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Trellis provides ABA therapy to help children with autism.

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Upholding Clinical Integrity: A Cornerstone for Leadership and Clinical Practice at LEARN Behavioral

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Written by Dr. Ashley Williams, Ph.D., LABA, BCBA-D, Vice President

In the realm of healthcare and behavioral sciences, integrity stands as an unwavering pillar that supports both the practitioners and the individuals seeking assistance. Within LEARN Behavioral, a leading organization dedicated to enhancing lives through applied behavior analysis (ABA), the significance of clinical integrity resonates deeply, shaping not only the quality of services provided but also how we lead our teams.

The Essence of Clinical Integrity

Clinical integrity encompasses more than just adhering to ethical guidelines; it embodies a commitment to honesty, transparency, and a genuine dedication to the clients’ well-being. In the context of ABA, clinical integrity means adhering to evidence-based practices, valuing the principles of behavior analysis, and consistently providing high-quality services. As a leader at LEARN, integrity is my core value, and choosing to lead with integrity is a choice and commitment that I make each day to guide every decision I make.

Leadership and Clinical Integrity

As leaders, we understand that we serve as role models for our teams. We recognize that upholding clinical integrity isn’t just a checkbox but a responsibility that influences the organization’s culture and outcomes. When leaders prioritize integrity, it creates a ripple effect. Employees witness the importance of their work and feel empowered to maintain the same level of commitment. The leaders’ commitment to clinical integrity sets the tone for the team, fostering an environment of trust, professionalism, and continuous learning.

Impact on Employees

For employees, working within a culture of clinical integrity brings a profound sense of purpose, pride, and trust. When team members see their leaders consistently making ethical decisions and prioritizing evidence-based practices, it enhances their job satisfaction and motivation. They feel secure in the knowledge that they contribute to meaningful change in clients’ lives. This sense of fulfillment, in turn, translates into increased productivity, better teamwork, and reduced burnout.

Impact on Clients

Clients receiving ABA services from LEARN benefit from an organization rooted in clinical integrity. They can trust that their well-being is the top priority and that the interventions and strategies suggested are backed by contemporary, evidence-based behavior analysis. This trust is vital in fostering a strong therapist-client relationship, a cornerstone of successful behavior intervention. Clients experience progress that is not only effective but ethical, ensuring their dignity and respect are upheld throughout their journey.

What does clinical integrity look like each day? Here are a few examples:

  • Commitment to Neurodiversity: LEARN’s commitment to contemporary ABA and supporting neurodivergence goes hand-in-hand with clinical integrity by promoting the dignity and respect of all of our clients in all settings and at all times.
  • Continuous Professional Development: LEARN offers a monthly Speaker Series and a library of recorded trainings for our clinicians, allowing both behavior technicians (BTs) and behavior analysts access to continuing education on an ongoing basis.
  • Adherence to the Ethical Code: The Behavior Analyst Certification Board (BACB) Ethics Code and relevant state licensure requirements, as applicable, serve to guide our clinical practice.
  • Honesty in Reporting Data: As behavior analysts, we are responsible for maintaining data accurately and honestly.
  • Clinical Assessments and Evaluations: Regular assessments and evaluations ensure that practices remain aligned with the latest research and ethical standards. Our clinicians choose from a battery of assessments that includes norm-referenced and criterion-referenced tools that help inform their clinical practice.

A commitment to clinical integrity is at the heart of our practice at LEARN. As we see the field of behavior analysis evolve and as our company continues to grow and change, our support of clinical integrity is our constant. My hope as a leader is for all clinicians to make a renewed commitment to leading with integrity every day. Collectively, a shared commitment to honesty, transparency, and respect will profoundly impact the clients we serve and build trust in the autism community.

Ashley Williams is a Vice President at LEARN Behavioral.

5 Benefits of Early Intervention for Autism

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Reviewed by Jocelyn Thompson, LCSW, BCBA
Vice President, Clinical Services, LEARN Behavioral

Discovering that your child has been diagnosed with autism can be an incredibly challenging and emotional experience for parents and caregivers. It can make you feel uncertain, overwhelmed, and worried about what to do next.

