ABA provider organizations face a continuous challenge: maintaining clinical quality at scale while meeting the demands of regulatory compliance, funder requirements, and the rapid growth of the field. Quality assurance systems that are primarily reactive — responding to problems after they occur — are insufficient for organizations serving large and complex caseloads.
Provider: BehaviorLive — via Council of Autism Service Providers
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Join Free →ABA Provider organizations are continuously working to optimize their internal quality assurance systems, to ensure client benefit and comply with regulatory bodies, such as funders and licensing entities. This presentation will offer a conceptual review of components of quality supervision and in-depth technical description of three multi-site initiatives to improve and measure supervision and service quality, focusing on the design, implementation, and on-going support needs. The first initiative set standards and developed practical guidance for the implementation of best practices in case supervision utilizing CPT code 97155, which requires activities centering clinical direction and protocol modification. In addition to interpretation guidance by industry groups (e.g., ABA Coding Coalition), behavior analysts benefitted from development of practical protocols to structure supervision sessions in a compliant and effective manner. The second initiative focuses on a coaching and mentoring system to improve the quality of supervision sessions conducted by behavior analysts. Over 1,000+ director-led mentorship sessions have led to a 48% increase in the use of behavioral skills training in supervision (i.e., Parsons et al., 2013), increasing from a baseline of 43% to present levels of 91%. The third initiative details a pilot study to improve the efficacy and social validity of an early intervention clinic model. Outcomes presented will include improvements to skill acquisition efficiency, quality of life, and social validity (clients, families, and staff).
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1 | Supervision |
| APA | 0 | — |
| COA | 1 | — |
Kristine leads the clinical development, training, research, and client outcomes initiatives at Autism Learning Partners, as Chief Clinical Officer. She is a Board Certified Behavior Analyst (BCBA) with over 15 years of experience in autism services, holds a master’s degree in exceptional student education from the University of West Florida, and is currently a doctoral student and adjunct professor at Endicott College. She presents at regional and national conferences, focusing on such topics as cultural responsiveness, compassion-focused care, innovations in service delivery, and scaling clinical quality. She has authored peer reviewed articles and book chapters on the topics of compassion-focused care, cultural responsiveness, Acceptance and Commitment Training, and ABA-based services for adults. Kristine has served as an industry collaborator in the work to measure and evaluate quality outcomes in autism services, serving on working groups with Behavioral Health Center of Excellence (BHCOE), International Consortium of Health Outcomes Measurement (ICHOM), Autism Commission on Quality (ACQ), and co-chairing the client outcomes SIG through Council of Autism Service Providers (CASP). She is passionate about improving access to compassionate, responsive ABA-based services for underserved populations.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
244 research articles with practitioner takeaways
239 research articles with practitioner takeaways
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.