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. 

Applied Behavioral Therapy Is Proven To Work

The number one form of therapy showing the most improvement for children with autism is applied behavioral analyses therapy (ABA). It is sometimes referred to as Lovaas treatment, which is one brand of ABA. Success was first recorded in 1967 but became wide spread in 1993. This is a thoroughly tested therapy with a lot of proven success stories behind it. When ABA therapy is done right many parents see it’s similar to one-on-one tutoring that any child of a young age goes through. Sometimes a child with autism needs an extra bit of love and care ABA provides. What is ABA? ABA is simply an intense teaching program that will help your child’s behavior. A child is presented with a stimulus and is taught to act appropriately. This is often something that a child with autism struggles with, especially if they have sensory processing disorder. What is Sensory Processing Disorder? Sensory processing disorder is when a child is unable to process surrounding senses correctly, leading to under or over stimulation. This can show in all forms of behavior from not reacting to pain, to becoming unusually frightened by sounds; such as a toilet flushing. What ABA is not… A way to punish a child for bad behaviors associated with autism, or to ‘get rid’ of certain behaviors such as stimming. A child is redirected not punished. Another concern is your child will become a robot, but this doesn’t happen. Your child will remain the same lovable, emotional human they always were. How intense is ABA? ABA consists of 40-hour week therapy sessions, which is a lot of time and effort for the therapist, but mostly fun and play for the child. The length of this therapy is likely why it works so well.   How long will my child be doing ABA? Some children do as little as 20 hours a week. The most success is found between 30-40 hours a week, for about two years. This isn’t that intensive because the child is mostly playing like they would in the real world -- but with a little bit of help. Visit our website for more blogs, information about ABA Therapy, autism, and more. www.buildingblockresolutions.com

A Combination of ABA Therapy and ABLLS-R

Applied Behavioral Analyses (ABA) therapy can help children of all ages and if you think your child would benefit from this therapy your therapist can perform certain tests to find out more. The assessment of basic language and learning skills (ABLLS-R pronounced a-bulls) is the center piece to most Verbal Behavioral programs.

Before a therapist can go through ABA with your child they need to first understand what level of learning your child is at. This test isn’t meant to demean but can be upsetting for a parent to see their child is developmentally behind in any way. But remember, once the areas that need extra love and care have been identified it will be easier for everyone involved.

The ABBLS-R assesses 25 different domains allowing you to see precisely how your child is developing and where their strengths and weaknesses lie. It assesses visual performance, fine motor skills, language, the ability to follow instructions, group activities, math skills and more. Of course if your child is too young for some abilities, such as spelling and math, they are passed over until a later date. This test is performed every 6 months to get a detailed report on how your child is doing.

ABBLS-R helps to develop IEP or ISFP goals and objectives which are very important. IEP is individualized education program that states measurable goals for the child to achieve in a set time. ISFP is for younger children who are not yet in school and allow the parents to follow a plan without teachers.

It’s easy to skip ahead and assume your child has fully understood the step before, with an IEP plan. For example, you may want your child to potty train or clean up their toys but how can they do that when they can’t yet ask for something they need? ABA therapy will help your child reach these goals and ABBLS will help identify the correct goals.

ABA and an assessment combined are important because parents are intuitive and can read the body language of their children so well. For example, sometimes we see them looking at an object and know they need it, but forget that they haven’t actually asked for it. Or we ask them to perform a task such as putting something on the table – they put it down and we don’t realize they haven’t fully comprehended. As parents it’s hard to identify what our child truly understands and where they excel without a test like ABLLS.
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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.

Studies show that in the case of childhood therapy, a therapist should focus on relationships rather than the actual child. This means that children are happier when they see the happiness in their caregivers and loved ones. When they see that the people in their lives are happy and healthy it affects the children in a positive way. Consequently, when the people in their lives are living unhappy, unhealthy and stressed out lives, it affects the children in a negative way.

Behavioral therapy focuses on both the child and the environment in which the child grows up. Behavioral therapy helps the child to feel that they are growing up in a nurturing stable environment. It is understandable that adults do have problems and every day issues that they face; however, the most important thing on their mind should be the portrayal to the children. Children thrive better when they witness healthy, happy relationships among the people in their lives.

For more information about the services at Building Block Resolutions, Inc. Click here

Get the Best Out of Your ABA Therapy Program

ABA therapy is time consuming and expensive. But in the end, if done right, it works!

I’ve seen non-verbal children talk, aggressive children become model students and parents brought to tears for the turnaround in their child. Unfortunately, ABA is also expensive, to achieve these kind of results, a a 30-40 hour a week program is recommended. Supervised at least 3 hours a week by a Board Certified Behavior Analyst, along with parent training. Put those cost somewhere over $1K a month for a good quality program.

Here are some things to keep in mind so you don’t end up wasting your valuable money:

-Make sure the program is being supervised by a Board Certified behavior analyst. Applied Behavior Analysis is the only discipline taught in universities which is validated to be effective with working which children with autism. The best practitioners have at least a Master’s degree and is certified as a Board Certified Behavior Analyst (BCBA) by the Behavior Analysis Certification Board, and at least 5 years experience implementing and supervising behavioral interventions.

-Make sure that a through assessment has been completed; Because each ABA program should be tailor fit to your child. Autism is a spectrum and since no to cases are alike no two program should be alike either. Furthermore, if the wrong treatment is being implemented behaviors could actually get worse or morph into completely different behaviors.

-Make sure the therapist has a good behavioral background and a good relationship with the analyst. Therapists do not have any fancy degrees but they do have to take the guidance of the BCBA and be good with children. Having a good relationship with your child would be best.

-Finally make sure data is being taking daily and shared with you on a bi-weekly basis. After all, it is your money you want to know where it’s going. Data is very important. It guides programing decisions and also lets everyone know very quickly if the current treatment is having a positive or negative effect on the child.

This is all very important because with autism, there is really only a small window of time to get the maximum behavioral results. If your insurance can cover it, great, but if not, it’s better to put that money in upfront than waste valuable time that could be spent working on your child while the brain is still very malleable and the child has not developed too many bad habits which would be hard, if not impossible to break later.

For more information, please go to www.buildingblockresolutions.com

And Autism Care for All?

In March of 2012 Florida legislators passed a bill saying that Medicaid should cover autism services for children diagnosed with autism.

As a provider of Applied Behavior Analysis services for over 8 years, this makes myself, and many low-income families very happy. Especially since I’ve been trying for the last 5 years to become a Medicaid provider being turned down always for some mistake which is incomprehensible to me and the team of consultants I’ve hired to get me on as a Medicaid provider.

But now I’m getting an influx of telephone calls from families who have been approved for services with nowhere to go. It seems that virtually every agency I’ve talked to is running into the same road blocks as I have. And after a stint of telephone tag with the people from the Miami Medicaid office, I found out that they’re not quite sure what to do with all the families and have nothing really set up.

This is really sad because Early Intervention is the key to effective autism intervention. In testimony at a trial, Dr. Elza Vasconcellos, a neurologist who is director of the Autism Clinic at Miami Children’s Hospital says children who get early autism therapy were able to attend mainstream classes with their typically developing peers.

“I see kids who get applied behavior analysis and have money getting better, and kids who don’t have money just staying there — and we don’t see any progress,” Vasconcellos testified. “For me, as a mother and as a doctor, it’s really devastating to see that.”

For me as a practitioner, it’s especially frustrating because the services are there, the funding is there, but there seems to be a disconnect between getting one to the other.

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