Researching the Therapy

As a parent new to the diagnoses of Autism or with little knowledge of Applied Behavioral Analyses (ABA) therapy, the whole process of researching the therapy and life your child could face is overwhelming. But reading about the nuts and bolts of the therapy and what kids with autism go through, in clinical dry ways, only gives us so much information.

Researching the step by steps, understanding the language, and talking to a therapist about your concerns are all legitimate ways to discover what you’re getting into—but it can’t prepare you for how it feels or even looks like living it.

There is however a book When Everybody Cares: Case Studies of ABA with People with Autism  by Bobby Newman which is a first-person account of ABA. It can show you in a very real way how this therapy affects a child’s life and what issues arise with someone on the spectrum.

The book When Everybody Cares: Case Studies of ABA with People with Autism gives a unique insight into the life of a behavioral analysis and the solutions they develop for common problems. The great thing about this book is you aren’t just reading step by step, you're reading the struggles and insights and even the raw emotions that come along with working through difficult behavioral issues: such as a child refusing to eat or learning how to follow instructions.

Like a diary, this book doesn’t tell you what ABA will be like, it shows you like a story, a biography of sorts. ABA is a beautiful journey for everyone involved, so it’s little wonder such a beautiful book has been written because of it.  If you want to really see what ABA looks like, or even feels like, then give this book a try.

Parent Training: Is your child's behavior getting worse?

How do you know whether you’re experiencing an ‘extinction burst’ or if your child’s behavior is just getting worse?

What is an Extinction Burst?

To understand what I mean by this, I’ll give an example. Let's say you ask your child to do something and they start hitting you. You've learned that not allowing escape is a great intervention so you ignore the child hitting you and repeat your request. At this point the child may start hitting more or harder (i.e. behavior just go worse).   

Why does this happen?

Because it used to work for them! This is called an extinction burst.

When you start to ignore the behavior all together they will up the ante and try to go back to the way it was before. Because that was easier for them than listening to you.

This doesn’t make your child a bad person in any way; in fact it makes them pretty smart! They’ve figured out how to get what they want in this world, and it’s wonderful. They can problem solve like this. Increasing the bad behavior is actually a clever thing to do. If you did something one way, and it worked, you would keep doing more of it to get the same reaction too!

When a behavior is done for attention, and we ignore the behavior it will get worse. But then it will start to get better, because your child will realize this is just too much work. Great!

But what happens if it stays the same? And doesn’t get better at all? When do you draw the line in the sand and try a new tactic?

What if an intervention isn’t working?

There will be plenty of data and charts to show whether your child is going through an extinction burst, or the behavior hasn’t changed at all. If the behavior hasn’t changed at all the reason your child is doing the behavior may need to be looked at again. Maybe the therapist was wrong, and they did it for another reason. If this is the case, the charts will show it and the data will help them change tactics. Some other ways the therapist could change the intervention to the behavior is;

-        Changing the length of time they ignore the behavior/child

-        Expand the plan to other places where the behavior may occur more

-        Have someone else also back up the intervention

If you feel a part of therapy isn’t working for your child, you can always speak to your therapist about it. They will have the data and charts to confirm or deny your experiences. They should work with you, not against you, to help your child better function, learn more and live a more productive life.

Terms that can be useful during ABA therapy

As a parent Applied Behavioral Analyses (ABA) uses a lot of jargon words that leave us confused and wondering what the heck the therapist just told us! Arming yourself with the professional language of ABA will help you understand what the analyst or therapist may be saying when discussing your child with you (or even each other).

ABA – Applied Behavioral Analyses.

ABC – A three step behavior process that stands for, antecedent, behavior and consequence.

ASD – Autism spectrum disorder

Abscissa – The horizontal line graph that measures the time a behavior occurs.

Active Behavior – A behavior which can change, such as running, jumping etc, sitting still is not an active behavior.

Active Responding – When a child is expected to behave by solving problems, speaking, writing etc rather than just listening.

Advocate – Somebody who speaks out on behalf of a person.

Americans with Disabilities Act – Federal civil rights law protecting those with disabilities.

Annual Goal – A goal that you wish your child to reach within a set time period.

Antecedent – What happened before a behavior.

Approach – Choosing which form of treatment will be used, ‘the approach used’.

Augmentative Communication – Any communication made without using speech, such as pictures, sign, or electronic devices.

BCBA – People with this qualification are able to oversee and supervise programmes.

Behavior – Not always something bad, this is when a child does a behavior that is measurable, such as a meltdown or manding.

Chaining – This is the word used to describe when a therapist teaches a child a task using multiple steps. These can be taught backwards or forwards and still be successful.

Chronological age – How old the child is biologically.

Cognitive – Referring to thinking skills, which includes receiving and understanding information. This could be done by placing a square in a square shaped slot by understanding where the square needed to go.

Consequence – What happens after a behavior occurs.

Consultant – Anyone your therapist consults with/creates plans with, or a person who trains people.

DSM – Diagnostic manual for all mental disorders. This let’s a therapist know the criteria for each diagnoses.

DTT – Discrete trial training. This is when a skill is taught multiple times, usually by giving a demand and expecting a specific response, followed by praise.

