Is there a difference between ABA and IBI?
No, there is no difference. The term 'Intensive Behavioural Intervention' or 'IBI' is simply referring to applying the principles of ABA in an intensive setting (20+ hours/week).
How many hours of therapy per week is needed?
Some learners can make amazing gains with just a few hours of therapy per week. Others require more intensive services. Focused service is typically 10-25 hours/week. It requires less hours and will target fewer goals. Comprehensive services target a wider range of goals and thus require more hours per week, typically more than 25 hours/week.
How long will my child be in therapy for?
Children can be actively enrolled in therapy for a matter of weeks, months, or even years. The duration of services can often vary, based on the learner's goals and the type of therapy they are receiving. For example, group therapy and parent training consultations run in fixed blocks for servce (ex. 13 week block, January to June). You can choose to register for multiple blocks, or take breaks between blocks. One-to-one therapy is often continuous. We recommend a minimum of 6 months (the lenght of a typical behaviour plan), but most of our learners are with us for 12+ months. It's hard to say how much progress a child will make in a short amount of time, so it's important to consider the duration of service when planning programs and goals. We would select different therapy goals for a learner in service for a short/fixed amount of time, compared to someone who is anticipating ongoing service.
How do I choose between home-based and centre-based therapy?
Every learner is different, and there are pros and cons to both. Home-based therapy allows the learner to practice skills in their natural environment. It also allows parents to be more involved, which helps with the generalization and maintenance of skills. Centre-based therapy is great for learners who benefit from being around other learners with similar skills. It also provides a very controlled environment to facilitate small group learning and teach a variety of social skills. Both settings allow for therapists to go out into the community, which is essential for many goals.
How can you practice social skills in a home-based program?
Community outings are great for practicing social skills with typically developing peers. Your local library, Early Years Centre, or YMCA may have many drop-in programs that therapists can attend with the learner.
We get many requests for after school sessions, which can be a great fit for older children who are learning at a rate that matches their peers.
My child goes to school all day, so how are they supposed to access therapy as well?
Therapy time is learning time, so it is important to ensure each learner has therapy sessions scheduled during a time that is best for them. A time when they are awake, alert, energized, and ready to learn and play. We want to avoid therapy sessions during times when the child might be tired (ex. during nap time, at the end of the day). Morning and afternoon sessions work well for younger children who become tired by the end of the day, or children who are developmentally behind their peers. After school sessions can be a great fit for older children, who are learning at a rate that matches their peers.
What kinds of assessments can you do?
Our team is trained to complete a variety of different behaviour and skills assessments. Some of our favourite skills assessments include the Assessment of Basic Language and Learning Skills-Revised (ABLLS-R), the Assessment of Functional Living Skills (AFLS), and Promoting the Emergence of Advanced Knowledge Relational Training System (PEAK). Depending on the service model, sometimes a full skills assessment is beneficial. Other times, a behaviour assessment is more appropriate, such as a Functional Behaviour Assessment (FBA) or Functional Assessment (FA). Indirect assessments, such as parent interviews and document reviews, may also be completed. Assessments are chosen based on individual client need, and a variety are often completed to help gather a wide range of information to be used during goal setting and program planning. Our team does not currently have the capacity to complete diagnostic assessments.
Do I get to watch or participate in sessions?
Parent involvement in sessions is always encouraged! Based on the learner's individual programming and goals, we are able to put together a routine that allows parents to participate meaningfully in sessions. This can include sitting in on sessions for regular observations or actively participating in various programs that have parent-mediated components. For some learners, however, it can be a distraction for parents to be present during session. In these cases, we can work on this by building flexibility while providing ways for parents to observe and participate incognito. Some learners may also have trouble transitioning away from their parents during session. It is important for the learner to feel comfortable working with our team without a parent present, and so this would be a skill to target as part of the learner's initial behaviour plan.
Who will be a part of the therapy team?
Most teams will consist of at least one ABA Therapist, a Senior Therapist, and a Clinical Supervisor.
ABA Therapists provide one-to-one therapy, collect and graph daily session data, implement various skill acquisition and behaviour reduction programs, read and follow the learner’s Behaviour Plan and/or Behaviour Protocol, assist with preparing basic materials as needed, maintain organized program binders and materials, attend team meetings as needed, assist in covering missed one-to-one hours, assist in completing reassessments, contribute to the learner’s collection of reinforcing items/activities, log direct hours spent with the learner, family, or family team, provide small and large group therapy as needed, provide family and caregiver training as needed, complete an Injury Report in the event of an accident/injury, other duties as assigned.
