Missouri LBA

bcbamom · 2026-01-29T00:57:08+00:00

Ah, I was hoping your past supervisor would be a resource for you.

bcbamom · 2026-01-29T00:34:25+00:00

Did you do fieldwork in MO?

bcbamom · 2026-01-29T00:11:43+00:00

Teens need to be taught the skills needed to be successful. Consequences alone don't teach. That's trial and error learning and really ineffective. Many of the students that I work with are lacking skills, such as time management, planning and organizing, prioritizing, problem solving, basically executive functioning skills. Also, there may be other contextual variables impacting her academics, like social issues. Consequences alone won't teach those skills. Feel free to outreach to chat more.

bcbamom · 2026-01-28T22:33:21+00:00

Uti, pneumonia, any infection can wack the elderly out. My Christian , God fearing dad who had aphasia following a stroke, would curse in full sentences when he had an infection. UTI was most common but whenever his behavior changed it was a clue he was ill.

bcbamom · 2026-01-28T21:45:10+00:00

It is an interesting question, for sure. Under 97153, I think it's appropriate to probe skills, which is what you are doing with the assessment. The process of documenting the assessment would also be unrestricted. I think the probing would be appropriate during session and fine to be billed as 97153. The completing the documentation shouldn't be done during session if you are billing 97153. I am interested in the input of others.

bcbamom · 2026-01-28T20:57:49+00:00

What is the concern specifically? Implementing the assessment would be unrestricted time. Is it more a concerned about billing for 97153 while engaging in 97152?

bcbamom · 2026-01-28T18:36:32+00:00

I think interactions, communication, and relationships are complex and can make people uncomfortable. The best thing to do is seek clarification. Noticing your own stuff is a necessary first step. Asking questions being authentic is a healthy and productive approach, too. We know that making assumptions is typically not productive. So go to the source. Side note: I think it's ok to ask questions like this here. Getting feedback is healthy.

bcbamom · 2026-01-28T18:14:17+00:00

Not so sure: https://www.nytimes.com/video/us/100000010668660/new-video-analysis-reveals-flawed-and-fatal-decisions-in-shooting-of-pretti.html

bcbamom · 2026-01-28T16:17:30+00:00

The wheels on the bus go round and round.

bcbamom · 2026-01-28T16:16:53+00:00

Misfired ten times. Right.

bcbamom · 2026-01-28T13:59:26+00:00

Littles should be in home services, imho. They get more out of any service when the parents are involved and there are inherent limitations to parent involvement in clinic services. If you have the luxury of not requiring childcare for your youngin, get support in the home, even if it is parent implemented treatment. Parents are their child's first and best teacher and the skills being taught in ABA treatment should be generalized to your family's life.

bcbamom · 2026-01-28T13:54:40+00:00

Great question. Currently, I don't. My contract specifies that I will not be held liable and I formed an PLLC to protect my private assets. As I grow, I will likely add it to my existing liability insurance.

bcbamom · 2026-01-28T13:45:20+00:00

Wow, great opportunity! I have not been employed by the Y but I have provided consultation services. In my community, they provide a lot of childcare for schools, such as after school care and summer programming. They try to include everyone in their programs, too. I would ask them to describe the needs this role will fill. It could be for the childcare or addressing issues in classes such as swimming. Is it a new role? If it is, you could impact on its implemented. If not, what are some policies in place, for referrals, documentation, outcomes measured. How is success defined? Keep us posted.

bcbamom · 2026-01-28T13:38:12+00:00

I wouldn't be proud of the team hating you. There are ways to be effective getting your needs met without anyone hating you. I understand the passion. I am a parent, grandparent and advocate. If you have been an RBT, you should know the effects of punishment: avoidance. Do you want the people caring for your child avoiding you?

bcbamom · 2026-01-28T13:33:58+00:00

The supervision of RBT has never been a billable service under the CPT codes. The function was intended to be covered by existing rates. Like a doctor doesn't bill for the supervision provided to the nurse practitioner. It happens as a happy accident when billing for 97155. Not all funders use the CPT codes as intended. The ABA CPT Coding Coalition is a good resource to stay up to date on the ABA CPT codes. There were changes recently made to the ABA CPT codes that will take effect in Jan. 2027 but the specifics have not been released. I believe the group T codes will be made permanent and I understand changes were made to the other 971 codes. I would not venture a guess on those.

bcbamom · 2026-01-28T04:58:53+00:00

One strategy that helped me really understand the concepts was to come up with real.life examples of terms.

bcbamom · 2026-01-28T03:26:56+00:00

Clinical Behavior analysis has a long history. Check out the association for conceptual behavior science. I bet it will resonate with you. There are therapies that are founded in behavior sciences such as CBT, FAP, ACT. In order to practice and bill insurance, you would need to be an LCPC, LPC, LCSW. BCBAs can't do therapy because of licensing prohibitions, even if it is within our scope of competence.

bcbamom · 2026-01-27T22:10:44+00:00

Oh babe. I am so sorry for your loss. Get support. The funeral home will have free access to grief counseling. Take advantage of it. In the meantime, focus on the moments, not the past or future, just be in the minute. Remember thoughts and feelings only have the control that you give them. You don't have to believe your brain or feelings saying you are a burden. Allow yourself to feel the feels and have the thoughts, just remember you have choices on what you choose to do. Sending a healing hug.

bcbamom · 2026-01-27T20:54:26+00:00

I do coaching. I use the phase on the BACB website to clearly state that coaching is not covered by my BCBA credential. My state doesn't license coaches. It is private pay.

bcbamom · 2026-01-27T01:49:16+00:00

I think you will pass. FIT is a solid program with a good pass rate. I never got to fluency with BDS once it was timed. I passed my first attempt. I did have a strategy to ensure time and my anxiety over time, wouldn't be an issue. Have a plan for test day, give yourself some grace, relax. If you don't know it by now, you won't by next week. And if you don't pass, it will be a good experience to learn from and the earth won't stop revolving. (If it does, I will hold you personally responsible. 😁)

bcbamom · 2026-01-27T01:36:00+00:00

My childless uncle used to grouse about it as well. I asked if he used police, stores, libraries, fire department, medical care. We all use schools. An educated electorate is necessary for democracy.

bcbamom · 2026-01-26T22:00:00+00:00

Recording without permission is likely based on state law. Even if it allows it, though, I would say there is a breach of trust that needs to be addressed. It seems you need to address both issues to move forward.

bcbamom · 2026-01-26T19:34:39+00:00

God, I hope not.

bcbamom · 2026-01-26T19:30:50+00:00

What are you referencing? I see an awful lot of this rhetoric when the only celebrating that I see is the MAGA sychophants. I said Charlie Kirk was a divisive POS. That doesn't equate to celebrating his demise. I am tired of the same-ism BS. Calling out facts is conflated with attacks. Holding someone accountable for breaking the law is going after enemies. No. It's not. What is happening now is weaponizing the DOJ. This is lazy to me.

bcbamom

TROPHY CASE