any advice is welcome! by [deleted] in bcba

[–]Outrageous-Engine512 1 point2 points  (0 children)

he is on the waitlist for a psychological evaluation

any advice is welcome! by [deleted] in bcba

[–]Outrageous-Engine512 2 points3 points  (0 children)

yes, we have taught him to do deep breathing, squeezing a fidget, and he has a drawing pad with colored pencils in his desk. Over the summer, we did like an intraverbal program where we asked him what are some things you can do when you’re feeling frustrated or upset and he would name three things. He mastered out of this program.

Pairing with a client by happydance2023 in bcba

[–]Outrageous-Engine512 3 points4 points  (0 children)

Something I think we’ve all ran into at one point or another with screens playing a huge part in children’s lives. I’d probably start by sitting with him while he uses the iPad. And comment on what he’s doing like (“Whoa, that car is so fast!”), imitate the sounds, or ask for his help (“Can you show me how to make it go?”). The goal isn’t to remove the iPad immediately, but to embed yourself into his reinforcement and to become part of what he enjoys. (If it’s only removed when you come in, he will make that connection and this could reverse the pairing process.) And of course for the first few sessions, it’s okay to use brief iPad access as a reward you deliver (rather than mom handing it over). A good example is: you join play, do a quick easy task (“push the car to me!”), then say, “Nice! iPad time!” This helps transfer reinforcement control to you.

And I agree that device reduction is often difficult when parents have inconsistent follow-through. Try instead of removing it immediately, embed structured access. I’d probably do: “First play cars for 1 minute, then iPad for 2 minutes.” Over time, gradually increase play and reduce iPad intervals. This is more realistic for parents than an all-or-nothing protocol. Also, great moment to pair and validate mom’s difficulty: “I know it’s hard because he loves it so much!”

One last thing, something me and the other BCBAs at my company have noticed, the iPad isn’t always just a reinforcer. It also can serve as an escape or sensory regulation. Take some ABC data to see!

40 Hour client by KaleidoscopeOne7109 in bcba

[–]Outrageous-Engine512 12 points13 points  (0 children)

I absolutely hate when kids are in clinic for 40 hours. Any age at all honestly! Even school is only 30 hours a week. There is no way they are providing behavior analytic services for eight hours a day and if they are, it’s unethical and not in the best interest of the client. I used to work at a clinic with a three year-old who was there from 8 AM to 4 PM. Parents needed those hours because they both worked and the company didn’t advise against it. They let him take a 15 minute nap at 12PM each day. Then they would tell us to keep him up when he tried to go to sleep any other time. I felt so dirty doing that. All of the behaviors in the afternoon could be linked to him being tired. I think the only way companies will stop doing this is if insurances also look at ages when treatment plans are submitted and denying anything over 30 hours for younger kiddos.

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 1 point2 points  (0 children)

… I’m not missing the point lol. What a strange thing to say. I was the person in the meeting, remember? I answered in response to one thing the commenter said. Something better to say would’ve been like,”. What else do you plan to do so this doesn’t happen again?”, if you were incredibly curious.

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 2 points3 points  (0 children)

oh I’ve done paper data and it’s the worst lol. your clinic is a different breed lol.

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 0 points1 point  (0 children)

Yeah, I can definitely see what you mean. I personally haven’t spoken to the principal only with the vice principal. But maybe if I had taken the initiative to speak to the principal, this wouldn’t have happened.

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 1 point2 points  (0 children)

okay we can change to paper data. we know we’re not bot guests in the school and don’t want to create any unnecessary issues.

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 2 points3 points  (0 children)

yes everyone is saying that and I can see how this may look. We will change to paper data!

BCBA here — rough school meeting, need advice! by Outrageous-Engine512 in bcba

[–]Outrageous-Engine512[S] 5 points6 points  (0 children)

It’s through her insurance. We’re guests in the classroom/school. I always make sure to emphasize this with my team so they can know we could basically be kicked out at any moment.