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Trellis provides ABA therapy to help children with autism.

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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

Navigating Mental Health in Today’s Workforce: A LEARN Behavioral Perspective

May 22, 2024 by trellisservice

By Maggie Ruvoldt, Chief Human Resources Officer

Why Mental Health Is a Leadership Priority

As leaders, we hold a unique responsibility: shaping environments where people can thrive—not just in productivity, but also in well-being. Mental Health Awareness Month is a timely opportunity to reaffirm our role in normalizing conversations around mental health in the workplace and embedding care into the very fabric of our organizations.

Recognizing Mental Health Struggles in the Workplace

As a Chief Human Resources Officer, I’ve witnessed firsthand how employee mental health challenges show up in the workplace—often quietly, through disengagement, increased absenteeism, or strained team dynamics. Behind performance metrics are people navigating anxiety, burnout, caregiving responsibilities, or personal loss.

How Intentional Mental Health Support Transforms Organizations

I’ve also seen the powerful effect of intentional support: when organizations create space for vulnerability, provide access to care, and train leaders to respond with empathy, they transform not only individual well-being but organizational resilience. Mental health at work isn’t a “soft” issue—it’s a core business priority that shapes culture, productivity, and retention.

Mental Health in the Workplace: Key Stats Leaders Should Know

The Workforce Institute at UKG published a recent study reporting that 70% of people say their manager’s impact on employee mental health is greater than that of a healthcare provider or therapist—and equal to their spouse or partner.

The data is both concerning and motivating. According to the American Psychological Association (2023), 77% of employees have experienced work-related stress in the past month, and 57% report negative mental health impacts because of their job. The World Health Organization estimates that depression and anxiety cost the global economy $1 trillion each year in lost productivity.

A Multidimensional Approach to Supporting Employee Mental Health

Our approach must be multidimensional:

  • Normalize mental health in the workplace conversations by training managers to respond with empathy and equipping teams with mental health literacy. This creates psychological safety and gives managers tools to refer employees to appropriate resources.
  • Design benefits that reflect modern needs: Mental health apps, embedded mental health care, and inclusive time-off policies aren’t perks—they’re workforce essentials.
  • Embed mental health in leadership expectations: When executives model transparency, prioritize balance, and advocate for wellness, they shift culture more powerfully than any policy can.

HR’s Role in Supporting Mental Health at Work

HR is not merely a facilitator in this work. We are architects of the employee experience. When mental health at work is recognized as a key component in engagement, retention, and performance, Mental Health Awareness Month becomes more than a moment of recognition—it becomes a catalyst for sustained change.

LEARN’s Proactive Approach to Employee Mental Health Programs

At LEARN, we recognize the importance of addressing these challenges head-on. We have several key resources aimed at supporting our staff’s well-being and employee mental health programs:

  • Employee Assistance Program (EAP): Our EAP is the first stop for accessing a variety of support services, including confidential assessments, short-term counseling, referrals, and follow-up care. Learn more at www.liveandworkwell.com.
  • Caregiving Network: Understanding the demands of caregiving in the midst of a growing shortage of childcare, we offer access to resources for finding caregivers through Care.com—for children, adults, or pets.
  • 24/7 Therapy Access: Through our benefits, employees have access to therapy services, including virtual options such as Talkspace, initiated through the EAP.
  • Well-Being Video Library: Our United at Work Health & Wellness ON DEMAND Videos cover more than 70 health-related topics, providing valuable information on everything from mental health to physical wellness. 

Creating a Culture of Mental Health and Support

As we continue shaping a workplace where people feel seen, supported, and valued, mental health at work must remain a core focus—not just during Mental Health Awareness Month, but every day. At LEARN, our commitment to well-being is more than a benefit—it’s a reflection of who we are. By caring for our people, we strengthen our teams, mission, and, ultimately, the communities we serve. If you’re struggling, know that support is available—and reaching out is a sign of strength.

Filed Under: Blog Tagged With: anxiety, behavioral health field, behavioral health sector, chronic fatigue, depression, emotional exhaustion, employee assistance programs (EAPs), high-stress professions, human resources perspective, job performance, LEARN Behavioral, Mental health, mental well-being, supportive environment, turnover rates, well-being, well-being culture, workplace burnout, workplace morale

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

5 Tips for Planning a Successful Vacation for Your Child with Autism

June 6, 2023 by trellisservice

Clinically Reviewed By: Geneviève Marshall, PhD, BCBA-D, LBA

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 Seas: 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.

