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inclusionI am so excited to be in Dubai! I came to consult on a few feeding cases and The Child Learning and Enrichment Medical Center quickly planned for a conference on inclusion! Schools in Dubai are required to include children with disabilities so teachers are in need of information. I feel so fortunate to be a part of it! For my international readers, I look forward to meeting you in person.

For additional information on the inclusion conference, click here: http://www.childeimc.com/index.html

Hi and welcome to What Works Wednesdays where the focus is usually the description of a successful case story. Today’s story actually comes from a popular video. In this video, the photographers captured the faces of several young children as they tried new food for the first time. Matt Gilmour, the creative director and Hugh Miller, the cinematographer, capture the children’s reactions in 500 frames per second.

As a BCBA who has helped many, many children learn to eat new foods, I cannot help but recognize that the children in this video are not scared. The children in the video are willingly trying new food. Sadly, for children who have autism, trying new foods does not look like this. Trying new foods can result in aggressive behaviors, self-injurious behaviors, even vomiting!

However, after effective behavioral feeding therapy, children with autism can learn to try [and like] new foods. If you have a child who engages in picky eating, reach out for assistance from a behavioral feeding program; mealtime does not have to be stressful.

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Documents

BACB Guideline 3.02 Explaining Assessment Results

Recently, a client planned to attend an upcoming IEP meeting for their child who received school services in a private school and Applied Behavior Analysis (ABA) Therapy from a private provider. The client did not want the ABA provider to attend the IEP meeting. Instead, they asked the ABA provider to submit a report that would be reviewed in the meeting.

The ABA provider informed the client that he was unable to submit a report for a meeting that he could not intend. He cited the BACB Guidelines for Responsible Conduct. The client became very upset and even said “Other BCBAs have done this, why can’t you?”

As a BCBA, we must follow the Guidelines established by the Behavior Analysis Certification Board (BACB). As Augustine of Hippo states, “Right is right, even if no one is doing it.”

The BACB Guideline 3.02 specifies what is expected of BCBAs with regards to their assessments. Specifically:

3.03 Explaining Assessment Results.

Unless the nature of the relationship is clearly explained to the person being assessed in advance and precludes provision of an explanation of results (such as in some organizational consultation, some screenings, and forensic evaluations), behavior analysts ensure that an explanation of the results is provided using language that is reasonably understandable to the person assessed or to another legally authorized person on behalf of the client. Regardless of whether the interpretation is done by the behavior analyst, by assistants, or others, behavior analysts take reasonable steps to ensure that appropriate explanations of results are given.

If a BCBA cannot attend a meeting where his report is reviewed, how can he ensure that the report is interpreted appropriately as the Guidelines state? The BCBA has several options:

  1. Have another appropriately trained BCBA go in his place
  2. Have an appropriately trained BCaBA attend his place
  3. Offer to call in to explain the results
  4. Meet separately from the meeting to review the results

Practicing BCBAs have many job responsibilities and obligations. We are often faced with difficult decisions as a result of those responsibilities. It is imperative that we know our Guidelines for Responsible Conduct and that we follow them to the best of our ability.

"A child with autism (three years old) po...

“A child with autism (three years old) pointing to the fish in an aquarium.” The photo demonstrates a controlled randomized test by Kasari, Stephanny Freeman and Tanya Paparella to determine whether intensive training in sharing attention (in this case, pointing at fish) and pretend playing can lay the groundwork for the acquisition of language skills and subsequent normal development. (Photo credit: Wikipedia)

Hi and welcome to Ask Missy Mondays where I answer a question from a reader. Today’s question comes from a mom with a newly diagnosed child on the autism spectrum. She is searching for answers at all hours of the night. Marie says,

“Hi Missy, I am very new to this autism thing. I have heard that children with autism can get better–even lose the diagnosis completely. Is this true or is this some quackery to get me to buy something I cannot afford? Where can I read more about this treatment and how do I know if it’s real?”

Hi Marie and thanks for stopping by the blog. You are not being sold “quackery”. The truth is that children with autism CAN recover–even lose the diagnosis. I have written about this before (here, here, and here), which is probably how you found this blog.

Applied Behavior Analysis (ABA) therapy is the only treatment that has been proven to help children recover from autism. Dr. Lovaas is best known for his study describing the improvements of almost half the children who received the treatment. Other scientists have replicated his research with similar outcomes. Unfortunately, scientists do not yet know which children will recover, only that some recover.

