mother and baby
Autism in Babies

Early detection and intervention can help children with autism live happier and more fulfilling lives. Although there isn’t a straightforward examination process that can detect autism in children, there are signs that you can watch out for. This article dives into the signs of autism in babies and how to spot them.

 

How Young Do Children Show Signs of Autism?

Signs of autism are tough to spot in young children. Parents aren’t often on the lookout for signs of autism spectrum disorder (ASD) in their newborns. Although every child develops at varying speeds and levels, delays can often indicate a disorder.

 

This begs the question: how young do children display signs of ASD?

 

Generally, parents can observe signs of autism in their babies as early as 3 to 6 months. While news of your baby having autism can feel overwhelming and disheartening, you should know it’s not the end of the road.

 

Recognizing early signs of ASD in children can help them get the right care and treatment ASAP. This increases their chances of living a happy and fruitful life, despite their autism diagnosis.

 

Autism Signs By 3 Months

Symptoms of ASD can be identified in children as young as 3 months. Here are a few things to watch out for if you’re worried about your baby:

 

  • Your baby isn’t reacting to loud sounds or noises in their surroundings.
  •  They don’t smile at you or other people.
  •  They don’t make any babbling noises or don’t try to pronounce words.
  •  They don’t follow objects with their eyes, especially brightly colored toys.

 

Talking to a professional about your baby’s symptoms can help you find the right care for him or her. If you suspect your little one to have autism, speak to their pediatrician as soon as you can.

 

Autism Signs By 7 Months

Some babies don’t show signs of autism until they’re a little over six months old. Look for the following signs to determine whether your 7-month-old has autism:

 

  • Your baby doesn’t show affection toward you or another parent.
  •  They don’t respond to the word “no.”
  •  They don’t blabber or try to say words.  
  • They don’t try to interact with you through actions.
  • They don’t respond to their name.
  •  They don’t show interest in socializing or playing games like peekaboo.

 

Babies are naturally curious and want to explore their surroundings as much as they can. If your child doesn’t show the same level of curiosity, it can be a strong indicator that they may have ASD.

 

Signs of Autism in Children Over a Year

Children older than 12 months display more pronounced symptoms of autism. Look out for the following signs at 12 months if you’re worried about your little one:

 

  • Your toddler is displaying strange sensory sensitivities (e.g., they feel uncomfortable when hearing loud noises).
  • They seem unable or unwilling to make simple gestures, like waving goodbye or nodding.
  • They are unable to ask for or point to toys they want to play with.
  • They don’t attempt to pronounce words.
  • It’s difficult to soothe them when they’re upset.
  •  It takes them a while to respond or recognize their name.

 

At 18 Months 

It’s possible for babies not to develop noticeable autism signs until they’re 18 months old. Children may be able to experience certain milestones before regression starts to kick in.

 

Keep an eye out for the following symptoms if you suspect autism in your 18-month-old:

 

  •  They remain nonverbal and haven’t spoken their first words.
  • If they already speak, they may start to lose their language skills at this point.
  • They don’t engage in pretend play.
  • They don’t point at objects they’re curious about.
  • They experience outbursts or meltdowns when faced with minor routine changes.
  •  They seem to ignore things you say or ask.

 

 

Signs of Autism in Children That are 2 Years Old

Two-year-olds with autism typically display similar symptoms as 18-month-old patients. Generally, they don’t seem all that interested in interacting with their peers. Additionally, they may display unusual and repetitive behaviors, like staring at a rotating wheel for too long or repeating a certain word they just heard.

 

Other signs that you may notice include the following:

 

  •  Problems with maintaining eye contact
  • Doesn’t respond when called by their name
  • Doesn’t socialize or participate in games with peers
  • Has trouble with verbal and nonverbal communication, especially since many 2-year-old children already know how to speak in sentences

 

What is Regression?

When a child diagnosed with autism loses a certain skill, this is often referred to as regression. For instance, a child with ASD may have learned how to speak a few words for a certain period of their development. As their condition progresses, they may lose this ability, their language skills reverting to zero.

 

Regression is a huge indicator that a child may have ASD. Typically, signs and symptoms appear between the ages of 15 and 30 months.

