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Considerations for Sustainable Implementation of Behavioral Interventions |
Wednesday, November 12, 2025 |
8:00 AM–8:50 AM |
Altis Grand Hotel; Level 0; Bruxelas |
Area: DDA/EAB; Domain: Service Delivery |
Chair: Hannah Christine Grey (Salve Regina University, Autism Care Partners) |
CE Instructor: Hannah Christine Grey, M.A. |
Abstract: The extent to which an intervention is implemented as intended influences its clinical impact. Sustainable implementation requires attention to a continuum of skill development from initial acquisition alongside clinical support (when implementation is often measured as fidelity) to generalization and maintenance in natural environments with faded clinical support (when implementation is often measured as adherence). Addressing this continuum effectively requires well-designed research and associated clinical services, including robust communication with clients, colleagues, and policymakers. The symposium includes three data sets along the continuum of sustainable implementation: fidelity, adherence, and utilization of methods to increase adherence (i.e., caregiver training). The first presentation will describe a laboratory investigation of the effects of fidelity errors on two variations of a common behavioral treatment (noncontingent reinforcement [NCR]). The second presentation will describe how adherence, including barriers to and enhancement of adherence, is reflected in clinical documentation in an outpatient mental health service. The third presentation will discuss the average duration of caregiver training per month for clinic-based ABA services in the US with consideration of expectations by payors and in policy. Implications across the service delivery continuum will be discussed. |
Instruction Level: Basic |
Keyword(s): adherence, fidelity |
Target Audience: Practicing behavior analysts and supervisory employees who are motivated to investigate and improve their clinical practice by investigating measures of fidelity and adherence. Audience members should be familiar with the definitions of adherence and fidelity. |
Learning Objectives: 1. Describe methods for increasing generalization of treatments related to intervention development and dissemination to caregivers 2. Describe current descriptive data related to caregiver training and adherence treatments 3. Describe considerations related to adherence and fidelity |
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Variable-Time Schedules Protect Against Effects of Integrity Errors During Noncontingent Reinforcement |
SOFIA E. ABUIN (Salve Regina University), Michael Anthony Catalano (Salve Regina University), Evan James Switzer (Salve Regina University), Ilana Haliwa (Salve Regina University), Stephanie Hope Jones (Salve Regina University) |
Abstract: Noncontingent reinforcement (NCR) typically consists of response-independent reinforcer delivery according to a time-based schedule and withholding reinforcers following target behavior. Inconsistent implementation (i.e., implementation with fidelity errors) of NCR results in degraded therapeutic outcomes. Research showing degraded therapeutic outcomes of reduced-fidelity NCR have focused on NCR with fixed-time (FT) schedules. We conducted a human-operant evaluation to assess if there were differences in responding (e.g., computer clicks) during reduced-fidelity NCR between FT and variable-time (VT) schedules. We randomly assigned participants to experience a computer program with analogues of NCR with FT or VT schedules. Each participant experienced baseline, full-fidelity, and 80% fidelity NCR in an ABAC design; FT or VT schedules varied depending on group assignment. Full-fidelity NCR was similarly effective at suppressing target behavior across the FT and VT groups, but VT schedules suppressed target behavior significantly better (p = .01) relative to fixed-time schedules. Implications for researchers and practitioners are discussed. |
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Addressing Treatment Adherence in Clinical Processes |
TIMOTHY R. MOORE (University of Minnesota Medical School), Ty Callahan (University of Minnesota Medical School) |
Abstract: Suboptimal treatment adherence is a well-documented concern across disciplines, including ABA. The current study involved searching 1000 randomly-selected notes from an interdisciplinary outpatient mental health clinic to examine the extent to which adherence is discussed, measured, and planned for with clients. A total of 812 notes involved treatment (vs assessment), approximately half of which (53%) mentioned “adherence” or one of eight related terms, while 62% contained a self- or clinician-reported measure of adherence (no notes included measurement by any validated instrument or other formal tool). Individual therapy and medication management were the most common interventions, during which clinicians identified barriers to adherence in no more than 15% of notes, and planned for adherence enhancement in no more than 3%. Discussion will emphasize setting the conditions for adherence to be part of clinical decision making, including meaningful measurement and documentation. Measurement considerations will also be discussed, including the relationship between treatment fidelity and adherence. |
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Descriptive Data of Caregiver Training Insurance Codes |
HANNAH CHRISTINE GREY (Salve Regina University, Autism Care Partners), Sofia E. Abuin (Salve Regina University), Elizabeth Bland (Autism Care Partners), Stephanie Hope Jones (Salve Regina University) |
