Autism Help: In-home Consultation and Applied Behavior Analysis for Autism

 By: Mary Kate
The purpose for BCRC's in-home consultation service is to provide caregivers with behavioral recommendations suitable for solving mild to moderate problem behaviors. Our experts will provide the caregivers with up to 4 hours of in-home or community observations and discussions. During this process the clinician will gather the necessary information to guide the family through problem solving steps for changing the child's behavior. A brief written report will be provided detailing the recommendations with behavioral protocols being supplied when appropriate. This service is the ideal choice when more intensive treatment is not needed.

5 things that must be in place to ensure an optimal behavior intervention program:

- The interventions must be developed using assessments that help the behavior analyst understand why the problem behavior is occurring (i.e. to obtain a tangible item or activity, to gain attention, to avoid or escape a situation, or because the behavior itself is reinforcing).

- Interventions should include teaching and reinforcing appropriate social and communicative behaviors.

- Strategies for responding to the target behavior should be consistent, reviewed frequently, and data collected reliably, consistently, and accurately.

- Environmental factors should warrant consideration as they may impact the child. Examples include: divorce, change in routine, military deployment, change in staff, house flooding, etc.

- Frequent communication and collaboration between parents, caregivers, Therapists and school personnel. A communication log that facilitates discussion and shares data collected between all individuals involved in the program is vital to an effective and consistent program.

Applied Behavior Analysis (ABA) is a field of study dedicated to understanding, investigating and modifying behavior in a systematic way for socially validated behavior change. It is analytical, able to be replicated, data driven, contextual, and held accountable for the results generated.

Documentation of your child's behavior program is one of the most important components of any behavior program. Without sufficient and valid documentation, a behavior program would not be able to appropriately address your child's unique skills and learning needs. From data collected, behavior analysts are able to evaluate a program's effectiveness as well as assess the delivery of instruction and how to modify both in order to make your child successful.

Data Collection
Data will be collected during each session on program sheets created by the Supervisor. Each program may be organized by Tasks derived from the ABLLS-Revised in addition to other sources. You may also see various charts and graphs used to record your child's behavior, etc. We encourage you to review the program binder often and ask questions. It is important for those working closely with the child to understand the goals and objectives being targeted and how your child's responses are being documented.

During each session, data will be taken on your child. A frequency count may be taken to count the number of times your child said or did something during a session. Interval recording may be used depending on the frequency of the behavior or depending upon how the goal is written. Percentages can be derived from data collected and used to compare independent responses versus prompted, correct responses versus incorrect, etc.

Data is recorded using common notations, to make the information accessible to everyone involved in the child's program.

We recommend choosing a consistent therapy schedule for the benefit of all parties. Schedules will be created between the Client and Skills Trainer to ensure optimal compatibility. Hours provided will be determined on a case-by-case basis. Any changes to the schedule must be communicated directly to your Skills Trainer and their Supervisor. Please allow as much time as possible before the change so that appropriate arrangements can be made.
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