It’s important to know that early detection and intervention can not only make a significant difference in your child’s development — but also offer a sense of reassurance and ease for you as a parent.

What Is Early Intervention?

“Early intervention” for children with autism refers to the process of identifying and addressing developmental domains — including social, communication, and behavioral skills — as early as possible in a child’s life. It involves providing specialized support, therapies, and services designed to meet the unique needs of each child with autism.

The age range for early intervention is most effective when started as early as possible, ideally before the age of 3. Research has shown that the earlier a child with autism receives intervention, the better their outcomes are likely to be in terms of improved skills, reduced behaviors that interfere with development and learning, and overall quality of life.

The positive impact of early intervention for children with autism is undeniable. It paves the way for their growth and progress.

Here are five compelling reasons why embracing early intervention can put your mind at ease and set your child on a path toward fulfilling their potential:

1. Early Intervention Can Improve Your Child’s Socialization Skills

Children with autism often struggle with social interaction and communication, which can lead to isolation and difficulties in making friends. Early intervention can help children develop socialization skills by providing opportunities for them to interact with others in a structured and supportive environment. This can include teaching them how to initiate conversations, understand social cues, and form friendships.

2. Early Intervention Helps Improve Your Child’s Communication Skills

Many children with autism struggle with communication — whether it’s speaking, processing language, or using non-verbal cues. Early intervention through applied behavior analysis (ABA) can help children express themselves and better understand others, which can lead to improved socialization and overall quality of life.

3. Early Intervention Helps Your Child Learn Appropriate Behaviors

Sometimes life with autism can be challenging. There can be a fair share of meltdowns and tantrums. Early intervention through ABA addresses these often difficult moments and helps children learn appropriate behaviors and how to strengthen ways to learn and interact with others.

4. Early Intervention Sets Your Child Up for Academic Success

Children with autism can struggle academically, which can lead to frustration and low self-esteem. With the help of early intervention, though, children and families can prepare for future academic success. During early intervention, young learners develop social and communication skills that will benefit them not only in their daily lives but also in the classroom once they enroll in school.

5. Early Intervention Can Improve Family Dynamics

Autism can be challenging not just for the child, but for your entire family. Early intervention supports your family by providing resources and tools to help you better understand and support your child. It can also help reduce stress and improve overall family dynamics between you and your child, as well as your child and their siblings.

These are just a few of the many reasons why early intervention for kids with autism is beneficial. By starting treatment early, children with autism can develop the skills and abilities they need to lead fulfilling and successful lives.

Jocelyn Thompson, LCSW, BCBA, is the vice president of clinical services at LEARN Behavioral. During undergrad, she studied under the direction of Dr. Ivar Lovaas and completed an internship at the Lovaas Institute for Early Intervention. Jocelyn has worked with diverse populations as a behavior analyst and social worker for the past 15 years.

For more resources on early intervention, listen to our podcast episode featuring Dr. Geraldine Dawson, co-creator of the Early Start Denver Model, and read our blog on brain plasticity and early intervention written by Ronit Molko, Ph.D., BCBA-D and Dr. Evian Gordon, Chairman and CEO of Brain Resource.

The Importance of Sticking to Consistent ABA Therapy

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By Ashley Williams, Ph.D., LABA, BCBA-D

Schedule Transitions Make Sticking to ABA Therapy Even More Important

Anyone in charge of the family calendar knows how important it is to stick to a schedule. It helps keep life on track.

For children on the autism spectrum, a steady schedule is even more important. A daily routine can create a sense of structure and predictability. It can reinforce a sense of stability and allow them to focus better on learning and interacting with others.

When family schedules change — like the transition from summer to back-to-school — it can be anxiety-provoking. The sudden shift from a relaxed summer schedule to a structured school routine can be overwhelming. However, maintaining a consistent daily routine during this transition can help alleviate some of this stress and anxiety.

