Individualized Behavior Interventions

In-Home ABA therapy is an excellent way to teach and improve communication skills, self-help skills, social skills and facilitates family involvement. Studies show that it is superior to clinical therapy for some children.  Home is where all children first reach most major developmental milestones. Those pivotal skills are then generalized to other natural environment settings (grocery stores, restaurants, parks, neighborhood playdates, school etc.,). By being in-home, we help the child master their universe by learning specific processes, procedures and expectations for the place they spend most time. Being in home gives our therapists the opportunity to observe behavioral patterns that create challenges in day to day activities and provides for continuity of expectations between home and therapy providers. Often, working in the client’s home allows opportunities to incorporate siblings and parents or neighborhood peers during some of the interventions which maximizes the value of the interaction for our client and those that interact with them. 

Positive Behavior Approach

Our applied behavior analysts use a positive behavior approach. All behavior has meaning, even the most challenging behaviors have a purpose beyond just being naughty or disobedient. We provide a holistic approach that begins with looking at anything that affects behavior to identify why behaviors are occurring. That knowledge is used to identify the most appropriate research based strategies to prevent future challenging behaviors as well as teach new skills.  Our consultant will do a functional assessment of your child’s behavior to identify the cause or function of socially inappropriate behaviors.

Functional Assessments are not invasive and often enjoyable for clients, they include direct observation and interaction with your child, parent interview, medical history review, developmental questionnaire, review of health/educational assessments. Once we understand why a behavior is happening and know what skills are lacking, our staff develops your child’s individualized intervention plan for your consent and agreement. As your child grows, this plan will evolve it can also change to accommodate your resources and family situation. 

You’re Not Alone. Let’s Talk.

Customizations For Children & Families

In ABA, a behavior is anything a person can be seen doing or saying. Obviously some of those behaviors are socially appropriate (communication and appropriate interaction with peers) while other behaviors are considered socially inappropriate or challenging (meltdowns, avoidance, aggression, etc.,). Our consultants take parent observations and concerns into account prior to using a combination of interventions to best accentuate each child’s strengths and improve their weaknesses. The assessment process is based on the child’s age and developmental levels and may look the same for some individuals but no two intervention plans are the same. 

Timeframe of Therapy

There are many factors that affect scheduling of therapy appointments and the duration of treatment. Intensive Early Intervention is considered best practice with services decreasing as your child enters school. An individual’s natural growth and development can have significant impact on the behaviors they exhibit so it is difficult to say just how long therapy will be needed. We schedule appointments based on client availability and necessity. Clients have a set weekly schedule of 2-5 appointments per week. Appointment times vary from 2-4 hours.

Our Approach

Positive and Negative Reinforcement

Is a naturally occurring phenomenon that shapes appropriate behaviors and it is the basis for all of our behavior interventions.  It can be positive or negative.  Positive reinforcement is GIVING a desired item or activity after an appropriate behavior AND it causes an increase in that behavior in the future (this could be verbal praise, a high five, playtime with a preferred toy, snack etc.,)   Negative reinforcement is REMOVING an aversive or unwanted item/activity after an appropriate behavior AND it causes an increase in that behavior in the future.  It is important to know that reinforcement will be faded and offered at different intervals and intensities depending on the individual and the task at hand.  A real life example of positive reinforcement and negative reinforcement…

Its Saturday morning and time for household chores, I ask my 9 and 10 year old to clean up dog poop in our back yard.  This is a typical nonpreferred, household chore that results in challenging behaviors like whining, the kids blaming each other for making messes and avoidance of the job.   When my child does the job (behavior) efficiently,  WITHOUT whining/complaining, I interrupt the job and give them praise and excuse them before the task is complete.  As a result, next time, they work efficiently without issue. This is negative reinforcement because I removed something aversive (a chore) after my child worked appropriately and as a result, next time, they do the chore appropriately. I could apply positive reinforcement by giving my child an allowance after they finish chores which will also reinforce the desired behavior (chore completion) in the future.

Task Analysis

This is a process that breaks a complex skill in to smaller steps to help learners become more independent with important self help skills like toileting, hand washing, getting dressed, making a sandwich, etc.

Discrete Trial Training (DTT)

Is a highly structured teaching process that uses skill repetition and reinforcement to teach basic skills like matching, sorting, identifying common items, imitating others.  During DTT, if an error occurs, it is simply corrected in a neutral manner with no punishment or reinforcement with a quick repeat of the skill with prompting to help the child respond correctly. 

Incidental Teaching

Is a teaching process that occurs in the natural environment and is guided by the child’s interest.  This strategy involves observing a child’s interests in a stimulating area and them interact using items/activities chosen by the child.  Therapists expand that interest to improve appropriate play, communication, social skills,  and other socially significant behaviors.

To Reduce Challenging Behaviors

There are a variety of intervention technics that we pair with reinforcement strategies to diminish challenging or socially inappropriate behaviors. Some of these are intended to teach and reinforce a new more appropriate response, redirection, some will block the existing reinforcement chain that maintains the challenging behavior,  or to provide additional supports/teaching to make difficult or new tasks more manageable for the child.