ABA Therapy & Telehealth FAQs & Their Answers

Authors

Erin Mayberry, BCBA, LBA

Director of Customer Success

Kaitlin Doyle, MBA, OTR/L

TheraWe Clinical Director


There have been many questions about the effectiveness of telehealth and applied behavior analysis (ABA therapy). Telehealth is a fairly recent trend that’s becoming more popular due to social distancing restrictions.

It’s more convenient than in-person therapy in many ways. There are several ways to meet with a certified therapist through video conferencing and messaging.

Telehealth can help ABA therapy reach out to more people. For more information on the topic, here is an ABA Therapy & Telehealth FAQ.

How can telehealth help ABA therapy providers expand their practice and reach more people?

With telehealth services, ABA therapy providers are able to expand the scope of their practice. In the past therapy was mainly offered in the patient’s home, or otherwise a clinic or healthcare center.

Now, these services are able to be provided remotely.

ABA therapy providers can reach out to more people, without being restricted by the geographical area. This is a big benefit for customers. People in need of a therapist have more access to one without time or distance restrictions.

Often people can’t travel to see a therapist because of work, family, or other responsibilities. Telehealth provides an opportunity for these kinds of people who can’t get to a therapist’s office as easily.

Certain patients actually prefer remote therapy because along with being convenient, they don’t want to go see a therapist in person. Telehealth allows ABA therapy providers to reach out to these people and expand their practice.

Is telehealth approved by insurance?

This is a common question in an ABA Therapy & Telehealth FAQ. Telehealth is approved by insurance.

It will, however, depend on your payor and it can vary from state to state. It might not necessarily be approved for everyone, so it depends on each case.

Clinicians can contact the insurance company and ask whether or not telehealth is covered by their client’s specific policy.

You should ideally check with your insurer to find out how telehealth is covered by your policy.

How can you increase parent engagement when providing telehealth services?

One way to increase parent engagement when providing telehealth services is by setting appropriate expectations with the family and making accommodations based on the needs of the family.

First, find out information about the home environment from the parent. This will allow you to identify how he or she will be most successful.

Next, streamline communication to decrease channel fog. If you are using multiple channels of communication, for example messaging or video chat in one place, sharing parent training resources and the child’s data is in another place, and then there is a third-place for non-therapeutic communication and clinic updates, your parents may be at risk for channel fog. Condense all parent communication into one place.

In addition, consider the device the parent uses most often, whether this is a computer, tablet, or smartphone. Communication is most successful when delivered on the device he/she is using most often. This will help with engagement, as well.

Gamification and positive reinforcement are also great ways to improve parent engagement. Setting up a daily task list or specific focus for the parent will help the parent digest the information being provided and have actionable steps.

With positive reinforcement and encouragement, the parent will feel success. As the parent feels success, he/she will gain more confidence and be more engaged in the process.

How are clinicians running assessments via telehealth?

Different assessments have been made via telehealth, although more research is to be done in this area.

In previous research, David P. Wacker and colleagues in 2013 conducted functional assessments (FAs) via telehealth with 20 young children with autism spectrum disorders.

They trained parents to implement procedures at home while there was a clinician observing via online video conferencing.

FAs completed within a multielement design identified environmental variables that maintained problem behavior in 18 out of 20 individuals studied.

The results suggest that behavior analysts can effectively and efficiently conduct FAs via telehealth.

There have been other articles published in 2020 that look at preliminary findings on telehealth effectiveness.

Kelly M. Schieltz & Wacker also reviewed previous research in telehealth and provided a comprehensive summary of what is known regarding assessment and function-based delivery with remote services.

Emily Unholz-Bowden and colleagues also did a literature review on telehealth, specifically regarding the effectiveness of caregiver training and training packages that can be effective.

From a BCBA’s perspective, how can we make telehealth more comfortable?

From a BCBA’s perspective, you can make telehealth more comfortable in different ways. Certain professionals prefer to set up a typical home office environment.

This is better if you prefer to sit down and focus and complete your daily tasks in a distraction-free setting. Others prefer to move around and have more flexibility and mobility. It depends on the person.

For BCBAs, you can be quite flexible in the way you choose to work. It’s up to the individual to build a routine in a setting that works for them. There are also ways to make the situation more comfortable for families and children.

Explain the setting to the family before you start. Even things like if your cat could walk past in the background or if you need to move to get new materials.

