Registered Behavior Technician FAQs

MetroEHS behavioral technician doing a Q&A interview

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.

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November 4, 2019

MetroEHS Pediatric Therapy & Challenge Detroit

Challenge Detroit was founded in 2008, with a mission that reads; “We develop, support and connect emerging and existing community-minded leaders, amplifying the positive impact on our diverse, cultural vibrant city.” Challenge Detroit is making a difference.

MetroEHS Pediatric Therapy is proud to be a host company with Challenge Detroit.

MetroEHS is excited to introduce Dezha Willoughby, one of two Challenge Detroit Fellows MetroEHS proudly hosts! Dezha was born and raised in Detroit and places like Belle Isle were the norm on the weekends (when the weather was nice). She attended and graduate from MLK High School (#GoCrusaders) and she went on to attend college at Michigan State University where she honed in her skills to work with and serve people. Dezha studied Human Development and graduated with her Bachelor of Science Degree in Human Development and Family Studies. Dezha enjoys being outside and enjoying nature. Dezha is very determined and ambitious about being an agent of positive change.

According to the company, “Challenge Detroit cultivates diverse, innovative, community-minded leaders from the city and across the country, fostering their talents to support local initiatives that move Detroit forward. While they spend four days a week accelerating their professional careers with our Host Companies, each Friday Fellows take a day out of the office to bring social impact challenge projects to life in collaboration with our local nonprofit partners. They work in multi-disciplinary teams, bringing their vision, creative muscles, and entrepreneurial spirits to address some of Detroit’s greatest challenges and opportunities. We believe that to move our city forward, positive change starts with an individual and is ignited by a community of leaders who bring innovative perspectives to their work, and most importantly, the nonprofits already making an impact within our Detroit communities.”

May 7, 2025

The One-Stop-Shop for All Things Pediatric Therapy! – WDIV Segment #3

A Collaborative, Child-Centered Approach

At MetroEHS, therapists from various disciplines—speech-language pathology, occupational therapy, physical therapy, and applied behavior analysis (ABA)—collaborate to address the diverse needs of each child. This team-based approach ensures that therapy is cohesive and comprehensive, promoting optimal outcomes.

Dr. Vira Francis, a speech-language pathologist at the West Bloomfield location, emphasizes the importance of this collaboration:

“When we’re using a collaborative and holistic approach with children, it’s like each team member is a puzzle piece. We really make that impact when we all come together to make the big picture, and it really helps to prioritize the child’s needs.”

Services Offered

MetroEHS provides a wide array of pediatric therapy services, including:

  • Speech Therapy: Addressing communication challenges, articulation, language development, and literacy skills.
  • Occupational Therapy: Focusing on daily living skills such as bathing, dressing, grooming, toileting, feeding, play, social participation, and school readiness.
  • Physical Therapy: Enhancing gross motor skills, balance, coordination, and strength to support functional movement and participation in activities.
  • ABA Therapy: Utilizing evidence-based strategies to improve socially significant behaviors in children with autism and other developmental disorders.

Each therapy session is designed to be engaging and child-led, incorporating play-based methods to make therapy enjoyable and effective.

Creating a Stimulating Environment

The West Bloomfield center is intentionally designed to be colorful and kid-friendly, providing a stimulating environment that encourages active participation. Therapists tailor activities to each child’s interests and sensory needs, ensuring that therapy sessions are both fun and beneficial.

Empowering Families

MetroEHS is committed to not only supporting children but also empowering parents and caregivers. By providing education and resources, they enable families to reinforce therapy goals at home and advocate effectively for their children’s needs.

May 21, 2024

Potty Training Tips from MetroEHS Pediatric Therapy: Expert Advice for Parents

As April and Autism Awareness Month have come to a close, we’re highlighting the incredible work of MetroEHS Pediatric Therapy in Metro Detroit. With multiple locations and more on the way, MetroEHS is dedicated to helping families with children on the autism spectrum and those needing specialized therapy. Today, we’re focusing on a universal challenge for parents: potty training.

Joining us are Deanna Coker, a board-certified behavioral therapist analyst, and Kelly Johns, the director of physical therapy at MetroEHS. They share valuable insights on potty training, addressing common issues and providing practical solutions.

Recognizing Readiness for Potty Training

Kelly Johns emphasizes that recognizing when your child is ready for potty training is crucial. Key signs include:

- Extended Bladder Control: Holding their bladder overnight or for several consecutive hours.

- Interest in the Potty: Playing with their diaper, showing curiosity about the toilet, or performing a "potty dance."

- Communication: Telling you they need to go or showing signs they’re aware of their bodily functions.

Addressing Potty Training Challenges

Sometimes, despite a parent’s best efforts, potty training can hit a snag. Deanna Coker points out that issues such as regression, frequent nighttime accidents, or persistent constipation might indicate underlying problems like pelvic floor complications.

Assisting with Physiological Challenges

To support children struggling with potty training, Kelly recommends several strategies:

- Blowing Bubbles: This helps relax the pelvic floor. Encourage your child to blow bubbles while sitting on the toilet or during playtime.

- Using a Squatty Potty: This stool ensures a proper 90-degree angle, aiding in effective bowel movements.

- Belly Breathing: Teach your child to focus on their belly rising and falling, which can help with relaxation and control.

Effective Potty Training Methods

Deanna shares essential potty training tips:

  1. Ditch the Diapers: Transition your child to underwear to help them feel the wetness of accidents.
  2. Stay Hydrated: Encourage your child to drink plenty of fluids to ensure they need to use the bathroom regularly.
  3. Set a Schedule: Take your child to the potty every 20 minutes initially, allowing them to sit for a few minutes each time.
  4. Positive Reinforcement: Use rewards like a sticker chart to celebrate successes. This visual progress tracker can be highly motivating for children.

Deanna shares a personal anecdote about using a princess-themed sticker chart for her daughter, highlighting how such simple tools can make the process enjoyable and rewarding for children.

MetroEHS Pediatric Therapy provides comprehensive support for various therapy needs, including ABA, speech, occupational, feeding, and physical therapies. With their expanding network of locations, they are readily accessible to families across Metro Detroit.

For more information or to find the nearest MetroEHS location, visit http://metroehs.com

**Thank you, Deanna and Kelly, for sharing your expertise and practical advice.** Potty training can be a daunting task, but with these tips, parents can navigate this essential milestone more effectively.