Abstract: Conducting caregiver training increases generalization and maintenance of behavior-analytic interventions. Insurance payors often include caregiver training in their Current Procedural Terminology (CPT) codes and recommend frequent use. Previous research demonstrates effective training strategies to improve caregiver implementation of behavior analytic interventions, as well as the positive impact that caregiver training has on client outcomes. However, there is little research on how much caregiver training is provided by clinic-based behavior analysts. The present study collected descriptive data regarding the average monthly duration of caregiver training provided across 10 clinical locations and 184 clients in New England. Results indicate that caregiver training services are underutilized. Clients received an average of 0.59 hours of caregiver training per month and an average of 53.3% of clients received no caregiver training hours each month. Additionally, an average of 10.34% of clients received a total number of caregivers training hours that met the payor recommendation per month. Potential reasons for underutilization, interventions to address underutilization, and implications will be discussed. |
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Severe Problem Behavior: Contemporary Behavior Analytic Approaches |
Wednesday, November 12, 2025 |
10:30 AM–11:20 AM |
Altis Grand Hotel; Level 1; Milao I/II |
Area: DDA/AUT; Domain: Applied Research |
CE Instructor: Joshua Jessel, Ph.D. |
Chair: Maurice Feldman (Dept. of Applied Disability Studies, Brock University) |
JOSHUA JESSEL (Brock University) |
JOHN M. GUERCIO (The Arc of the Ozarks) |
PETER STURMEY (The Graduate Center and Queens College, City University of New York) |
Abstract: Severe Problem Behavior is a continuing focus of applied behavior analysis research and practice. It results in poor quality of life, limitations in interactions with the environment and learning, restrictive behavior management practices and increased service costs. Concern for severe problem behavior is reflected in the continuing evolution of research, practice and applied behavior analysis technology and efforts to translate research into practice. This symposium illustrates three facets of these efforts. The first includes developing more efficient and brief yet accurate methods of conducting functional analyses that result in reductions in client behavior and increases in client communication and self-management skills. The second is translational work to provide high quality applied behavior analysis services for severe problem behavior such as aggression in routine community settings for adults with developmental disabilities. The third is training caregivers quickly, efficiently and effectively to produce desired client outcomes. This Panel will present on these three inter-related topics. Caregiver training |
Instruction Level: Advanced |
Target Audience: Audience members should have a basic knowledge and prerequisite skills of applied behavior analysis typified by at least a Masters degree in applied behavior analysis. |
Learning Objectives: 1. Learners will describe the raionale, methods and outcomes for developing more efficient forms of functional analysis. 2. Learners will describe the methods used and client outcomes for ABA services for adults with developmental disabiliites and severe problem behavior. 3. Learners will describe the outcomes of behavioral skills training to train caregivers to implement function-based interventions. |
Keyword(s): caregiver training, functional analysis, IISCA, Problem behavior |
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Moving the Field Forward With Effective Supervision |
Wednesday, November 12, 2025 |
10:30 AM–11:20 AM |
Altis Grand Hotel; Level -1; Europa |
Area: EDC/AUT; Domain: Service Delivery |
CE Instructor: Lisa Gurdin, M.S. |
Chair: Kim Edwards (SIQS Educational Consulting, LLC) |
SUSAN AINSLEIGH (Bay Path University) |
HANNA C. RUE (LEARN Behavioral) |
LISA GURDIN (Northeastern University, LSGurdin Consulting) |
Abstract: Supervision is an essential component of becoming an ethical and successful behavior analyst. However, not every practitioner has the opportunity to learn from a knowledgeable and effective supervisor. For the field to move forward in a positive way, all behavior analysts should receive supervision that focuses on ethical, evidence-based practices that are mutually beneficial and productive. By modeling excellent supervision, we can ensure that meaningful supervision is ongoing. In this panel discussion, participants will learn key components of effective supervision from three highly experienced supervisors of RBTs and aspiring behavior analysts. Panelists will share their own supervision journeys and why, for them, supervision is important and rewarding. They will provide strategies for promoting a positive and productive supervisory experience and suggest tools and resources to support the supervisory experience. The panel will also offer recommendations for how to handle challenging supervision situations and answer questions from the audience. By the end of this panel discussion, participants will have a better understanding of how to provide high quality supervision that supports the growth and success of their supervisees. |
Instruction Level: Intermediate |
Target Audience: Intermediate - BCBAs who are supervising RBTs or aspiring behavior analysts or who are considering supervising others |