It depends on the nature of your practice. It’s a good idea to explain what the sessions will be like and what the patients are likely to see or hear through your camera.

For a BCBA, it’s especially important to set up an ergonomic workspace.

This might mean investing in an ergonomic chair, desk, and electronic equipment. This is important for your health and wellbeing. It’s as important from home as any other workplace.

How can telehealth provide more care and more billable opportunities?

Telehealth can be used in several ways to provide more care and more billable opportunities for the ABA therapy provider.

Telehealth can be embedded in the way we traditionally provide services, as an additional way to increase access to parents. It can also help reduce barriers to services that may include travel, illness exposure, and career responsibilities.

BCBAs can also increase attended parent training hours through the use of telehealth, and can increase supervision opportunities.

You may even be able to recover some of the costs of reviewing videos and providing written advice to families through asynchronous teleheatlh.

How does TheraWe decrease screen time while optimizing times on-screen?

TheraWe is an HIPAA compliant mobile video platform that bridges the gap between the clinic and families at home.

The platform allows parents to take and upload videos any time during the week from his/her mobile device. Videos are then uploaded to a secure location so that they can be reviewed by the BCBA.

The BCBA can also share the video that has been provided by the parent, as part of the next parent training session, decreasing the time the child has to be on the screen.

With this approach, the BCBA can discuss feedback on home implementation, what is working, and any areas for improvement. This is particularly useful for children who have difficulty with attention to the screen.

Should telehealth always be an option, even after the pandemic?

Many people will continue with some new habits formed during the pandemic. Telehealth isn´t an exception.

It can be combined with in-person therapy based in clinics or at home, and is a means to continue to provide services to people in rural areas or who have difficulties with scheduling or distance from providers.

Telehealth is a great alternative to in-person services for those who wouldn’t otherwise have access to them.

For example, if a parent is struggling with novel challenging behaviors, it could be convenient to do a parent training telehealth session for the day. This might be easier to fit into the parent’s busy schedule rather than arranging an appointment in person.

Should providers and business owners invest in better technology to improve telehealth, and why?

One thing that can make telehealth less convenient is, of course, technical issues.

Without proper technology and a strong Wi-Fi connection, it can be more difficult to carry out telehealth sessions. In order to provide the best services, you need better technology.

Providers and business owners should, therefore, invest in technology to help improve telehealth services. It’s important to have an effective, user-friendly interface to deliver these services through.

As far as hardware goes, a good camera, microphone, and computer are essential.

What are some top tips for parents, therapists, and etiquette for setting expectations for sessions?

It’s a good idea to be clear about expectations from both the ABA therapy provider and the parent. Give the parent a clear indication of their role. Thorough preparation will help improve the process.

It’s also important to be understanding that this is a new platform and many parents might be unfamiliar with it. Therefore, it’s necessary to be flexible with telehealth services and parent engagement.

Parents will need to get used to the platform and how it works. The best thing to do is to give them a thorough explanation of all expectations beforehand.

Sitting in front of a screen for a long time isn’t healthy, so it’s vital to work in proper conditions. Ergonomic settings are essential and the lighting and positioning of furniture and equipment need to be controlled. It’s also a good idea to take regular breaks.

Telehealth is the part of the future of providing care. It’s a new way to provide therapy services to those who wouldn’t normally be able to receive them.

ABA therapy providers are also able to broaden their client base and increase billable opportunities. For more information on ABA Therapy & Telehealth FAQs, contact us for all your questions answered.


Rethink and TheraWe Logos

Increase Billable Moments with TheraWe: Now Part of Rethink BH

At Rethink Behavioral Health, we’re always looking to improve and offer better products and services to serve our customers’ unique needs.

This holds especially true in an uncertain and ever-changing landscape as we are all in now. With that in mind, we recently announced the acquisition of Kansas City-based startup, TheraWe.

TheraWe is a HIPAA-compliant mobile video platform that helps bridge the gap between pediatric therapy centers and families at home.

Their tagline is “Increase Billable Moments with TheraWe”, and that is precisely what we plan to help therapy centers do with their help.

In this article, we will give some background, highlights and customer data on TheraWe, and what you can expect from us together in the future.

About TheraWe

In today’s world, pediatric therapy providers are constantly on the move, using mobile devices to communicate with and train parents or children.

