Autism Spectrum Disorders: Multidisciplinary Approaches at St Petersburg Woman’s Club August 31, 2017
LOCATION: 40 Snell Isle Boulevard Northeast, Saint Petersburg, FL 33704
This workshop will give insight into different healthcare options for those diagnosed with Autism Spectrum Disorder. Experts from different fields will speak about how their individual discipline benefits children who are on the spectrum. Don’t miss an interactive workshop that will give parents knowledge, empowerment, and options! This is a free workshop for families and professionals.
Space is limited and filling up quickly. Please register beforehand to guarantee a seat. The night will be first come, first serve based on seating availability. **Adults only event please**
Alessandra Chiesa, PhD, Clinical Psychologist at Carella & Associates
Laura Hohl, MS, CCC-SLP, Speech/Language Therapist at Blue Starfish Speech and Language Services
Savy Ford, DC, Pediatric Chiropractor at Blossom Family Chiropractic
Anna June Schug, MS, OTR/L, Occupational Therapist at Kids Toolbox Therapies
Kathy Garvey, MS, MBA, RDN, Registered Dietician at Kathy Garvey Nutrition
Joan Comrie, MS, CCC-SLP, Pediatric Feeding & Swallowing Specialist at Pediatric Feeding and Swallowing Associates
Lauren Altman Brum, MA, BCBA, Behavioral Therapist at Skyway Behavior Center
Brett Stone, EdS, NCSP, Academic Coach
DATE AND TIME
Thu, August 31, 2017
6:00 PM – 7:30 PM EDT
St Petersburg Woman’s Club
40 Snell Isle Boulevard Northeast
Saint Petersburg, FL 33704
On July 30, 2017 at Idlewild Baptist Church, we were graciously hosted to present an introduction to one of our favorite topics, Applied Behavior Analysis. We were fortunate to speak to the volunteer teachers in the Children’s Ministry about managing challenging behavior in the classroom entitled “Focus on the Word, Not the Challenging Behavior”. We discussed the concept and implementation of differential reinforcement in the classroom as a tool to utilize for greater classroom success when faced with children who are exhibiting problem behaviors.
Special Learning, Inc. (2017) states that “Differential Reinforcement is the implementation of reinforcing only the appropriate response (or behavior you wish to increase) and applying extinction to all other responses. Extinction is the discontinuing of a reinforcement of a previously reinforced behavior.
A basic principle of differential reinforcement is the concept of discrimination. Discrimination is developed through differential reinforcement by determining when reinforcement is and is not received. An example of differential reinforcement is rewarding a child for brushing their teeth before bedtime and withholding the reward when the child does not brush their teeth before bedtime.” Go here for the full article.
Take a look at our presentation Idlewild ABA Presentation Part 1 FINAL 7-30-17
One participant in our training stated that they utilized the Earning (Token) System in their home after learning about it at the training and it is working … we are so grateful we could have such a positive effect! Thank you for the feedback.
We appreciate the opportunity to provide training. If you would like to find out more about our trainings being held, please email us.
During the process of services, Trinity ABA, LLC will be sending you a Client Satisfaction Survey to assistant in assuring we are meeting and exceeding your expectations.
Additionally, we send out regular Supervisor Performance Surveys to our staff to ensure they are getting their needs as well, so they can in turn, provide good support and training for our clients and their families.
We also ensure we are providing the best services possible to our employees and potential employees by requesting feedback through out Recruitment Survey to further improve our processes and procedures. Employee Satisfaction is a major factor in our company to increase retention and longevity of employment and best services for our client. We request feedback on Work Environment Survey to assist in providing feedback in this manner as well.
From the Clinical Director
Business is growing and you need competent staff. You put out your best effort at hiring individuals who have the qualifications and skill set to do the work well, but for some reason … they are underperforming and perhaps exhibiting behaviors that are hindering the business needs. These under-performing staff need behavior shaping, guiding, and training to increase their productivity and for their professional growth. But how does one accomplish this given the many responsibilities and deadlines?