Deprivation – When a motivator is removed/lessened so it is very desirable.

Development age – How old the child is ‘developmentally’, measured by tasks and skills they can complete based on the neurologically typical age range for those skills.

Developmentally Delayed – When a child is delayed compared to their peers.

Echoic – When you ask a child to repeat something and they repeat it on demand.

Echolalia – Where a child repeats what is said back to you almost compulsively. So instead of answering a question they repeat parts of the question, or the entire sentence.

Elopement – The official term for a child running away, or bolting.

Environmental Modification – Where the environment is changed to reduce barriers affecting instruction, behavior and teaching.

Expressive language – The use of language to convey meaning.

Extinction burst – When a child suddenly starts doing the behavior more often, or at a higher level, once a re-enforcer is removed.

Extinction – Removing what re-enforced your child to do something, such as giving attention to whining, which results in the child doing this less.

Fine motor – The small movements you perform with your body. With Autism you may see that a child has a hard time picking things up with his/her fingers or writing.

Floor-time – When a child moves away from table-learning, this is often child led learning.

Generalization – Being able to apply what you have learned to all situations. Such as learning how to ask for juice in therapy, then asking the same way at home.

Gross Motor Skills – Large muscles in the body perform gross motor skills. This could be jumping or running.

Hand-Over-Hand – When a therapist will literally move your child’s body to show them what they mean by a demand. For example, they may ask them to pick up a block and when the child doesn’t understand or refuses, they will take their hands and help them pick up the block with plenty of praise.

High functioning Autism – A child with Autism who has a great grasp of age appropriate skills but is unable to socialize with ease.

Hypersensitive – Very sensitive to outside stimulation.

Hyposensitive – Not at all sensitive to outside stimulation.

IEP – Individualized education plan. A legal document outlining the educational plan for your child when they are considered to have special needs.

Intervention – Using a plan of action to change an undesired behavior.

Intraverbals – When a child uses speech without visual prompts, such as being able to tell you what they did at school that day.

Level, 1, 2, 3 – Under the DSM criteria each level requires more and more support, with 1 being minimal and 3 being substantial.

Low Functioning Autism – A child who is quite delayed, may not speak etc.

Mand – This is a verbal criterion, and is when a child uses words to ask for something or make a demand. This is usually the first form of language that children learn. Juice, when asking for juice, would be an example of manding.

Mouthing – When a child puts things in their mouth.

NET – Natural environment training is child led therapy or learning from the current environment.

Neurologically-typical – Another way to say ‘normal’. This is when a child develops at a normal rate.

Normal – When a child develops normally. Some people may find this term offensive.

Peer-Mediated – When a child a similar age to yours is trained to interact with your child and teach social skills.

Perseverative Behavior – When a child engages in excessive, repetitive behavior that is not stimming such as asking for an object several times in a row.

Picture Exchange Communication System – Or PECS is used when a child has limited verbal skills, often they are given pictures to exchange with you in order to communicate.

Pivotal Response Training – Where a child is taught pivotal areas of development which are targeted to affect several areas of development at once.

Prompt dependant – When a child has gotten to the point where they consistently need to be prompted to do a specific task and won’t do the task independently.

Prompt – When a therapist prompts a specific response they are looking for, this could be verbally, physically, visually etc.

Punisher – This does not refer to punishing the child, but rather a consequence of an action which reduces a behavior. This could mean having a child move away from a situation where they are being disruptive and being allowed to re-join once they behave appropriately, in this case it could both protect the child and other children/objects involved.

Re-enforcer – When a child is given a motivation to complete a task, such as a favorite toy.

Receptive Language – This is ‘good listening skills’ where a child can follow directions that are non-verbal.

Recovered – When a child no longer fits the diagnostic criteria for ASD.

Regression – Where a skill a child previously knew has reduced or vanished from their repertoire. Or when a behavior eradicated many years ago, comes back.

SLP/OT/PT – Professionals who help with areas of the child’s development. Speech and language therapists (SLP) help with speech delays, OT helps with occupational therapy issues (play), Physical therapists help with fine and gross motor skills.

Satiation – When a re-enforcer no longer works because it has been over-used.

Scripting – A verbal stim of some sort, such as a song that’s repeated over and over.

Scrolling – When a child is asked a question and they go through several responses before reaching the correct response. As in; if they are shown a circle and they say, square, rectangle, circle!

Self-Injurious Behavior – When a child hurts themselves purposefully.

Sensory Integration – Tools used to help a child reach internal sensory needs, this could be a weighted vest or blanket.

Shadow – Somebody who follows your child around in the classroom as a helper.

Stereotypic/Repetitive Behaviors – Also called stimming, this could be repetitive motions such as spinning and flapping.

Tact – A tactile is a verbal term, this is where a child can name objects they can see.

Target Behavior – A behavior the therapist is interested in increasing or decreasing.

Task Reduction – In some cases a child is frustrated by the amount of demands put on them so they are reduced to help increase success levels.

Transitions – A lot of children with Autism have transition issues, this is issues with moving from one location to another or one activity to another.

