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Posts Tagged ‘BCaBA’
Posted in ABA, Continuing Education Courses, Ethical Issues, tagged ACE approved, BCaBA, BCBA, BCBA and IDEIA, BCBA and special education, Behavior Analysts, behavior analysts in the schools, continuing education on February 23, 2016| Leave a Comment »
We are pleased to announce our list of webinars for 2016. While these webinars are designed for continuing education for BCBAs and BCaBAs, we welcome other attendees with the understanding that the purpose of the training is based on advanced behavioral principles.
We will continue to offer our supervision training a couple of times this year including the required 3- hour training for existing supervisors. And we are thrilled to offer a new training on the ethical issues associated with billing health care insurance for ABA services.
Please visit our website for additional information or to register for courses. If you have questions, please email us at info at applied behavioral strategies dot com.
The BACB sent out a reminder yesterday, BCBAs and BCaBAs should NOT be supervising students in training or RBTs or BCaBAs if they have not completed the 8-hour training.
Because some people missed this memo and are feeling stressed, we have decided to offer the training again for those who may have missed the course previously.
Please see our website to register for Part 1 AND Part 2 to be held on August 6th and August 7th. Both courses are required to fulfill the 8 hour requirement.
Did you know that you must complete 3 hours of supervision training every certification cycle thereafter? Each of our courses fulfills that requirement though only 3 hours are needed; Part 1 is recommended.
Applied Behavior Analysis (ABA ) services by a Board Certified Behavior Analyst (BCBA) are becoming increasingly common. If you are new to our blog, you may read more about ABA services here and you may read more about a BCBA here.
Today’s post is really for BCBAs and BCaBAs. However, we always welcome parent and teacher readers because everyone can learn from one another.
Are You Doing Due Diligence?
What is “due diligence”? While there are several definitions, the most appropriate definition here is: “acting with a certain standard of care” (Wikipedia).
Standard of Care
What is the standard of care within ABA? The best resource available, in my opinion, is the practice guidelines produced by the Behavior Analysis Certification Board (BACB). The BACB created a beautiful and comprehensive manual describing the standard of care in behavior analysis. The manual is called, “Applied Behavior Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers”. You may download the manual here. The manual doesn’t talk about caseload for BCBAs who consult with teachers, classrooms, and schools. Rather, the manual discusses ABA services for individual children.
One important feature regarding ABA services is the tiered model of service delivery. Just like in medical care, the licensed vocational nurse (LVN) provides direct care, he is overseen by the registered nurse (RN), who follows a treatment plan developed by a physician. In ABA, a technician provides direct care to clients. The technician is overseen by a BCaBA or a BCBA. The BCBA develops the treatment plan and oversees the individuals providing direct care.
If you are a BCaBA, you must work under the guidance and supervision of a BCBA. BCBAs are independent practitioners. However, I know very few BCBAs who want to be on their own. Most of the individuals I have met, want to work alongside a team of professionals in order to solve the most complex cases. Behavior therapists are not independent practitioners either and they, too, must work under the guidance and supervision of a BCBA or BCaBA.
How many students are on your caseload?
How many should be on your caseload? This manual has great recommendations regarding the appropriate caseload for BCBAs. The recommendation is based on the type of case. For example, a comprehensive case would require more intense supervision while a case focusing on one are of learning (e.g., toileting), may need less supervision.
All ABA cases, including the technician, will need supervision. Case supervision may come in the form of indirect services (e.g., graphing, analyzing data, writing reports) or direct supervision (e.g., modeling program implementation, collecting interobserver agreement, or completing fidelity checks). While case supervision will vary from child to child, the BACB recommends 2 hours of case supervision for each 10 hours of service.
Take a moment and reflect on your cases. Are you doing due diligence?
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:
- Have another appropriately trained BCBA go in his place
- Have an appropriately trained BCaBA attend his place
- Offer to call in to explain the results
- 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.
- After the IEP (lagloria.typepad.com)
- Take the BACB Exam according to Behavior Guy (behaviorjedi.wordpress.com)
- Now the BCBA Waiting Game… (behaviorjedi.wordpress.com)