Can ABA Help My Child with ADHD?

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Can ABA help your child with ADHD?

Research shows that ABA therapy is evidence-based therapy that can help other diagnoses including ADHD. Research shows that a combination of ABA therapy and medication can make significant changes in a child’s behavior. 

Oftentimes, we’ve worked with children who engage in behaviors that may seem “impulsive”, “off-task” and “disruptive” to others in their environment. From our experience, some of these behaviors typically have a reasoning as to why they're occurring. Sometimes the learner may be engaging in these behaviors because they cannot communicate their wants and needs. Sometimes these learners cannot concentrate on their tasks because they are distracted by something in their environment. Sometimes these learners don’t realize they are being disruptive with their actions to others around them. 

Step right up Applied Behavior Analysis (ABA)! What do we do in these types of situations? One of our primary goals in ABA is to provide our learners with the tools to help them advocate for themselves. We teach our learners to request for needs and wants appropriately instead of being impulsive and grabbing whatever they may need (be it materials or someone's attention).

We observe the learner in their natural environment and analyze the patterns of their behaviors. We conduct in depth analysis of their environment to determine what could be distracting them in times that they are off-task. We add tools to help them cope in environments that may be overstimulating to them. 

We provide our learners with tools to teach them recognize the behaviors they are engaging in and then help them correct this behavior (should it need to be corrected). One of our learners had a very challenging time completing tasks that involved more than 1 step (i.e. homework). We created a visual support to help with the completion of these steps. We then taught him self-management strategies to keep himself on track and complete these tasks from start to finish. An example of this program can be found below. We also taught this learner to track his “on-task” behavior using a vibrating timer at every 3 minute interval. When the timer went off, he had to evaluate his current actions and label if he was on or off task. Depending on the current action, he would either continue working OR redirect himself to the task he was supposed to be engaging in. This strategy was taken from Finn et al in 2014. 

In summary, ABA can be of immense help in helping your child with ADHD. Board Certified Behavior Analyst will evaluate your child’s current skill set, help create programs to help them develop the skills they need to communicate and teach any replacement or self-management behaviors to help them in the most challenging times of their day. Give us a call to learn more about how we can help! 

Resource: 

Finn, Lisa & Ramasamy, Rangasamy & Dukes, Charles & Scott, John. (2014). Using WatchMinder to Increase the On-Task Behavior of Students with Autism Spectrum Disorder. Journal of autism and developmental disorders. 45. 10.1007/s10803-014-2300-x. 

Therapies that help a child with an Autism Diagnosis...

Read Time: 8 Minutes

Your child has received a diagnosis and you are provided with a list of recommended therapies and acronyms you may have never heard of. Don’t worry! We are here to help! We hope that this blog can help you understand what each of these therapies mean and how they will benefit your child. 

1. Applied Behavior Analysis (ABA Therapy): Your child may have been referred to ABA or Applied Behavior Analysis therapy. Applied Behavior Analysis (ABA) is the application of the principles of learning and motivation from behavior analysis which produce socially significant changes through the analysis, observation, design, implementation and evaluation of past and current environmental events (antecedents and consequences). ABA therapy programs will help your child increase functional communication and language, attention, social skills, memory and academics. There is also an emphasis on decreasing any challenging behaviors that the child may exhibit by teaching the child self regulation or replacement behaviors. ABA therapy can be provided in a variety of settings including home, school, clinic, community and group home settings. ABA therapy is individualized for each child and their family. Opportunities for parent support and collaboration with other professionals who are working with the child are also a part of our treatment plans. - Amarilys Morales, M.S., Board Certified Behavior Analyst

2. Pediatric occupational therapy (OT) is focused on assisting children develop and enhance the skills that they require to grow and function throughout the various stages of development and into adulthood. Developmental delays, neurological impairments, physical impairment, and a host of other areas can hamper a child's ability to perform common tasks or progress at the developmentally expected level through the stages of motor, social, or cognitive development. Focus areas can include fine motor skills, visual motor skills, coordination, sensory integration, self-regulation, and strengthening to assist children with the ability to perform daily tasks and socialize at an age appropriate level. - Kathleen Pici, OTR/L, CAS

3. Pediatric Speech Therapy is specialized in developing and enhancing children’s ability to both express and understand verbal and written language. Various areas of focus include auditory processing, receptive language, expressive language, articulation, pragmatic skills, apraxia, dysfluency, and oral motor strengthening. In addition to communication skills, speech therapists can work on assisting a child that is experiencing feeding difficulties. Developmental delays, neurological impairments, as well as physical impairments can impact a child’s ability to produce language, understand language, and tolerate eating/swallowing age appropriate foods. - Kathleen Pici, OTR/L, CAS