VB – Or verbal behavior; a branch of ABA that concentrates on speech behavior.

Variable Ratio – When a child is given a demand, or is expected to make a response and is given a re-enforcer every set amount of times. For example, 3-5, the child receives a re-enforcer every time they complete a task 3-5 times.

Vocal/Verbal vs Non-Verbal/Vocal – When a child can use language or not.

 

Asking questions about your therapist being too hard or too soft on your child can be a learning experience

Applied Behavioral Analyses (ABA) therapy is about teaching your child life skills, academics, and positive behaviors in a fun environment. Sometimes that means your therapist may do something you don’t always understand. It’s always best to ask why, often, as once you understand you too can apply it at home.

One common question parents often ask is why the therapist is, or isn’t placing demands on a child, especially if the parent has done something entirely different regarding a behavior.

Is the Therapist being too hard?

Sometimes when a therapists places lot of demands, a child with Autism tantrums. However, this does not mean that the therapist should punish or spank.

 Many times you will see an ABA therapist holding a child still, forcing them to do things, or to sit still until they stop tantrumming instead of typical punishments like removing a toy, or time out. As a parent, this can be uncomfortable as we often go into survival mode and try to stop whatever has upset the child. Or bargain with them, or put them in time out, or any myriad of techniques that seem appropriate at the time.

An ABA therapist is unafraid of the meltdowns. They place the same demands that anyone would place on a child and hold them to it, sometimes literally, in a safe place.  

Is the Therapist being too soft?

However, on the other end of the spectrum you could ask, why is my therapist not jumping on the bad behavior enough?

Sometimes this is a legitimate concern and perhaps your therapist needs to consult with their team better if they are encouraging certain behaviors to continue. If you notice your child has started a new behavior because of what a therapist is doing, always consult the analyst or therapist. Sometimes therapists get it wrong too.

For example: Our child once started purposefully engaging in ‘bad’ behavior to find opportunities to get a demand. This was because, during therapy time when given a demand, he got a piece of candy for performing it correctly.  Of course, 40 minute long tantrums ensued as he stole items, gave them back, and then demanded candy for his confused version of good behavior. Looking back, it was a little funny to watch a child run with glee through the house as he stole his sisters night shirt, only to immediately bring it back, then head to the candy jar all proud of himself…as I stood there completely baffled. But at the time it was a confusing experience for everyone involved. We fixed this by speaking to the analyst who banned candy as a re-enforcer. The issue was remedied in less than a day.

But there are other reasons a therapist may not be addressing the behavior. Some techniques involve ignoring a behavior altogether until it naturally falls out of the child’s tool-box. Perhaps they’re licking the table and making silly noises because they think it’s funny, but actually this could be totally unhygienic if they were to do it outside of the home. Here, the therapist may ignore it until the child forgets about doing it because they’re not getting any fun out of it.

Another reason your therapist may not be addressing behaviors yet, is when therapy first begins. Therapists will go through a ‘honeymoon’ stage with the child when they meet. This is where they play, get the child to love them, teach them they’re a fun person and everything will be great. If they come down too hard to begin with, your child won’t want to be around them since they haven’t learnt this person is a fun person to play with. And ABA therapists believe a child HAS to have fun to learn.

 

It’s always best to ask questions that come to mind with your therapist— it can be a great learning experience for everyone involved, not just your child. This is somebody who will be working with your child for perhaps years to come, and being on the same page with their nuances will make everything run a little more smoothly.

 

The impact of relationships for family and friends of an Autistic child

When there is disruption in the household between two people it affects everyone, and that can happen a lot with an Autistic child. Siblings of Autistic children may not interact with their ASD brother/sister, or there may be arguments and misunderstanding between them. This happens a lot because let’s face it sibling relationships are difficult as it is, but throw in a child who has trouble communicating, playing outside of their comfort range, with little understanding of social interaction, and there’s bound to be some issues. This isn’t anyone’s fault and the great thing about Applied Behavioral Analyses (ABA) is this can change for the better!

First it must be remembered that the other sibling may be hurting in this scenario. They often have a lot to take on with their Autistic sibling already; they may feel alienated, burdened, ashamed, guilty or frustrated. This is why it is not only the ‘typical’ child that should engage and interact. The Autistic child should be encouraged to join the other sibling with whatever they are playing. This can be done by physically moving the child to that location, following them and using encouragement. The caregiver should be with the Autistic child giving praise, support and allowing the other sibling to feel as if their brother/sister has entered their world.

Another technique that your ABA therapist may use is simple free play. Playing in the same area as each other in a new environment, such as a ball pit, play pen or the beach will foster a positive experience together. Which will help to build bonds; just as it would with another other siblings in the world.

Lastly, your therapist may have the other sibling reward the child with Autism. They could have your ‘typical’ child give the child with ASD a treat when they complete a task so the child with Autism recognize the sibling as somebody positive. After all, children of all ages work well with praise and build confidence and positive relationships upon this, why not get the other sibling involved? 

ABA can work to make any relationship stronger between your Autistic child and the other party, and sibling relationships are precious.

If Your Child Has Aggression Along with Autism, Then Here Are Some Reasons to Why.

