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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April 14, 2026

How Can Integrated Therapy Help My Child Build Skills Faster?

When your child needs therapy, it is common to hear about several different types of support. You may be told your child could benefit from speech therapy, occupational therapy, physical therapy, or behavioral therapy. Each of these services can play an important role in your child’s development.

But for many children, progress can happen more smoothly when those therapies work together instead of separately.

That is the idea behind integrated therapy.

Integrated therapy means your child’s providers work as a team. Rather than having each therapist focus only on their own area, they collaborate, communicate, and build one coordinated plan centered on your child’s everyday growth and success.

Kids Do Not Develop One Skill at a Time

Children do not learn in neat, separate categories. A child who is working on communication may also need help with sensory challenges, motor skills, social interaction, attention, or behavior. These areas often overlap in daily life.

For example, a child may struggle to express their needs clearly, but that same child may also have trouble staying regulated, joining play, or managing transitions. One challenge can affect another.

When therapy is integrated, children can receive support in multiple areas at the same time. This often helps them make progress faster because the people helping them are all working toward the same bigger picture.

One Team, One Plan

One of the biggest benefits of integrated therapy is that your child is not working with separate providers who all have different goals. Instead, the therapists share strategies and work together.

A speech therapist may introduce a new way for your child to communicate. An occupational therapist may help your child practice that skill during play. A behavioral therapist may reinforce it during social routines or structured activities.

Because the same skills are being supported in more than one setting, children often have more chances to learn, remember, and use them.

This team approach can make therapy feel more connected and more purposeful.

Skills Are Practiced in Everyday Ways

Children learn best when they can use their new skills in real-life situations.

If a skill is only practiced during one therapy session each week, it may take longer for that skill to become natural. But when a child practices the same skill in different activities and across different therapies, it can start to stick more quickly.

This kind of repeated practice can help children build confidence, use their skills outside of therapy, and become more independent in daily life.

That might look like using communication skills during play, practicing motor skills during a routine activity, or learning how to handle transitions with support from multiple therapists who are using the same approach.

Parents Get Clearer Support Too

Integrated therapy is not only helpful for children. It can also make a big difference for families.

When providers work together, parents are more likely to receive one clear plan instead of separate instructions that may feel overwhelming or hard to connect. This can make it easier to understand what your child is working on and how to support that progress at home.

Many families find that a coordinated approach helps reduce confusion, makes home practice more manageable, and keeps everyone focused on the same goals.

When therapy feels more connected, it is often easier for parents to feel confident in the process.

Why Coordination Can Lead to Better Progress

Research has shown that children in coordinated, multidisciplinary therapy programs often experience strong benefits across many areas of development. These may include improved communication, better motor skills, more independence in daily routines, and stronger participation at home and at school.

When care is coordinated, children may have an easier time carrying new skills from one activity into another. Instead of learning something in isolation, they begin to use it more naturally in everyday life.

That is often where meaningful progress happens.

The Goal Is Real-Life Success

Therapy is not only about checking off goals in a session. It is about helping children communicate, move, play, participate, and grow with more confidence in their daily lives.

An integrated therapy model supports that by bringing people together around your child’s needs. It helps ensure that therapy is not fragmented, but connected in a way that makes sense for how children actually develop.

The Bottom Line

Children grow in many ways at once, and their therapy can work the same way.

When therapists collaborate as one team, children get more consistent support across different areas of development. That can help them build skills faster, use them more confidently, and make progress that carries into everyday life.

Because every child deserves support that helps them thrive.

June 23, 2023

Registered Behavior Technician FAQs

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.

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.