Happier Staff – Happier Outcomes
Organizational Behavior Management (OBM) and Industrial / Organization (I/O) Psychology research has informed us for many years that happier staff are more productive and better employees. So why don’t companies invest in their staff’s happiness? The short term answer is that it is time consuming and costly … and Supervisors do not have training in staff development. How can we make “happy” measurable and why is that our job anyhow? Somewhere in the 90’s when middle managers started to become extinct as a cost saving effort, the individuals who focused on staff development were eliminated. Which means the executive level management are responsible for far much and the soft side of business, staff development, is often ignored or not adequately supported in the daily operations of the company.
Responsibility for Training
Here is a new perspective … Staff performance is the responsibility of the Supervisor … this idea is profound. The idea that if a staff person is not performing, the burden is on the supervisor is not a perspective one sees in the workforce generally. This concept requires that the supervisor continuously develops individualized methods of training and active supporting of staff members to ensure they are developing according to their abilities and qualities – not in the way that is easiest for the Supervisor. Who does this? Why would a business model take on such an extra-ordinary amount of effort? Because it is worth it. You are worth it!
Cost of Staff Turnover
The cost of hiring, training and developing staff is high and the idea that staff are expendable is short sighted and inaccurate. Not to mention costly to the bottom line. Staff development is a long-term, proactive philosophy for the longevity of a healthy business and the growth of the employee.
Heart of a Servant
If you have a company such as Trinity ABA, LLC, and your sole purpose is to serve the needs of others … from the top, we must have the heart of a servant to support not only our clients but our staff as well (Philippians 2:3). In this way, we have evidence of the efficacy of our methods and the strength of our company. This is a highly ethical stance to practice what we preach and is necessary for better outcomes for clients and staff.
Challenges of Staff Development
The challenge inherent in honest, forthright, transparent staff development is the amount of time involved, the willingness of staff and supervisors to fully engage, and the intersection of business needs / client needs and staff need. Sometimes the best we can do is to provide feedback and practice to facilitate the opportunity for the staff member to walk into their potential self-growth and improvement. The results may not be quick but it will create a work environment of growth and a seed for development and mentoring.
Internal Behavior Plan
Recently, our Executive Team developed a method of staff development through the implementation of a “Staff Behavior Plan”. This could be likened to a Performance Evaluation in a sense, except that it is a self-generated process with the intent of staff development and growth of self-awareness and their impact on the environment to achieve professional (and personal) growth. Supporting staff to engage in the development of their own behavior plan provides an opportunity for staff to learn by using the same ABA tools and techniques we use for our clients and that are valid and useful for any behavior issue. Developing a behavior plan can enhance the understanding of the core aspect of our work and a byproduct of increased empathy and compassion towards our clients. Most importantly, however, is that it applies techniques of Self-Management, Self-Monitoring, Problem Solving Skills, Positive Reinforcement, and Response Costs directly to the staff member (employee) utilizing the technology that we use for our clients of ABA and OBM internally, basically … practicing what we preach … organizational behavior change through ABA (OBM).
Behavior Analysis in the Workplace
‘Behavior analysts have been active in the workplace since the early 1970’s, Behavior analysis in business and industry is known as organizational behavior management (OBM) or performance management (PM). This special field has demonstrated that basic principles of behavior can be applied successfully in the business arena to produce happier, more productive employees (Daniels, 2000; Daniels & Daniels, 2004; Frederiksen, 1982; O’Brien, Dickenson, & Roscow, 1982).” [Bailey & Burch (2011) The Behavior Analyst and the Workplace Chapter 11. Ethics for Behavior Analysts: 2nd edition. Routledge, NY. Retrieved here.
APA article on improving staff performance. Check out this google search on how happy employees make more productive employees. Fortune write this about happier employees. FAST company on productivity.
Stay tuned as we refine this process and develop an outcome analysis and as we further develop this method.