Learning Objectives: 1. Participants will describe different approaches for creating a positive supervisory experience. 2. Participants will identify different supervision tools and resources to enhance supervision. 3. Participants will identify different ways of addressing challenging supervision situations. |
Keyword(s): aspiring BCBAs, positive practice, RBT, supervision |
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Empowering the Future: Cultivating the Next Generation of Behavior Analysts |
Wednesday, November 12, 2025 |
3:00 PM–3:50 PM |
Altis Grand Hotel; Level 1; Milao I/II |
Area: OBM/AUT; Domain: Service Delivery |
CE Instructor: Mary Ellen McDonald, Ph.D. |
Chair: Peter F. Gerhardt (The EPIC Programs) |
MARY ELLEN MCDONALD (Hofstra University) |
JOANNE SGAMBATI (Eden II/Genesis Programs NYSABA) |
HELEN BLOOMER (Branches School of the Berkshires) |
Abstract: The field of behavior analysis is poised for significant growth and innovation, driven by the demand for skilled practitioners to address diverse societal needs. As the field of behavior analysis continues to evolve, the cultivation of the next generation of behavior analysts becomes an important area of focus. This panel presentation will explore the strategies and initiatives essential for developing the next generation of behavior analysts in a global world. The panelists will highlight the integration of collaboration, technology, mentoring, professional development, service to the field and ethical practice to prepare behavior analysts to become the leaders in our field. Research and evidence-based practices must be at the core of training programs, with an emphasis on staying up to date with literature, scientific advancements, and new methodologies. Through these efforts, the panelists aim to inspire educators and practitioners to collaborate in shaping a vibrant and resilient community of behavior analysts ready to lead the field into the future. |
Instruction Level: Basic |
Target Audience: Those attending will either have experience as a supervisor, BCBA Supervisors and Managers, Clinical Directors, Program Coordinators, Those who oversee the work of newly certified practitioners or supervise trainees. These individuals will benefit from strategies to elevate their supervisory practices beyond clinical skill-building, focusing on leadership and ethical clinical decision-making. Experienced BCBAs Interested in Mentorship: Seasoned practitioners looking to contribute to the next generation of ABA professionals will benefit from learning effective mentorship techniques that emphasize professional growth. |
Learning Objectives: 1. Learners will be able to identify a minimum of 2 specific uses of technology to improve outcomes 2. Learners will be able to describe a professional improvement planning system to be used with behavior analysts 3. Learners will be able to promote the importance of going to the research literature when problem-solving |
Keyword(s): leadership, mentoring, training |
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Embedding Supervision Support Strategies Within Existing Organizational Structure |
Wednesday, November 12, 2025 |
4:30 PM–5:20 PM |
Altis Grand Hotel; Level 12; Madrid |
Area: OBM/AUT; Domain: Applied Research |
CE Instructor: Meghan Herron, M.S. |
Chair: Paula Pompa-Craven (Easterseals Southern California) |
JACQUELINE B. GANLEY (Easterseals Southern CA) |
JENNIFER RUANE (Melmark) |
MEGHAN HERRON (Easterseals Southern California) |
Abstract: Providing high quality supervision to front-line associates is essential in applied behavior analysis (ABA) services. Infrequent and ineffective supervision not only negatively impacts client outcomes directly, but indirectly by contributing to associate turnover. Providing frequent supervision to frontline staff and training to supervisors to be more effective is time and labor intensive. This panel will briefly provide data and overviews of their recent studies that embedded interventions to improve supervision practices within existing organizational structures. One study used behavioral skills training (BST) via pyramidal approach in a three-tier supervision model to increase the amount of performance feedback provided to associates during session overlaps. The second study used a checklist and supervisor feedback system to improve submission of medication documentation. The third study provided in situ feedback via conditioned reinforcer to improve associate fidelity across four clinical skills. The panelists will provide insight into the importance of effective and efficient technologies as well as assessing the social validity of such approaches. |
Instruction Level: Intermediate |
Target Audience: Prerequisite skills and competencies include understanding of commonly used behavioral interventions and strategies (behavioral skills training, feedback, and conditioned reinforcement). |
Learning Objectives: 1. Attendees will be able to describe how to embed a pyramidal training procedures and identify the positive outcomes of such a model. 2. Attendees will be able to describe how to modify consequence-based feedback delivery to align with the principle of reinforcement and how it impacts behavior interventionist fidelity of clinical skills. 3. Attendees will understand how performance management strategies can be embedded into current organizational systems to increase regulatory compliance related to the timely submission of medication administration documentation. |
Keyword(s): Procedural Fidelity, Regulatory Compliance, Supervision |
