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Trellis provides ABA therapy to help children with autism.

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Successful Models for Assent-Based Vaccine Clinics 

February 21, 2023 by trellisservice

Wisconsin Early Autism Project’s Green Bay region joins us to share about a unique clinic event and what can be learned. Kerry shares details of sensory-friendly covid vaccine events that utilized assent-based practice to create a comfortable experience for children. As Kerry put it, “When it was time for the shot, that was determined by the child. We were very open and honest with the child and let them know it would only happen when they said it was ok.” 

Filed Under: Podcast Tagged With: ABA, assentbased, Autism, autismsociety, bestpractices, children, clinic, COVID, healthcare, newpodcastepisode, outnow, ParentResources, personcentered, Podcast, Vaccineclinic, weap, wisconsin

What is Contemporary ABA?

February 24, 2022 by trellisservice Leave a Comment

Clinically Reviewed by Genevieve Marshall Ph.D., BCBA-D, LBA 

People often say that history is written by the victors. When the colonists won the American Revolution, they described the war as a noble struggle to escape tyranny. Had the British won, history books might have called it a heroic effort to save the empire from ungrateful rebels. 

In the same way, most people in America are able-bodied, so they decide what is “normal.” For example, we might see an autistic brain or someone with poor eyesight (but stronger other senses) as less valuable. But really, these are just different ways of thinking and living. 

For more than 60 million Americans with disabilities, this can be a challenge. They have to fit their lives into a world designed for able-bodied people, even though it would be easy to make the world work for everyone.  

Ableism and Ableist Misconceptions

Contemporary treatments include the individual in planning when possible. Contemporary practices change in response to the voices of those who have received therapy in the past. 

Ableism is when able-bodied people assume everyone is like them and fail to see the challenges people with disabilities face.  

Ableism includes unfair ideas, such as thinking people with disabilities always need help, even if they don’t ask for it. Not all disabilities are visible, which can lead to wrong assumptions about mental illnesses being different from physical ones. These false beliefs make it harder for people with disabilities to be treated equally and included in society.  

 

ABA Intervention

Applied behavior analysis (ABA) is widely regarded as the most effective treatment for autism, supported by decades of research. It isn’t a single therapy method. Instead, it’s a flexible approach that uses different techniques to help children build the skills they need to thrive at school and in daily life. 

Recently, ABA has increasingly become the target of much controversy as self-advocates are speaking up about their experiences. They reject the idea that teaching people with autism the skills deemed necessary without their input or choice. Some advocates say independence is meaningless without happiness and that people with autism should choose their own goals, which might not include fitting in with others.  

ABA, which is essentially the science of good teaching, has a long history and was originally developed in the 1960s by a group of researchers at the University of Washington. ABA was used to treat individuals with developmental disabilities and initially was a rigid, highly structured and teacher-directed program, which led to some of the negative experiences and associations with ABA. Historically, for example, ABA was used to reduce or eliminate “stimming” – repetitive physical movements and sounds that may soothe and reduce anxiety. We now better understand that stimming helps people with autism manage their sensory processing and their environments. 

Just like in other areas of medicine and science, the field of ABA has advanced in a significant and meaningful way to become a play-based, naturalistic, family-focused and individualized, contemporary treatment that is tailored to the unique needs and goals of everyone. A good ABA program collects and reports data to show effectiveness. Providers must demonstrate success, validated by parents, through goals set with the family. If your provider doesn’t follow this approach, they may not be using best practices.  

ABA now adapts to individual needs by learning from adults. While negative experiences must be addressed, dismissing ABA entirely overlooks its success for many. Good programs focus on the client, seek consent, and value input. Research and ask key questions when choosing a provider. 

What to Look for in an ABA Program 

  • Will I participate in determining the goals of treatment for myself/my child? 
  • How are your staff trained? 
  • How is my child’s program developed? Do all clients receive the same program or are they individualized? 
  • Will there be parent goals as part of my child’s program? 
  • How often is my child’s program modified or revised? 
  • How is data collected and reported? 
  • How often will I see data on my child’s progress? 

Your child’s program should be client-centered and future looking, which means that your family and relevant caregivers are providing input into your child’s strengths and challenges, and that you and your child are helping to guide the goals of his/her program based on your preferences and needs. 