Aggression in Autistic children is common, but it can be an embarrassing thing to deal with – even for the child. Aggression interferes with so much; from school, to play dates and sadly sibling relationships.

There are many reasons a child with Autism might act out by pinching, biting, shoving or hitting.

1.     They may feel stressed; if their routine is off, or they are in a place that triggers sensory issues

2.     Aggression could be the only way they have to communicate right now

3.     They could be trying to get out of a situation with an adult or child, or avoiding something they don’t want to do

4.     They could even be looking for you to react

None of these things mean that your child is ‘bad’. But Applied Behavioral Analyses (ABA) helps to put a stop to these behaviors once a for all. ABA looks at why the child is reacting in this way. Getting to the root of the issue gives us the tools to fix it. Once the therapist gets to the root of the issue, they can transform the violence into positive acts.

Your ABA therapist might do this using redirection. Such as showing the child a positive alternative. If your child is shoving a child away, they will teach the child to verbalize their feelings instead. If a child is told they can’t touch something, they will be given something they can touch instead. Using negative reactions, such as scolding, and scowling, only teaches the child they can distract you from the situation, avoid situations with ease or get attention with this negative behavior. It doesn’t teach them what they should do instead.

The goal of ABA is to teach your child positive behaviors, through positive rewards. So ultimately your child can grow to be confident, happy and ready to face the world without the use of aggression.

Visit out website at www.BuildingBlockResolutions.com

Verbal Behavioral Therapy Works and Just Because A Child Is Nonverbal Doesn’t Mean There Is No Hope.

Verbal Behavior (VB) therapy is a branch of Applied Behavioral Analyses therapy (ABA); it helps non-verbal children to become vocal and use words with meaning. Having a child who is non-verbal is scary, for both the child and the parents involved, but there is hope even if your child is severely delayed. Recently a study showed that children, who cannot speak by the age of four, can learn how to speak – something that was deemed unlikely. The study can be found here.

B.F. Skinner was a famous psychologist who wrote a book on verbal behavior and developed many of the theories that ABA is based on. B.F. Skinner said that language comes in types:

Mand – To ask for something, such as juice

Tact – A label of an object, such as circle, when something is round

Intraverbal – A way to answer a question, such as where do you live?

Echoic – When your child repeats what is said

Because of these different types of speech, your therapist looks at what is the most basic and works their way up. In this case, a Mand would be most basic, which is why a child will learn to ask for juice by saying ‘juice’, and not ‘I’m thirsty’ when they begin.

VB therapists today also work on play skills, self-help skills, social skills and complying with instructions. They do this using discrete trial training, natural environment teaching and manding to name a few.

Just like ABA, VB doesn’t let the child feel they got the answer wrong. Autistic children receive little positive feedback as they don’t engage in the world in the same way other children do. To achieve a positive learning environment, the child is re-directed and lavished in praise to solidify the positive re-enforcement process – that will ultimately help your child learn in the real world.

Visit our Website at WWW. BuildingBlockResolutions.Com

Find Out How Natural Environment Training Works And Be Applied Every Day

Natural Environment Training (NET) is part of Applied Behavioral Analyses therapy (ABA). NET works with the natural environment around the child and moves learning from a desk to the real world; something that ABA promotes. This is fantastic for generalization and promoting skills that have already been taught. NET also works with natural motivators; these are toys and objects around the home (or therapy office) that the child would like to play with or use. This technique isn’t about the traditional sit-down and learn, it focuses on the child’s ability to learn whilst they play.

NET is a great thing to implement in the home because it uses your environment to teach your child the skills they learned in therapy. For example, if your child is working on how to say goodbye and hello, you can help them wave to people who come to visit, or when you take them to daycare, or anywhere else you can think of. To do this, you model the desired behavior for the child and make a big, fun, parade out of saying hello or goodbye everywhere you go.

ABA is all about collecting data and using structure, and reward, to help a child learn certain skills. But when you switch to using NET techniques the therapy becomes louder, with plenty of speech and exciting play. NET can get spontaneous and uses your child’s desires to help teach them. The therapist may set up a color matching game for the child to play, as they could be learning colors, but then have to switch to manding as the child asks for different objects.

If you’re wondering as a parent what this would look like, the therapist should be talking a lot about everything they are doing. They should model behaviors (showing the child how to correctly do things), they should ask questions, and use the world around the child to engage in what they want to engage in. This shouldn’t be a forced, stiff point in the therapy. It should look much like when you talk to a very young child about the world around them, commenting on everything you are doing.

NET is a thrilling part of ABA for an Autistic child. Children on the spectrum can’t often play appropriately, and so don’t learn through play as well as other children would. This is precisely what NET helps to promote, play, joy, and learning, all rolled into one.

Is Your Child Sync with ABA Therapy and School? If Not Here Are Some Tools You Can Use to Get ABA Therapy and School Aligned.

Applied Behavioral Analyses therapy (ABA) helps to change behaviors that hinder your child’s development – when they have a diagnosis of Autism and other similar issues. But this therapy alone will not push your child to the heights of their learning abilities. It’s important that all areas of the child’s life are in sync – which is why it’s great to have an ABA therapist willing to be in contact and work with schools.