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Quality Improvement in Applied Behavior Analysis (ABA) Service Delivery: Assessment and Auditing |
Wednesday, November 12, 2025 |
5:30 PM–6:20 PM |
Altis Grand Hotel; Level -1; Europa |
Area: AUT/OBM; Domain: Service Delivery |
Chair: Casey J. Clay (Utah State University) |
Discussant: John M. Guercio (The Arc of the Ozarks) |
CE Instructor: Casey J. Clay, Ph.D. |
Abstract: High-quality behavior analytic services rely on consistent, evidence-based practices to improve client outcomes and quality of life. This symposium highlights findings from two studies demonstrating the impact of systematic performance improvement strategies. The first study used the Performance Diagnostic Checklist-Human Services (PDC-HS) to implement a non-indicated intervention—written and verbal performance feedback—to improve the documentation of session notes by Registered Behavior Technicians (RBTs®) in an autism clinic. A non-concurrent multiple baseline design showed that the intervention significantly increased the completeness and objectivity of session notes. The second study focused on a quality control and auditing process developed by a service provider in Brazil. Independent audits assessed clinical supervisors’ compliance with documentation standards and technicians’ fidelity in implementing behavior programs. Results revealed improvements in procedural fidelity, documentation quality, and supervisor performance. Together, these studies illustrate the effectiveness of structured performance feedback and systematic auditing processes in enhancing service delivery. Practical applications and strategies for maintaining long-term service excellence will be discussed. |
Instruction Level: Basic |
Keyword(s): OBM, PDC-HS, quality control, staff training |
Target Audience: Audience will need to be aware of basic supervisory practices (e.g., feedback, monitoring, reinforcement). Audience will have to have some familiarity with typical ABA service delivery goals andarrangments. |
Learning Objectives: 1. Describe the the role of independent audits in assessing compliance with technical documentation and fidelity in behavior program implementation. 2. Identify strategies for addressing areas for development to maintain long-term excellence in behavior analytic service delivery. 3. Describe uses of the PDC-HS related to documentation of ABA service delivery. |
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Improving Service Delivery for Individuals With Autism and Other Developmental Disabilities Through Quality Control Practices |
CAROLINE ESPINDOLA DO NASCIMENTO (Grupo Conduzir), Fernanda Dib Coutinho (Grupo Conduzir), Andresa De Souza (University of Missouri-St. Louis) |
Abstract: High-quality behavior analytic services ensure evidence-based and person-centered interventions for individuals with autism and other developmental disabilities. The consistent delivery of behavioral services is crucial for meaningful progress in clients' intervention outcomes and quality of life. Ensuring excellence involves monitoring all aspects of the client experience, tracking progress, and guaranteeing service integrity. Large agencies serving multiple clients may implement structured quality control strategies to maintain high standards. To achieve these outcomes, a systematic quality control and auditing process was developed by a service provider in a metropolitan city in Brazil. The first phase of this process focused on the performance of clinical supervisors and technicians. Periodic independent audits with direct measurements, were conducted to assess supervisors’ compliance with technical documentation and technicians’ fidelity with the implementation of behavior programs. This presentation will explore the effects of quality audits on service delivery, emphasizing the importance of systematic and comprehensive technical documentations, supervisor performance enhancement, and procedural fidelity improvements. Additionally, areas identified for further development and preventive strategies for maintaining long-term service excellence will be addressed. |
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The Effects of the Performance Diagnostic Checklist-Human Services Non-indicated Intervention on Improving Documentation Notes |
Abstract: The Performance Diagnostic Checklist-Human Services (PDC-HS) is an empirically supported assessment that has been used in diverse human service settings to determine an effective intervention to improve employee performance. In this study, we used the PDC-HS assessment to determine an indicated and non-indicated intervention to improve the completeness and objectivity of session note documentation completed by Registered Behavior Technicians (RBTs®) in an applied autism clinical setting. Using a non-concurrent multiple baseline design across participants, the participating RBTs® all showed an increase in the percentage of required components of complete and objective session notes during implementation of the non-indicated intervention of performance feedback (written and verbal). The results suggest that the PDC-HS non-indicated intervention might also be effective in improving RBT® performance in completing session note documentation. Further research should be conducted to evaluate the impact of the indicated versus non-indicated intervention on improving employee performance potentially taking into consideration the specific skill being assessed. |