4. Physical Therapy (PT) Children diagnosed with Autism Spectrum Disorder (ASD) exhibit motor impairments that include deficits in visual-motor and bilateral coordination, low tone, motor apraxia, toe walking and/or gross motor delays. Physical activity poses a challenge for those on the spectrum due to poor motor functioning, low motivation, and trouble engaging in a team environment. Children with ASD also have a higher incidence of obesity due to the movement difficulties that they face. Physical therapists have the ability to improve motor delay, increase social participation, and decrease developmental and daily functional obstacles that exist. Physical therapists treat gross motor delay by improving strength, gross motor skills, stability, stretching tight and underdeveloped musculature, and helping the child gain confidence in day-to-day activities and participation in sports. -Karly Zengel, PT, DPT

5. Licensed Psychologist: You may also be referred to a licensed school psychologist. Some licensed school psychologists also complete private psychoeducational evaluations. Psychoeducational assessments are completed for a variety of purposes, including eligibility determination for special education and related services, evaluation of progress, and the development of appropriate behavioral and/or educational interventions. Evaluations may include assessment of domains including, but not limited to: intellectual, academic, cognitive processing, adaptive, and social/emotional development. These results can be shared with the schools to assist in determining the need for a 504 Plan, Individual Education Plan (IEP), or College Board exam accommodation. Some licensed school psychologist may also assess for Learning Disabilities (dyslexia, dysgraphia, dyscalculia), academically gifted program (AGP), Autism Spectrum Disorder (ASD), Attention Deficit/Hyperactivity Disorder (ADHD), and more. Licensed school psychologists help to find a child's strengths and weaknesses so you can walk away with a clear path to what they can do to help your child. The testing will provide concrete strategies and recommendations on what to do next  to help your child become more successful at school and home. -Stacy Zebrick, Licensed School Psychologist

As you can see, each professional and field has skills to help your child be successful in various areas. When providers collaborate with each other, we see the most significant differences in our children. We also always encourage our families to read about evidence-based practices that are available to your child as these will make the most significant differences. A special THANK YOU TO our wonderful community partners for sharing what they do with our readers!

Should you have any questions or would like to receive a copy of our referral list for Hillsborough County, please contact us!

5 Things To Do After Receiving an Autism Diagnosis

Read Time: 5 Minutes

As a parent, receiving the news that your child has been diagnosed with Autism Spectrum comes with a whirlwind of emotions and questions. Depending on the level on which your child was diagnosed, difficulties may follow. As you may have read, there is no “cure” for Autism. However, you are your child’s number 1 advocate and you will be able to fight for what your child needs. What follows are a few recommendations of things to do after your child has received an Autism Spectrum Disorder diagnosis: 

1. Evidence-Based Practices. Researching evidence based practices will be very important to ensure your child’s success. Evidence based practices have been heavily studied, researched and replicated. The National Autism Professional Development Center on Autism Spectrum Disorder provides a great list of evidence based practices you can see here.

2. Therapy Services. Your child may need additional support that your pediatrician/neurologist and/or psychologist may have recommended. Service providers will specialize in areas like speech development and communication, behavioral health, mental health, physical therapy and additional school services. We will be writing a blog post soon to discuss each of these service professionals and the incredible services they provide. 

3. Books. We often learn from other’s experiences. There are several books that we love and recommend to start the journey. Here are some of our favorite books: Parenting with ABA (Leanne Page, BCBA does an incredible job discussing behavioral concepts that you can implement with your child), The Verbal Behavior Approach (Dr. Mary Lynch Barbera discusses Verbal Behavior and how to implement it with your child) and last but not least the book we are currently reading Differently Wired (by Deborah Reber who discusses how to overcome the challenges in raising an neuroatypical child). 

4. Parent/Caregiver Support Groups. We have joined several support groups to help parents and caregivers. In these groups, we often see families come together and help support each other when they need advice, recommendations and support. Some of the groups in Hillsborough County include: Special Needs Community Resources of Pasco County- Florida, Southshore Special Needs Support, Families with Special Needs Kids-Tampa Bay. 

5. Additional Resources. There are several pages that provide additional resources from initial diagnosis to transitioning to adulthood. Some of our favorites are: 

   1. Autism Speaks

   2. Associations for Science in Autism Treatment

   3. First Words Project

   4. National Autism Association

Remember, this is a time where your child needs you at your best. Be open to new techniques that may be suggested by your service providers. The journey will not be easy but your child needs you in their corner to celebrate each milestone and help them reach their full potential. Teach your child that they have a voice and their voice matters regardless of their diagnosis. Your child deserves respect, dignity and deserves to receive what they need to be successful. This is not an easy feat but YOU (mom, dad, grandma, grandpa, foster parent) are here to help your child be the best they can be and we believe in you!