All Therapists Should be in Sync with ABA

Some schools provide OT, speech and other services that help improve your child’s quality of life, but they have the luxury of syncing these lessons together. If your ABA therapist is on the outside of this team, they can’t work as a whole. This is why, as a parent and ABA therapist, it’s important to be on top of the lessons the child is learning in all areas of their lives.

But what if your child is struggling in school and not progressing with peers? Or the school is not providing any therapy at all?

Some Autistic Children Do Not Cope in School

A child who absolutely cannot function in a social, verbal learning environment due to sensory issues will often exhibit strong sensory pre-occupation; they may seem inattentive, or exhibit bad or repetitive behavior. This is typical for a lower functioning Autistic child. It can be so distracting for your child and sometimes even painful, it’s almost impossible for them to learn in a school environment.

If this sounds like your child, ABA and homeschooling/shorter days should be thought about. Postponing regular schooling to correct sensory/learning problems doesn’t make you a bad parent. If a child cannot concentrate in a group setting, they won’t be gaining anything out of it anyway.

However, some schools simply aren’t trying hard enough. Hiring your ABA therapist to go in and investigate the school environment should be step one. They can identify the issues in the classroom and report back what isn’t working for your child and work with your child’s teacher who likely hasn’t been trained correctly. Using this method you can fight for better resources – and sometimes, unfortunately, it will be a fight.

Is ABA More Important than School?

ABA can help a child learn to learn, help a child overcome sensory issues and engage in the world outside of themselves. If your child can’t participate in a school setting, perhaps thinking about intense ABA therapy before school would be the best way to go. As a parent it’s best not to feel guilty about this; a child learning how to live in the world is more important than the skill of counting which can be taught at any age. With that said…

A child is not required to enter school until they are 6 years of age on or before September 1^st of the year they will enter school. But if pushing back school entirely makes you uncomfortable, you can also consider shorter school days in order to add extra ABA therapy or even home school entirely.

ABA therapy should be a compliment to your child’s schooling and should always come first if a child is struggling greatly. As a parent, it’s important to communicate with schools and our children’s therapist to know what course of action needs to be taken.

For more information please visit our Website @ www.buildingblockresolutions.com

Why New Skills Using ABA Are Taught in Different Scenarios

When a child has Autism they often have difficulty generalizing behaviors. This means they can act a certain way in a certain situation, but not in others. This could mean that if a routine is not followed the child cannot demonstrate a specific skill, which is not helpful in real-life situations that are often random.

Most children with Autism cannot learn a skill and automatically generalize; this is normal and should not concern you right away. That is why new skills in Applied Behavioral Analyses therapy are taught in many situations, with varied tones of voice, and multiple materials, as well as multiple correct responses. This is called adding ‘discrimination’ components and why ABA therapy is so great for Autistic children.

The wrong way to teach with ABA is to give a child a specific thing they must say whenever something is asked. For example, when somebody asks ‘did you have fun’, the child always responds with, ‘yes thank you’. This is not generalizing and causes issues. What if the child didn’t have fun, and the adult doesn’t know they were taught a specific way to respond? This is why it is so important as a parent and therapy team to carry out skills across different platforms. If your child is taught to say goodbye to their therapist, then this should be encouraged in other scenarios, like when a family member leaves for work.

When a new skill will be taught to your child, ask about generalization. As a Therapist any goal that is taught to the child will first be thought about in ‘the bigger picture’. For example, if a child needs to sit still during lessons, where else will this need to be applied? How can we transition it to other scenarios? This should always be looked at first before the lesson begins, so the therapist knows how to expand on the lesson to give your child the best success. And this is something you can help your therapist with, to ultimately help your child.

ABA is not meant to teach robotic responses to situations, it is not meant to teach your child how to act appropriately only within limited situations. It is meant to help a child blend in with their peers, achieve the goals their classmates will and have a happier healthier life as an adult.

Analytical Behavioral Therapy Applied by Parents Over Therapist

Analytical behavioral therapy (ABA) is a great therapy for Autistic children and studies have shown that parents who do this at home get better results. There are several online courses to help us learn how to do this, but we can also ask our therapist what they would recommend we do at home. Having said this, there will be times where we as parents won’t get the same fast results that a therapist would. For example, one of my children couldn’t use sign language no matter how many hours of effort I put in. Along came a therapist, and he signed within the week. It’s upsetting when a therapist can teach our child better than we can, but there are reasons for it…

You Are Not a Failure

It’s important to not be discouraged that it’s taking longer to implement new behaviors without our therapist's input. This isn’t because we are bad parents, or we are doing anything wrong. We as parents need to remember that our child see’s us as the caregiver. We are the love and comfort source that our children seek out. When we start withdrawing wants to teach, it can become a power struggle. Our therapist has the advantage of setting up this kind of relationship from the start, our kids know they mean business and they cannot be manipulated.  A child may dig their heels in or simply become confused when we suddenly change the way we relate to them. Because of this, it is always best to have a therapist conduct ABA therapy alongside you.