The science of ABA has a long history with decades of research to support its development and evolution. While ABA is most widely known in its application to autism, ABA was developed, and has been applied, to address many circumstances regarding behavior that matter to society. ABA is applied in many different areas, including mental health, animal training, organizational behavior management, marketing, forensics, sports, and physical health, to name a few. Just as other areas of science and medicine advance and application of treatments change, so has the field of ABA. Many lives have been impacted by ABA for the better. It is incumbent upon the professional community to listen, learn, and evolve its practice so that their services are as relevant and effective as possible. After all, the purpose of ABA is to help children with autism achieve the goals that matter most to them and their families — goals that foster growth, independence, and joy in their everyday lives.  

Filed Under: Blog Tagged With: ABA, ableism, applied behavior analysis, ASD, Autism spectrum disorder, autism therapy, Autism Treatment, contemporary ABA, intervention, tailored treatment

Fashion That Fits Every Body: Hilary Pham on Adaptive Clothing Innovation

June 27, 2025 by trellisservice

Hilary Pham, Founder and CEO of Equability, joins us to share insights about her company, which specializes in adapting existing clothing for individuals with disabilities. She discusses her journey of starting the company, inspired by her mother’s struggles with traditional clothing. We explore how clothing can serve as a form of self-expression and how this service allows for modifications in all clothing brands to better suit the wearer. Hilary’s creative problem-solving and focus on community connection are truly inspiring. 

View the transcript, show notes, and previous episodes at: https://www.allautismtalk.com/episodes/fashion-that-fits-every-body

All Autism Talk is sponsored by LEARN Behavioral.

Filed Under: Podcast Tagged With: Accessible fashion innovation, Adaptive apparel, Adaptive clothing, All Autism Talk, clothing, Clothing accessibility, Clothing modification for disabilities, Customizable clothing, Disability advocate, Disability entrepreneurship, Disability-inclusive design, Empowering fashion choices, Equability, Equability CEO, Equality, fashion, fashion for people with disabilities, Fashion startup founder, Founder spotlight, Hilary Pham, identity, Inclusive fashion, Inspired by caregiving, Podcast, self-expression, Technology

Why Wandering Is a Serious Risk for Kids With Autism, Especially in Summer

June 26, 2025 by trellisservice

  Clinically Reviewed by: Christine Brody, M.S., BCBA, Director of Training and Development

For many families raising a child with autism, one of the biggest fears is a child slipping away. That might mean walking out the front door, leaving the playground or disappearing into a crowd. This behavior, often called “wandering” or “elopement,” can happen in a matter of seconds. It’s more than stressful. In some cases, it can be life-threatening. 

Summer brings even more opportunities for this to happen. Routines shift, outings increase, and kids are often near water, one of the biggest safety hazards for children with autism. Understanding why wandering happens and how to prevent it can help families stay prepared and safe. 

What Is Wandering? 

Wandering happens when a child leaves a safe place without permission or supervision. This can include leaving home, school, a playground, or a caregiver in public. 

In children with autism spectrum disorder (ASD), it’s especially common. A 2012 study in Pediatrics found that nearly half of children with autism had tried to wander or run away at least once after age 4. Of those, 26% were missing long enough to cause concern. 

The reasons vary. Some children may seek out a place they enjoy, such as water. Others may run to escape overwhelming sounds, sights, or situations. But no matter the cause, the risk is high. 

Why Summer Brings Added Risk 

Wandering can happen any time of year, but summer adds new layers of risk. Families are more likely to be out of their routines, exploring new places, or visiting pools, lakes, and beaches. New environments can be exciting, disorienting, or overstimulating for kids with autism. 

Water presents the greatest danger. According to the National Autism Association, accidental drowning accounted for 71% of all deaths resulting from wandering in children with autism under age 15. 

And it can happen fast. The Centers for Disease Control and Prevention (CDC) reports that it takes as little as 20 seconds for a child to drown. 

Safety Strategies That Can Help 

Many families aren’t told about wandering risks when their child is first diagnosed. But there are proactive steps that can help reduce danger. 

Swim lessons are one of the most effective strategies. Some insurance plans may cover swim lessons for children with autism as part of behavioral treatment. Read more in Why Swimming and Water Play Benefit Kids with ASD. 

Families can also partner with a board certified behavior analyst (BCBA) to teach safety skills. BCBAs can support children in tolerating wearable tracking devices, reducing bolting behaviors, and recognizing safe adults or “community helpers.” 

