#bcba

[vivianseda]

Thank you at The Autistic Life

[3ternalxspirit]

My first week as a new BCBA

Where do I start! The journey to this was not an easy one. It was long and there were moments I felt like giving up and didn't think I would be here. BUT I'm here, I did it. I passed my BCBA exam last December. I am a multiple time test taker, a lot of it was because of my anxiety, but now I'm done, and I don't have to worry about it anymore.

How did my first week as a BCBA go? Well, it went way better than I thought it would. I deal with anxiety and especially to new things even fi I know what I'm doing new experience and etc. make me so nervous and I realize it because I want everything to go perfect.

During the first week, I had three initial assessments, One on Thursday and two on Friday. The first one I was really nervous but as it went on it was good. The second assessment went to awesome. but the last one I felt like I was in my element. One of the things i did to keep myself going was just telling myself I am bigger than my thoughts and that everything will be okay. The parents were nice and everything. and the kids were awesome.

I do have another potential client, but they had to cancel last minute so I don't know when I'll be doing their Initial assessment and its through telehealth.

I love my new job. They are big on work and life balance. Most of my work is from home and I just go into the homes and schools/daycares for supervision and etc. I am also a new mom to a beautiful 1 year old boy, and I get to spend way more time with him, and I think he is enjoying it. I love working but I also love being with my son. So, I wanted a job that paid good, I get to work less hours and be with my son more. I only have to do 20 billable hours to get my salary, anything lower, I just an hourly rate and I can also add more hours if I want too.

[taterforlife]

Things Parents of Children with Autism/ADHD/Developmental Delay/Intellectual Disability/etc. Should Know Before Agreeing to Applied Behavior Analysis Services (This is not a complete list but it has some that I consider most important):

You WILL see online criticism of people who have had bad experiences with ABA. You want a provider that is client-centered and cares about your child's needs and wants and makes sure that the process includes GETTING TO KNOW YOUR CHILD AND YOU and establishing a positive relationship before placing any sort of expectations on the child. People do not want to change their behavior or habits for someone they do not care about. And you want a provider that is trauma-informed and will take ALL PRECAUTIONS against causing trauma, using evidence-based behavior analytical treatments and focusing on reinforcement and letting the child make decisions throughout much of the process, and including you in it too.

It is meant to be an INTENSIVE SERVICE. It is based on the client's needs how many hours services should provide in a clinic or in your home, but this could range to anywhere from 10-20 hours on average. Sometimes more or less. Not being able to arrange those hours can cause more harm than good should your child have many needs or delays.

Daytime hours during the school year get you off the waitlist faster. Evening school hours are always taken first during the academic year. We often struggle finding families willing to take their kids out of school early or take them late. ABA companies should not pressure you on what choice to make, but if you feel your child could benefit or if you are experiencing high-intensity behaviors of concern such as aggression or elopement, it may be able to get you services faster. We are ALWAYS looking for daytime sessions!

Your participation is NECESSARY for success. The child must have interventions that are consistent across places and people. Otherwise, it will most likely be less effective or not effective at all. We want to teach you the strategies we use that show to be successful and work with you and the child! We want to work to the point where the child and the family does not need us anymore! But we cannot do that if you do not learn and accept teaching from us. And often insurances require it and will not pay anymore if the report shows you are not participatong and implementing. We are a service meant to enhance the lives of clients in a way that gives them wider access to things they want and like, build more meaningful relationships, and learn new skills that benefit them. If you do not want to participate, then you are probably thinking of a different service, such as having an attendant.

A good provider who is client-centered is not there to reduce behaviors others find "annoying" or "disruptive", such as stimming. They can be taught skills to help increase attention to tasks and temporarily redirect them, but it is often unethical and harmful to the child to stop them from doing it altogether. The treatment plan may even incorporate time for the child to be able to stim/flap hands/rock their body/etc. on purpose because often, they need it to regulate themselves. It feels good. It's their version of tapping fingers when nervous, playing with a strand of hair, etc. It would be unethical to make a client uncomfortable just because a behavior does not look "normal". If if truly hurts them to do the behavior, such as banging their head against a wall, then it will be addressed for safety concerns.

[cheekycherry20]

I work in the field of aba (applied behavioral analysis) and have been for a little over a year. I started off really passionate about positively influencing the lives of children under the spectrum, because as an adult with adhd, I understood how hard it is as a kid to live in a not-so-opened minded neurotypical society.

