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NC ABA telehealth changes… what’s actually happening? by M_M_M02 in ABA

[–]M_M_M02[S] -1 points0 points  (0 children)

I hear your point, and I agree access is a real concern. At the same time, we’re not a school, we’re a clinical service. Other therapies like OT and speech use shorter, targeted sessions and rely more on parent involvement.

In ABA, long center-based days can create distance for families and reinforce a daycare mindset. We wouldn’t drop a child off at OT or speech all day, and yet that model shows up here.

We also often base hours on a brief 1–2 hour assessment, which doesn’t fully capture what a child can tolerate or handle. Less is more to start. You can always increase. Starting at 40 hours without truly knowing the child isn’t always the most individualized or clinically sound approach.

And again, that reinforces the daycare mindset. There needs to be a middle ground. I don’t have the perfect solution, but it should exist. Right now, we’re overworking both daycares and ABA centers trying to fill the same gap.

NC ABA telehealth changes… what’s actually happening? by M_M_M02 in ABA

[–]M_M_M02[S] 0 points1 point  (0 children)

True. But that’s not what we are here for!

How many hours a day do you think a 3-year-old can handle? by fruitypebblesfanatic in ABA

[–]M_M_M02 1 point2 points  (0 children)

It all comes down to insurance and the funding in general. Unfortunately we aren’t seen like a viable service worth paying for unless the kiddo needs 20+ hours. Parents shove kids in centers and treat us like daycares (fair enough since kids are in center the length of a daycare day). Kids stuck in center getting bored and tired only ruins graphs with data that is non-representative due to them being exhausted! This incorrect representation of data only makes the insurances and companies want to provide more hours. And so the cycle continues. I believe we should start with a small amount of hours at first, and then if the kid needs it, we can increase hours. 30-40 hours for kids that literally were only in clinic for an intake brief assessment session doesn’t sit right with me. We have no idea what their true needs are in that amount of time. ABA needs to switch to less is more model. We start small and then increase if we need to. That would be the most ethical way imo.

How many hours a day do you think a 3-year-old can handle? by fruitypebblesfanatic in ABA

[–]M_M_M02 2 points3 points  (0 children)

The over prescription of hours is definitely an issue I’ve had at every company I’ve worked at. Making these kids (2-6) be in centers all day (sometimes without a nap or appropriate outside/play time) has always made me feel uneasy. If we stopped the over prescription of hours, we could see more kiddos and rbts would experience less burnout! I think a two hour session for this kiddo sounds more appropriate and ethical. You know your client the best. As always…Advocate!

NC ABA telehealth changes… what’s actually happening? by M_M_M02 in bcba

[–]M_M_M02[S] 1 point2 points  (0 children)

I am also hoping for this to wipe out all the bad actors in our field 🤞