 

Signs of regression include the following:

 

  • Your child is no longer using gestures or maintaining eye contact
  • Your child has lost interest in socialization and engaging with others
  •  Your child has reverted to playing with their toys or watching TV on their own

 

Keep in mind that every child with autism is unique, and their progress will be determined by a variety of factors.

 

Testing for Autism in Babies

Autism is not an easy disorder to diagnose because there isn’t a fixed medical test or examination for it. Instead, doctors evaluate the patient’s developmental history to reach a diagnosis. Parents and guardians may also be asked to participate in interviews.

 

Your answers are crucial in the screening of your child. If all checks out and you have no concerns, you’re done. However, if your child exhibits developmental delays or your doctor has doubts, they will refer you to a specialist for additional testing.

 

Babies may be diagnosed as early as 6 to 18 months. However, most people don’t receive a reliable diagnosis until they reach the age of 2.

 

Developmental Screening

 

Developmental screening examines your child’s development in greater detail. The American Academy of Pediatrics (AAP) suggests behavioral and developmental testing for all children at ages 9, 18, 24, and 36 months during regular well-child visits.

 

A doctor, nurse, or another healthcare professional can perform the screening on your child. Aside from asking you questions about the child’s development, the doctor may also talk to your child or play with him to determine any sensory, behavioral, or cognitive issues.

 

Testing questionnaires and checklists are also based on studies that compare your child to other children from the same age group.

 

Comprehensive Behavioral Evaluation

 

Comprehensive evaluations aim to provide patients with a personalized treatment plan. This evaluation will include the following:

 

  •  A visual and verbal assessment of the patient’s behavioral and developmental patterns
  • Genetic testing
  • Neurological testing
  •  Hearing and vision testing
  •  A brief interview with the parents
  • Other medical evaluations

 

Identifying the Signs of Autism in Children

The autism diagnostic process is difficult and time-consuming. However, you can begin treatment as soon as you suspect your child has developmental delays. Screening must also be continuous during the first three years.

 

Early intervention is a federally funded program for disabled infants and toddlers. It’s designed to assist children with autism in reaching their full potential.

 

Children who exhibit several early warning signs may experience developmental delays. Whether or not they meet the full criteria for ASD, they can benefit from early intervention.

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

 

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Errorless Learning: An ABA Technique

Errorless learning is based on the idea that children with autism are more likely to learn new skills when they are presented with ample opportunities to be successful. In this article, we take a closer look at errorless learning and the ways this technique is used in ABA therapy

What Is Errorless Learning?

Errorless learning is an ABA procedure in which children are presented with prompts to minimize the chances of giving incorrect responses. A prompt is any cue or hint that shows how to respond in a particular situation. It can be anything from verbal and physical assistance to pointing, demonstrating, and providing visual support. 

 

The theory behind errorless learning is that children on the autism spectrum don’t learn as successfully from mistakes as their neurotypical peers. What’s more, frustration caused by incorrect responses may trigger challenging behaviors such as tantrums, aggression, and self injury. By reducing the number of errors, children with autism are given a better chance to succeed in acquiring new skills.

Benefits of errorless learning

Errorless learning has many advantages compared to other learning styles that allow errors, such as:

 

  • Positive learning environment
  • More opportunities to access reinforcement
  • Higher engagement due to fast-paced and varied tasks
  • Increased motivation
  • Higher accuracy of performed tasks
  • Better self-esteem
  • Developing independence
  • Decreased frustration and discouragement 
  • Reduced likelihood of challenging behaviors
  • Faster acquisition of skills.

What skills can be taught using errorless learning? 

Errorless learning is a valuable behavioral treatment procedure for teaching target skills. Almost any skill can be taught using this technique, for example:

  • Daily living skills
  • Verbal skills
  • Fine and gross motor skills
  • Motor imitation
  • Social skills.

How Is It Taught?

During errorless learning, the therapist offers a prompt immediately following an instruction. As the child becomes familiar with the target behavior, prompting is systematically faded. This method allows to achieve accuracy with the least amount of errors and frustration. 

Steps of errorless learning

ABA therapists who rely on errorless learning typically follow a set of steps, adjusting them to the needs of each child.