Your Child May Get Stubborn

Power struggles with any child are frustrating, but it’s game on when an Autistic child fixates better than you. One of my two-year-old Autistic children is a classic example of this. He insists on touching outlets, climbing on objects, and generally touching anything that would get a quick fear reaction. Reacting with fear gives the child power over you, but as a parent, it’s natural to be afraid your child will get hurt. This is something a therapist would be able to control far more than you, rendering ABA difficult for you as a parent but not impossible.

You Can’t Change the World

On top of this, a therapist is able to change the environment and reduce stimuli the way we as parents can’t. This is a great tool for Autistic children but is unrealistic outside of a therapist’s office. We can’t change the world to suit their needs, unfortunately, and so we are more likely to run into triggers before the child is ready to handle them.

ABA must become a lifestyle in your home for the best success. But you are not a failure if you cannot implement the same changes as your therapist. There are restrictions that we as parents have, preventing us from gaining that same success a therapist would. But with time and patience, your child will overcome whatever stands in their way.

Visit our website at www.buildingblockresolutions.com

How Do You Know If Your Autistic Child No Longer Needs ABA Therapy?

Applied Behavior Analyses (ABA) is a wonderful therapy for your Autistic child; it works on their negative behaviors, social skills, speech, educational skills and more.

But how do you know if your Autistic child no longer needs ABA therapy? What stage of functioning is ‘good enough’?

How Do You Think Your Child is Doing?

The first step to determine this is the observation from you and the therapist. Interaction with peers, and how other children are behaving and performing around them, will work well as a sounding board. If they appear to work well in classrooms and other environments, it may be time for some evaluations.

Some Issues May Be Hiding

If all tests come back in the same range as peers their age, then your child can probably end ABA. Before making this decision, be sure to check problem-solving, pragmatic language (body language/how we say things), and executive functioning (time management). Which are subtle skills that often stay with Autistic children, but go unnoticed.

Is Your Child Happy?

Take into account how happy your child is. If your child is still struggling, it’s important to get to the root of the issue. They may appear to be functioning with language and IQ, but perhaps there is an emotional issue under the surface.

Continuing Therapy at Home

If you – as the parent – have enough skills in ABA and the child functions well with few areas to work on, ending the therapy is a good next step.  You can continue the therapy from home. But if you don’t have the time to put into therapy (on top of all the other things we do as Autistic parents) keeping a behavior analyses around is a good thing too. New behaviors may emerge and a child can always learn more.

Don’t Suddenly Stop

If you do decide to end ABA, be sure to fade it out slowly so you can catch any issues that may arise. Ending therapy and leaving a therapist is an emotional time, especially for a child who may love their teacher. It’s important to give your child plenty of time to adjust.

Visit our website at www.buildingblockresolutions.com

Can Applied Behavioral Therapy Help a Child Who is Non-verbal?

Many children on the Autism spectrum have trouble with speech. This could be because of Apraxia which is a motor disorder that makes it hard for children to use their mouths to form words, or maybe they simply can’t communicate as well as the rest of us. This doesn’t mean they can’t communicate in other ways such as picture cards, behavior (good and bad), sign language and electronic devices.

But can Applied Behavioral Analyses (ABA) help a child who is non-verbal?

The short answer is yes.

ABA is essentially performing an antecedent (an action, a request), the child performs a behavior, and then there is a consequence for the behavior. Either they get it right and there're positive displays of fun and cheering, or the child is shown again. If they still get it wrong a hand is placed on theirs to guide them to the answer so they are correct (queue cheers and happy words).

Think of all the ways a non-verbal child could respond to this without words. They could hand over an object, use picture cards or electronics to communicate speech, point, or even sign their response. Not being able to speak would not hinder your child to learn. 

In fact, VB is a branch of ABA that teaches children how to communicate. So ABA techniques can help teach your child to speak too. It uses much of the same principles including errorless learning. This means your child is never wrong and receive prompts as much as needed – which like ABA are faded out as the child learns.

As parents, we use ABA tools all the time. We ask a child to get up to the table to eat, the child does, we praise the child. This is partly ABA! Being able to speak or not speak would never hinder your child to learn positive behaviors and in turn learn that the world will reward them for all the good that they do.

Visit our website at www.buildingblockresolutions.com

Using Data to Determine the Best Course of Action

When it comes to your Autistic child and applied behavioral analyses (ABA), it’s important that all sorts of factors are measured. This means your therapist will be using charts, data and numbers to determine the best course of action. But why would they do this?

One reason is a prediction. When a child needs to reduce problematic behavior it’s measured rather clinically so the therapist can work towards a realistic goal. Some measurements to achieve this are; when a behavior happens, where, with whom, and how often.

Measurements can also be a great help for the parent as we see changes we wouldn’t otherwise have noticed. For instance, a child does something once not three times, or for two minutes less. Predictions predict where a child will be in a few months time. Measurement lets us see how far they have come.

Another great thing about observing and measuring behavior is we start to see patterns emerging. Patterns tell us why the child is behaving the way they are so we can form a hypothesis. This is therapy jargon that means ‘we can understand the reason behind an action’. Once we know why we can replace the behavior with something more appropriate, or reduce the stimuli causing the issue.

