Opening up New Opportunities with Pediatric Therapy in Spanish!

If you've searched online for information about Applied Behavior Analysis (ABA), you've probably seen conflicting opinions.

Some families describe ABA as life-changing. Others have questions after reading recent news stories or social media discussions about the field.

At MetroEHS, we believe parents deserve clear, honest information.

What Is ABA Therapy?

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.

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Q: What is the RBT certification?

A: RBT certification is a paraprofessional certificate that is in the behavioral analyst field, and you work under the BCBA or BCABA treating and providing services to our kids.

Q: What are the requirements?

A: What it takes to become an RBT here at MetroEHS is you must be 18 years old, a high school diploma, you need the 40 hours of training, and then take a competency test with the supervisor, and then you apply at the BACB website, and take a test, and become an RBT.

Q: What does the training consist of?

A: The RBT training consists of like an interactive and comprehensive 40-hour training that you work in a small group or one on one with other technicians or your BCBA. You’re out in the clinic, hanging out with the kids, learning and watching how they run programs. That could be at the table time or out in natural environment and once you understand the new words in the ABA field, you take your competency test and take the test at the website.

Q: What is the competency test?

A: The competency test is when the supervisor comes out the clinic with you and they watch how you run programs, they interview you, ask questions about the terminology and it’s pretty much just one on one time or you and the supervisor and your client to make sure you understand the terminology and what you’re actually doing and it’s highly encouraged to actually take your RBT test within 90 days of your 40 hour training. It is free of charge. You take the test at the BACB website.

Apply now!

Q: How do I maintain my credentials?

A: To maintain my credentials as an RBT here at MetroEHS, I track all my supervision hours, and I retake my competency test at the year mark or year anniversary of my RBT testing date.

Q: What are the benefits if earning an RBT certification?

A: MetroEHS offers two benefits for becoming an RBT. One is a raise and two, once you become an RBT, you have more opportunities to move up the ladder and become admin or fun stuff.

‘Tis the season of shopping! During all the hustle and bustle, MetroEHS wanted to offer a few tips for how to shop smart for your little superhero! At MetroEHS, we know that play is a crucial aspect of a child’s development. This means choosing the right toys can significantly impact a child’s cognitive, physical, social, and emotional growth. During this season of giving, we thought we could explore five suggestions for beneficial toys that cater to the developmental needs of children, as well as share our Amazon Shopping Idea list that was created by some of our amazing and knowledgeable MetroEHS therapists.

Sensory Toys and Building Blocks for Littles (0-2 years):

In the early stages of life, infants rely heavily on their senses to understand the world and face-to-face time during play time is paramount. Through engaging directly with beloved caregivers and family members by singing simple songs, reading nursery rhymes, and playing silly fingerplays like peekaboo, little ones learn to enjoy level appropriate toys as well as time with caregivers.

Sensory toys with high contrast patterns are the most engaging selection for children aged 0-2 years. This includes toys with different textures and sounds and toys that allow for simple problem solving.  Aim for easy to grasp toys that target multiple senses for the sensorimotor stage of play in order to promote motor skill development and learning.  Ensure toys are free from small parts that could pose a choking hazard. Be sure to engage with your child by narrating what they are feeling and doing with the toy with simple language (e.g., “Big ball!” if playing with a ball). soft, cold, bumpy, hard, etc.).

Children are natural builders and playing with building blocks can enhance their motor skills, spatial awareness, and creativity. Choose colorful blocks that are easy for small hands to manipulate. Building activities also promote problem-solving, social skills, and cognitive development as children experiment with different arrangements and structures. Engage with your child by verbalizing and encouraging them to “put on”, “knock down”, “kick over”, “put in”, “take out”, or use narration of colors and counting to practice those ever-important verbal skills. Make playtime learning time!

-Pretend Play for Toddlers (2-4 years): Preschoolers love to pretend and role play. Toys that simulate real life tasks (cooking, tools, costumes) are great for cognition and development of the imagination. They also foster independence, social and emotional skills, overall language, and critical thinking.

-Games for Early School-Aged Kids (4-6 years): Board games tailored for young children offer a fun way to introduce early learning concepts such as counting, color recognition, and basic literacy. Games like “Memory” or “Chutes and Ladders” encourage social interaction, turn-taking, and strategic thinking. Games like “Sneaky Squirrel” and “Twister” can foster fine and gross motor skills. Ensure the games are age-appropriate and encourage cooperative play, fostering important social skills.

-STEM Toys for School-Aged Children (6-10 years): As children progress through the school years, STEM (science, technology, engineering, and math) toys can play a vital role in developing critical thinking and problem-solving skills. Look for age-appropriate science kits, robotics, or construction sets that engage children in hands-on learning experiences. These toys not only make learning fun but also prepare children for the challenges of a technology-driven future. Consider games like Headbandz, which can allow your child an opportunity to practice vocabulary skills. Card games are a great time to play with your child in which your child can think strategically, for instance Uno, Phase 10, and Old Maid, can be fun for early school age children.

-Art and Craft Supplies for Creative Expression (All Ages): Foster your child’s creativity with art and craft supplies. From coloring books and crayons for younger children to more advanced crafting materials for older kids, these activities help enhance fine motor skills, self-expression, and imaginative thinking. Consider providing a designated space for art projects, allowing children to explore their creativity in a supportive environment.

Choosing the right toys for children aged 0-10 years involves considering their developmental stage and providing opportunities for growth through play. Soft, sensory toys, building blocks, educational board games, STEM toys, and art supplies can all contribute to a well-rounded and enriching playtime experience. By selecting toys that align with a child’s developmental needs, parents and caregivers can actively support their journey of learning and discovery. Parents are a child’s first play partner. The importance of a parent engaging in play with their child cannot be minimized! Enjoy this special time with your child and make playtime beneficial for both of you.

Experienced MetroEHS Clinicians pulled together a great shopping list which includes some of the toys discussed in this blog. You can find that list here.

https://www.amazon.com/hz/wishlist/ls/2GKR4U81VUFCE?ref_=wl_share