ABA Telehealth Parent Training- Follow Through

This video shows two example scenarios of a BCBA working with a family via telehealth. The topic of focus in these videos is "Follow Through". Enjoy!
Courtesy of BCBAs: Tatiana Francis & Karina Valdez

[@AnnettesWish]

Thank you for sharing, however, as a BCBA, 2nd yr PhD student in Behavior Analysis and parent of a child with autism, "following through" denotes extinction procedures that we should *avoid* per BACB guidelines until we have exhausted all reinforcement procedures and only after we have deemed that these extinction procedures are appropriate after a risk/benefit assessment. Extinction procedures, specially when used with physical prompting are intrusive, harmful and unnecessary. Our consequences (reactive strategies) should always be focused on providing what the child's maladaptive behaviors were for by using DRA to immediately prompt the replacement behavior and allowing for immediate reinforcement. For example: In this video the goal you were working on was tolerance training for 3 minutes. Since the child escaped after the demand was placed, the parent is to prompt the child to ask for "break" or "all done" and immediately allow escape (negative reinforcement). This tells us that the child did not like our procedures, and that he can find better reinforcement elsewhere. Our job now, as BCBAs, is to find a stronger preferred tangible to motivate the child back. We should never teach straight compliance, force our kids to do anything, or redirect them back with physical prompts unless it is an emergency. Their wishes are respected, and all we do is prompt replacement (more appropriate behaviors). When we teach skills we need to be sure that our kids like our procedures and that we are being reinforcing. Behavior goes where reinforcement flows! And remember, provider humility is to understand that us BCBAs are not firefighters and our kids with disabilities are not on fire.

[@yadihernandez7795]

This was great!! I’m currently doing parent consultation via a Telehealth with our Spanish speaking clients. I love the rapport you have with the mom. You provided clear instructions, direct feedback, and lots of praise! It was refreshing and encouraging to see someone else do the work that I do.😊

[@noellenicolas5380]

Thanks, this was very helpful. It's clear that you and mom trust each other to do best by this little guy

[@glennishawhite8437]

This was a great video!

[@jupitert.2680]

This is so helpful! Thank you for sharing!

[@keneshacurtis3539]

Thank you for sharing !! As a telehealth BCBA I would love to see more

[@jacquelinekorner6181]

Thank you for sharing!!

[@myriamm6377]

Great job!!!

[@susanizeman]

Wonderful! Thanks so much for sharing!

[@tatianalfrancis]

You're more than welcome!

[@monikabylinka2145]

Thank you so much for sharing this video! Greetings from Abu Dhabi!

[@tatianafrancisbcba3992]

You're more than welcome!

[@jocegodfrey6283]

please send us more! I am an ABA graduate student, I don't work in a clinic. I have been seeing clients in their home and decided to switch to telehealth when they closed our schools. I feel like I am seriously failing these munchkins! I talk to my friends, husband, and even my therapist about how I don't think I am doing enough! (no details of course). (My main 2 are in elementary school) I will not be satisfied with myself until I am the best at ABA (or at least one of the top 5, lol). I feel the urgency of families situations, I have been in crisis situations of a different sort and I know that 'help' needs to arrive in real time. ... Fluff therapy is not okay... they deserve more...

[@jacquelinekorner945]

Could I share it on my page?

[@iamdcody]

Thanks for sharing. Was this an ABA or SI service type?

[@tatianalfrancis]

Hi! This was an example of ABA parent training via telehealth 🙂.

[@TheMrGarciahernan]

looks like theres a splash of attention in there lol