Service Delivery

Culture and Language Inclusion in the Practice of Applied Behavior Analysis: Next Steps for Improving Outcomes for Autistic Clients

Hernandez et al. (2023) · Behavior Analysis in Practice 2023
★ The Verdict

Ask about language and culture first, then write the behavior plan.

✓ Read this if BCBAs who serve autistic clients from diverse backgrounds.
✗ Skip if Clinicians already working in monolingual, single-culture settings with no plans to change.

01Research in Context

01

What this study did

Hernandez et al. (2023) wrote a how-to guide for BCBAs. They folded national CLAS standards into everyday ABA practice.

The paper targets autistic clients and their families. It tells you to ask about language needs and cultural values before you write the first goal.

02

What they found

The authors did not run an experiment. They built a checklist that links CLAS rules to supervision, assessment, and treatment.

The big idea: treat culture and language as core parts of effective ABA, not extras.

03

How this fits with other research

Jimenez‐Gomez et al. (2022) came first. Their narrative review gave the field a framework for culturally responsive assessment. Hernandez et al. (2023) widen the lens to full service delivery.

Uher et al. (2024) pick up the baton. They turn the same ideas into step-by-step actions that meet the new Ethics Code 1.07. If you read the 2023 paper first, the 2024 paper shows you exactly what to do on Monday.

Kwak et al. (2024) give you a tool. Their VCAT gives you ready-made questions to ask families about values. It makes the 2023 recommendation measurable.

04

Why it matters

You can start today. Ask each family what language they prefer for goals, homework, and parent training. Note holidays, food rules, and who makes decisions at home. Add these answers to the FBA and the behavior plan. This small step boosts buy-in and keeps your practice aligned with federal CLAS rules and the BACB Code.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add two questions to your intake form: 'Preferred language for sessions?' and 'Cultural values we should know?'

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

As applied behavior analysis (ABA) is widely prescribed as an intervention for autistic children, ABA practitioners must have a thorough understanding of the impact of language and culture on the individuals and families they serve. The twin purposes of this article are to discuss cultural humility in ASD service delivery, and to provide an overview of practice parameters for the expansion of equity and inclusion. These efforts are guided by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. Readers will be provided with recommendations for incorporating culturally and linguistically appropriate services into training, practice, and supervision in ABA settings.

Behavior Analysis in Practice, 2023 · doi:10.1007/s40617-023-00791-3