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Reflections on Remote Supervision From International Supervisors of New Age Behavior Analysis |
Thursday, November 13, 2025 |
8:00 AM–8:50 AM |
Altis Grand Hotel; Level -1; Europa |
Area: EDC/OBM; Domain: Service Delivery |
CE Instructor: Geetika Agarwal, Ph.D. |
Chair: Jennifer M. Gillis (Binghamton University) |
GEETIKA AGARWAL (Ball State University) |
LILIANE ROCHA (The Behavior Web, LLC) |
Abstract: The profession and certification in the field of Applied Behavior Analysis (ABA) is unique in two significant aspects. First, it allows for a pre-certification candidate to complete all their supervision remotely, or with the help of an off-site supervisor. Second, models have been primarily western-based, specifically the United States, where online programs provided by universities make it accessible for international candidates to complete formal pedagogy of this science. While global access to training is a boon for resource-constrained countries, it also poses several challenges and unique problems that can affect the overall quality, and effectiveness of supervision as well as professional development of behavior analysts. This panel will focus on a robust and data-based discussion of relevant topics, including a comparison of experiences of off-site and on site- supervision of individuals residing in non-U.S. countries, including the role of the BACB and QABA, addressing cultural differences, incorporation of ethical and regulatory standards across global boundaries, evaluation of the role of technology for providing ongoing professional development, advocacy and navigating academic and professional landscapes to promote high standards of supervision in behavior analysis in these countries. The panel experts will share some directions and recommendations for those looking to provide and also seek international supervision. |
Instruction Level: Intermediate |
Target Audience: The target audience for this panel will be supervisors providing remote supervision to candidates or current certificants within ABA. This will be an intermediate to advance level panel. |
Learning Objectives: 1. Participants will be able to describe challenge and different approaches in remote supervision for certification candidates living outside of USA. 2. Participants will be able to describe at least one strategy to provide effective remote supervision and professional development for certification candidates/ certified candidates living outside of USA 3. Participants will be able to list differences in supervision access and equity for certificates within the USA and certificates who do no reside in the USA |
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Breaking Barriers: Applying Behavior Analysis in Hospital Settings |
Thursday, November 13, 2025 |
10:30 AM–11:20 AM |
Altis Grand Hotel; Level 12; Madrid |
Area: CBM; Domain: Service Delivery |
CE Instructor: Olivia Miller, M.A. |
Chair: Olivia Miller (Children’s National Hospital; Simmons University ) |
SARA R. JEGLUM (Blank Children's Hospital) |
PATRICK ROMANI (University of Colorado, Anschutz Medical Campus) |
JENNIFER REECE (Texas Children’s Hospital) |
Abstract: Children with intellectual and developmental disabilities (IDD) face higher hospitalization rates and more frequent emergency visits compared to neurotypical peers, often due to behaviors that pose risks of harm and impede medical care. These challenges lead to extended hospital stays, increased staff stress and injuries, financial strain on institutions, and decreased caregiver satisfaction.
Behavior analysts bring a unique skill set to address these systemic issues through consultation, training, and implementation of evidence-based practices. Despite their potential contributions, behavior analysts often face barriers to entering healthcare systems that lack awareness of their expertise or the value of applied behavior analysis (ABA).
This panel features four experienced behavior analysts across four different major pediatric hospitals, who have successfully developed and implemented behavioral health programs that have reduced patient length of stay and staff injuries while improving caregiver satisfaction. The panelists will share their strategies for overcoming common barriers through evidence-based behavioral interventions in hospital settings. Topics include practical approaches to navigating hospital systems, implementing effective staff training, and meeting diverse stakeholder needs. Participants will gain concrete tools for building interdisciplinary partnerships and creating sustainable behavior-analytic programs that improve patient care while advancing their professional growth in healthcare settings. |
Instruction Level: Advanced |
Target Audience: Attendees will benefit most from the panel discussion if they possess the following skills and qualifications: (a) advanced coursework or completion of graduate studies in applied behavior analysis; (b) appropriate licensure and credentials to legally and ethically deliver behavior-analytic services; and (c) prior experience with interprofessional collaboration in healthcare settings or direct work within healthcare environments. |
Learning Objectives: 1. identify common barriers to implementing behavior-analytic practices in hospital settings 2. gain concrete tools for building interdisciplinary collaborations with healthcare teams 3. acquire techniques for training and supervising hospital staff |
Keyword(s): consultation, hospital, interdisciplinary collaboration, staff training |
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