I myself was bullied, left out, and made to feel unimportant on numerous occasions. I lacked the correct social skills, trying to mirror my peer’s behavior, yet being completely far off, and struggling to fit in for years. I’ve dealt with anxiety and depression with no outlet and proper coping mechanisms, all made worse with skewed communication skills. All of which I still struggle with today.

I started as a bt(behavior technician) and was quickly pushed into getting my license to become an rbt (registered behavior technician). On the journey to getting my license, I tried to soak up as much information as I could. It was very important to me to be a voice for the children. I had more downs then ups, as I put more pressure on myself then I should.

I wasn’t worried about running targets and gathering data. I wanted to ensure a good quality of life for my children. I’ll always call them my children, because I care for them that much. It’s almost maternal. I cry over my kids, worry about my kids, get angry at my kids. I love them more than anything in the world, I never knew I was capable of love until I got into the field.

Rbts don’t just work alone, we’re directly below bcbas (board certified behavior analyst). They make the plans for the kids, as the rbts run the sessions and gather the data bcbas need. Since the bcbas aren’t in session, it’s incredibly important that the rbt is collecting the right data and being extremely analytical over the session.

In my short time in being an rbt, I’ve been made to feel unimportant (as mentioned before) by numerous senior rbts and most importantly, bcbas. In my personal opinion, not being in a session can make it quite easy for a bcba to make the wrong decisions. In the past I’ve been quite vocal about ideas and goals that my kids can have long term, or just to push them into their next step of life. With children who are learning to functionally communicate, I step up and speak for them if I notice anything. I’m not a bcba, so technically I’m not legally allowed to run something without a bcba knowledge. But once again, my voice doesn’t matter.

As well as taking data, rbts are required to speak to parents. Not just about the child’s day, but for goals, progress, regression, and behaviors. Parent communication is very important, but parents implementing the same strategies as rbts is even more important. Some parents are amazing, but some parents drop their children off as an aba clinic is a daycare. It is far from it.

It’s very difficult watching parents drop their kids off in sick states, or seeing them come in minimal clothing in extreme cold. I’ve seen parents listen to therapist feedback and do the opposite of protocol,ensuring intense behaviors for therapist. As a parent it’s very difficult to live with the behaviors, so I undertstand how hard it may be. But as a therapist, I feel as if I’m not doing enough for my kid because they’re not making progress, because I can’t get them there alone. Parent cooperation is key.

I continue to get shot down and made to feel like I’m incompetent. I don’t know if it’s my age or minimal experience, but whatever the case may be, I no longer want to allow myself to be in spaces where I don’t feel heard. This is a really difficult thought for me to have, as I feel like I’m giving up on so many kids who just need someone to care about them. But I can acknowledge that in this field, caring isn’t always enough.

In the beginning I definitely tried my best. Advocating for my kids wasn’t the hard part, but my mental state is rapidly declining in the process. I truly still want to advocate for my kids, but when I voice my opinions I feel like what I’m saying is wrong.

I believe that stepping out of the field is my best option. To sit and watch fellow rbts and bcbas care too little or not at all for my kids has taken an incredible toll on my mental health. If you’re a parent or friend of someone interested in bringing a child into an aba clinic, please be sure you know exactly who is with them. There’s good therapists and bcbas , but there’s also a lot of people who just so happened to get their license and want a check.

[behaviorally-balanced]

GENTLE REMINDER. Take a deep breath. you got this boo boo ♥♥

[elleah]

"I wanna reincarnate!" cried my 19-year-old client, a girl who battles with schizoaffective disorder. She was crying uncontrollably due to feeling she was ugly. After a suicide attempt, she now faces lifelong disability. Every day is a challenge, and she's lost her will to live. Through her tears, she reached out to me and pleaded, "Help me," hugging me tightly. I embraced her, tears forming in my eyes. Her pain was palpable, and I felt sorry for her. I could only imagine the intensity of her struggle.

But is the next life guaranteed to be better? Life is difficult, yet nothing can compare to what she and her parents are going through. Sometimes, I feel bad by the fact that they pay for my services. It weighs on me, even though I need to take care of myself and cover my expenses. Nonetheless, facing my patients is a challenge. Each child and their parents endure immense suffering.

[skatingwithowls]

I love my job.

[yessy-studies-aba]

New Keyboard ✨