From a biblical perspective…
3 Do nothing from selfish ambition or conceit, but in humility count others more significant than yourselves. 4 Let each of you look not only to his own interests, but also to the interests of others. 5 Have this mind among yourselves, which is yours in Christ Jesus,[a] 6 who, though he was in the form of God, did not count equality with God a thing to be grasped,[b] 7 but emptied himself, by taking the form of a servant,[c] being born in the likeness of men. 8 And being found in human form, he humbled himself by becoming obedient to the point of death, even death on a cross. 9 Therefore God has highly exalted him and bestowed on him the name that is above every name, 10 so that at the name of Jesus every knee should bow, in heaven and on earth and under the earth, 11 and every tongue confess that Jesus Christ is Lord, to the glory of God the Father. Philippians 2:3-30English Standard Version (ESV)
Homeschooling is a great option that many people in Florida consider to provide specialized and individualized education for their child.
There are scholarships which can assist (Step Up For Students / Gardiner Scholarship / McKay) income based, disability based for any stage of learning. There are also online virtual school options and many to choose from.
Here are some of my favorite resources TABA Resource List for Homeschooling (contents listed below):
FLORIDA RESOURCE LIST FOR HOMESCHOOLING
- STEP UP FOR STUDENTS (INCOME) SCHOLARSHIP: https://www.stepupforstudents.org/for-parents/income-based/how-the-scholarship-works/ | INCOME GUIDELINES: https://www.stepupforstudents.org/wp-content/uploads/Income-Guidelines_2017-18.pdf
- STEP UP STUDENTS (GARDINER / DIASBILITY) SCHOLARSHIP: https://www.stepupforstudents.org/for-parents/special-needs/how-the-scholarship-works/
UMBRELLA PRIVATE SCHOOLS
- UNSCHOOLERS: (umbrella school) https://sites.google.com/site/floridaunschoolers/
COUNTY RULES AND REGULATIONS
- HILLSBOROUGH COUNTY: http://www.sdhc.k12.fl.us/doc/list/home-education/documents-forms/126-535/
- PASCO COUNTY: http://www.pasco.k12.fl.us/ed_choice/programs/home_ed/
- PINELLAS COUNTY:https://www.pcsb.org/Page/444
- HERNANDO COUNTY:http://www.edline.net/pages/Hernando_County_School_Board/DistrictDepartments/Division_of_Academic_Services/School_Choice/Home_Education
FLORDIA STATE RULES AND REGULATIONS
- DEPARTMENT OF EDUCATION: http://www.fldoe.org/schools/school-choice/other-school-choice-options/home-edu/
- LEGISLATIVE: https://www.hslda.org/hs/state/FL/
- JOIN THIS WHEN YOU CAN: http://fpea.com/about-homeschooling/requirements
- CO-OP CLASSES: Homeschoolers of Pinellas County: http://hopfamilies.com/ Pasco County Growing Great Minds: http://growinggreatmomsandminds.weebly.com/ http://nebula.wsimg.com/44ef84a12af442dd48804bc057f6ac59?AccessKeyId=E12B3A2DBA5F61B8454E&disposition=0&alloworigin=1
- PLACEMENT TESTS: https://www.sonlight.com/homeschool/curriculum/placement-tests/ http://www.calverteducation.com/enroll/free-placement-test https://www.aop.com/homeschooling/assessment-and-placement-tests
- CURRICULUM: http://www.abeka.com/Homeschool/?gclid=Cj0KCQjwhrzLBRC3ARIsAPmhsnXG5BQ3TYdroBhefeD-hkFMCwXplkp75Dgj8VgLXIeWhhX4t3-EZoQaAuWzEALw_wcB
- FAMILY RESOURCES & SUPPORT: https://familycafe.net/
- HOMESCHOOL GROUPS: http://homecircleofhernando.com/ https://www.thehomeschoolmom.com/homeschooling-in-florida/homeschool-organizations-support-groups/
HOMESCHOOL CONVENTIONS (very inspiring and helpful)
- HOMESCHOOL CONVENTION – FLORIDA: http://fpea.com/events/13933/05-25-2017/2017-fpea-florida-homeschool-convention
- HOMESCHOOL CONVENTION – OREGON: http://www.oceanetwork.org/Great Resources
GENERAL SEARCHES (FLORIDA SPECIFIC)
We are involved in a pilot program serving Foster Care Children in the State of Florida.