TheraWe is a platform offering pediatric HIPAA compliant parent programming, messaging and video conferencing that supports office visits, remote questions and secure live video chat.

It allows parents of children with special needs and therapists to stay engaged using modern tools that help track and monitor progress remotely while increasing revenues for service providers.

TheraWe works best as a hybrid, offering in-person, remote and live video support. Users of their technology include ABA Therapists, Occupational Therapists, Speech Therapists, Early Intervention Programs, Schools and more.

Platform Highlights

TheraWe doesn't just help increase billable moments. Here are a few other highlights and benefits providers can expect:

  • Improve parent engagement
  • Streamline communication
  • Capture billable time for things you are already doing
  • Increase revenue by up to 10% (results may vary)
  • Reimbursement using asynchronous telehealth
  • Reimbursement is dependent on your state and funders

Customer Success Story

TheraWe customer, RL Therapy Group, started using the TheraWe platform with a group of patients and therapists to increase parent engagement and improve communication in the therapeutic process.

In the last 3 months, during the pandemic, RL Therapy was able to increase billable units by 10% with the use of TheraWe, all while improving parent engagement and communication.

The TheraWe platform facilitates and tracks asynchronous telehealth and allows therapy providers to collaborate with parents in a more modern way.

Self-Reported Customer Data

Take a look at some self-reported customer data from RL Therapy Group. This data shows the change over a three-month period in units billed in Telehealth vs. Therawe.

TheraWe and Telehealth chart

If you’re a current or prospective Rethink customer and would like to learn more about how Rethink and TheraWe can help improve your pediatric or ABA therapy practice, contact us today.


female staff member webinar graphic

Best Practices: Navigating the Contracting & Credentialing Process (Video)

To watch the webinar, please fill out your information below:

Rethink billing software and services can help save your ABA therapy practice, clinic or business time and money by increasing efficiency and automation by eliminating workarounds, excel spreadsheets and lost revenue potential.

From our scheduling and billing synchronization, to easy reporting, business transparency, advanced reporting and compliance capabilities, you’ll have all the tools you need at your disposal.

You can also fully outsource your billing efforts with Rethink if you’d like. That all sounds great, right? But wait, there’s more…

New Partnership & Webinar

In case you missed it, we recently announced that MRC Billing has become part of Rethink Behavioral Health.

This new partnership further expands our Revenue Cycle Management (RCM) services by enabling us to offer Enrollment Services for a seamless credentialing and contracting process.

To celebrate, we hosted a webinar with Monica M. Hammel, who is now the Enrollment Manager at Rethink Billing (formerly MRC Billing) to discuss the following.

  • What you need to do to become contracted
  • What is a CAQH and what exactly is credentialing?
  • What to expect from the insurance companies
  • Types of contracts
  • Following up on your requests for contracts and credentialing

About the Presenter

With over 8 years experience of working for an ABA billing company overseeing the Enrollment and Credentialing Services, it is Monica’s department’s responsibility to verify how an incoming client is contracted and credentialed, so that we are billing the insurance companies correctly, from the very beginning of our relationship with our clients.

Throughout the years, Monica has found that 9 out of 10 customers have experienced some type of credentialing or contracting issue that resulted in denied claims PRIOR to deciding to outsource.


A graphic for a Rethink return to work webinar

Returning to Work: A Conversation to Resume Regular Operations

To watch the webinar, please fill out your information below:

Returning to work will bring new legal and practical challenges for employers in all industries and geographies.

For this reason, it is imperative to have a plan in place while being cognizant of laws/guidelines to avoid any legal repercussions on your company.

Vanessa Kelly, a Labor & Employment Attorney and Litigator with Clark Hill, PLC, and Melinda Lapan, Vice President of HR Advantage Advisory, recently hosted a webinar to help businesses and individuals prepare to resume regular operations.

They discussed the following topics in detail:

  • Preliminary considerations
  • Preparing the workplace for safe re-entry
    • OSHA/CDC guidelines
    • State Health Authorities
    • Executive Orders
  • Hiring/Rehiring
    • Dealing with Workers’ Anxiety
    • Refusals to work
    • Telework, accommodations & leaves
  • Dealing with workplace exposures or workers who get sick
  • Takeaways/Action steps
  • & more!