Back to School and Back to ABA Therapy Services

For children with autism, continuing with applied behavior analysis (ABA) therapy when going back to school gives them a big advantage.

It helps to improve social, communication, and learning skills through reinforcement strategies. It also provides them with a set of tools to navigate the complexities of the school environment, helping them to learn how to interact with their peers, follow instructions, and interact in a classroom setting—all of which should be fun.

ABA therapy can be tailored to meet each child’s unique needs and goals, making it an effective way to support their overall development and learning. By incorporating play-based activities and strategies, children not only enjoy themselves but also experience the joy of learning through play.

5 Reasons Why Consistent ABA Services Are Essential

  1. Skill Maintenance: Consistency in ABA services helps children maintain the skills they have already learned. Without ongoing practice and reinforcement, they may experience skill regression, which can impede their progress. Consistent ABA services reinforce learned skills across different settings.
  2. Generalization of Skills: ABA services can provide opportunities to practice and generalize their skills in different environments. By working on skills outside the traditional school setting — such as in community settings or during recreational activities — your child can learn to adapt to skills across various real-life situations.
  3. Individualized Support: Consistent ABA services allow for ongoing individualized support tailored to the specific needs of your child. ABA programs are highly individualized, focusing on the unique goals and interests of each child. Continuity of services allows you and your team to monitor your child’s progress, adjust goals as necessary, and introduce new skills based on your child’s development and needs.
  4. Behavior Management: Summer break may have introduced changes in routine and increased leisure time, which can sometimes lead to challenging behaviors. As your child goes back to school, consistent ABA services provide behavioral strategies and interventions to address and manage these behaviors effectively. ABA professionals can work closely with you and your child to develop behavior support plans and provide guidance on how to address challenging behaviors as they arise.
  5. Transition Preparation: For those transitioning to a new school or educational setting in the upcoming academic year, consistent ABA services can facilitate a smoother transition. ABA professionals can focus on specific skills that will support your child’s adjustment to the new environment. That focus can include social skills, communication, and self-help skills. By addressing these areas during times of transition, your child can feel more prepared and confident when starting their new educational journey.

For children with autism, transitioning back to school requires a careful balance between preventing skill regression and having fun. At LEARN, our goal is both. A collaborative relationship between your family and your behavior analyst can help you create a steady schedule that works during this time of transition and sets your child up for ongoing success in school and life.

Ashley Williams is a senior clinical director at LEARN Behavioral.

For more resources about ABA consistency, watch our video “How ABA Therapy Helped Our Children Succeed: Insights from Two BCBA Moms.”

Back To School Tips for Parents of Kids with Autism

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Jessica Sylfest is the parent of a child with Autism and ADHD and the Sr. Director of  Talent Acquisition for LEARN Behavioral. Jessica’s compassion, warmth, and learned wisdom are great offerings to all parents as we transition our kids back to school. There are a lot of specific strategies shared when navigating an IEP and how to establish good communication with your child’s team. As Jessica said, “I think there is such value in sharing experiences and sharing things that are going well and things that are a  struggle. You really never stop preparing. It’s just perpetual communication, planning with the school and with the other resources in our lives.”

Understanding Your ABA Provider’s Partnership with Schools

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As parents, we always want the best for our children. That’s especially true when it comes to their education and development.

For parents of children with autism, finding the right support system is crucial. A key part is the partnership between your applied behavior analysis (ABA) provider and your child’s school.

This partnership is important for your child’s treatment and Individualized Education Program (IEP). Here’s what you should know.

Why Is an ABA Partnership with My Child’s School Important?

Collaboration: ABA providers and schools work together to help your child develop. This partnership makes it easy to switch between therapy sessions and school.

Consistency: By working in tandem, ABA providers and schools can create a consistent learning experience for your child. Consistency in ABA therapy reinforces targeted skills and behaviors. That leads to improved progress.

Alignment with your child’s treatment: ABA providers and schools help make sure your child’s education goals match their treatment plan. This means that the strategies and interventions at school match the ones used in ABA therapy.

