Applied Behavior Analysis (ABA) is an evidence-based therapy that helps children develop skills that improve their daily lives.
Depending on a child's needs, ABA may focus on:
• Communication • Social interaction • Play skills • Safety awareness • Emotional regulation • Independence • Daily living skills
The goal of ABA is not to change who a child is.
The goal is to help children gain skills that allow them to communicate, participate in their communities, and live as independently as possible.
Why Has ABA Received Negative Press?
Recent media coverage has raised concerns about billing practices and quality issues within parts of the industry.
Like any healthcare field, there have been instances where providers failed to meet professional standards.
However, these stories often fail to distinguish between unethical providers and the thousands of clinicians who deliver ethical, evidence-based care every day.
Families should know that poor practice is not the same thing as ABA itself.
What Does High-Quality ABA Look Like?
High-quality ABA is:
💥Individualized
Every child receives goals based on their unique strengths, needs, interests, and family priorities.
💥Data-Driven
Clinicians continuously measure progress and adjust treatment plans based on results.
💥Family-Centered
Parents are active members of the treatment team.
💥Play-Based
Modern ABA often incorporates games, preferred activities, peer interactions, and natural learning opportunities.
💥Focused on Meaningful Outcomes and Success!
Success isn't measured by how many hours a child receives.
Success is measured by improvements in communication, safety, independence, social participation, and quality of life.
A discharge plan should always be discussed in any therapeutic service. ABA shouldn’t be a life-sentence for anyone. Make sure that you have a discharge plan in place from the moment you begin therapy.
Is ABA Regulated?
Yes.
ABA is one of the most highly regulated autism services available. Treatment plans require clinical oversight, supervision by Board Certified Behavior Analysts (BCBAs), ongoing documentation, ethical standards, and regular review processes.
Quality providers continuously evaluate progress and reduce or discontinue services when goals have been achieved.
What Should Parents Look For?
When evaluating an ABA provider, ask:
• How are goals selected? • How is progress measured? • How often does the BCBA supervise treatment? • How are parents involved? • How does the provider collaborate with other therapists?
The best providers welcome these conversations.
Why MetroEHS Believes in Integrated Care
💥Children do not develop skills in isolation.
💥Communication affects behavior.
💥Sensory processing affects communication.
💥Motor skills affect participation.
That is why MetroEHS brings together ABA, Speech Therapy, Occupational Therapy, and Physical Therapy under one collaborative, clinically integrated, model.
When therapists utilize clinical integration, children benefit from coordinated goals, shared expertise, and a more complete understanding of their needs.
The Bottom Line
Parents should absolutely ask questions about ABA.
They should expect ethical care, measurable outcomes, and meaningful progress.
But families should also know that ABA remains one of the most extensively researched and evidence-based interventions available for many children with autism when delivered appropriately.
The conversation should not be whether ABA is good or bad.
The conversation should be: What does high-quality ABA look like, and how do we ensure every family has access to it?
At MetroEHS, we believe children deserve individualized, compassionate, evidence-based care that celebrates who they are while helping them build the skills they need to thrive.
We love working in Southeastern Michigan as we get to work with hard-working families and amazing businesses like Emagine who intentionally create special experiences for members of the community that can get overlooked.
Join Emagine For A Sensory Friendly Movie!
Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues.
Sensory Friendly Film Screenings
Select Emagine locations will host a unique, sensory friendly screening twice a month, with specific modifications made to ensure an enjoyable experience for individuals with sensory needs and their supporters. Their sensory friendly programing makes going to the movies a more enjoyable experience for families, children, and teens with sensory needs. All sensory friendly films will be shown in 2D. *Note there are no modifications made to the film.
What does Sensory Friendly mean?
First, it means sensory friendly experience (lights up a bit, sound down a bit). Second, if your child needs to get up, move, dance, sing…No problem. Third, guests are welcome to bring a safe snack for any food allergies or food avoidance/restrictions.
First Showing of the Day. On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.
The Little Mermaid Saturday, June 3, 2023
Elemental Saturday, June 17, 2023
Where
Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App. To purchase tickets and for a full list of showtimes visit Emagine-Entertainment.com On-Sale dates vary. All films, locations, dates, and times are subject to change.
Film Synopsis
The Little Mermaid (Rated PG) The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.
Elemental (Rated Pg) Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.
In addition to Sensory Friendly Movies
Join Emagine Entertainment For A Variety Of Specialty Screenings
Providing Open Caption, Sensory Friendly, Dementia Friendly, Breakfast & a Movie, and Lunch & a Movie Screenings
Join Emagine Entertainment this June as they host a variety of specialty screenings for their guests. Each month guests can watch some of the newest film releases with an enhanced experience. Open Caption screenings provide subtitles for those with hearing impairments. Sensory Friendly Screenings provide modifications to the theatre atmosphere without modifying the film for those who experience sensory issues. Dementia Friendly screenings provide exclusively selected classic movies and musicals and encourage audience participation while providing guests with special door-to-door service. The Breakfast and a Movie and Lunch and a Movie allow guests to enjoy a full meal and concessions while they enjoy their film.