About the Presenters

Vanessa Kelly is a Labor & Employment Attorney and Litigator with Clark Hill, PLC, a full-service, global law firm. Vanessa’s clients seek her experienced, confident counsel in addressing their employee management needs. She provides legal services including risk assessment and risk avoidance in employee terminations, accommodating disabilities, addressing workplace misconduct, protecting key personnel and proprietary information, performing reductions in force, and implementation of workplace policies designed to avoid disputes and comply with state and federal law, to name a few. Vanessa also defends employers before federal and state courts and civil rights agencies. Vanessa earned her J.D. at George Washington University Law School, and is licensed in both NJ and NY.

Melinda Lapan is Vice President of HR Advantage Advisory, a subsidiary of Clark Hill. HR Advantage Advisory provides HR outsourcing and consulting services. Melinda has over 20 years of Generalist experience in Human Resources, having worked in various HR leadership roles across multiple industries prior to joining HR-AA. She has a Master of Business Administration (MBA) degree and she holds two HR certifications: the PHR and the SHRM-CP.


marketing your aba therapy practice webinar graphic

Marketing Your ABA Practice - Marketing in 2020 (Webinar)

To watch the webinar, please fill out your information below:

Marketing your ABA practice does not need to be complicated or complex. While digital channels such as social media, search engine optimization (SEO), email marketing and pay-per-click (PPC) are very important elements of marketing, there are components that can be done within your practice with little effort.

Before you consider diving into marketing, your mindset should be to focus on the customer. Here are some questions you need to consider:

  1. What does our perfect customer look like?
  2. How are our customers hearing about us?
  3. What are we doing to “wow” our customers?
  4. How are we communicating with our customers?

Jay Baer, author and marketing consultant, shared that 92% of consumers trust recommendations from people they know directly, and anonymous reviewers have a 70% trust rate when they post online about a brand.

Online reviews are extremely important for businesses, but it goes against the BACB code of ethics (Section: 8.05 Testimonials and Advertising). Does that mean we cannot market our business effectively? Absolutely not. 

Online reviews are important, but word-of-mouth is even more important. If you create an operational process around customers to “wow” them, you will see your practice grow.

What can we do to “wow” customers and prospects?

Customers do not need a lot to be impressed with a business. As an ABA therapy practice, you can try the following as examples:

  • Create fun and educational posts on social media
  • Check-in with your clients after two months of therapy and survey them
  • Send monthly email newsletters
  • Write them a handwritten note or letter
  • Create video or blog content on your website
  • Improve your website usability to communicate with clients and prospects

Let’s use us as an example. We provide monthly webinars on important topics that provide value to clients. Does this result in more sales? Maybe, but that is not the goal. The goal is to help customers navigate the ABA business landscape.

Next Steps

Before you consider hiring staff or an agency to help with your needs, check out our webinar with Glenmont Consulting. Pete Polgar, the Principal of Glenmont, will provide you with actionable takeaways. Enjoy!


Teaching Learners with Autism to Cooperate with Wearing Masks (Video)

To watch the webinar, please fill out your information below:

About this webinar

Given many states, local, and business mandates during the current pandemic, it is likely that students and clients will continue to be required to wear facial masks when attending school, work, and other community activities for the foreseeable future.

Compliance with wearing a face mask can be challenging for individuals with autism and other developmental disabilities. Often staff may see an increase in behavioral challenges related to clients tolerating masks worn by others, putting on a mask themselves, or adhering to long durations of mask-wearing. With these challenges may often come a correlated decrease in on-task behaviors related to learning or work responsibilities.

While increasing learner cooperation with wearing masks may be a novel skill being targeted by clinicians with their clients, the strategies for doing so are not. Although research is still limited on gaining compliance with masks, previous research can be extended to successfully target this particular skill. Behavior analytic programming has been shown effective in teaching skills such as tolerating hair cuts, blood draws, toothbrushing, and visits to doctors’ offices, as well as compliance with wearing eyeglasses and medical alert bracelets. These technologies can be extrapolated and utilized to also increase toleration and cooperation with wearing masks.

Dr. Erin Richard White of Alpine Learning Group presents several teaching options that can be effective with a variety of learners, including providing choice, using desensitization and shaping techniques, programming reinforcement, modeling, and other antecedent and consequence strategies.

