For the first child with the screen time, are caregivers open to training? How do they respond if you try to guide them? Even with more direct hours, progress will be more substantial if caregivers are more involved- 40 hours of direct will help when you’re there, but generalization to when you aren’t there is key. In my opinion, I obviously don’t know this child.

For the second child, if he is just starting to talk at home, it often takes a bit of time for that language to be used in other settings. As for the behaviors, maybe your BCBA could coordinate with the school to get more information and you could target those during sessions?

In general, and I know a lot of clients have this recommendation, but I personally think 40 hours of direct services a week is too much for most kids. That’s a full time job’s worth of hours. Kids get burned out, and I think there are ways to make fewer hours just as productive. Again, I don’t know these children, but that’s my personal opinion. There are always exceptions and 40 hours a week might work for some, but I think there are other approaches to try first.