Parents seeking treatment for their children’s Autism Spectrum Disorder (ASD) are faced with an overwhelming number of treatment options. Cutting through the noise to identify Applied Behavior Analysis (ABA) as the most effective treatment can be a difficult task. Unfortunately, even for the parents who have discovered that ABA has the most supporting research, the journey is not done. There is significant variation between ABA providers, and further determinations are necessary for selecting the most suitable provider.
This article explains the key features of Progressive ABA and how it stands apart from Conventional ABA, helping parents make better-informed decisions when evaluating therapy options.
Key Differences in Training and Expertise
- Progressive ABA Therapists: Receive months of hands-on training under close supervision before being assigned to a case. This equips them with the skills to use clinical judgment to execute high quality ABA throughout a session. They can make individualized adjustments and decisions to maximize a child’s learning.
- Conventional ABA Therapists: Commonly receive as little as 5 days of training before being certified as a therapist working with children. Limited training means they rely heavily on predetermined or formalized procedures and lack the ability to make clinical adjustments effectively during sessions.
Individualized and Flexible Therapy
1. Reinforcement:
- Progressive ABA Therapist: Will use in-the-moment analysis to identify the most appropriate reinforcer at any given time and when to provide it. They often use a wide variety of reinforcers, including those naturally tied to the child’s behavior (e.g., praise or access to a preferred activity).
- Conventional ABA Therapist: Will use formalized procedures to identify a reinforcer and follow a predetermined schedule for delivering it. They often rely on a limited range of reinforcers and frequently use food.
2. Instructions and Feedback:
- Progressive ABA Therapist: Will adeptly use varied instructions and feedback with natural language and make judgments about what instructions and help to provide based on how the student is performing at that moment.
- Conventional ABA Therapist: Will instruct their students using shortened and static phrases and often issue instructions in a predetermined sequence and with a fixed prompting approach.
Hallmarks of Progressive ABA
1. Multiple Teaching Procedures and Instructional Arrangements:
A progressive behavior analyst will be capable of breaking down the components of a task to teach it systematically, utilize shaping (gradually guiding behavior) and chaining (teaching a sequence of steps), assess the function of disruptive behaviors, adjust reinforcement based on the quality of a child’s performance, and how to discontinue use of a previously reinforced behavior and systematically present anxiety provoking items and activities.
Additionally, progressive ABA therapy goes beyond one-on-one sessions. It includes a variety of settings like pairs (dyads), small groups, and larger group activities, all of which are essential for helping children learn social skills, improve observation skills, and generalize what they’ve learned to different situations.
The variety of learning arrangements plays a crucial role in helping children to learn through observation, learn more efficiently, generalization, and possibly socialization. A progressive ABA therapist’s ability to implement these approaches effectively is a direct result of their comprehensive training and expertise.
2. Behavior Assessment:
3. Individualized Curriculum and Goals:
A key aspect of a progressive ABA program lies in how teaching targets are selected. Unlike relying on curriculum guides or assessments (such as VB-MAPP or ABLLS-R) to develop programs or set goals, progressive ABA focuses on creating highly individualized curriculum. Every program is tailored to the specific needs and abilities of each child, ensuring that the goals are meaningful and relevant to their development.
There is too much variability from person to person to utilize anything resembling a cookie cutter approach. However, identifying goals is not an easy task. It takes years of experience, training, and sophisticated clinical judgement to develop effective and appropriate programming for each child.
By understanding the unique features of progressive ABA and how it differs from conventional ABA, parents can make an informed choice when selecting a provider. Recognizing the importance of highly trained and skilled professionals helps parents choose a program that optimizes their child’s learning opportunities and maximizes their progress.
At Autism Partnership (AP), we adopt our very own treatment method called, Autism Partnership Method (APM™). AP Method™ is a progressive model of ABA and is a high quality treatment approach for ASD.