skip to Main Content

Terminate Services Due To Parent Behavior

Scenario How does a BCBA terminate services when parent behavior is impeding patient services? Response Review expectations at onset of service Revisit tx plan goals and alignment with family values Reach out to supporting BCBAs for guidance Set discharge criteria in initial tx plan Refer to counseling for additional services if exp. avoidance is hypothesized

Read More

BCBA Subpoenaed in Family Court

Scenario A BCBA is subpoenaed, court ordered and approached by one guardian(parent) lawyer for issues involving family court. What are the next steps for the BCBA? Response Outline at the onset of services (conditions of participation in such situations, must be judge-ordered etc.   Annually revisit conditions for participation in court   Address familial stressors at intake

Read More

Changing Direction of Treatment from Previous BCBA

Scenario You are a new BCBA to an established case and go to meet your client and his family for the first time.  The client is a 12-year-old male evaluated using the VB-MAPP and has been a client of the company for 5 years.  You see the client run in and out of the meeting wearing only his underwear and holding up an iPad to his ear.   While meeting with the family, you learn that the previous BCBA has…

Read More

Supervisee Slaps Child in School Setting

Scenario Dilemma: Supervisee slaps a child in the school setting. Response Mandatory reporters- DCS   Reach out to the BACB   Reach out to the state psych board   Look at supervision contract and what the criteria to terminate it is   Learning point- make sure you are writing your contracts accordingly to cover certain situations that require immediate action   How would we know if someone has a previous incident against them? – probably not known until it’s been…

Read More

Client Pre-Authorization Denied For Much Needed Services

Scenario You receive an ABA referral from a pediatrician for a 3-year-old client; you call the parent listed and gather insurance details and enough background information to see if the client’s behaviors are within the scope of the practice. The client is severely impacted and engaging in high rates of SIB; your colleague that specializes in SIB has an opening on his caseload. When the team proceeds to obtain prior authorization from the client’s primary insurance, pre-auth is denied as…

Read More

Parent Utilizing CBD & THC

Scenario You have been working with a family for 18 months. The father is consistent with parent training attendance, actively engages in sessions and follows through with protocol implementation. The client recently experienced an increase in aggression; the team has developed a modified protocol and you are prepared to share it at the next parent training session. At the parent training session, Dad mentions that he is trying CBD oil (with THC) with the child in hopes to reduce aggression…

Read More

Helping Close Relationships With ABA Tips

Scenario You keep in touch with a good friend from High School and you know that their young child is showing signs and symptoms of Autism. They end up getting a diagnosis and reach out to you asking for some tips. You give them some tips on increasing communication, following through with demands, and capturing motivation. The information is well received, but they’re now asking you more questions, about behaviors, and school support, and whether you think their child will…

Read More

Potential Gifts From Clients on Social Media

Scenario You are starting to build your online presence, and network with other professionals via Facebook and Instagram. You are judicious in checking your security settings, and only add people that you know are in the field. That being said, you do not have a personal connection with all of your online “friends.” One day, on Instagram, you see an online friend post a picture, with a “friend” (online only) holding a bottle of alcohol and stating that it was…

Read More

Parent ABA Practice Questions in OT & Speech

Scenario I understand that your organization is the Arizona chapter of the Association for Behavioral Analysis International. I also understand that there are no laws or regulations for ABA in Arizona. However, there are professional and ethical standards from your organization and ABAI, and as a parent of an autistic child, I have some questions that deal with professional and ethical standards. My daughter attends an establishment that offers speech and occupational therapy. I have come to learn that this…

Read More

Creating Protocol to Prevent and Treat Trauma with Limited Functional Language

Scenario A BCBA is working with a medically fragile teenager, significantly impacted in several domains (communication – very little functional language, daily living, social skills etc.). The client suffers from a rare heart condition requiring an AED (on her person – in backpack) at all times. The family recently learned of the only potential surgery that could save her life (implant of internal defib). However, the setting on the implant cannot be set for her specific needs so it will…

Read More
Back To Top