How Does This Partnership Benefit My Child’s IEP?

Goal-setting: ABA providers work with schools to set goals that are meaningful and achievable for your child’s IEP. We create goals to help your child improve in communication, social skills, and academics.

Progress monitoring: ABA providers often talk to school staff to check how your child is doing with their IEP goals. By collaborating, we can share data and make sure interventions work in both places.

Behavioral support: ABA providers help school staff use behavior strategies from your child’s IEP. This support helps the school team handle challenging behaviors and create a welcoming learning environment.

Dispelling Misconceptions between ABA providers and schools

Dispelling Misconceptions: The Partnership Is Not Competitive

It is important for parents to understand that the partnership between ABA providers and schools is not competitive. Instead, we base it on mutual support and shared goals. Here’s why:

Complementary roles: ABA providers and school staff have different roles, but they both help your child develop. ABA providers focus on intensive therapy and individualized interventions. Schools provide a broader educational environment. Both work together to create a comprehensive support system.

Information exchange: Regular communication between ABA providers and schools allows for valuable information exchange. ABA providers can report how your child is doing, and schools can tell you how they’re performing in school and with other students and school staff. This two-way communication strengthens the partnership and makes sure everyone involved is on the same page.

Advocacy: ABA providers often act as advocates for your child within the school system. They work with school staff to understand and help your child with their specific needs. This advocacy promotes a positive and inclusive educational experience for your child.

The partnership between your child’s ABA provider and school is important for their education and growth.

By working together, we can ensure that your child’s treatment is consistent and effective. Parents can contribute to their child’s success by communicating openly. Ultimately, this sets children with autism up for success in school and life.

To learn more about ABA therapy and school, visit our website.

Making the Most of Summer Break by Building Essential Skills

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As the school year draws to a close, summer break ushers in a bit of a recess for parents — a hiatus from packed lunchboxes, school runs, and homework.

For families with children with autism, though, summer break can also mean disruption to your routine. It can create a lack of social interaction, and it can mean there are more demands on your time as a parent.

Here’s where you can turn those challenges around. Summer doesn’t have to be a lull in the progress your child with autism has been making all year. All you need is a strategy to leverage summer break to be a time to help your child build essential skills.

That starts with setting clear goals, creating a new routine, and incorporating skill-building into fun activities. But how do you do that?


Look for Structured, Play-Based Programs

The first step is to find a program that can keep your child engaged in social activities. Providers in cities across the country offer structured, play-based social skills programs. These programs are crafted with children in mind, aiming to bolster key skills such as socializing, communication, cognition, and sensory perception — all through the power of play.

These summer programs often take place in play-based, group settings, mirroring the school environment, but with the added benefit of one-on-one support. They foster collaboration and inclusion, often welcoming siblings to join, too.


Building a More Trusting Environment

Next, make sure your child is engaged in the process. In the world of applied behavior analysis (ABA), behavior technicians and behavior analysts lead summer social skills programs and promote group activities that help children build friendships.

Programs group children of similar age and skill level and include age-appropriate games and activities. This helps them to learn and communicate effectively.

You might hear your ABA provider using terminology like taking an “assent-based practice.” That’s an approach that focuses on making sure your child agrees to participate in treatment. Using an assent-based practice, therapists encourage children in the program to step out of their comfort zone and try new things. This approach is person-centered and fosters a safer and more trusting environment.


Staying Active to Prevent the ‘Summer Slide’

The “summer slide” refers to the learning loss students experience during summer breaks. Social skills programs for children with autism can play a crucial role in preventing the “summer slide” by promoting continuous growth and development.

These strategies can turn summer break challenges into opportunities to:

  • Build a consistent routine: A summer social skills program that provides a consistent daily schedule is often comforting to children with autism.
  • Help your child retain skills: By continually practicing social skills throughout the summer, your child can retain and even improve upon the skills they learned during the school year.
  • Encourage peer Interaction: Summer programs offer opportunities for social interaction with peers, which is critical for building friendships.
  • Foster personal growth: Summer social skills programs can boost self-esteem and confidence by providing opportunities for success and achievement.
  • Give you a respite: Summer programs can also provide parents with a much-needed break, allowing you to recharge while knowing your child is in a safe and nurturing environment.