Behavior isn’t random, it’s used to receive a need, or avoid/escape something painful. With Autism the painful thing a child could be avoiding can be surprising as many things stimulate them in ways stimuli usually wouldn’t. For example, a child could be tantrumming every time they start to walk into a store because of the bright lights. Measurements and keen observation catch these things quickly so your child can work towards a realistic goal.  

Measuring, graphs, numbers and data are just another tool in the therapist’s box to steer, guide and teach your child how to navigate the world.

Visit our website at www.buildingblockresolutions.com

Will A Child Only Respond To The Way It's Taught?

There is a question that is often asked about Applied Behavioral Analyses (ABA) and it is ‘will my child become a robot?’ When a parent see’s a child taught the same thing over and over it’s a natural conclusion.

“My child only responds this way because he is told to.”

Truly, we are all taught how to react to certain situations by our experiences – in fact, it is a perfectly human thing to do. We say please and thank you because our parents kindly taught us manners and reminded us again and again to use them. We are scared of clowns because we learned they were menacing through experience.

ABA isn’t an alien form of learning where the techniques are only used with Autistic children; it is a therapy that fundamentally teaches a child how to learn. But others use these techniques too, an addict can use ABA techniques, the same is done to encourage workers, or reduce disordered behavior. In fact, behavioral therapies, in general, are one of the largest, most used therapies out there.  Not just for Autism, but disorders and everyday problems all across the board. Psychologists learn behaviorism (the study of human behavior) almost as soon as they learn about the human mind. And ABA is just a form of behavioral therapy, teaching a child what behaviors affect the world around them and what one’s will create positives or negatives in their lives.

Much has changed since the 1960s version of ABA which most base their opinions on. Much has changed in psychology since the 1960’s in general, one only has to look at the state of mental institutions back then, to see huge changes. Not only this but Autism is diagnosed differently, and we know more about the disorder. ABA evolved too; it now promotes flexibility and models several ways to respond to environments.

But if you still fear your child will turn into a robot, you can talk to your therapist about ‘programming for generalization’ something that all ABA therapists will know about. This means, once a child can remember how to react in situations safely and effectively, they can begin to add on their own quirks and abilities – something that ABA ultimately aims for, anyway. You can see this in ‘neurologically normal’ children too (robotic responses that morph into their own personalities). When first learning to speak, we are taught to say milk to a bottle, or hungry when we want something to eat. But at some point, those words take on a flow of their own and our child speaks, adding their own mannerisms and thoughts.

ABA, when done right, is not a therapy that creates a robot, it is a therapy that teaches a child how to learn, how to function in this world, and how to stay safe and happy, whilst still satisfying their needs.   

ABA Therapy at Home V.S. The Therapist's Office

 

  Applied behavioral analysis (ABA) is a therapy that teaches your Autistic child how to learn with positive re-enforcement. They are taught in a thrilling, gentle way, which opens up new paths for them. But should your child be doing their ABA therapy at home? Or in the therapist’s office?

ABA in the Therapists Office

When ABA is performed in this structured way it simulates similar learning environments your child will encounter over the years in schools, colleges and universities. Performing ABA therapy with your child in such an environment may help them focus when at school, due to a familiar feeling of structure. ABA teaches child skills and behaviors that are needed for environments like schools, such as concentration.

By performing ABA therapy in an office, or out of the home, your child doesn’t have their usual clutch items to cling to, such as toys and family. This is something that will happen as they get older and enter ordered environments. Being away from familiar items can cause anxiety and distress for a child, something that a therapist can address and help your child overcome.

Also, Autistic children often have issues with distractions; some of these are sensory problems such as loud noises. In a home it’s hard to avoid the sounds of traffic, phones ringing, and people talking, but a therapist can design their space to suit your child’s needs to get the best out of ABA.

ABA at Home

Of course, home based therapy can be wonderful for a child who struggles with new places and new people. Sometimes a child has specific behaviors that need addressing within the home, such as meal times, or escaping out of the front door! This can’t be addressed easily in an office as it’s hard to simulate. It’s also convenient for the parent to keep up with high hours of therapy if it’s done within the home.

Another thing to consider is that it can depend on how old your child is. A child who doesn’t need to be in nursery or a school setting yet (1 – 3 years) may benefit more from having therapy in an environment they know. ABA also doesn’t need any fancy equipment that you don’t already have around your home and working with loved toys will be enjoyable for your child.

Balancing working in a structured environment and a therapist’s office is the best way to achieve a perfect balance with ABA therapy. But otherwise, the approach will depend on your child. ABA therapy is a wonderful experience for most Autistic children and it’s important they are as comfortable as possible where ever it’s performed.

For more information visit our site at www.buildingblockresolutions.com

Qualifications for a Good Therapist

Choosing the right therapist for Applied Behavioral Analysis (ABA) is important. Finding one that not only works well with your child but can talk you through what you can do is an important part of the process. But what sort of qualifications and personality traits makes for a good therapist for your child?

