ABA on Tap

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ABA has essentially become synonymous with treatment of ASD, and medically speaking, nothing else despite a wide-array of possibilities. Insurance mandates have now existed in many states across the United States for 10 or more years, but are specific to ABA as a recommended treatment for ASD. In this episode, Mike and Dan guide us through the idea of 're-specialization' for the ABA field, toward greater utility. Specifically, as inspired by Patrick Friman's 2010 publication on bringing ABA to the mainstream, expanding the utility of applied behavior analysis into a primary care role, while preserving and expanding  our current expertise, serve as the main ingredients for this delightfully informative and prospectively delicious brew.

Sit back, relax, and imbibe this stimulating libation of ABA on Tap. And of course-- always, always, analyze responsibly.

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What goes up must come down--after a two-part series on the idea of an 'escalation cycle,,' Dan and Mike could only follow up with a discussion on de-escalation. In this follow-up episode, Dan and Mike continue to utilize the notion of 'crisis' or 'assaultive' behavior and its management as a means to better understand and elucidate strategies for addressing day-to-day challenging behavior. While the behavior being emitted by the client or child is often the focus of intervention, perhaps a more important variable is the behaviors or stimuli active around that person and in their environment. Dan and Mike work to explain the key aspects of the de-escalation range of the full cycle and more importantly discuss what not to do as well as what to enact as a parent or professional working to help an individual come back down to baseline.

Sit back, stay observant, acknowledge, empathize and ALWAYS analyze responsibly.

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As promised, a continuation of the discussion on the escalation cycle as filtered through the idea of crisis and so-called 'assaultive' behavior, and further how this model can be aptly utilized in considering challenging behaviors from day to day. While we often consider the child or person emitting the undesired behavior, Dan and Mike take time to include the responder as an active, and integral variable in the environment.

Grab a few more ice cubes, freshen up your drink and take another sip of this tasty libation. And of course, always analyze responsibly.

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In this episode, Dan and Mike tackle a very important and dense topic--the idea of a cycle of escalation as it pertains to behavior management. Starting from the perspective of crisis management, the premise is to consider not just the outward behavior itself, but perhaps more importantly, the internal antecedents and correlates from a brain and behavior perspective. In this first portion of a multi-part series on escalation, your hosts walk through important factors in autonomic arousal, as well as the work of the sympathetic and parasympathetic nervous system in so-called 'assaultive' behavior. More importantly, the notion of what this can teach us with regard to all behavior management approaches is explored. That is to say, any deviation from baseline can be considered an escalation, such that there is much to learn about with regard to managing and preempting challenging behavior from contemplating crisis. Dan and Mike begin to explore the empathetic aspects of understanding the experience of an individual emitting challenging or even assaultive behavior toward safely and effectively responding, not reacting. All of this in an effort to work back down to baseline, and allow learning to continue more freely, adaptively and collaboratively.

Sit back, pour yourself a tall beverage and enjoy this very complex episode. And more than ever, always analyze responsibly.

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As ABA professionals, we are often called upon to reduce the occurrence of so-called 'maladaptive' behaviors. Terms like protest, tantrum, elopement or escape are all too common though they don't provide clean description of the behavior or its function. Often times, what we mean is that a child or client spent a certain amount of time crying, for example, and suddenly we run the risk of missing the adaptive value of an instinctive and reflexive behavior. While we don't want our clients to 'cry' extensively, we can't simply cite the emission of such behavior as undesired or lacking value. In this episode, Dan and Mike explore the premise of understanding the full function of such behaviors historically deemed for reduction only. In other words, what might be the communicative value of leaving the designated area or crying? While  a solely adult-directed, more traditional  approach to ABA intervention might see interference, the idea presented here is more about seeing the shift in motivating operations present in such occurrences of behavior, and re-evaluating our procedures in response.

Sit back back, behave and always analyze responsibly.

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Following the two part series on Joint Attention, Dan and Mike extend the discussion to include verbal behavior. Dan takes a lead to expand and make an important distinction between verbal and vocal behavior. Herein comes a strong connection with joint attention given that eye gaze and pointing for example, are both fundamentally sound verbal behaviors. While at times we focus on the vocalization or words, we must pay close attention to all communicative behaviors.

Sit back, jointly attend to our vocal behavior and always analyze responsibly.

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The brew continues in Joint Attention Part II. Mike and Dan review research on the correlation between joint attention, imitation, language development (verbal/vocal behavior) and play. From this, they focus on a specific research-based method designed to promote joint attention--namely following a point (both proximal and distal) as well as gaze shift, then leading others with point and gaze shift. The idea of joint attention as a constant mode of presentation, along with contingent imitation and linguistic mapping, in creating a dynamic, child-directed, play-based environment is elaborated. This allows for more and more adult-directed instruction as needed toward specific targets and goals, like imitation, while maintaining the most important motivating operation--play.

Sip slowly, enjoy a fresh taste from the tap. And always analyze responsibly.

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Better late than never,  Mike and Dan kick off the 3rd season of ABA on Tap. Thank you all out there for your continued support and listenership.

In an effort to advance the 'lab to living room' approach, Mike and Dan give a historical account of their current practices in early intervention. Given that these particular programs take a 'preventative' edge in their purpose and objective, the idea of blending ABA technologies and methodologies with best practices in Early Childhood Education takes the forefront. Young children in these early intervention programs, at least in this case, are not diagnosed with any condition, just identified as 'at-risk'. Without careful and considerate pause from professionals, these children might receive traditional, standard ABA treatment otherwise cultivated and specified for children on the spectrum. This situation is examined closely as the impetus to innovate and progress the idea of ABA and what it looks like in planning, practice and further data collection. Part I will provide a more personal and historical account of the references, experiences and concepts that led to joint attention as an important correlate to imitation, but lacking focused examination or useful implementation as an important aspect of programming thus far.

Sit back, relax and always analyze responsibly.

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Mike and Dan discussed collaboration with SLP and OT. Now they explore current and prospective efforts with psychiatric care, use of medication from said psychiatric care, as well as future efforts in primary medical care, an 'off-label' use of ABA, per the current treatment model. ABA provision and related data could easily provide a wealth of information to treatment with medication, addressing side-effect management and possible enhancement of treatment effects, given fidelity to both medication and ABA treatments. So, take  your recommended dose of ABA on Tap in this ameliorating episode, preferably with a full glass of water, or any other reasonable libation. And always analyze responsibly.

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Behavior encompasses a wide range of activity from talking, to moving around to just about anything that makes us animate as human animals. Yet ABA is often quickly boiled down to the 'bad behavior' science, addressing the tantrums, excessive crying, dropping to the ground, self-injurious behavior, etc. This general overview can be so pervasive that we can easily forget the need for other professionals to get a child to sit down and attend, both super important learning behaviors, not misbehaviors, that ABA attends to readily. Hence, there is an active collaboration that should occur across these expansive so-called 'transdisciplinary teams,' whether educationally or medically based, to ensure the child in the middle is getting everyone's best, and in well-choreographed orchestration that supplements and complements, avoiding internal contradictions--that's a tall order. An order that should be easily filled no less. In this episode, Mike and Dan open up the conversation on collaborative treatment, discussing services like SLP (speech/language) and OT (occupational therapy) that are often active for a child along with ABA. They also begin to discuss more mainstream applications of ABA in areas like psychiatry and the prospective and elusive behavioral pediatrics, both topics that will be explored in greater detail in Part II of this episode on collaborative treatment. Sit back, relax, and drink this one in, as a refill awaits you. Cheers--always analyze responsibly.  

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🎧 Analyze Responsibly & Keep the Conversation Going! 🍻