3/27/2018. Autism Spectrum Therapies: A Leader in the ABA Community

Transcription

1 Autism Spectrum Therapies: A Leader in the ABA Community 1

2 Presenters Angela Montes, M.S., BCBA Jocelyn Thompson, LCSW, BCBA 2

3 Autism Spectrum Therapies (AST) AST is part of the Learn it Family of Companies Our mission is to foster growth and new possibilities for everyone 3

4 Autism Spectrum Therapies (AST) Since 2001, AST has been a leader in the treatment of autism with ABA Individualization based on family dynamics Collaboration between family experiences and clinical recommendations Data collection for informed decisions 4

5 Autism Spectrum Therapies (AST) 2,000+ families 8 states 1 million hours 8 centers 1 school 1,500 staff 50+ payor relationships 5

6 AST - New Mexico Opened January 2017 Servicing greater Albuquerque area ABA and Diagnostics Ages: 18 months-18 years Multiple settings Multiple payors 6

7 AST - New Mexico How We Help Insurance Advocacy Assessment and Evaluation Training, Workshops, Consultation Parent Education 1:1 Therapy and Support 7

8 Applied Behavior Analysis (ABA) 8

9 What is Applied Behavior Analysis (ABA)? Applied: Addresses socially significant behaviors Behavior: Precise measurement of observable behavior Analytic: Demonstrated control over the occurrence and non-occurrence of the behavior 9

10 Applied Behavior Analysis (ABA) - In Other Words... It is the science of behavior Increase/improve socially significant behaviors Reduce/Replace challenging behaviors Breaks complex behavior chains into teachable steps Decades of research to support methodologies and strategies we use in the field of ABA 10

11 ABA Continued What it IS: Science of behavior (application) Involves MANY techniques Used with MANY different populations Large corporations Popular weight loss programs (Weight Watchers) What it IS NOT: Just table top work Only helpful for children Only flashcard drills and edibles/food Something that only occurs in a therapy room 11

12 Transition Planning 12

13 Needs 50,000 youth with ASD turn 18 each year (National Autism Indicators Report, 2017) No survey/data that covers the full population of transition-age youth and young adults with ASD Services are fragmented Youth with ASD are more likely to have: o co-occurring health and mental health conditions o less likely to be able to manage independently and develop friendships o less likely to take steps in secondary school that will prepare them for college and employment 13

14 Supports & Services Coordinated services that focus on: -Health and well-being -Employment -Independent life skills -Education and training, -Meaningful relationships -Individualized life goals 14

15 Needs Support & Services Health care planning Community-based skills assessment Special Education Services- Transition Planning Vocational Rehabilitation Services- Individualized Plan for Employment (IPE) Gottransion.org Autism Speaks 15

16 Your BEST Life Program Behavioral & Educational Support for Transitioning to Adulthood 16

17 Behavioral & Educational Support for Transitioning to Adulthood Youth years old Focus on teaching youth independent living skills Support parents with transition planning Individual and group sessions Multi-disciplinary & Family-centered approach 17

18 Services & Supports Offered to Families Definition of family is broad - Birth - Blended - Kinship - Foster and adoptive families Multi-disciplinary approach - Individual & family counseling - ABA - Individualized treatment plans Supporting families across service delivery systems - Resource Coordination -Transition planning - Advocacy 18 18

19 BEST Life Program: Initial Steps 19

20 Behavioral Assessment Parent Interview To be conducted by a Board Certified Behavior Analyst (BCBA) Purpose: gather overall history, considerations, concerns, and suggestions Child/Youth Interview To be conducted by a Board Certified Behavior Analyst (BCBA) Purpose: gather likes and dislikes, evaluate skill level, incorporate individual into the process Additional Providers Interview To be conducted by a Board Certified Behavior Analyst (BCBA) Purpose: gather information as it relates to the respective treatment and setting Allows for future collaboration 20

21 Observation Purpose Evaluate behaviors as they occur Gather information of what has been working and not working Observe potential reasons for on-going behavior Compare what is observed vs. what is reported Begin to develop potential goals 21

22 Assessment Measures Purpose To provide an additional resource that helps support measuring an individuals strengths and weaknesses Common Tools Vineland Adaptive Behavior Scales III (Computer and manually based) -Completed by parent/guardian -Provides data of an individual s functioning level in comparison to same aged peers AFLS (Observation and Testing) -Completed by a trained staff member -Used as a curriculum guide 22

23 Putting It All Together-Treatment Plan Gather all reported information by parent/guardian and child Consider all information that was directly observed across all settings Evaluate the assessment results for tools administered Review any additional previous reports Incorporate all relevant information as reported by additional providers Develop and prioritize treatment goals 23

24 Case Examples 24

25 Case Example- Mary Mary- 17 y/o female diagnosed with ASD and GAD Expected to graduate high school with a diploma in June GPA Resides with her mother and younger brother who also has a diagnosis of ASD No friends/social supports History of verbal outbursts and making inappropriate comments Conflict in the home between Mary and mother Years of home and clinic-based ABA Receiving other services- CBT, Social Skills Group, Executive Functioning Coach Transition planning fragmented 25

26 Case Example- Assessment Informed consent Multiple interviews with Mary and her mother Interviews with other service providers Review of records Vineland Community-based skills assessment 26

27 Case Example- Treatment Plan Family meeting/debrief - review assessment findings - finalize treatment goals (self-management driven) - develop transition plan (family-focused, multi-disciplinary) - frequency of services- ABA, individual and family counseling - clarify expectations of services - family contract 27

28 Jocelyn Thompson, LCSW, BCBA Angela Montes, M.S., BCBA 28