Teaching Your Child/Adult to Tolerate Wearing a Mask

Read time: 5 minutes

For some of our children/adults, clothing in general may present discomfort. With the pandemic we are facing today, it may be necessary for your child or adult to wear a mask while out in public. In this article we will teach you 5 steps to help your child/adult tolerate wearing a mask while out in public. 

1. Allow the child/adult to become familiar with the mask by playing with it, modeling how it is used on a favorite stuffed animal or on yourself. We want our child/adult to know that there is nothing scary about the mask! 

2. As part of the teaching process, we can use a social story if the child/adult understands the concept. We would not solely suggest this as the only method but it may be helpful if the child/adult understands the information being provided. A link to a social story about wearing masks can be found here: Wearing a Mask Social Story

3. When the child/adult has become more familiar with the mask, begin requiring that the child/adult wear the mask and time how long they are able to tolerate it. This will be our starting point! If the child/adult takes it off after 1 minute, we may need to start at 45 seconds and provide praise and lots of reinforcement once you hit 45 seconds when you practice. 

4. We will then start increasing the time required to wear the mask. If we had 3 successful times of tolerating the mask at 45 seconds, we can then move onto 1 minute, then 3 minutes, then 5 minutes, then 10 minutes and so on while doing other things at the same time (i.e. reading a book, playing with blocks, going for a walk). Our mission is to increase the time gradually and successfully while making the process for the child/adult less aversive. This is a procedure we call shaping. Think of it as creating the shape of a clay bowl: we must work on the small steps over and over again until we can achieve our biggest goal.  

5. The next step will be to test in the natural environment. Take your child/adult to a place where a mask may be required (i.e. grocery store). Remind the child/adult of the expectations before arriving and remind them of what was practiced at home. If the child/adult does not tolerate the mask in a public place, we may need to take a few steps back and test again to see where we need to work on and try again. 

Additional COVID-19 social stories: Autism Little Learners

We hope these steps are useful to you in these times! If you have any questions, please email me at amarilys@amabehavioralconsulting.com

Career Choice: Behavior Analyst

Background:

Since I was little, I always told my mom growing up that I knew I wanted to help people everyday in my life. The question we all have when picking a career choice is what could I possibly love to do everyday that I can continue doing it for the rest of my life. Fortunately, my choice came a little easy for me! While attending the University of South Florida, a new minor had just opened up: Intro to Applied Behavior Analysis instructed by none other than Ms. Victoria Fogel. As soon as I took the first course, I KNEW I had made the right choice. The more I learned, the more I fell in love with the field. I had the wonderful opportunity to begin my career while working at the Florida Autism Center of Excellence as a teacher's assistant, where I quickly learned that no child is the same and they are all special in their own ways. From there, I transitioned to a clinic where I had the opportunity to transition from a Registered Behavior Technician to a Clinical Coordinator overseeing the clinic. Here, I continued to develop the love for my field, strengthen my skill sets with the population I worked with and was able to train parents and some of the most wonderful staff I have ever had the pleasure of working with.  

Random facts about me: I love Christmas and especially the GRINCH! I love to dance salsa and can eat Cold Stone for every meal of the day. 

Why did I choose ABA?

Applied Behavior Analysis is the application of the principles of learning and motivation from Behavior Analysis, and the procedures and technology derived from those principles, to the solution of problems of social significance. Through years of research and development, behavior analysts have created a science that is replicable not only by those with the degree in Behavior Analysis but teachers, caregivers and anyone who wishes to implement its highly researched techniques. I have witnessed first-hand by working with amazing individuals diagnosed with developmental disabilities, the power that my field has. I have witnessed milestones that may be considered minute for a typically developing child but enormous for the kiddos I have worked with. Some of my favorite milestones include: teaching a child to use the Picture Exchange Communication System not only to request using sentences but to label events around him, teaching a child to get dressed using a task analysis, having a conversation with a child that it is "ok" to  be different and that autism does not make him "less", helping countless families achieve potty training successes and being able to mainstream a child who previously didn't know how to communicate using words! 

My Mission:

My mission at AMA Behavioral Consulting, LLC is to provide each learner with evidence-based, high quality behavior therapy services to reach their full potential. I wish to create a company that serves as a resource of information about our field and our practices and that is ethical in each step of the process. I truly value what my field can accomplish and I cannot wait to share my work with others who wish to share these amazing experiences with me!