Foster care is one of the most devastating environments for a child to be lost in … and so many children are stuck in foster care for years, parentless. Many because the parent’s issues cannot be resolved in time for the next court date (i.e., drug abuse), parents who do not want to parent, and parents who want to parent but lack the support and resources.
We offer the perspective of Family Preservation and Family Reunification as the model for the behavior analysis services we provide from a Christian Value base. We develop creative and innovative programming for individual families and children to facilitate family preservation. We work with any and all colleagues, professionals, paraprofessionals, case managers, counselors, foster parents, pediatricians, psychiatrists, occupational therapists, speech therapists, vocational rehabilitation, schools and staff, after and before care programs, summer camp staff … the list is limitless. We go where we are needed to support the needs of the children and families within our care.
Here is an interesting article on Behavior Analysis and Foster Care that provides an excellent system for REUNIFICATION for families. Worth the read. Behavior Analysis in Child Welfare- Competency Training Caseworkers to Manage Visits (Reunification)
We are grateful for the opportunity to support the foster care children and families.
Shelly Lynn Henry, MS, BCBA
ABA can serve to support behavior change for individuals with ADHD.
“TABLE 2. Effective Behavioral Techniques for Children With Attention-Deficit/Hyperactivity Disorder
Technique Description Example
Positive reinforcement. Providing rewards or privileges contingent on the child’s performance. Child completes an assignment and is permitted to play on the computer.
Time-out. Removing access to positive reinforcement contingent on performance of unwanted or problem behavior. Child hits sibling impulsively and is required to sit for 5 minutes in the corner of the room.
Response cost. Withdrawing rewards or privileges contingent on the performance of unwanted or problem behavior. Child loses free time privileges for not completing homework.
Token economy. Combining positive reinforcement and response cost. The child earns rewards and privileges contingent on performing desired behaviors and loses the rewards and privileges based on undesirable behavior. Child earns stars for completing assignments and loses stars for getting out of seat. The child cashes in the sum of stars at the end of the week for a prize.
AMERICAN ACADEMY OF PEDIATRICS ” (American Academy of Pediatrics Page 1039)
Articles on ADHD:
AMERICAN ACADEMY OF PEDIATRICS Subcommittee on Attention-Deficit/Hyperactivity Disorder Committee on Quality Improvement Clinical Practice Guideline: Treatment of the School-Aged Child With Attention-Deficit/Hyperactivity Disorder
Behavior Analysis Services Information
eQHealth Solutions now makes all new determinations for Behavior Analysis (BA) services. This is the company that decides if your child needs BA services. When a decision is made, eQHealth will send you a letter. The following questions provide additional information:
1. What are Behavior Analysis (BA) Services?
Behavior analysis services provide a way for a person to reduce unwanted behaviors and increase desired behaviors.
2. Who can receive Behavior Analysis Services?
Behavior Analysis services are provided to all eligible Florida Medicaid recipients under the age of 21 years requiring medically necessary BA services.
3. Who is eQHealth?
eQHealth Solutions is the company that will begin reviewing all requests for BA services covered under Florida Medicaid.
4. How do I find a provider?
A link to BA service providers can be found on the Agency’s Recipient Support webpage under Additional Reference Information.
5. What are the steps I take to get BA services?
Step 1: Go to your doctor and get a written order for BA services.
Step 2: Find a provider (see question 4 above)
Step 3: The BA provider will send a request for BA services to eQHealth for review.
Step 4: eQHealth has professionals that will review the information your provider submits.
Step 5: You will get a letter in the mail letting you know the outcome.
6. Who can I contact if I have more questions?
Please call the Medicaid helpline at 1-877-254-1055, if you have more questions.
7. Who can I contact if I am having issues with receiving BA services?
Please contact the Medicaid helpline at 1-877-254-1055 to report those issues.
