The Carolina Center for ABA and Autism Treatment has provided high-quality services to individuals with autism spectrum disorder (ASD) since 2006.
The primary goal of our staff is to increase our clients’ and their families’ quality of life.
Some of the steps we take to serve our clients include:
Behavioral therapy to help clients prepare to transition into school settings
(typically ages 4- 7)
At CCABA, a client’s services are provided with a treatment team, including Registered Behavior Technicians, a Board Certified Behavior Analyst (BCBA) and parents/caregivers. Registered Behavior Technicians provide the majority of the one-on-one services during sessions, but each member has important roles. The BCBA’s role is primarily supervisory. She or he is responsible for collecting information about the client’s needs, identifying which skills therapy should focus on, designing programs to teach those skills, providing training to other team members about how to use the programs, and monitoring progress. In addition to providing the majority of one-to-one services, Registered Behavior Technicians also share insight with the BCBA about the rate of progress and make suggestions on how the session can be structured to maximize success. Parents and caregivers share ideas and provide input about what skills the client will learn and what those skills should look like. They also implement the behavioral programs outside of therapy sessions.
Board Certified Behavior Analysts must
Behavior Technicians must
At CCABA, we work with all of our team members to ensure they meet an even higher standard, obtaining the Registered Behavior Technician (“RBT”) Certification from the Behavior Analyst Certification Board. This credential requires demonstration of conceptual knowledge and skill competencies that ensure proficiency and effectiveness in their role. To support this, CCABA provides specialized, in-person and virtual training on the content covered on the certification exam.
As a general standard of care, the Behavior Analyst Certification Board (BACB) recommends that Board Certified Behavior Analysts supervise 2 hours for every 10 hours of direct treatment hours (~20%). For example, if a client receives 20 hours of direct treatment per week, a BCBA would typically be recommended to provide the client’s case at least 4 hour each week of direct observation, family training or other dedicated support. The level of case supervision may vary based on a variety of factors, including the stage of treatment, changes in protocols, changes to a client’s other therapies or medications or a transition of care.
Given this high level of expected involvement by BCBAs, many organizations struggle to meet this threshold given their efforts to expand access to as many families as possible. We would encourage all families to directly discuss this topic with any prospective provider. At CCABA, we are working hard to expand our access, but we foremost have an obligation and commitment to the quality of our services. With that, we require our BCBAs to oversee their client’s care at an average rate of at least 20% of the direct treatment hours, with many cases well over this threshold due to the complexity of their care programs.
The steps to acquire services from CCABA are outlined below.
When caregivers are active members of the treatment team, clients make greater gains.
Parents and other care providers are the experts on their child and the environments where they spend time. They are uniquely able to share information about:
Moreover, given the importance of the outcomes for specific behaviors, caregivers can ensure that other people in those environments are providing the same consequences outside of therapy.
For example, if a child is learning how to request toys from other children, encouraging other children in the home (e.g., siblings, cousins) to share a toy when an appropriate request occurs will increase how quickly a new skill is learned and increase the likelihood of it continuing as the focus of treatment shifts to other skills.