  1. Probe

Probing consists of asking the child a series of questions to assess their current skill level.

  1. Present the question

In this step, the therapist demonstrates to the child the desired outcome of the correct answer.

  1. Give a prompt

Prompting is done immediately after presenting the task in order to minimize errors. Prompts can be verbal, gestural, physical, or visual and are adapted to the child’s age and functioning levels. 

  1. Conduct a trial

Trials are repeated until the child is ready to carry out the task independently. Before moving on, the therapist must ensure that the child is able to respond correctly at least 90% of the time.

  1. Decrease prompting

In order for the child to achieve independence, the therapist will gradually increase the time interval between the question and the prompt. Prompts are slowly faded and then completely removed once the child is able to perform a task on their own.

 

In the following section, we explain different strategies for errorless teaching.

Positive Reinforcement and Errorless Learning

In addition to prompting, errorless learning relies on positive reinforcement to teach new skills. The therapist immediately follows instructions by prompts, to then provide positive reinforcement for each correct response. A reinforcer, such as a small toy, a treat, verbal praise, and other types of rewards, will increase the likelihood of the target behavior occurring again in the future. 

Example

  • The therapist gives the instruction “clap hands.” 
  • The therapist immediately provides a prompt by guiding the child’s hands to make a clapping motion. 
  • The therapist rewards the child with verbal praise such as “good job clapping your hands” and offers a reinforcer.

Time Delay Prompting

Time delay prompting is a strategy that consists of gradually increasing the amount of time between the instruction and the prompt. This delay gives the child the opportunity to provide a correct response. When the child starts responding independently before receiving a prompt, the delay can be gradually increased until there is no longer need for prompting. 

Example

Two-second delay

 

  • The therapist gives the instruction “clap hands.”
  • The therapist waits 2 seconds and then guides the child’s hands to make a clapping motion. 
  • The therapist rewards the child with verbal praise such as “good job clapping your hands” and offers a reinforcer.

 

Three-second delay

 

  • The therapist gives the instruction “clap hands.”
  • The therapist waits 3 seconds for the child to respond independently. 
  • If the child doesn’t respond, the therapist guides the child’s hands to make a clapping motion. 
  • The therapist rewards the child with verbal praise such as “good job clapping your hands” and offers a reinforcer.

Most-to-Least Prompting

Most-to-least prompting refers to teaching a new skill by starting with the most intrusive prompt to show the child the correct response and reduce the chance of errors. The intrusiveness of the prompt is then progressively reduced. ABA therapists must always attempt to use the least amount of prompting necessary to get the child to complete the task.

Example

Partial physical prompt (more intrusive)

 

  • The therapist gives the instruction “clap hands.”
  • The therapist immediately provides a full or partial physical prompt such as lightly touching or guiding the child’s hand to indicate making a clapping motion. 
  • The therapist rewards the child with verbal praise such as “good job clapping your hands” and offers a reinforcer.

 

Gestural prompt (less intrusive)

 

  • The therapist gives the instruction “clap hands.”
  • The therapist immediately offers a gestural prompt by raising hands slightly to indicate clapping without touching the child. 
  • The child begins to clap hands. 
  • The therapist rewards the child with verbal praise such as “good job clapping your hands” and offers a reinforcer.

Errors

The way in which the therapist deals with errors has a direct impact on the efficacy of learning. If the child performs a task incorrectly, the therapist should either present a new instruction or repeat the same instruction followed by a more intrusive prompt. The child should never be punished, reinforced, or rewarded for making an error.

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

 

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Preference Assessment: An ABA Technique

Preference assessment is a tool commonly used in ABA therapy. It helps identify the items that children are most interested in and eventually use these items as reinforcers to motivate learning. In this article, we review different preference assessment types used by ABA therapists.

What Are Preference Assessments?

Preference assessment is a procedure that allows ABA therapists to determine the hierarchy of a child’s preferred items, from low preferred to highly preferred ones. This method can be used to determine hierarchies of everything from toys and foods to social interactions, people, and locations.

 

Highly preferred items are potential reinforcers that can be used as motivators during therapy sessions. If a child is given the possibility to choose a preferred reinforcer, a target behavior is more likely to occur. 