Other tools include: 

  • Personal ID wristbands or GPS trackers 
  • Secure fencing or home alarms 
  • Creating emergency plans with neighbors 
  • Registering with local police or Smart911.com, which lets families share medical or behavioral information that pops up for 911 dispatchers 

Planning Ahead Brings Peace of Mind 

Not every child with autism wanders. But for those who do, preparation can save lives. 

Summer outings should be fun, not stressful. These 4 Steps to Swim Safety for Your Child with Autism offer practical tips families can use right away. 

For more information on wandering and autism safety planning, visit the National Autism Association’s Big Red Safety Toolkit. 

Filed Under: Blog Tagged With: ASD, Autism, autism safety, Summer and autism, summer ASD, summer safety autism

Understanding the Autistic and ADHD Nervous System

May 27, 2025 by trellisservice


Dr. Megan Anna Neff, a neurodivergent psychologist (autistic & ADHD) and founder of Neurodivergent Insights, returns to discuss the complexities of the nervous system, particularly autism and ADHD. She helps us understand the difference between sympathetic and parasympathetic responses, the concept of flooding, and the various triggers that can lead to stress responses. Dr. Neff also offers helpful strategies for nervous system regulation and the concept of the ‘window of tolerance’ and how it affects emotional regulation. This discussion is fascinating and valuable for caregivers and anyone with a nervous system.

View the transcript, show notes, and previous episodes at: https://www.allautismtalk.com/episodes/understanding-the-autistic-and-adhd-nervous-system

All Autism Talk is sponsored by LEARN Behavioral.

Filed Under: Podcast Tagged With: ADHD, Autism, Autistic-ADHD, caregivers, Emotional regulation, Flooding, Nervous system, Nervous system regulation, neurodivergent, Neurodivergent Insights, Parasympathetic response, Psychologist, Stress responses, Sympathetic response, Window of tolerance

Autism Diagnosis Without Bias: Eye Gaze Technology and Equity in Action

May 7, 2025 by trellisservice

Dr. Hanna Rue and Jonathan Lehmann join us to discuss the importance of early diagnosis and the potential of a new tool aimed at addressing health disparities, particularly for families from diverse backgrounds. In this episode, we explore the application of the EarliPoint device, which uses eye gaze tracking technology to diagnose autism in children aged 16 to 30 months. Dr. Hanna Rue emphasizes, “We all know that access to diagnostics can be extremely challenging. Within the Boston area, some families are waiting three years. Research supports that the earlier you start with services, the better outcomes you have.”

View the transcript, show notes, and previous episodes on https://www.allautismtalk.com/episodes/eye-gaze-technology-and-equity-in-action

All Autism Talk is sponsored by LEARN Behavioral.

Filed Under: Podcast Tagged With: ABA Therapy, All Autism Talk, Autism, Autism Diagnosis, Autism Podcast, Podcast

RBT vs BCBA: What’s the Difference Between a Registered Behavior Technician (RBT) and Board Certified Behavior Analyst (BCBA)?

March 5, 2025 by trellisservice

When it comes to careers in the field of autism therapies, understanding the distinct roles of the professionals involved is crucial. 

Two key positions in this field are registered behavior technicians (RBTs) and board certified behavior analysts (BCBAs). While both play essential roles in delivering effective therapy, they differ significantly in their responsibilities and qualifications. Learn about RBT vs BCBA salaries, roles, and more below.

Understanding the Role of a Registered Behavior Technician (RBT)

The role of an RBT is an entry-level position in the field of autism therapy. RBTs provide direct therapy to people with autism under the supervision of a BCBA. 

To become an RBT, you must complete a 40-hour RBT certification, meaning a training program covering essential topics such as behavior management, data collection, and ethics. You must also pass a competency assessment and undergo a background check. At LEARN, we provide thorough behavior technician training and ongoing support for all BTs and RBTs.

RBTs work with behavior intervention plans, collect data on client progress, and keep clients safe during therapy sessions. They play a vital role in teaching and reinforcing new skills, promoting independence, and reducing behaviors that interfere with growth and learning. RBTs work closely with BCBAs, following their guidance and reporting progress and challenges observed during therapy sessions.

Exploring the Role of a Board Certified Behavior Analyst (BCBA)

A BCBA is a highly trained professional who specializes in assessing, designing, and using behavior intervention programs for people on the autism spectrum. 