Open Caption Film Screenings
Select Emagine locations will host Open Caption showings of some of the newest film releases on Sunday and Wednesday afternoons all month long. Guests who experience hearing impairments will be able to enjoy the movie-going experience with audio subtitles displayed on the big screen for all to see. All open caption movies are shown in 2D. *Note: there are no modifications made to the film.
Locations: (Michigan) Novi, Rochester Hills, Royal Oak, Hartland, Woodhaven, Quality 10 Powered by Emagine, (Minnesota) Eagan, Lakeville, Monticello, Rogers, White Bear, Willow Creek, (Wisconsin) Geneva Lakes, (Illinois) Frankfort, (Indiana) Noblesville, Portage
Films: On-Sale dates vary. Check the website or Emagine app for theatres and showtimes.
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023 Wednesday, June 7, 2023
Transformers: Rise Of The Beasts Sunday, June 11, 2023 Wednesday, June 14, 2023
Elemental Sunday, June 18, 2023 Wednesday, June 21, 2023
The Flash Sunday, June 25, 2023 Wednesday, June 28, 2023
Dementia Friendly Screening
Dementia Friendly Screenings include exclusively selected classic movies and musicals presented in a unique setting with softer sound and ambient lighting. Guests are able to interact during the presentation and encouraged to talk back, clap, tap their feet, sway, sing along and get up and dance. Emagine works with Dementia Friendly Saline to provide guests with a special door-to-door experience guided by a team of dementia friendly “Purple Angels.” These staff and volunteers act as guides for the guests beginning the moment they arrive until the moment they leave. More information can be found on Emagine’s website. Tickets can be purchaseddirectly through Dementia Friendly Saline.
Location: Emagine Saline
Films: Showings are the second Wednesday of each month.
Meet Me In St. Louis Wednesday, June 14, 2023 Pre-Show Mingling: 1:15-2:00PM Film Begins: 2:00PM
Breakfast And A Movie Screening
Each month, Emagine hosts a Breakfast and a Movie showing, at select theatres, of one of the newest family-film releases. Tickets are $24 each and include a full breakfast buffet, a 44oz. popcorn, and a 21oz fountain drink as well as a ticket to the showing.
Location: Emagine Royal Oak, Emagine Palladium, Emagine Canton
Film: On-Sale dates vary. Check the website or Emagine app for more information.
The Little Mermaid* Sunday, May 28, 2023
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023
Spider-Man: Across The Spider-Verse Sunday, June 4, 2023
Senior Lunch And A Movie Screening
Each month, Emagine Royal Oak hosts a special Senior Citizen Lunch and a Movie. Tickets are $24 each and include a full lunch buffet, a 44oz. popcorn and a 21oz. fountain drink as well as a ticket to the showing. This offer is valid for guests aged 55 and up.
Location: Emagine Royal Oak
Film: On-Sale dates vary. Check the website or Emagine app for more information.
About My Father Tuesday, June 20, 2023
Where: Tickets are available at the box office, online at Emagine-Entertainment.com or through the Emagine App.
Film Synopsis
Spider-Man: Across The Spider-Verse (Rated P) Miles Morales returns for the next chapter of the Oscar®-winning Spider-Verse saga, an epic adventure that will transport Brooklyn’s full-time, friendly neighbourhood Spider-Man across the Multiverse to join forces with Gwen Stacy and a new team of Spider-People to face off with a villain more powerful than anything they have ever encountered.
Transformers: Rise Of The Beasts (Rated P-13) Returning to the action and spectacle that have captured moviegoers around the world, Transformers: Rise of the Beasts will take audiences on a ‘90s globetrotting adventure with the Autobots and introduce a whole new breed of Transformer – the Maximals – to the existing battle on earth between Autobots and Decepticons. Directed by Steven Caple Jr. and starring Anthony Ramos and Dominique Fishback, the film arrives in theatres June 9, 2023.
The Flash (Rated P-13) Worlds collide in “The Flash” when Barry uses his superpowers to travel back in time in order to change the events of the past. But when his attempt to save his family inadvertently alters the future, Barry becomes trapped in a reality in which General Zod has returned, threatening annihilation, and there are no Super Heroes to turn to. That is unless Barry can coax a very different Batman out of retirement and rescue an imprisoned Kryptonian… albeit not the one he’s looking for. Ultimately, to save the world that he is in and return to the future that he knows, Barry’s only hope is to race for his life. But will making the ultimate sacrifice be enough to reset the universe?
He Little Mermaid (Rated PG) The Little Mermaid is the beloved story of Ariel, a beautiful and spirited young mermaid with a thirst for adventure. The youngest of King Triton’s daughters and the most defiant, Ariel longs to find out more about the world beyond the sea and, while visiting the surface, falls for the dashing Prince Eric. While mermaids are forbidden to interact with humans, Ariel must follow her heart. She makes a deal with the evil sea witch, Ursula, which gives her a chance to experience life on land but ultimately places her life – and her father’s crown – in jeopardy.