 

However, while preference assessments may indicate what items or actions the child prefers, it is not always possible to know whether they will become effective reinforcers, until they bring about an improvement in the target behavior.

 

How often are preference assessments conducted? 

ABA therapists may choose to assess potential reinforcers very frequently, for example, during every therapy session, or less often, for instance, once per month. The frequency of preference assessments will depend on the individual needs and functioning level of each child. 

 

Assessments may need to be done more often if a child’s preferences change frequently or when a child’s behavior indicates that a current reinforcer is no longer preferred.

 

If a child communicates verbally, the therapist can check in about his or her preferences as frequently as needed. However, when it comes to children with autism who have impaired language skills, the therapist has to work with parents and teachers to establish any changes to the child’s preferences.

Why Use a Stimulus Preference Assessment?

Since positive reinforcement is one of the most important elements of ABA therapy, it is crucial to conduct preference assessments that will determine the most effective reinforcers. This systematic, data-based approach to evaluating a child’s potential interests can significantly improve the learning of new skills. 

 

In the following section, we explain the different preference assessment procedures used in ABA therapy.

The Three Types of Stimulus Preference Assessments

ABA therapists use the following methods to identify potential reinforcers:

  • Ask
  • Free operant observation
  • Trial-based method

Ask

The asking method consists of the therapist asking either the child or caregivers, parents, teachers, and friends about the child’s preferences. This can be done by: 

 

  • Asking open-ended questions
  • Asking comparison questions
  • Offering a pre-task choice, such as asking the child what they would like to earn for completing the task
  • Showing visuals with pictures of items or activities
  • Asking for a rank-ordering of items.

 

Because some children with autism may have difficulty communicating their preferences directly, ABA therapists must consider alternative methods of obtaining the information, for example, interviewing individuals in the child’s environment. Interviews are a straightforward technique that can be used to quickly gather information about the child’s preferences. The resulting information is compiled into a list and the therapist can then test out the identified items as possible reinforcers.

 

Using formal surveys, such as the Reinforcement Assessment for Individuals with Severe Disabilities (RAISD), is another way to gather information about potential reinforcers across a variety of domains, including: 

 

  • Activities (running, dancing, swinging)
  • Objects (mirrors, shiny objects, spinning toys)
  • Foods and snacks (ice cream, pizza, juice)
  • Sounds (music, car sounds, whistles)
  • Smells (flowers, perfume, pine trees)
  • Forms of attention (a hug, a pat on the back, verbal praise).

 

Subsequently, the therapist ranks the choices in different categories in order of preference. Although simply asking about a child’s favorite items and activities is a fast and easy procedure, relying on this method alone may result in incomplete or inaccurate information. 

Free operant observation

Free operant observation consists of determining what items the child gravitates toward and interacts with spontaneously. The child is given free access to items or activities that he or she may like (presumed preferences) without any demands or restrictions. 

 

The therapist records the amount of time the child engages with these items and makes note of the child’s positive emotions, such as smiling or laughing. The longer the interaction, the higher preference value is given to the item.

 

Free operant observations can be: 

 

  • Naturalistic, where the child engages with items freely in their natural environment, or 
  • Contrived, where the child is offered specific items in a learning setting and the therapist observes which of these items the child chooses to engage with. 

Trial-based methods

Trial-based methods are different formal techniques used to determine potential reinforcers. They include the following: 

 

  • Single stimulus method
  • Paired stimuli method
  • Multiple stimuli method.

Single stimulus method

Single stimulus or successive choice is the simplest trial-based method. The therapist presents an item (stimulus) to the child and records the child’s reaction. The single stimulus method is typically used for establishing the preferences of children with autism who have difficulties choosing between two or more items.

Paired stimuli method

Paired stimuli or forced choice consists of presenting two items at the same time and recording the child’s choice. Individual stimuli are randomly paired and presented to the child. The therapist then collects the data on the number of times the child chose each item. 