To become a BCBA, you must hold a master’s degree in behavior analysis or a related field such as psychology or education. Additionally, you must complete a defined number of supervised fieldwork hours and pass the BCBA certification exam administered by the Behavior Analyst Certification Board (BACB)®.

BCBAs are responsible for conducting assessments to identify the needs and goals of people on the autism spectrum. Based on these assessments, they develop behavior intervention plans tailored to each person’s unique needs. 

BCBAs also provide training and support to other professionals, caregivers, and educators involved in the person’s treatment. BCBAs offer ongoing supervision and oversight to RBTs and other behavior therapy staff, and they make necessary adjustments to optimize outcomes. 

BCBAs collaborate with other professionals, such as speech language pathologists, occupational therapists, school staff, and case managers to provide comprehensive care for people with autism.

Comparative Analysis: BCBA vs RBT

Here are the key differences in terms of educational qualifications, scope of practice, and career opportunities for a BCBA vs RBT:

  1. Educational Qualifications: RBTs need at least a high school diploma or equivalent and must complete a 40-hour training program approved by the BACB. In contrast, BCBAs are required to hold a master’s degree in behavior analysis or a related field, complete supervised experience, and pass a rigorous certification exam.
  2. Scope of Practice: RBTs work under the supervision of a BCBA, focusing on implementing behavior intervention plans and collecting data. BCBAs have a broader scope of practice, including conducting assessments, developing treatment plans, and overseeing the implementation of interventions. BCBAs have more autonomy and are authorized to make clinical decisions.
  3. Career Opportunities: RBTs typically provide direct therapy in various settings, such as schools and homes. BCBAs have more diverse career paths, including roles as consultants, supervisors, or private practitioners. RBT vs BCBA salary levels can vary across the country. Because of their advanced education and responsibilities, BCBAs generally earn higher salaries.

Both RBTs and BCBAs play important roles in autism therapy, complementing each other to provide comprehensive support and intervention for individuals with autism. Understanding these RBT vs BCBA roles can help you make informed decisions about your career path in this rewarding field.

To learn more about behavior technician jobs and ABA career opportunities available at LEARN, visit our careers page.

Filed Under: Blog Tagged With: ABA careers, ABA Therapy, BCBA, behavior tech, Behavior technician, BT, Careers

BCaBA vs BCBA: What’s the Difference Between a BCaBA and a BCBA? 

March 4, 2025 by trellisservice

When pursuing a career in autism therapy, it’s essential to understand the qualifications and roles of professionals in the field. 

Two key titles you will encounter are known as board certified behavior analysts (BCBAs) and board certified assistant behavior analysts (BCaBAs). Though they sound similar, they have distinct differences.

The main difference between the BCaBA vs BCBA titles is the level of education and supervision required for each. Let’s explore more about each role.

BCaBA vs BCBA Requirements: What Level of Education Do I Need?

The titles “BCaBA” and “BCBA” are the two main certifications in the field of applied behavior analysis (ABA) therapy. That may sound like a lot of alphabet soup, but let’s break it down:

  • A BCaBA requires a bachelor’s degree, while a BCBA requires both a bachelor’s and master’s degree. 

The roles also require a different level of supervision.

  • A BCaBA can’t practice without supervision from a BCBA or BCBA-D (doctoral-level BCBA). A BCBA can practice independently and supervise others.

What Does the Coursework Include?

There is a difference between BCBA and BCaBA coursework required. To become a BCBA, coursework covers ABA therapy for autism, ethics, measurement, experimental design, and behavior assessment. Additionally, candidates must complete supervised fieldwork and pass the BCBA exam.

For BCaBA certification, a minimum of a bachelor’s degree in behavior analysis, education, or a related field is required. Like the BCBA, candidates need coursework in ABA, ethics, measurement, experimental design, and behavior assessment. They also need to complete supervised fieldwork and pass the BCaBA exam.

Both certifications require continuing education to stay up to date with the latest advancements in the field. 

BCBA vs BCaBA: What Do They Do?

BCaBAs and BCBAs both work with people who have developmental disabilities, such as autism, to help them change their behavior and lead more fulfilling lives. 

These professionals use scientific approaches such as ABA therapy. They work in a variety of settings, including schools, homes, learning centers, and the community.

