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The world of the “D’s”

The world of the “D’s”. ASD, ADHD, LD, DD & IDD Emily Boncek M.S., CRC & Lucy Gafford M.S., CRC Training Developed by Jennifer Kaut M.Ed.,BCBA Board Certified Behavior Analyst DARS-DRS Developmental Disorder Specialist. How Many Are We Sending for 18 + Services?.

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The world of the “D’s”

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  1. The world of the “D’s” ASD, ADHD, LD, DD & IDD Emily Boncek M.S., CRC & Lucy Gafford M.S., CRC Training Developed by Jennifer KautM.Ed.,BCBA Board Certified Behavior Analyst DARS-DRS Developmental Disorder Specialist

  2. How Many Are We Sending for 18 + Services?

  3. In the next 10-12 years… Texas will TRIPLE the numbers of students graduating with Autism 2017-2019, Texas will have 9,838 students with Autism graduating. 2024-2026, Texas will have 32,433 students with Autism graduating

  4. What Supports Did These Graduates Need in School and How Will These Reflect Their Transition Needs? (Predications based on the DSM 5 Levels of Severity)

  5. What’s with all this Autism Stuff?? Why does it matter to me? I don’t have that many on my caseload! WHY? Because anything you do for ASD, is best practice for ANY developmental disorder. They are the largest disability population and we are the least successful with them….

  6. Applied Behavior Analysis(ABA)…..What is it?

  7. Simply put: ABA is a methodology whose goal is to socially significant behavior. improve

  8. So what is “socially significant behaviors”?Any behavior that effects a person’s quality of life

  9. Applied: ABA takes what we know about behavior and uses it to bring about real-world, meaningful change Behavior: Behaviors are defined in observable and measurable terms in order to assess change over time Analysis: Behaviors are analyzed within the environment to determine what factors are influencing the behavior What does ABA stand for?

  10. Who is the professional that conducts ABA?

  11. 3 levels: • BCaBA: Bachelor’s + behavior classes +supervised hrs.+ board exam • BCBA: Master’s + behavior classes +supervised hrs +board exam • BCBA-D: Doctorate +board exam • All must have degree’s in Education, Sp. Education, Psychology , Social Work or Behavior Analysis. Board Certified Behavior Analysts (BCBA’s)

  12. What they can do: • BCaBA/graduate student in a behavior analysis program • Cannot do assessments • Can only conduct intervention plans supervised by a BCBA & all reports on progress must be signed by a BCBA • BCBA: • Can do assessments • Can do all interventions • BCBA-D: • Can do assessments • Can do all interventions Board Certified Behavior Analysts (BCBA’s)

  13. How do I find one in my area? 2 ways: Check Rehab Works www.bacb.com (click on the page that says “find certificates”) Board Certified Behavior Analysts (BCBA’s)

  14. Who do I use it for?...

  15. What types of consumers typically benefit from ABA?

  16. Has a problem behavior that presents a barrier to employment • You need to DECREASE these behaviors • Has a deficit in social skills that present a barrier to employment. • You need to INCREASE these behaviors If you have a consumer that…

  17. What if it looks like there is several problem behaviors and several deficits? You can call in a behaviorist to assess: Skill level Social skill level Communication ability Environments that would support their autism Environments to avoid Determine the function of any problem behaviors Identify triggers Identify preferred interests & reinforcers Determine if they have natural supports IF needed, provide a treatment plan to address these behaviors What if I have no clue if they can work?

  18. Their parents are glued to them and speak for my consumer • Parents might sabotage what we are doing • Need more information to develop a plan • CCSA is a great pairing with a FBA A behaviorist would work with ALL environments- if the environment presents a barrier to employment then we can address it. What if I believe they can work but…

  19. What is the work goal? EX. If your consumers work goal is to work at a gaming company that provides tele-work or cubicles, little interaction, low lighting, then what social skills does he need? If he can respond when spoken to, follow supervisor’s instructions, accept feedback, has transportation and shows up dressed appropriately, then does he have a barrier? But STOP and think…..

  20. Autism DOES NOT = ABA

  21. ABA services..What it should look like?

  22. Social Skills Support (Consumer does not have challenging behavior but displays skill deficits) • Social Skill Assessment (up to 4 hrs) • Intervention (group or individual up to 30 hrs) • Behavioral Intervention (Consumer has challenging behaviors that need to be decreased) • Functional Behavior Assessment(FBA) (up to 8 hrs) • Behavior Intervention Plan(BIP) (group or individual up to 30 hrs) ***Any combination of individual or group can be used but the total is not to exceed 30 hours *** 2 Choices

  23. ABA is short term You should see progress Receive frequent updates on the mastery of the consumer’s goal A good therapist will redo the plan if progress is not shown quickly You should see generalization of skills in all environments People in the environment that is being treated should be trained in any plan or recommendations Tips

  24. RPM: Chapter 5 (5.3.7) Located after Mental Restoration Services Rehab Works Level 1- Evaluation Services Level 2-Behavior Analysis (will be changed to APPLED Behavior Analysis) Where can I find the policy & Purchase the service?

  25. DARS • Common Myths reviewed • Myth: You must be at least 16 years old to apply for DARS services • Myth: High schools should refer a student to dars only when they are a senior • Myth: Dars is a scholarship program • myth: dars can’t assist a transition aged student with finding work, until they graduate high school • myth: DARS is a long term service provider • Myth: DARS provides emergency services • Myth: DARS can’t work with a student if they are receiving 18+ services with the high school • myth: Applied Behavior Analysis(ABA) services are relevant only to individuals diagnosed with an Autism Spectrum disorder • Myth: ABA can only be applied to Behavior Problems • myth: ABA services are only effective for young children

  26. DD Regional Point of Contacts…

  27. 2014 Statewide Developmental (ASD/DD/IDD/ADHD) Disorders Team Team Lead: Jennifer Kaut M.Ed., BCBA Total ASD VR Counselors: 56 (updated 9/4/14) Total CRPs: 33(updated 9/4/14) Total: VR/CRP: 89

  28. 2014 Statewide Developmental (ASD/DD/IDD/ADHD) Disorders Team CRPs

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