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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June 19, 2024

How Can Parents Prevent Youth Sports Injuries?

Youth sports are a cornerstone of childhood, offering numerous benefits such as physical fitness, teamwork, and discipline. However, with the increasing intensity and competitiveness in youth sports, injuries among young children are becoming more prevalent.

According to the National SAFE KIDS Campaign and the American Academy of Pediatrics: More than 3.5 million children (about twice the population of Nebraska) ages 14 and younger get hurt annually playing sports or participating in recreational activities. There are a few steps that parents can take to potentially prevent injuries in sporting activities and keep the fun on the field!

Ensure Proper Conditioning and Training

  1. Pre-Participation Physical Exam: Before starting any sport, have your child undergo a physical exam to ensure they are fit to participate.
  2. Proper Training: Enroll your child in programs with certified coaches who emphasize proper techniques and conditioning.
  3. Strength and Flexibility: Encourage exercises that build strength and flexibility. Strength training should be age-appropriate, focusing on technique rather than heavy weights.

Use Appropriate Equipment

–Protective Gear: Ensure your child uses sport-specific protective gear such as helmets, mouthguards, pads, and appropriate footwear. All equipment should fit well and be in good condition.
–Regular Checks: Inspect equipment regularly for wear and tear. Replace damaged gear promptly to maintain safety standards.

Promote Safe Playing Techniques

  1. Warm-Up and Cool-Down: Encourage a proper warm-up before and cool-down after practices and games to prevent muscle injuries.
  2. Teach Safe Techniques: Ensure coaches emphasize and teach safe playing techniques, particularly in contact sports. Children should understand the rules of the game and the importance of fair play.
  3. Avoid Overuse: Limit repetitive movements that can lead to overuse injuries. Ensure your child gets sufficient rest and recovery time between practices and games.

Encourage Open Communication

-Listen to Your Child: Encourage your child to speak up about any pain or discomfort. Ignoring pain can lead to more severe injuries.
-Monitor for Signs of Fatigue: Watch for signs of fatigue or burnout, which can increase the risk of injury. Ensure your child gets adequate rest and maintains a healthy balance between sports and other activities.

Foster a Balanced Approach

-Limit Specialization: Avoid having your child specialize in one sport or activity at a young age. Encourage participation in various activities from soccer to piano lessons to promote physical development and reduce the risk of overuse injuries.
-Adequate Rest: Ensure your child gets enough rest, including off-season breaks, to allow their body to recover and grow stronger.

Educate on Nutrition and Hydration

-Balanced Diet: Provide a balanced diet rich in vitamins and minerals to support your child’s physical activity. Include a variety of fruits, vegetables, lean proteins, and whole grains.
-Stay Hydrated: Teach your child the importance of staying hydrated before, during, and after physical activities. Encourage them to drink water regularly, especially in hot and humid conditions.

Work with Healthcare Providers

  1. Regular Check-Ups: Schedule regular check-ups with a healthcare provider to monitor your child’s overall health and development.
  2. Follow Medical Advice: If your child is recovering from an injury, strictly follow the healthcare provider’s advice regarding rehabilitation and when it is safe to return to sports. Stay Informed and Involved
  3. Educate Yourself: Stay informed about the risks associated with your child’s sport and the best practices for injury prevention.
  4. Active Participation: Be actively involved in your child’s sports activities. Attend practices and games to observe the coaching methods and the environment.

Preventing injuries in youth sports requires a proactive approach from parents. Through these efforts, parents can help their children enjoy the benefits of sports while minimizing the risks. Sometimes, even with parents’ and coaches’ best intentions, injuries can occur.

Common Youth Sports Injuries

Injuries in youth sports can range from minor bruises to severe fractures. Here are some of the most common injuries:

  1. Sprains and Strains: These occur when ligaments (sprains) or muscles (strains) are overstretched or torn. Common sites include the ankle, knee, and wrist.
  2. Fractures: Broken bones are a frequent result of high-impact sports or falls. The wrist, arm, and collarbone are often affected.
  3. Overuse Injuries: Conditions like shin splints and stress fractures arise from repetitive motion. They are particularly common in sports requiring long periods of training, such as running and swimming.
  4. Concussions: Head injuries are serious and can occur in contact sports like football, soccer, and basketball. They require immediate medical attention.

The Role of Physical Therapy

Physical therapy plays a critical role in the recovery and rehabilitation of young athletes. Here’s why it’s frequently prescribed:

  1. Personalized Rehabilitation Plans: Physical therapists develop customized treatment plans tailored to the specific injury and the child’s needs. This ensures a targeted approach to healing.
  2. Pain Management: Techniques such as ice therapy, heat therapy, and electrical stimulation help manage pain effectively, promoting a quicker return to normal activities.
  3. Improving Mobility and Strength: Therapists use exercises to enhance flexibility, strength, and range of motion. This is crucial for preventing future injuries.
  4. Education and Prevention: Physical therapists educate young athletes and their families on proper techniques, warm-up exercises, and ways to prevent re-injury.

Frequency of Physical Therapy Prescription

The prescription of physical therapy varies depending on the severity and type of injury. However, statistics indicate a growing reliance on physical therapy for youth sports injuries:

Research shows that nearly 30-50% of youth athletes with moderate to severe injuries are prescribed physical therapy as part of their treatment plan. This percentage highlights the critical role physical therapy plays in the comprehensive recovery process for young athletes.

Youth sports injuries are an unfortunate but common aspect of an active childhood. While they can be alarming, the right approach to treatment, including the strategic use of physical therapy, can significantly enhance recovery outcomes. By focusing on personalized rehabilitation, pain management, and preventative education, physical therapy helps young athletes get back on their feet—stronger and more resilient than before.

As the world of youth sports continues to grow, understanding and mitigating the impact of sports injuries through effective therapeutic interventions will remain crucial in safeguarding the health and well-being of young athletes. By fostering awareness and providing appropriate care, we can ensure that youth sports remain a positive and enriching experience for all children.

December 8, 2023

Unlocking the Power of Play: 5 Beneficial Toys for Children Aged 0-10 Years

‘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

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.

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