Elemental (Rated PG) Follows Ember and Wade, in a city where fire-, water-, land- and air-residents live together.
About My Father (Rated PG-13) The hottest comic in America, Sebastian Maniscalco joins forces with legendary Italian-American and two-time Oscar® winner, Robert De Niro (Best Actor, Raging Bull, 1980), in the new comedy ABOUT MY FATHER. The film centers around Sebastian (Maniscalco) who is encouraged by his fiancée (Leslie Bibb) to bring his immigrant, hairdresser father, Salvo (De Niro), to a weekend get-together with her super-rich and exceedingly eccentric family (Kim Cattrall, Anders Holm, Brett Dier, David Rasche). The weekend develops into what can only be described as a culture clash, leaving Sebastian and Salvo to discover that the great thing about family is everything about family.
Meet Me In St. Louis St. Louis 1903. The well-off Smith family has four beautiful daughters, including Esther and little Tootie. 17-year-old Esther has fallen in love with the boy next door who has just moved in, John. He however barely notices her at first. The family is shocked when Mr. Smith reveals that he has been transferred to a nice position in New York, which means that the family has to leave St. Louis and the St. Louis Fair.
Play isn’t just fun; it’s how kids learn best. It gives them the freedom to explore their abilities while feeling safe and supported. Imagine a young hero practicing teamwork by pretending to save the world with their peers or strengthening fine motor skills while building a block tower taller than a skyscraper. These playful missions help kids grow in ways that traditional methods simply can’t.
The BIG THREE Additions to Heroes’ tool belts.
Improved Social Powers: Group games teach kids how to share, collaborate, and communicate—turning them into master team players.
Problem-Solving Super Skills: Puzzles and pretend play help young heroes learn to think critically and creatively.
Emotional Resilience: Role-playing scenarios give kids the tools to navigate their feelings and build confidence.
The Power of Play
In the world of superheroes, a child’s business is play. Through play-based therapy, skilled therapists use games, toys, and imaginative scenarios to help kids develop essential skills. Whether it’s building social connections, improving motor abilities, or boosting communication skills, every playful moment is designed with purpose—turning fun into progress.
For children, play is more than just a pastime; it’s the key to unlocking their unique powers. At MetroEHS, play-based therapy ensures every child has the chance to soar, grow, and shine—because every superhero deserves to feel unstoppable.
Richard and Izabela Koscielny are physical therapists, who have a daughter diagnosed with cerebral palsy and tried out suit therapy with her. After significant improvements with the suit, they modified and created their own suit specialized for therapeutic benefits, called TheraSuit™.
How Does TheraSuit Work?
TheraSuit worn over a prolonged time will correct proprioception and accelerate progress with functional strengthening
Skills practiced become more fluent when TheraSuit is worn
TheraSuit facilitates the development of new gross and fine motor skills faster than typical therapy approaches
Benefits Seen with TheraSuit
Retraining the central nervous system
Restores ontogenetic development
Provides external stabilization
Normalizes muscle tone
Aligns the body to as close to “normal” as possible
Provides dynamic correction
Normalizes gait patterns
Provides tactile stimulation
Influences the vestibular system
Improves balance
Improves coordination
Supports weak muscles
Decreases uncontrolled movements in ataxia and athetosis
Improves body and spatial awareness
Provides resistance to muscles to further enhance strengthening
Improves speech production and fluency through head control and trunk support
Promotes gross and fine motor development
Helps decrease contractures
Helps improve hip alignment through vertical loading
Patient Populations
Most major neurological diseases/diagnoses:
Autism
Down Syndrome
Cerebral Palsy
Cerebral Vascular Acciden
Traumatic Brain Injury
Spinal Cord Injury
Posture/alignment asymmetries
Intensive Physical Therapy Schedule
Intensive physical therapy is meant to be done 3 hours/day, for 5 days/week for 3-5 weeks
Recommended to complete 3-4 intensive bouts of therapy throughout the year
Breaks between the bouts have been shown to be more beneficial for the patient vs continuously pushing for months on end
Recommended to complete HEP 1-hour/day to compliment exercises done in intensive, allowing the patient to not only maintain, but improve their functional abilities
The schedule of 4 weeks was created specifically in order to change the neuro-pathways, and allow for increased improvements
In General
Week 1 works on correct muscle activation and beginning to complete basic concentric exercises
Week 2 works on solidifying concentric movements and working into eccentric movements
Week 3 solidifies the eccentric movements and introduces isometric holds
Week 4 focuses all on isometric holds, working into more complex exercises, as well as creating POC and HEP for time off between bouts of intensive
Work to decrease primitive reflexes and general movements that are present → goal-directed movements → selective effective strategies → refining skills → maintaining through practice