8. What is a prior authorization number?
A prior authorization number is a number that is 10 digits long, has no hyphens, and begins with “5.”
*****ATTENTION BA PROVIDERS********
To obtain approval for Behavior Analysis services, providers must submit all new authorization requests to eQHealth Solutions, the Agency’s contracted Quality Improvement Organization for this service. For further information, please reference the following FAQs:
1. When will eQHealth begin authorizing services for BA?
Authorizations for BA services began March 26, 2018.
2. What was eQHealth’s first phase of BA implementation?
The first phase began March 26, 2018 and went through April 30, 2018. eQHealth issued administrative authorizations for BA assessments, reassessments, and 20 hours of services per week per recipient. Administrative authorizations did not include a clinical review for medical necessity. If recipients required additional services, providers had to submit documentation demonstrating medical necessity.
3. What is eQHealth’s second phase of BA implementation?
Beginning May 1, 2018, eQHealth will determine prior authorizations based on the medical necessity of a recipient’s request for services. eQHealth will no longer issue automatic administrative approvals of authorizations for BA assessments, reassessments, or BA services.
4. What documentation should be submitted to eQHealth?
When submitting prior authorization requests to eQHealth, BA providers will need to submit documentation that meets the requirements in section 9.0 of the Behavior Analysis Services Coverage Policy.
5. Is a physician’s order required to obtain an assessment, reassessment, or BA Services?
Yes. Providers must submit a written physician’s order to receive authorization for assessments, reassessments, and BA services in accordance with the Behavior Analysis Services Coverage Policy.
6. Is a diagnosis code required for submission with documentation?
Yes. Documentation must include an appropriate diagnosis code at the highest level of specificity as required by policy: http://ahca.myflorida.com/medicaid/review/Specific/59G-4.125_BA_Services_Coverage_Policy.pdf
7. Where can I access training documents and information about eQHealth’s BA implementation?
8. Who can I contact if I have more questions?
Please call the Medicaid helpline at 1-877-254-1055 or eQHealth at 1-855-444-3747 and via the web at http://eqhs.org/.
***Behavior Analysis Provider Update***
On March 1, 2017, Applied Behavior Analysis (ABA) services ended and BA services began. Providers must be enrolled as provider type 39 with Florida Medicaid to bill for dates of service using the new BA billing procedure codes.
Starting March 26, 2018, BA service providers (provider type 39) must begin submitting prior authorization requests through eQHealth.
Beginning June 27, 2018, all BA services delivered under Florida Medicaid must have received prior authorization from eQHealth. Prior authorizations issued by Beacon will not be valid for BA services delivered after June 26th.
BA Prior Authorization Submission Requirements
When submitting prior authorization requests for BA services, providers must submit ALL materials to eQHealth as specified in Appendix 9.0 of the Behavior Analysis Services Coverage Policy. If eQHealth determines that the submission is incomplete or contains insufficient documentation to make a decision, it will inform the provider. The provider then has two business days to submit the remaining materials and/or documentation before the request is denied for lack of documentation. The provider can resubmit a complete authorization request at any time.
When requesting prior authorization for BA services, providers must submit one of the following types of comprehensive evaluations:
- Individualized Education Program (IEP)
- Evaluation by the recipient’s school district that has determined eligibility for special education
- Diagnostic evaluation conducted by one of the following:
- Developmental pediatrician licensed in accordance with Chapter 458, F.S. and certified by the American Board of Pediatrics
- Clinical psychologist licensed in accordance with Chapter 490, F.S.
- Child and adolescent psychiatrist licensed in accordance with Chapter 458, F.S. and certified or eligible for certification by the American Board of Psychiatry and Neurology
A complete request must include the recipient’s diagnostic evaluation report that contains clinical findings, recommendations, and a diagnosis. All submitted documentation must meet the requirements in accordance with Appendix 9.0 of the Behavior Analysis Services Coverage Policy (Rule 59G-4.125, F.A.C.).
If you have additional (non-enrollment) questions, please contact the provider/recipient help line at 1-877-254-1055 or eQHealth at 1-855-444-3747.