If you enjoyed this webinar, we recommend checking out our ABA Telehealth Webinar: How To Support Families Remotely webinar. 


a male and female cleaning a workspace

COVID-19 Return to Work Resources for ABA Practitioners

Many states around the U.S. have begun to lift restrictions following the COVID-19 pandemic, allowing more businesses and individuals to return to work over the coming weeks.

While shifting to telehealth has gone well for many, if you’re an ABA practitioner, you might be eager to get back into your schools or clinics, but it’s important to do it the right way to ensure your staff, clients and students are safe.

With that in mind, we’ve gathered several resources to help you do so, ranging from general workplace guidance to tips for healthcare professionals and more. Feel free to download the entire bundle here, or continue reading below for more information on each individual resource.

General Workplace Resources

Review these general resources that can be used to reopen public spaces, workplaces, businesses, schools and at home.

CDC: Questions to Ask When Reopening the Workplace

This tool from the Centers for Disease Control (CDC) aims to assist employers when making decisions during and following the COVID-19 pandemic. This guide is designed to help protect vulnerable workers.

CDC: Developing & Implementing a Cleanliness Plan

Whether you are a business owner, run a school or want to keep your home safe, this guide will help you develop, implement and maintain a cleanliness and safety plan. At the bottom are dozens of additional resources compiled by the CDC.

CDC: Guidance for Cleaning & Disinfecting

Here’s a simple summary of the two above resources from the CDC, with tips for developing a plan and questions to ask when reopening.

5 Steps to Reopen Your Workplace

It’s important to follow recommendations issued by your state and local health departments when determining appropriate actions to take, and pay attention to these five steps.

OSHA: Guidance on Preparing Workplaces for COVID-19

This detailed guide from Occupational Safety and Health Administration (OSHA) outlines recommendations and descriptions of mandatory safety and health standards. It is not a standard or regulation, and is not legally binding.

Responding to Staff Who Do Not Want to Return

Guidance to help employers and employees understand the application of new laws and how they impact them.

Resources for People with Disabilities & Disorders

Those with special needs might be especially at risk when returning to workplaces and educational settings. Review these resources for important information and advice.

CDC: People with Disabilities

Some people with disabilities may be at a higher risk of infection or severe illness because of their underlying medical conditions. Here are some tips to prepare and protect.

CDC: People with Developmental and Behavioral Disorders

Find out what people with developmental and behavioral disorders need to know about COVID-19.

Healthcare Clinics & Medical Offices

The following resources are specific to assist health clinics and medical offices reopen safely following COVID-19.

CDC: Get Your Health Clinic Ready

Follow these tips to get your health clinic ready to reopen. There are steps healthcare professionals should take before clients or patients arrive, when they arrive and after they leave, and medical staff needs to be trained accordingly.

CDC: Medical Office Preparedness Planner

While this CDC planner is specific to primary care provider offices, many of the recommendations and tools remain applicable to ABA provider facilities.

Additional Resources

Take a look at these additional resources for fire safety and vehicle cleanliness tips to keep everyone safe.

NFPA: Maintaining Fire Protection & Life Safety Systems

The National Fire Protection Association (NFPA) developed this guide to help commercial and residential buildings maintain fire protection and life safety systems where less personnel are present.

Vehicle Cleanliness Tips

Follow these tips to keep vehicle interiors free of harmful germs and other unwanted elements.

CDC: Shared Housing

A guide to help you plan, prepare and respond if you live in or manage a shared housing property.


Image of Luvelle Brown

Empowering Students to Address Social Injustice [VIDEO]

We would like to speak out after a difficult two weeks of watching the pain of racism on display in many communities. The violence and racism that took the lives of Ahmaud Arbery, Breonna Taylor and George Floyd, are wrong.  Unfortunately these specific acts are part of a long list of senseless acts of racism in our culture and communities.  

We stand by our Rethink employees, business partners and greater community as we call for an end to racism, inequity and social injustice.

Our Mission at Rethink is to inspire and empower individuals with developmental disabilities and those who support them.  We believe that through knowledge and education we can change the world and help those around us to heal.  

Here is a brief video we created on teaching children to respond to social injustice, which you are welcome to share with others:

Please take care of yourselves, your families and your colleagues.  We need to support each other now more than ever, and if there is anything we can do to support you as a Rethink partner, please let us know.


Telehealth webinar image

Rethink-ing Telehealth: Stories from the Front Line (Video)

Telehealth has presented itself as a viable long-term solution for ABA providers and their clients, even after things settle down following the COVID-19 pandemic.