We do know that intervention must start early, it must be intense (40 hours of therapy per week), and that it must last for 2 years or more. We also know that therapy must address all areas of development including speech and language, social and emotional skills, gross and fine motor, self-help and adaptive skills, as well as academic skills.

ABA is an appropriate treatment for children with autism. In fact, 32 states have legislation requiring certain types of insurance to cover ABA therapy. Check

out this resource to see if your state is included.

You may also find some of the work by Dr. Fein helpful. She has no association with ABA whatsoever and she has published several papers on this topic as well.

Finally, we know that many children on the autism spectrum are sick. The illnesses include GI disease, food allergies, mitochondrial disorders, and other things. Thus, in addition to using ABA to teach your child, you will need to include medical support to address any underlying medical condition that your child may have.

I am sorry that your child has been diagnosed but I hope that you will pursue active treatment as soon as you possibly can.

If you have a question email askmissy at applied behavioral strategies dot com.

Don’t forget to Light It Up Blue today!light it up

Parents and professionals working together

Parents and professionals working together

Hi and Welcome to What Works Wednesday! where the focus is usually the description of a successful case story. The general public is slowly beginning to learn and appreciate the fact ABA works. However, in an ongoing comprehensive ABA program for individuals, more than just good ABA is required. Parent and professional collaboration is an essential ingredient. In ABA teams at Applied Behavioral Strategies, the BCBAs work to ensure that every case has 4 hours of parent-professional contact at a minimum each month. Collaboration occurs in a variety of contexts.

Team Meetings

In a comprehensive program, it is important for the team to meet frequently to guarantee that the team is implementing programs correctly and that programs are modified so that the child will continue to make progress. In most cases, the team meets twice per month for 2 hours. The first order of business at every meeting: parent concerns. The team includes all therapists, the supervisor (BCBA), the parents, and other outside professionals.

Clinic/Team Meeting Notes

During the team meetings, detailed notes are taken so that team members may review them before therapy. Everyone receives a copy of the notes, including the parents. The notes are also placed in the child’s program book so they are handy for team members.

Communication Logs

In cases where the child receives therapy in a setting where the parent is not present, therapists and supervisors keep a detailed communication log that is sent home with the child each day. These logs keep the parents informed about the child’s day and serves as another way to build cohesive team communication.

Phone Consultation

Supervisors at Applied Behavioral Strategies make themselves available by phone. Supervisors are extremely busy but a great time to return calls is between appointments when driving from place to place (don’t forget to use your headset!). Parents, if you need to speak to your supervisor, let him/her know so that time can be made for the call.

Emails

Finally, email is another way to remain in close contact with parents. Emails can be returned at any time of day; especially when talking by phone is not possible. Emails also provide a written record of your requests and decision making.

In summary, professionals be diligent to ensure parent-professional collaboration. Parents, do not be timid. Partner with your BCBA and team to help propel your child’s progress to its maximum potential.

Logo2012 was a great year for the Applied Behavioral Strategies blog. We had almost 100,000 visitors in total. Here is a list of the most visited blog postings last year. The great news is that I wrote some of the most visited posts in 2011. I am pleased that my posts remain relevant for readers.

#5. Early Morning School Routines. Who doesn’t need help with this? Seriously, it is THE most stressful time of the day for my house.

#4 Just Say No. I can see why this one has staying power. Almost daily, I hear myself saying “Parents need to learn to say no.” You don’t even have to state a reason. Just know that your child needs to learn to accept being told no. (And despite how it may feel or sound, it will NOT be the end of the world.)

#3 Autism Awareness Apps. I really need to update this link. I will be sure to do so in time for April give aways. Keep in mind that I’m also presenting on this topic at SXSW in Austin, TX in March, 2013.

#2. Do You Use Visual Schedules? Wow. I am pleased that this topic is still a hit. If you aren’t using visual schedules, you should! In my home, we use a homework whiteboard every day and it makes our afternoons a BREEZE!

#1. Using ABA to Teach Math. I had no idea when I wrote this post that it would become so popular. The great news is that ABA may be used for a variety of skills!

I cannot thank you enough for your readership! Keep the reading, following, sharing, ideas, feedback, and questions for Ask Missy Monday coming!

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