Multiple stimuli method

The multiple stimuli method refers to presenting the child with three or more items simultaneously. This method has two variations:

 

  • Multiple Stimuli with Replacement (MSWR), where the chosen item remains in the array, while all the items that were not selected are replaced by other items, and 
  • Multiple Stimuli without Replacement (MSWOR), where the chosen item is taken out of the array without being replaced by any other items.

How to Conduct Preference Assessments

Preference assessment is a two-step process. To begin with, the therapist gathers a number of stimuli that may serve as potential reinforcers. Assessment is then conducted by presenting the child with these stimuli and determining preferences through asking, direct observation, or a trial-based method.

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

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ABA Payment Options in Indiana

Autism Spectrum Disorder (ASD) is a developmental disorder that affects approximately 1 in 44 families. There are many different treatment options available for children with ASD. Some of these treatments can be very costly. 

In this article, we will discuss some of the ABA therapy payment options available in Indiana for families who have a child with autism.

Insurance Coverage

Applied Behavior Analysis (ABA) is a type of therapy that helps children with autism learn new skills and improve behaviors. Many insurance companies cover ABA therapy, but coverage can vary depending on your state and type of insurance. 

Under the state of Indiana’s rules, ABA is considered a medically necessary service for diagnosing and treating ASD. This means that ABA is a covered service under many health insurance plans in the state. 

However, each insurance company is different, so it’s essential to check with your specific plan to see what coverage they offer for ABA services by calling the customer service number on your insurance card or looking up your plan’s benefits online.

Your child with autism may be covered if you have employer-based insurance, but it’s not guaranteed. You should check with your insurance carrier to ensure they cover ABA and other therapies for autism. 

Applied Behavioral Analysis is included in the “Essential Health Benefits” package under the Affordable Care Act, which means that all health insurance plans offered in Indiana must cover it. This includes both public and private health plans.

Parents of children with ASD can purchase this Affordable Care Act Plan from Indiana’s federal health insurance marketplace. 

Now that we’ve exhausted our look at ways to find funding through insurance policies let’s take a look at the support that Medicaid offers children with autism.

Medicaid

In Indiana, children with autism may be eligible for Medicaid coverage. Medicaid is a government health insurance program that provides free or low-cost medical care for people with limited incomes. 

To be eligible for Medicaid in Indiana, a child must have a disability that meets the criteria set forth by the Social Security Administration (SSA). A diagnosis of autism spectrum disorder (ASD) automatically qualifies a child for Medicaid coverage.

There is no income limit to qualify for Medicaid coverage in Indiana, so all children with ASD are eligible regardless of their family’s income. All children with autism are eligible for ABA therapy through Medicaid, but there are requirements.

Children who receive ABA therapy through Medicaid must be enrolled in the Medicaid program and have a diagnosis of ASD from a qualified professional. 

ABA therapy is considered a covered benefit under Medicaid, so there is no need to purchase a separate insurance policy to receive this treatment.

A problem may arise for families of children with autism because, unfortunately, not all ABA providers accept Medicaid as payment. This situation is challenging for children with autism who rely on Medicaid for their health insurance coverage.

There are several options available for families in this situation:

  • One option is to find an ABA provider who does accept Medicaid
  • Next, parents of children with autism can seek out funding from other sources, such as grants or scholarships 
  • Finally, families can also use a combination of private insurance and Medicaid to pay for ABA therapy services

Families need to remember that they have options for paying for autism services. With a bit of research, they should be able to find a solution that meets their needs.

Other Options

Aside from Medicaid and Insurance plans to cover the costs of ABA therapy for children with autism, other options are available to families. 

Waivers

Medicaid home and community-based services waivers are an option for some children with autism in Indiana. 

These waivers provide funding for specific services and supports to help children with autism live in their own homes or communities instead of institutions. 

To be eligible for a waiver, a child must be eligible for Medicaid and have a disability that meets the criteria for one of the waiver programs. Let’s look at two waivers in particular.

  1. The Family Supports Waiver. The family support waiver is a Medicaid program that helps families with children with autism or other developmental disabilities. 

The waiver pays for services and supports that help the child live at home and participate in the community. To be eligible for the waiver, the child must be under 21.