Desired Qualifications for your ABA Therapist

Your therapist should have at least a bachelor’s degree in childcare, psychology, child development, behavioral analysis or related field. (They will need a doctorate to run a private practice.) It is also required they have a state license. This will ensure they are a trusted therapist who is covered to treat your child in the way they should be treated.

Most states require your therapist to have a doctoral degree, complete internship experience, gather one or two years of practical experience and sit the state licensing exam to perform ABA therapy. But some have supervisors to allow them to practice too.

Do some Research; Shop Around for the Right ABA Therapist

Some other ways to gather information is to call around and talk to other patients and their families. If they feel involved with their child’s therapist and have a good rapport with them this is a good sign that your therapist will work well with your family.

Not all therapists will click with you right away, sometimes you need to meet with several therapists to find one that you feel comfortable leaving your child with. After all, worrying about your child’s progress and the therapist they are with, instead of staying positive and enjoying the experience, will cause issues in the future.

How Should Your ABA Therapist Act?

Once you have hired your therapist it is important that they are reliable, stick to a good routine, and enjoy spending time with your child. If the therapist doesn’t enjoy your child’s company, laugh with them and have fun with them, this can put a dent in your child’s progress. They should also be reaching out to teachers, your child’s doctors and integrating themselves into the team that makes up your child’s treatment.

And the number one way to tell if you’ve found the right therapist who knows their stuff, is if your child is making progress under their guidance. You can always try a new therapist later if this isn’t the case, sometimes it’s best just to make the leap with a therapist you like and see how it goes.

For more information visit our website at www.buildingblockresolutions.com

Applied Behavioral Analysis Therapy And Discrete Trial Training

One type of Applied Behavioral Analysis (ABA) therapy is called the Loovas Method; the most heavily researched therapy for Autism which demonstrates some of the best outcomes. If your child has been diagnosed with Autism at a young age and you’re thinking about ABA therapy, then your child could be on the road to success.

As a parent we worry about the legitimacy of all therapies, how they will help our child, and what exactly goes on inside the therapist’s room. The Loovas Method relies heavily on Discrete Trial Training (DTT) and some incidental teaching.

What is DTT?

Discrete trial training is when a skill is broken down into steps instead of being taught as a whole. For example, when teaching shapes, the therapist would give two shapes and ask ‘which is the circle?’. Once the child can point out different shapes, then they would teach the child to say the shapes. Each skill is taught slowly, easing your child into the learning process without overwhelming them.

There are 5 steps to DTT

1.     The Antecedent (when the therapist sets up the question, perhaps by showing two shapes)

2.     The Prompt (where the therapists asks a question, or performs an action to get a response)

3.     The Response (where the child responds)

4.     The Consequence (for either a correct response, or incorrect response)

5.     The Pause (where the therapist allows it to sink in)

A Further Explanation of the Prompt

There are three types of prompts, an independent, a partial and a full gesture. This means that your child will either be: fully shown what to do, half shown, or not be shown at all. A therapist will generally start with a full prompt and begin to fade this until it becomes independent.

A Further Explanation of the Consequence

It’s scary as parents when we hear the word consequence, and we ask ourselves if it means punishment. This shouldn’t be the case with a qualified ABA therapist. A consequence only means something that happens after a response. If the child performs correctly they are showered with praise. But if the child cannot perform the task (which will happen sometimes) they are simply corrected and shown the right response.

The Loovas Method is just one school of ABA therapy, a therapy that can change the life of an Autistic child. Children who have completed this therapy have gone on to achieve a normal intellectual and educational functioning by the time they are 7 years old.

There’s always hope for a child that’s struggling.

Please visit our website at www.buildingblockresolutions.com for more information. 

Get The Best Therapy From a Smaller Agency

Sometimes bigger is better, but when it comes to choosing the right therapist for your child. Bigger may not always be better. There are pros and cons to every decision and Applied Behavior Analysis, ABA therapy may be one of the biggest investments you make in your child with autism’s life. For this reason, here are a few simple things to consider when choosing a small versus a big ABA agency.

With a small agency you can always get to the top person in charge. With the larger agencies there are usually several people you have to go through before getting to anyone who can actually help you. With a smaller agency you have probably met the owner and be getting personalized ABA therapy.

With a smaller agency, the likelihood of turnover is usually less because of the direct 1:1 mentoring each employee gets, they are treated as team members instead of just another number. They may even get paid more because of decreased overhead.

With a smaller agency, you’ll have better quality people. Because a smaller agency can afford to make less mistakes than a larger agency, you can probably bet on more quality ABA therapy.

To be fair, I’ve listed some of the challenges you may face with a smaller agency.

One of the things to be aware of is that it make take longer to find the right therapist for your child with autism because fit will be more important. They may have fewer on call therapists and may have to look for one.

Paperwork may be slower because only a handful of people are wearing several hats. Billing may arrive late and graphs and data sheets may take longer to get.  

Overall when choosing an ABA agency for your child, it really doesn’t matter which ABA agency you go with as long as the BCBA working with your child is competent, has a good team of therapists, and is passionate about helping your child.

Check out Building Block Resolutions, Inc. in Los Angeles for ABA therapy for your child with Autism.