RELYON AUTISM THERAPYFrequently Asked Questions

A scientific approach for discovering environmental variables that reliably influence socially significant behavior and developing a system to change those behaviors positively.  

What does this mean?  ABA is about understanding how a person’s environment affects their behavior and then using that knowledge to help them learn new, more positive behaviors.

ABA is the design, implementation, and evaluation of environmental modifications to produce socially significant improvement in human behavior. ABA includes the use of direct observation, measurement, and functional analysis of the relations between environment and behavior.

What does this mean?  Directly observing the “why” of behaviors and implementing a plan to decrease those we don’t want to see, and increasing those we do. 

Yes, ABA therapy is supported by decades of research and is considered the “gold standard” for treating autism spectrum disorder (ASD) and other developmental disorders. Numerous studies have shown that ABA techniques are effective in improving communication, social skills, academic performance, and adaptive behavior. However, as with any therapy, outcomes can vary, and the therapy should be delivered by qualified professionals who are skilled in using evidence-based methods. 

Board-Certified Behavior Analyst (BCBA)
They are responsible for conducting comprehensive assessments, including skill assessments and function-based behavioral assessments, to determine areas of focus for therapy. BCBAs use this information to create individualized treatment programs, write monthly authorization reports, and oversee the progress of clients.

In addition to program development, BCBAs provide training and supervision for Registered Behavior Technicians (RBTs), ensuring that treatment is implemented effectively. BCBAs also conduct family empowerment sessions, where they work closely with parents and caregivers to help them understand the therapy process and how to support their child at in different settings.

Registered Behavior Technicians (RBTs)
RBTs are trained professionals who provide direct 1:1 therapy with clients to implement the behavior protocols and teach skills through programs created by the BCBA, while collecting data to track progress. 

In summary, BCBAs lead and oversee the therapy process, while RBTs carry out the specific interventions and teach the skills directly under the BCBAs guidance.

A Board Certified Behavior Analyst (BCBA) must receive a Master’s Degree in behavior analysis or a related field. They must complete 1500-2000 hours of being supervised by another BCBA in good standing with the Behavior Analyst Certification Board (BACB). A board exam must be passed to receive certification. BCBAs must also maintain their certification by completing 32 hours of continuing education (CEU) every 2 years. Depending on the state, licensure may also be required.

A Registered Behavior Technician (RBT) must have a high school diploma, complete a 40-hour training, and pass a certification exam. RBTs work directly with with clients under the continued supervision & guidance from a BCBA, for a minimum of 5% of hours scheduled with clients. RBTs must be re-credentialed every year. 

Talk to your pediatrician and express your current concerns (e.g., speech delays, lack of eye contact, etc.) They will refer you to a neurologist, developmental pediatrician, or psychologist. Once scheduled, an evaluation will be completed, which will determine a diagnosis, if any. 

Check out the CDC’s developmental milestones to assist in observations that you may notice with your child. 

https://www.cdc.gov/ncbddd/actearly/milestones/index.html 

Following a diagnosis being provided to the family, a diagnostic report will be provided. In addition, a letter of medical necessity will be provided along with a “prescription” for services and hours recommended (e.g., ABA therapy, speech therapy, etc.). Research the suggested therapies and ask questions to the providers you may be reaching out to. Next, see if your insurance covers these services. 

No, autism cannot be cured. It is a lifelong intellectual disability, but with the right therapies and supports, individuals can make significant progress. These therapies can help increase independence, improve daily functioning, and reduce some of the symptoms associated with autism, enabling them to thrive and reach their full potential.

Many health insurance plans cover ABA therapy, especially for individuals with autism. Coverage varies by provider and location, so it’s important to check with your insurance company to confirm whether ABA therapy is covered under your plan. We can assist with insurance verification to help you navigate this process.

A child is evaluated every 3-6 months dependent on insurance. Skill and behavioral assessments are completed to determine progress in areas displaying deficits. A report is then sent to the insurance to authorize or approve hours that are clinically recommended.

Insurance companies require noticeable progress and ‘mastery’ of skills in communication, social skills, adaptive routines, motor skills, and many others. Also, decreases in maladaptive behaviors should be noted over time.

Insurance companies have the authority to approve or deny coverage based on the length of time individual has received ABA services, parents participation in family empowerment session, as well as utilization of authorized hours as approved. As clients make progress, specified transition criteria are created to reduce hours consistently over time until a client no longer needs services.

During an ABA therapy session, RBTs work directly with a client using a combination of structured activities and naturalistic interventions. The RBT will use techniques like reinforcement, prompting, and shaping to teach new skills, and address behavioral challenges. Sessions are designed to be fun, engaging,  and tailored to the individual’s needs. 

Absolutely! Parental involvement is an essential and integral part of ABA therapy. We incorporate parent goals and provide empowerment training as part of the treatment plan to ensure that the progress made in the clinic is successfully carried over and applied in other environments. By collaborating closely, we can maintain consistency and continuity, which is key to maximizing the success of the client.

The duration of ABA therapy depends on the individual. Some children may need therapy for several years, while others may achieve their goals in a shorter time. ABA therapy is provided anywhere from 15-40 hours per week dependent on skill deficits, communication, and engagement in maladaptive behaviors.

ABA therapy is a medically necessary service, in which hours are clinically recommended based on completion of behavioral and skills assessments.

Think of it as a prescription-When the therapy plan and hours are followed as recommended, individuals tend to make the most progress. Research shows that comprehensive treatment plans with the right amount of therapy hours lead to the best outcomes.  

ABA therapy has evolved, and today it focuses much more on building skills that are meaningful and functional for the individual, rather than simply promoting compliance. While ABA does work on behaviors like following directions, it also addresses self-regulation, communication, social interactions, and independence.