It hasn’t been an easy transition for an entire industry to change how they provide care, but industry professionals have embraced the change.

They have accepted that this might just be the way things are for a while and have realized that by leveraging telehealth, they can reach more people, more often with the care that they need.

Rethink Behavioral Health Director of Customer Success, Erin Mayberry, BCBA, LBA, recently hosted a webinar discussing telehealth and highlighting some success stories from a few of our partners. In addition, we’ve provided you with a Telehealth Appropriateness Sheet, provided courtesy of Neurobehavioral Center for Growth in Utah.

Download Telehealth Appropriateness Sheet

You can watch a replay of the webinar at the link below:


Erin spoke with Rosalind Guiterrez, Clinical Director and Maggie Williams, Practice Coordinator from Cayer Behavioral Group, Jesse Yarger, Clinical Director at the Neurobehavioral Center for Growth in Utah, and Robyn Newberry, Founder of Endless Potential in Washington, about several topics, including, but not limited to:

  • Initial barriers and challenges when transitioning to telehealth
  • Personal success stories on the transition to remote services
  • Processes to determine appropriate service models for families
  • Understanding how the Rethink platform is being utilized during telehealth service delivery

Are you interested in learning more about implementing telehealth into your ABA therapy practice? If so, you’ve come to the right place!

We also recently put together an exclusive bundle that includes best practices for Rethink users, research and resources, general tips and information, and videos (coming soon).

If you follow this link, you can get access to the free bundle, along with a video guide on how to use it.

As always, we’re here to help. If you have any questions about telehealth, Rethink solutions or ABA therapy, please contact us through our website.


the right hand of a female taking notes

Free ABA Data Sheets & Forms

At Rethink Behavioral Health, we offer all-in-one behavioral health solutions for Applied Behavior Analysis (ABA) providers. We believe that technology allows providers to grow quicker through efficiencies, but we understand some still prefer paper and pencil.

At the end of the day, we want to be a resource for everyone, because when it comes down to it, all we’re trying to do is improve care for those who need it. With that in mind, we developed several data sheets that ABA providers can use to track their data.

These free ABA data sheets are easy to download. We encourage you to customize each sheet to meet the needs of your clients or service delivery model. If you’d like to learn more about our clinical and practice management solutions, please contact us here.

To download our Free ABA Data Sheet, please fill out your information below:

What’s included

We’ve broken this bundle of free ABA data sheets down into two primary categories, they are:

  • Programming
    • Skill Acquisition (SA)
    • Behavior Reduction
  • Supervision forms

Programming includes any goals that are trying to be accomplished to increase a variety of skills, such as daily living, communication and social skills, along with behavior reduction strategies, which includes any forms dedicated to tracking challenging behaviors.

Supervision forms will include any Procedural Integrity (PI) forms, Inter-Observer Agreement (IOA) and other tracking forms which we’ll go into more detail on below. These are more for program and staff evaluation.

Programming

As mentioned above, Programming pertains to any goals that are to be accomplished to increase skills and replacement behaviors, and decrease problem behavior. Programming is broken down into two categories; Skill Acquisition and Behavior Reduction.

Skill Acquisition

The first component related to programming is SA. In this section we’ll review Task Analysis (TA) and Discrete Trial Training (DTT), as well as several methods of data collection.

Task Analysis (TA) Data Collection

Clinician monitoring parent-caregiver behavior with complex behavior chains use this method to break them down into smaller steps.

A sequence of brushing teeth, washing hands, then going to bed is a common example.

Additional steps and targets can be identified by understanding each step.

Discrete Trial Training (DTT)

One of the most common ABA teaching methodologies is Discrete Trial Training. It is a one-on-one approach aimed at teaching students new skills in a systematic way.

DTT allows for massed or interspersed trial options. In our DTT Data Sheet, clinicians can track up to 10 individual trials and track accuracy and independence in responding.

Cold Probe Data Sheet

Cold Probe Data Sheets are ideal for tracking skill acquisition with many targets within a program.

They allow the parent or therapist to probe correct or incorrect responses at the beginning of the session prior to teaching. This can be used instead of trial by trial data collection.

Rate Data Sheet

The Rate Data Sheet helps track both the frequency and rate of targeted skills. These two factors are related, but have different definitions.