Senior Therapists complete initial assessments and collect informed consent as needed; assist in completing Behaviour Plans and other required reports; create, print, and prepare ABA programs, data sheets, and graphs; create, print, and prepare ABA program materials; provide training to team members using Behaviour Skills Training; provide peer and parent mediated interventions; provide consultative services; consult with other professionals; assist with Registered Behaviour Technician (RBT) assessment and ongoing supervision requirements; assist with team member performance reviews as needed; additional ABA Therapist roles and responsibilities as needed; other duties as assigned.
Clinical Supervisors plan and set goals with the learner, family, or family team; complete new client intake meetings and collect informed consent; prepare Behaviour Plan Budgets; sign and submit required paperwork; determine appropriate assessment tools; oversee with BCaBA assessment and ongoing supervision requirements; oversee BCBA supervision; additional Senior Therapist and ABA Therapist roles and responsibilities as needed; other duties as assigned.
Best Behaviour Inc. will obtain copies of the following documentation from all team members: an updated resume, two (2) references, a Police Vulnerable Sector Check completed within six (6) months, proof of full vaccination against COVID-19, proof of two (2) million liability car insurance (if applicable), proof of professional liability insurance (if applicable), and proof of First Aid and CPR Training (if applicable), and proof of crisis management certification (if applicable).
What happens if I'm not happy with a therapist on my team, or have feedback to share about things I'm seeing in session?
When putting together a therapy team, we try to pair learners with therapists that we believe will work well together. For example, matching level of experience with the learner's individual needs. If at any point a team member or parent feels as though the pairing is not working, we work together to identify what additional training is needed to help with this. This feedback can be shared with the Senior Therapist and Clinical Supervisor, and they will determine next steps.
Can we invite our therapist to attend social functions with our family?
The relationship between team members and clients is professional, so we cannot attend social events or recreational activities with your family. We can provide support during these events, as part of the learner's therapy goals and services, but it would be considered paid therapy time. Dual relationships and conflicts of interest will also be avoided (ex. providing respite and ABA services concurrently).
We want to show our appreciation to the team. Can we give our therapists gifts?
Gifts are allowable, provided that they are infrequent, they function as an expression of gratitude, and the monetary value of the gift is under $20.00.
How much supervision does your team provide?
Senior supervision is allocated at 20% of the learner's scheduled one-to-one therapy, or a minimum of 2 hours/week. For example, if the learner is registered for 10 hours per week of one-to-one therapy, the Senior Therapist will have 2 hours of supervision allocated per week. Of those 2 hours, we aim to complete 50% of those hours as part of their direct supervision (observations, parent meetings etc.), and the other 50% as part of their indirect supervision tasks (writing programs, updating a behaviour plan, making visuals etc.). Indirect time is not billed. Clinical supervision is allocated at 0.5 hours per week. These proportions are based on best practices as recommended by the Behaviour Analyst Certification Board (BACB), however we understand that each learner is different and some may require additional supervision. If this is the case, we will try our best to accommodate individual supervision needs at little to no additional cost.
How much does therapy cost?
The total cost of therapy depends on the number of hours of therapy per week. Services can be arranged by paying a fixed hourly rate for full service or individual charge out rates for specific team members. A detailed cost breakdown for each of our services can be found on our 'ABA Therapy' and 'Psychotherapy' pages.
What is your cancellation policy?
A detailed description of our cancellation policy for each of our services can be found on our 'ABA Therapy' and 'Psychotherapy' pages.
Do you close for the summer?
The centre does not close for any pre-determined holiday or summer breaks. Sessions are able to continue over Christmas Break (as defined as the 2 weeks that schools are closed for Christmas holidays), working around the necessary statutory holidays, at the discretion of the Parent/Guardian and Therapist, but it is not required. Similarly, sessions are expected to continue through Summer Break (as defined as the 8-10 weeks that schools are closed for summer holidays), working around the necessary statutory holidays. If a Therapist or Parent/Guardian choose to take a significant amount of time off (ex. 4+ weeks), this may result in the need to reallocate the learner’s current therapist(s). The Therapist may lose their spot on the learner’s team, and/or the Parent/Guardian may lose their current therapy time slot. There is no guarantee that therapists or time slots can be held after a significant cancellation, however every effort will be made to make temporary arrangements that allow the learner to resume regular sessions with their regular team upon return.
Are your services covered under the Ontario Autism Program?
Yes. All of our services are supervised by individuals on the OAP Provider List. We are an approved OAP provider, to be offering Core Clinical Services under the OAP. We are also able to service families who are currently receiving OAP budgets, childhood budgets, and interim one-time funding.
How do I know if I qualify for government funding?
AccessOAP is the new agency responsible for registering, managing, and distributing funding. If you are a new family looking to register for the Ontario Autism Program, you can find more information here. If you are already registerd for the OAP and have questions about your transiiton to AccessOAP, you can find more information here. More information about the Ontario Autism Program is available here. You can also take a look at our 'Resources' page to browse through the various funding options that may be available to you.