BCaBAs and BCBAs conduct assessments, develop individualized treatment plans, and work with families who have kids on the autism spectrum.

How Much Autonomy Does a BCBA vs BCaBA Have?

Supervision requirements and levels of autonomy differ between BCaBAs and BCBAs. BCBA candidates need a minimum of 1,500 hours of supervised experience, including at least 75 hours of face-to-face supervision from a qualified BCBA. BCaBA candidates require 1,000 hours of supervised experience, with at least 50 hours of face-to-face supervision.

One difference between a BCaBA and BCBA is that BCBAs generally have more autonomy, conducting assessments, developing behavior plans, and directly supervising others. BCaBAs, while crucial in treatment, work under a BCBA’s guidance, using behavior plans and collecting data. Together, they use evidence-based interventions tailored to each person’s needs. 

What Kinds of Career Opportunities Are Available for a BCBA vs BCaBA?

Career prospects for BCBAs and BCaBAs are promising, driven by the growing demand for autism therapies. BCBAs can work in schools, clinics, and private practices, often holding supervisory roles and conducting assessments.

Both roles offer advancement opportunities. BCBAs can pursue advanced certifications like BCBA-D, leading to higher-level positions and research opportunities. BCaBAs can gain experience, pursue higher education, and take on more responsibilities, such as supervising other BCaBAs.

Specializations within behavior analysis — such as early intervention or verbal behavior — allow professionals to focus their expertise and advance their careers. Staying informed and pursuing ongoing professional development can lead to successful and fulfilling careers in autism therapies.

BCaBA Salary vs BCBA Salary: What’s the Difference?

Across the country, BCBA salaries typically range from $55,000 to $85,000 per year, influenced by experience, location, and work setting. BCaBAs earn between $35,000 and $55,000 per year, with similar influencing factors.

Geographic location, level of experience, specialization, and work setting all affect BCBA vs BCaBA salary levels. BCBAs and BCaBAs working in educational institutions or private clinics may earn higher salaries compared to those in nonprofit organizations.

While BCaBAs earn lower salaries, they play a crucial role in providing behavior analysis services under BCBA supervision. Ultimately, career goals, desired responsibility level, and commitment to professional development should guide the choice between these positions.

BCBA or BCaBA: How Do You Choose the Right Career Path?

If you’re seeking a career in autism therapy, both roles are crucial positions. You can start at one level and work your way up through education and experience. It’s common for people to earn an assistant certification before working toward becoming a BCBA.

Many BCBAs first earn a bachelor’s degree in psychology, education, or ABA, then pursue a master’s degree in ABA or a related field. The job growth rate for BCBAs is projected to be 8 percent from 2020 to 2030, which is faster than average for psychologists.

To learn more about BCBA or BCaBA job opportunities available at LEARN, visit our careers page.

Filed Under: Blog Tagged With: ABA careers, ABA Therapy, BCaBA, BCBA, Careers

The Importance of Fitness to Support Life Skills

February 27, 2025 by trellisservice

Eric Chessen, founder of Autism Fitness, shares his journey to create effective fitness programs for neurodivergent individuals. He emphasizes the importance of understanding their unique needs and challenges as well as the role of fitness as a life skill. He states, “It’s not just for sports or body composition. A lot of our focus is to support activities in daily living.” Eric also discusses the need to raise the standard of practice in the fitness industry to better serve the autism community.

To watch the interview or read the transcription, visit: https://www.allautismtalk.com/episodes/the-importance-of-fitness-to-support-life-skills

All Autism Talk is sponsored by LEARN Behavioral.

Filed Under: Podcast Tagged With: Adaptive Fitness, All Autism Talk, Autism, Autism and Movement, Autism Fitness, Autism Independence, Daily Living Skills, Disability Fitness Programs, Exercise, Exercise for Autism, Fitness for Independence, Founder, Functional Fitness, LEARN Behavioral, movement, Neurodivergent Exercise, Neurodiversity Advocacy, Podcast, Special Education, Strength

The Path of a Behavior Tech Leads to Any Career

February 20, 2025 by trellisservice

If you are looking for a job, the world is your oyster. If you are looking for a job that makes an impact and will cultivate skills to help your career flourish as a professional, consider becoming a Behavior Technician! To learn more about what the role of Behavior Technician is, click here.

Filed Under: Video Tagged With: behavior tech, Behavior technician, Careers

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