ABA home services help individuals with autism and developmental disorders access the things in their environments in different ways. Home services are supervised by a BCBA and treatment plans are implemented by a direct care provider. BCBAs hold many different roles during the treatment process, and below you will find an outline of the major clinical responsibilities a BCBA carries to ensure appropriate and effective services.

BCBAs conduct assessments: BCBAs have various methods of conducting assessments and conduct evaluations on challenging behaviors, skills that need to be acquired, and preferences of the individual. A BCBA’s initial job during the intake process is to conduct assessments, observe the client and take data on behaviors to determine any behavioral excesses (behaviors happening too much) or deficits (behaviors happening too little) the individual has. Functional assessments are often done to determine the function or the reason a behavior is occurring. Testing such as the ABLLS or the Vineland may be used to assess which functional skills need to be taught to that client. Preference assessments help determine what the client finds motivating and can be used to reinforce desired behaviors during treatment. The data collected by the BCBA at the initial assessment is crucial in determining what goals will be set for the client and which skills will be targeted first. BCBAs continue to perform assessment at various times throughout the treatment period to determine growth and skills acquisition as well as future goals that will need to be addressed.

BCBAs create protocols and programming: After data is gathered from the initial assessment, a treatment plan is drafted by the BCBA that includes background and relevant social information about the client, what behaviors will be targeted for reduction, and what functional and appropriate skills will be targeted for increase. Challenging yet attainable goals are determined by the BCBA and a mastery criteria is set for each of those goals so that progress may be measured across the treatment period. The BCBA then creates a behavior intervention plan or BIP. The BIP outlines the exact protocols, based on the functions or causes of that behavior that should be implemented for each particular behavior that is being targeted. The BCBA will determine based on their assessment of the client’s behavior what intervention techniques they think will be most effective at creating lasting behavioral change for that particular client. Skills acquisition programming is also developed by the BCBA to target and teach more functional and appropriate alternative behaviors and replacement skills.

To learn more about Northeast Arc’s Autism ABA Services, click here.