How Medical Necessity Impacts Clinical Programming for ABA Providers matters because it changes what a BCBA notices when decisions have to hold up in clinic sessions and day-to-day service delivery, community routines and natural environments. In How Medical Necessity Impacts Clinical Programming for ABA Providers, for this course, the practical stakes show up in safe, humane intervention that respects health variables and daily-life feasibility, not in abstract discussion alone.
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Join Free →The recent shift to define ABA as medically necessary (APBA, April 10, 2020) further highlights the need for the professional practice community at large to establish a shared understanding for the defining features of socially meaningful case conceptualization (SMCC). This is of particular concern for newer practitioners (certified in the last 5 years) who are expected to make appropriate ABA service recommendations with potentially limited guidance from more experienced clinicians. Previous authors have addressed these and related concerns by focusing on topics such as social validity (e.g., Wolf, 1978), but a far greater concern is whether practitioners are addressing the most socially meaningful goal(s) in the first place. Failure to do so often means adhering to a symptom-reduction approach alone (i.e., primarily based on standardized developmental and psychoeducational "excesses/deficits" with no individualization). This presentation addresses several crucial considerations for providing medically necessary ABA services, including related guidance for adjusting previously established approaches to clinical practice.
| Certification Body | Credits | Type |
|---|---|---|
| BACB® | 1 | General |
Dr. Rachel Taylor (formerly Dr. Tarbox) has supported individuals diagnosed with neurodevelopmental disorders for more than 25 years. Dr. Taylor started her career working in several prestigious institutions including the New England Center for Children and the Kennedy Krieger Institute. She is the former Co-Director of Research and Development for CARD and the Founder and Director of CARDs Specialized Outpatient Services. In 2008, Dr. Taylor was the founding ABA Department Chair at The Chicago School Los Angeles and has also held faculty positions at California State University Los Angeles and Channel Islands. She has published numerous peer reviewed articles and book chapters, is a previous member of the Executive Council for ABAI and served as the 2020 CalABA Conference Chair. Dr. Taylor also serves on the Scientific Council for the Organization for Autism Research (OAR), and the Board of Directors for the Council for Autism Services Providers (CASP). She is the owner and former CEO for the Center for Applied Behavior Analysis (CABA), and her primary focus is supporting practitioners to produce meaningful service outcomes across the lifespan.
Dig into the research behind this topic — plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
183 research articles with practitioner takeaways
183 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.