Filed Under: Blog Tagged With: accessible travel, accommodations for autism, autism-awareness places, autism-friendly vacation, autistic child travel, family vacation planning, inclusive family trips, special needs destinations, summer vacation ideas, traveling with autism

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

Why Play is Essential to ABA Therapy for Autistic Children

January 20, 2025 by trellisservice

Written by Eric Bowman, Advanced Behavior Technician, Total Spectrum Care

Play is an essential part of working with children with autism in ABA.

As a behavior technician (BT), play helps build trust and comfort between you and your client. That process starts with play, having fun, and being a kid. Getting your clients in a state of play builds this foundation for trust, which we refer to as “rapport.” When starting to work with a new client, your supervisor and/or client’s caregiver will provide you with some of your client’s special interests and activities. You can incorporate these into your sessions to make learning fun and personalized. Using rapport in combination with their preferred activities leads to successful pairing with your client.

In a Learning Center setting, for example, your supervisor may suggest activities such as playing with toys or board games or interacting with peers. Your client may quickly find interest in a Learning Center toy, game, or other activity without prompting. But, if your client doesn’t give you a direct response, give them choices based on what you know about them. For example, say “We can play with train tracks or do a puzzle. What would you like to do?” Give them different choices until they choose something.

As soon as they give you an answer or show signs of interest in something, reinforce the toy or activity by showing interest in it yourself, e.g., clapping or showing praise. In my experience, this part of the pairing process varies. Sometimes it may take a while for a client to warm up in a social environment. Other times, it happens quickly. It just depends on the individual. As a BT, this process teaches you to be patient. When you find out what interests your clients, it makes pairing with them in sessions more fun.

Natural Environment Teaching (NET) While Pairing

Playing and pairing as a BT is essential because it creates opportunities for natural environment teaching (NET). Playing with your clients encourages an environment in which they’re motivated to participate.

In my first week working with a client, we played Memory*, a matching game. This was the first time we actively played together, and I saw him deeply engaged in an activity. I learned that he has a great memory, making the game more engaging for both of us. He became more receptive to responding once his attention was directed toward the game. Playing the game created opportunities to reinforce his behavior like waiting his turn, following the rules, and using his words when he had questions. This was essential to pairing early on in our tech-to-client relationship.

Playing Memory aided me in building rapport with my client. It built trust and comfort that’s pertinent to his learning environment. I could tell he was having a good time and vice versa. This environment motivated my client to learn. He enjoyed engaging in the fun activity with me and a group of peers. Participating in group games encourages patience, following instructions, and communication between clients.

Let Play Be Your Guide

Gaining your client’s trust before you place any demands is key. They are less likely to listen to you if they don’t know who you are. That’s why it’s important to take the time to play and pair with your client and show them that you’re safe and fun to be around.

Learning to play with your clients teaches you their interests. It shows you their likes and dislikes. It also points you to different games or activities in the Learning Center or teaching environment that may trigger them. Knowing their interests allows you to identify their reinforcers and see behavior patterns that their board certified behavior analyst (BCBA) can implement into future programming.

Time Flies When You’re Having Fun

Playing can be a lot of fun for BTs. There are several Learning Center games and activities that I enjoy implementing during sessions. I do my best to engage clients in activities that we mutually like. Once we find something we both enjoy, it doesn’t feel like work.

It’s rewarding to see clients make progress on their goals. Seeing them motivated to work for their preferred activities is also reassuring. This sense of accomplishment reinforces your work as a BT and motivates a continued state of play of learning and developing communication skills.

Incorporating play into your sessions fosters meaningful connections and creates a fun and engaging environment. It builds the foundation of trust between the client and their BT. We get to play an important role in each client’s learning and development. We can help nurture each child’s unique potential through dedication – one game at a time.

Additional Resources:

*Other games for pairing with a client can be found in the Play and Learning Addendum, 2.

Filed Under: Blog Tagged With: ABA Therapy, Autism and play, Autism resources, Behavior technician tips, Building rapport in ABA, child development, Early intervention strategies, Natural environment teaching (NET), Play-based learning, Therapy games for autism

8 Tips for Planning for a Successful Holiday for Your Child with Autism

December 7, 2022 by trellisservice

The holidays are an exciting time as we share traditions, spend time with family, and navigate the different gatherings and celebrations. Holiday spirit can also bring holiday stress. We want to help you and your family have the most successful (and least stressful) season by offering our best practices and tips.

BEFORE THE HOLIDAYS

Start with Expectations

Having a positive and realistic mindset about what you want to create can make a big difference. What could go right this season? Keep an optimistic view of the possibilities for special moments you want to share. A winning holiday doesn’t have to mean extravagant plans. Consider what would be ideal, be prepared to accept when flexibility is needed, and look for the wins along the way.

