u0026amp;\u0026nbsp;\u003C\/span\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003EO'Malley Cannon\u003C\/span\u003E,\u0026nbsp;\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003EB.\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E\u0026nbsp;(1996). Teaching new skills to young children with autism. In\u0026nbsp;\u003C\/span\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003EC.\u003C\/span\u003E\u0026nbsp;\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003EMaurice\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E,\u0026nbsp;\u003C\/span\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003EG.\u003C\/span\u003E\u0026nbsp;\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003EGreen\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E, \u0026amp;\u0026nbsp;\u003C\/span\u003E\u003Cspan class=\"person-name\" style=\"box-sizing: border-box; color: #333333;\"\u003E\u003Cspan class=\"givenNames\" style=\"box-sizing: border-box;\"\u003ES. C.\u003C\/span\u003E\u0026nbsp;\u003Cspan class=\"surname\" style=\"box-sizing: border-box;\"\u003ELuce\u003C\/span\u003E\u003C\/span\u003E\u003Cspan style=\"color: #333333;\"\u003E\u0026nbsp;(Eds.),\u0026nbsp;\u003C\/span\u003E\u003Ccite class=\"citationSource\" style=\"box-sizing: border-box; color: #333333;\"\u003EBehavioral intervention for young children with autism: A manual for parents and professionals\u003C\/cite\u003E\u003Cspan style=\"color: #333333;\"\u003E\u0026nbsp;(pp. 181-194). Austin, TX: Pro-ed.\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"color: #333333;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cspan style=\"background-color: white;\"\u003ESundberg, M. L., \u0026amp; Partington, J.W. (1998).\u003C\/span\u003E\u003Cem style=\"background-color: white;\"\u003E\u0026nbsp;Teaching language to\u0026nbsp; children with autism or other developmental disabilities\u003C\/em\u003E\u003Cspan style=\"background-color: white;\"\u003E.\u0026nbsp;\u0026nbsp;\u003C\/span\u003E\u003Cspan style=\"background-color: white;\"\u003EDanville, CA: Behavior Analysts, Inc.\u0026nbsp;\u003C\/span\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Ca href=\"http:\/\/www.iloveaba.com\/2012\/03\/writing-aba-programs.html\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EWriting ABA Programs\u003C\/span\u003E\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan style=\"background-color: white;\"\u003E\u003Ca href=\"https:\/\/drive.google.com\/file\/d\/0B9BLpV8fyJh8T2NpQ3ptbHhVMGc\/view\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003ESkill Acquisition: Programming Sequence\u003C\/span\u003E\u003C\/a\u003E\u003C\/span\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\n\u003Ca href=\"https:\/\/www.amazon.com\/Everything-Ever-Wanted-Know-about\/dp\/1986391639\/ref=sr_1_2?s=books\u0026amp;ie=UTF8\u0026amp;qid=1525272047\u0026amp;sr=1-2\u0026amp;keywords=everything+you+ever+wanted+aba\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003EEverything You Ever Wanted to Know About ABA\u003C\/span\u003E\u003C\/a\u003E\u003Cbr \/\u003E\n\u003Cspan style=\"background-color: #e5e5e5; color: #333333;\"\u003E\u003Cspan style=\"font-family: \u0026quot;georgia\u0026quot; , \u0026quot;times new roman\u0026quot; , serif;\"\u003E\u003Cbr \/\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/span\u003E\n\u003Cspan face=\"sans-serif\" style=\"background-color: #e5e5e5; color: #333333; font-size: 12.6px;\"\u003E\u003Cbr \/\u003E\u003C\/span\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\/2555044759237877767\/comments\/default","title":"Post Comments"},{"rel":"replies","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/05\/the-art-of-skill-acqusition.html#comment-form","title":"0 Comments"},{"rel":"edit","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2555044759237877767"},{"rel":"self","type":"application/atom+xml","href":"https:\/\/www.blogger.com\/feeds\/910085778879504657\/posts\/default\/2555044759237877767"},{"rel":"alternate","type":"text/html","href":"https:\/\/www.iloveaba.com\/2018\/05\/the-art-of-skill-acqusition.html","title":"The Art of Skill Acqusition"}],"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:\/\/4.bp.blogspot.com\/-JpTlOHh-mqk\/WunljJ40SvI\/AAAAAAAAE_Y\/FfUeCt1DKD4ej_6c1LXRHEBX35cBYhBWwCLcBGAs\/s72-c\/luis-alfonso-orellana-246919-unsplash.jpg","height":"72","width":"72"},"thr$total":{"$t":"0"}}]}});