Summer break can be more than just a pause from school. With the right approach and resources, it can be a valuable opportunity for your child with autism to continue their development and build essential skills.

By integrating structured play-based programs into your summer routine, you can foster a trusting environment that encourages personal growth and social interaction, while also providing a much-needed respite for you as a parent.

So, view this summer not as a challenge, but as a chance to fuel your child’s progress, further nurturing their unique potential.

Click here for more ideas on making the most of summer.

A Fresh Approach: Empowering Children with Autism

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Written by Alison Spanoghe, Behavior Analyst, Autism Spectrum Therapies (AST)

When I first started working in a school system with children on the autism spectrum in the early 2000s, my leaders told me to stick to my instructions — no matter what. They told me this would be best for the children in the long run. As a newbie, I followed orders.

Often, though, that approach led to anger, tears, and resistance from the children who needed my help the most. Despite science backing up the “follow-my-orders” approach, it didn’t always feel “right.”

Today, my approach has evolved to something called “assent-based practice.” It’s a model that puts an end to instruction through coercion. It prioritizes the child’s agreement to participate in therapy rather than mandating that they follow orders.


The Old Way: Extinction

If you’re familiar with applied behavior analysis (ABA), you may have come across the term “extinction.” In simple terms, extinction means not reinforcing a previously reinforced behavior. The aim is to reduce the chances of that behavior happening again.

Let’s say your TV remote stops working. After a while, you’ll stop pressing the power button and maybe look for batteries or ask for help instead. The same principle applies to ABA services. If a certain behavior — like screaming — is not encouraged, the child will eventually stop doing it. You could then teach them a better way to communicate their needs instead of screaming.

While that might be good in theory, behavior isn’t always that straightforward. Also, the extinction approach can sometimes lead to other issues, like longer tantrums, aggression, or even distrust toward caregivers. That’s where assent-based practice comes in.


The New Way: Assent-Based Practice

Assent-based practice focuses on making sure the child agrees to take part in therapy — even if that agreement is nonverbal. When a child is actively engaged, that’s one indication that they are communicating that they agree with participating in treatment.

This type of approach involves:

  • Constant check-ins
  • Respecting when the child no longer wants to participate in treatment
  • Adapting the approach based on the child’s response
  • Teaching the child to communicate

The goal of this technique is to equip children with autism with skills that are useful in any situation. It also helps them advocate for themselves and make it clear when they want to say “no.” It’s more of a compassionate way of providing care.


Why Assent-Based Practice?

There are many benefits to using assent-based practice. It can:

  • Build Trust: It helps establish a safe and trusting relationship between the child and the therapist.
  • Promote Expression: The child learns that they are seen and heard. It encourages them to express their feelings.
  • Respect Autonomy: The child’s “no” is respected, promoting their dignity and independence.
  • Enhance Learning: This approach avoids standoffs. It allows more reinforcement of language use and engagement in the session.

Assent-based practice has become a popular topic in ABA services. It emphasizes getting the child’s agreement before continuing therapy. It teaches children to express their feelings. It also respects their dignity and independence.

Therapists can use this approach with any child at any time, leading to faster learning and better rapport with the child. While our understanding of assent-based practice continues to evolve, it is a worthwhile approach to consider because it puts the child first.

Alison Spanoghe is a behavior analyst with Autism Spectrum Therapies (AST).

5 Tips for Planning a Successful Vacation for Your Autistic Child

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Embarking on a family vacation is a time for creating cherished memories and bonding with your loved ones. For families with a child with autism, finding the perfect destination that caters to everyone’s needs might seem like a daunting task. These resources can make planning easier.

More vacation destinations than ever are prioritizing inclusivity and accessibility. From autism-friendly theme parks to sensory support on cruises, there are countless options for creating an unforgettable experience.