Consider Comfort and Safety Needs

When visiting events or other homes, bring items you know will bring comfort for your child—things like earplugs (or headphones), fidgets, and soft clothes. When traveling, ask for needed accommodations from your airline and hotel. Make sure you are aware of possible water nearby and review crisis plans with loved ones.

Practice Before Events

Now is a great time to discuss upcoming changes to schedules and routines. Involve your child in the process whenever possible. Playing memory games with photos of those you will see this holiday season allows your child to identify matching names and faces. Establish a phrase or code word with your child to practice using when they need to take a break from events to calm down and relax.

DURING THE HOLIDAYS

Maintain Routines

During the holidays, change is inevitable but find ways to create or maintain routines for your child. What are things you can build into every day? Perhaps it’s something you do together each morning, afternoon, and evening (regardless of location). Utilizing visual supports like calendars and independent activity schedules can be helpful too.

Build in Fun!

Whether days are filled with errands or time at home, consider letting your child choose a couple of activities each morning for the day ahead. Here are some suggestions that might work for your family:

  • Bake something together
  • Do holiday arts and crafts
  • Take a drive to see holiday lights in your neighborhood, zoo, or garden
  • Help with decorations or gift wrapping
  • Sing along with holiday music

Consider Sensory Needs

Holiday meals can be tricky for some. Plan ahead for alternative foods that you know your child will eat. As we mentioned earlier, being mindful of dressing in (or packing extra) comfortable clothing can be helpful. Preferred items, such as toys or other objects that help promote calm for your child, are a good idea too. Consider making a sensory box that includes things to stimulate your child’s touch/sight/sound/taste/smell. Finally, establish a quiet “break space” that your child can utilize when needed.

WRAPPING UP THE HOLIDAYS

Plan for Rest and Recovery

After each scheduled big event or outing, try to allow time for a quiet evening that follows. Start a list or document on your computer of things that went well that you want to repeat and ideas about what would make it easier next time.

Transition Back to School

Packing holiday decorations and unpacking clothes can be helpful signals to your child that things are moving back to the normal routine. Other visual cues like a countdown calendar for back to school can help prepare them. Show them when school starts and have them mark off the days. Leave extra time the first morning back to school so you can have a nice breakfast and move with ease into the day. If possible, organize a nice, calm activity after school and focus on what went well at the end of the day.

Filed Under: Blog Tagged With: ASD, Autism, Autism family, Autism spectrum disorder, Comfort, Fidgets, Holiday season, Holiday success, Holidays, Maintain routines, Plan, Safety, Sensory needs, Stress, Stressful, Successful holiday, Transitions

5 Holiday Blogs Every Parent of a Child with Autism Should Read 

September 27, 2024 by trellisservice

The holidays are a time of joyous celebrations, filled with family gatherings and festive traditions. However, for some families with children on the autism spectrum, these changes in routines and schedules can present unique challenges.   

Navigating this season requires thoughtful planning and understanding. To support you, we’ve curated our top holiday-themed blogs, offering tips from calming activities to successful holiday planning. Discover more below and check out our All Autism Talk podcast episode “Creating a Successful Holiday for Children with Autism” for additional ideas.  

Here are summaries of our top holiday blogs: 

1. 6 Calming Activities for the Hectic Holiday Season 

Discover practical solutions to help children with autism enjoy the holidays. This blog suggests creating a calm-down kit, using quiet spaces, and engaging in activities like yoga or meditation to manage sensory overload. 

2. 5 Tips for Selecting the Best Holiday Gifts for Kids with Autism 

Gift-giving can be tricky, but this blog provides tips to choose the perfect gifts for children with autism. It emphasizes focusing on the child’s interests, strengths, and safety needs to ensure a joyful holiday experience. 

3. 8 Tips for Planning for a Successful Holiday for Your Autistic Child 

Planning is key to a stress-free holiday. This blog advises on maintaining routines, considering sensory needs, and practicing before events to allow for a smooth holiday season. 

4. Make the Holidays Successful for Kids on the Autism Spectrum 

Adaptability is crucial for holiday success. This blog highlights the importance of adjusting expectations and choosing traditions that work for your child. 

5. Why Gratitude Matters, and How to Foster It in Kids with ASD 

Gratitude can transform holiday experiences. This blog explores how fostering gratitude in children with autism can enhance their social and emotional well-being. 