Frequency is defined as the number of times something occurs, while rate is the frequency of that same activity over a specified period of time.

Interval Data Sheet

Tracking intervals allow for an observer to set any amount of time to monitor the occurrence and/or duration of a behavior, and is an estimate of how often behavior is occurring. This sheet has space to track 20 intervals, which can be defined as whole, partial or momentary-time sampling (MTS).

Whole means that a behavior occured for the entire interval, partial describes a behavior that occured at any point throughout that interval, and MTS tracks if behavior is occurring at the end of the interval.

Duration Data Sheet

These sheets allows clinicians and therapists to track the lengths of time of each occurrence of behavior for each skill.

Behavior Reduction

Behavior reduction focuses on any maladaptive behaviors targeted for decrease. The two primary sheets that will be used in this component are the Antecedent Behavior Consequence (ABC) Data Log and Scatterplot Data Sheet.

Additionally, the Rate, Interval and Duration sheets detailed above can be used for tracking behavior reduction.

Antecedent Behavior Consequence (ABC) Data Log

The log provided is an unstructured ABA data log, as opposed to structured. This log can be edited to create a structured data sheet per client, which can be helpful for parents and caretakers as it makes the process more objective. Parents can select from a menu of options as opposed to writing their own thoughts down.

ABC Data allows parents to see patterns in behavior, including challenging behaviors such as tantrums, aggression, self-injury, etc, what causes them, and what follows them. This sheet helps track a specific behavior during an activity, along with the antecedent (before), consequence (after) and possible function.

Total duration is also an important component to track here, as duration may decrease before frequency of episodes decreases.

Scatterplot Data Sheet

Our Scatterplot Data Sheet helps to determine behavioral patterns with regard to time.

These sheets allow clinicians to track when behavior occurs in 15, 30 and 60-minute intervals over a 24 hour period.

Supervision Forms

Supervision forms included anything related to Procedural Integrity (PI), Inter-Observer Agreements (IOA), and additional forms used for tracking, but not necessarily related directly to client behavior.

Their purpose is to record data on parent and caregiver performance, so supervisors can provide feedback to improve performance as needed.

Task Analysis (TA) Procedural Integrity (PI) Data Sheet

When it comes to Task Analysis, procedural integrity is essential. PI is defined as how accurately a program is consistently implemented as it was intended.

This method is used by a clinician monitoring parent-caregiver behavior with complex behavior chains and breaking them down into smaller steps. Examples include a sequence of brushing teeth, washing hands, then going to bed. By understanding each step, additional steps and targets can be identified.

With TAs, any type of skill can be targeted. Our TA PI Data Sheet allows clinicians to track trials for pre-teaching behaviors, in-session steps and space at the end for error correction.

Discrete Trial Training (DTT) Procedural Integrity (PI) – Data Sheet

This is a structured method for teaching a new skill. Because of this, it’s especially important that caregivers implement trials as programs.

It is also used to evaluate a parent or caregivers implementation of DTT trials. This free ABA data sheet tracks up to 10 individual trials, along with pre-teaching, within-session and error correction responses.

Natural Environment Training (NET) Procedural Integrity (PI) Data Sheet

Last, but not least, is Natural Environment Training. NET is less structured than DTT, and allows clinicians to capture teaching opportunities as they occur naturally.

A child may be able to learn a skill in a structured environment, but may struggle to generalize the skill in the natural environment. This is an important factor for educators to understand, so they can tailor instruction so students can apply lessons learned naturally.

Similar to DTT, this free ABA data sheet tracks up to 10 individual trials, including pre-teaching, within-session and error correction responses.

Inter Observer Agreement (IOA) Templates

IOA data sheets are designed to evaluate accuracy in ABA data collection and identify observer drift or bias.

With IOA data collection, two people will observe a child or client at the same time, and record data on the target behavior or response. Once completed, they will compare their data.

The process helps determine if behaviors are well-defined, recorded accurately and consistently. This is also known as program correctness, and highlights the importance of recording data accurately.

Behavioral Skills Training Tracking Form

The Behavioral Skills Training Tracking Form is used to teach a new skill to a caretaker or caregiver. This may be an especially effective method of training with telehealth services.

The instructor provides a set of instructions and models for parents what to do step by step. The parent practices while the ABA therapist or supervisor watches and provides feedback, and this process continues until the skill has been mastered.