Here, we break it down and look at five vacation options that celebrate your child’s individuality while providing fun and relaxation for the whole family.

1. Autism-Friendly Travel by Plane

Wings for Autism is a program that helps families with children on the autism spectrum become more familiar with air travel. They offer airport “dress rehearsals” so children can experience the entire process, from checking in to boarding the plane, without actually taking off. This helps them become more comfortable with the idea of flying.

The program started in Massachusetts and has been adopted by more than 70 airports nationwide. JetBlue, Delta, American, and United are among the airlines that routinely participate in programs that support passengers with autism. Some airlines, like Delta, even have multi-sensory rooms in some airports — rooms with calming colors, sounds, and a small aircraft mock-up to let passengers get familiar with air travel.

2. Autism-Friendly Travel by Car

The car brand Chrysler recently partnered with the Autism Society of America to support the needs of travelers with autism. Chrysler now offers a sensory package option for the Chrysler Pacifica. This package includes noise-cancelling headphones, fidget toys, and a weighted blanket to help create a comfortable and calming environment for children with autism during car rides.

No matter what kind of car you have, you can create your own DIY sensory station with similar options. Other things to keep in mind when planning a road trip are to:

  • Plan frequent breaks to allow your child to stretch and decompress.
  • Create a visual schedule to help your child understand the trip’s timeline.
  • Pack familiar items and sensory tools to help soothe your child during the journey.

3. Autism-Friendly Travel by Cruise Ship

Some cruise lines have begun offering sensory support for passengers with autism, including:

  • Autism on the Sea: This international charity provides tailored cruises for autism families. Their teams manage these cruises, which take place across multiple cruise lines.
  • Carnival Cruise Line: Carnival offers a variety of “sensory inclusive” activities, including modified youth programs and designated quiet spaces for relaxation.
  • Celebrity Cruises: This cruise line offers accessible cruises and interactive initiatives for families. They train their youth staff in autism awareness. They also cover various developmental disabilities and offer priority check-in, boarding, and departure.
  • Disney Cruise Line: Disney offers a number of services for guests with autism, such as priority check-in online and options for children who have trouble waiting in lines or crowds.
  • Norwegian Cruise Line: They have a team of “accessibility coordinators” who support travelers with special needs. They work closely with families with autism, addressing their concerns individually.
  • Royal Caribbean: Their “Autism Friendly Ships” program includes sensory-friendly films, toys, and modified youth activities to accommodate children with autism.

4. Autism-Friendly Theme Parks

Many popular theme parks have made efforts to accommodate guests with autism:

  • Disney: Disney offers a Disability Access Service (DAS) pass that allows guests with autism to schedule return times for attractions, reducing wait times and providing a more predictable experience.
  • Legoland: Legoland provides a Hero Pass for autistic guests, granting them the opportunity to bypass lines and access quiet rooms when needed.
  • Sea World: Sea World offers a Ride Accessibility Program (RAP) that helps guests with autism plan their visit and enjoy attractions at their own pace.
  • Six Flags: Six Flags has an Attraction Access Pass for autistic guests, allowing them to avoid long lines and access designated quiet areas.
  • Sesame Place: Sesame Place is the first theme park to be designated as a Certified Autism Center (CAC) and offers sensory guides, quiet rooms, and noise-cancelling headphones for guests with autism.

5. A Staycation for You and Your Autistic Child

If you prefer to stay close to home, there are plenty of ways to create a memorable and enjoyable staycation for your family:

  • Set up a backyard camping experience with tents, a fire pit, and s’mores.
  • Visit local attractions, such as museums, parks, and zoos, that offer sensory-friendly hours or events.
  • Create a themed week with daily activities based on your child’s interests — such as art, science, or nature exploration.

Planning an Autism-Friendly Vacation Can Be Simple

Autism-friendly destinations can make planning a family vacation less daunting and more exciting for all.

Focus on your child’s needs and explore autism-friendly places. Choose the best locations and accommodations for your family and your budget. A little thoughtful preparation can pave the way for a memorable and enjoyable trip for everyone involved.