Incorporating these strategies can lead to a more joyful and stress-free holiday season for your family. By tailoring these tips to fit your child’s unique needs, you can create an environment where they can thrive during festive celebrations. 

Filed Under: Blog Tagged With: Autism, autism spectrum, Calming activities, family traditions, gratitude, holiday gifts, holiday planning, Sensory needs, stress-free holidays

5 Tips for Selecting the Best Holiday Gifts for Kids with Autism

November 23, 2022 by trellisservice

Buying the perfect gift for kids and other loved ones can be challenging, and this can also be true when buying gifts for kids with autism. To help make your gift-giving easier, here are a few helpful tips to keep in mind when purchasing gifts for autistic children.

Focus on what brings the person joy.

Research shows that incorporating interests and preferences into the learning and play environment of kids with autism can increase positive behaviors and aid in skill acquisition (1). With that said, we can capitalize on what someone already likes. For example, if a child likes dogs, shop for games, activities, or toys that are dog-related. If a child enjoys swimming, activities that involve water play may be a hit (e.g., water tables, sprinkler toys, water beads, grow capsules). Alternatively, if a child is sensitive to loud noises, a toy fire truck with a siren may not be appropriate. Ask friends and family of the person for whom you are buying the gift what that person generally likes and/or dislikes.

Focus on the person’s strengths and abilities.

Many toys come with age recommendations, and while these recommendations are helpful, they might not always lead you to the perfect gift. A good rule of thumb when purchasing a gift is to consider the age and the development of the person for whom you are buying a gift. For example, the game “Apples to Apples” would not be developmentally appropriate for a non-verbal teen, even if it is an age-appropriate game. When looking for the right gift, focus on the person’s strengths. For instance, if the non-verbal teen mentioned above is great at drawing, then a sketch pad or an adult coloring book could be a more appropriate gift. If you are unsure about the child or teen’s strengths, ask a friend or family member of the person for whom you are buying the gift about their specialty areas and abilities.

Note: Be sensitive to how family and friends of a child and teen with autism may feel when being asked questions about the skills of their loved one. When asking questions, always frame them from the perspective of accomplishment (e.g., what skills have they mastered) and not deficit (e.g., in what areas are they delayed) to be supportive and respectful of their growth and development.

Be mindful of behavior triggers and safety risks.

Some children with autism engage in behaviors that put them or their loved ones at risk of harm. For example, if a child engages in pica (e.g., eating nonfood items), gifts containing small objects may pose as a choking hazard. Another example is if a child engages in aggression towards others, gifts with violent content may not be appropriate, as additional exposure to violence may interfere with their goals. Alternatively, a sensory-seeking child may benefit from gifts that allow them to stim. For example, if a child rocks back and forth, a swing may be a great way to meet their sensory needs. Additionally, certain objects can elicit sensory sensitivities which can trigger behaviors in some children and teens with autism (e.g., loud noises, highly preferred items, phobias, etc.). Ask friends and family of the person you are buying the gift for if there are any behaviors that possess a safety risk that need to be considered before purchasing a gift.

Focus on toys that encourage interaction with others.

Social deficits are a defining characteristic of autism. When gift-giving, try to purchase gifts that encourage social interaction. While almost any toy or game can be turned into a group play, certain activities may be more conducive to social interactions than others. For example, instead of buying a computer game, consider purchasing “Bop It,” which is an electronic interactive game that can be played among a group of friends or family.

Focus on finding new things they will love.

Children and teens with autism sometimes have restricted or limited interests (e.g., only talking about trucks or only playing with dinosaurs). To help build upon their current interests to introduce them to a wider range of activities, try finding new activities similar to their current interests. For example, if a child’s favorite activity is playing with “Play-Doh,” kinetic sand or slime may be an appropriate gift to help expand their interest due to its similarity in form of play. Ultimately, gifts that will provide new experiences may act as potential new reinforcers (e.g., stimuli that increase behaviors) and could significantly enrich the child or teen’s learning environment.

Resources

Increasing Task Engagement Using Preference or Choice-Making
Some Behavioral and Methodological Factors Affecting Their Efficacy as Classroom Interventions

For more holiday tips, check out Reducing Holiday Stress for Families of Children with Autism and Preparing for Holiday Meals.

Filed Under: Blog Tagged With: ASD, Autism, Autism family, Autism Gift Guide, Autism Gifts, Autism resources, Autism Support, Autistic Child, Autistic Teen, Black Friday, Child with Autism, Christmas Shopping, Gift Giving, Holiday Shopping, Interests, Preferences, Teen with Autism

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