The child must also have a diagnosis of autism or another developmental disability and be eligible for Medicaid. The waiver covers a wide range of services, including: 

  • Applied behavior analysis (ABA) 
  • Therapies 
  • Respite care 
  • In-home support 
  • Equipment and supplies

All these services offered with the Family Supports Waiver can go a long way to alleviating some of the many challenges faced by families with children on the autism spectrum.

  1. Community Integration and Habilitation Waiver. This waiver is available for children with autism who are five years of age or younger and provides services and supports that enable the child to be integrated into the community.

To qualify for this waiver, a child must: 

  • Have a diagnosis of autism
  • Be five years of age or younger
  • Meet the functional criteria for waiver services

Children who receive services under this waiver are eligible to receive Medicaid benefits.

Children’s Special Health Care Services

The Children’s Special Health Care Services program in Indiana helps children with autism and their families get the care and services they need. 

The program provides medical, dental, mental health, developmental, and case management services to eligible children from birth to age 21. 

To be eligible for the program, a child must have a chronic physical, developmental, behavioral, or emotional condition that has lasted or is expected to last at least one year or longer.

The child’s condition requires more care than what is typically available through a family’s private health insurance. 

United Healthcare Children’s Foundation

The function of the United Healthcare Children’s Foundation is to help pay for a child’s health care treatments, services, and equipment when commercial health insurance does not cover all of the expenses.

To be eligible for a grant from the United Healthcare Children’s Foundation, children must be 16 years old or younger and have a medical condition diagnosed by a licensed physician. 

The Foundation also requires that families have private health insurance, and there are some income requirements as well.  Applications for a grant can be completed online, and families will be notified of a decision within four to six weeks.

Grants

There are other payment options for ABA therapy in Indiana, such as: 

  • Autism Speaks Family Services Grants. The Family Services Grant is a one-time award of $2,500 to help with ABA therapy costs.
  • Autism Society of Indiana. This organization provides grants for ABA services to eligible families. The amount of the gift and the number of recipients varies each year.
  •  ComForCare Home Care.  Providing in-home ABA services for children with autism and other developmental disabilities, ComForCare Home Care offers a sliding scale fee based on income and accepts various insurance plans. 

If you’re struggling with the challenges surrounding ASD, reach out to some of these resources and websites. You aren’t alone; help is out there.

You Don’t Have to Do it Alone

Parenting a child with autism can be challenging, but it can also be gratifying. If you’re struggling to find help affording ABA therapy for your child with autism, know that you don’t have to fight alone.

We hope this article helped you find some payment options to help you afford the treatment your child needs. Don’t wait; get support today!

 

If you are ready to work with the best ABA therapy provider in Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

 

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RBT Training in Indiana

To become a Registered Behavior Technician (RBT) in the state of Indiana, interested individuals are required to meet certain standards. This includes finishing a certified training program and passing a qualified exam. Here’s how to get started on this journey.

 

What is a RBT?

A Registered Behavior Technician, or RBT, is a professional who works with individuals with behavior challenges. They work to bring impactful changes in the lives of patients who struggle with certain behavior deficits. While these experts work primarily with individuals on the autism spectrum, their services may be used by many other individuals with behavior challenges as well

A RBT is primarily responsible for providing ethical and quality behavior analysis services to those who need it most, using Applied Behavior Analysis (ABA) therapy methods

While a RBT won’t be creating treatment plans for their patients, they do need to know how to apply ABA therapy in these one-on-one settings. With ABA therapy, the goal is to develop certain skills so that individuals with behavior concerns can learn how to control those behaviors through methods such as behavior modifications, learning life skills or developing verbal and non-verbal communication skills.

RBTs are entry-level healthcare professionals, and while they work directly with patients, they will also be under supervision of behavior analysts.

 

What Do RBTs Do on a Daily Basis?

RBTs primary daily role is to administer care to those with behavioral challenges. These behavior specialists work in clinical settings under the supervision of a Board Certified Behavior Analyst (BCBA). These analysts have further training and education in ABA and will be able to provide more diagnostic services and create the care plans that RBTs help administer.

On a day-to-day basis RBTs may be working with individual clients or they may work with small groups, primarily focusing on the following responsibilities:

  • Measurement
  • Assessment
  • Skill acquisition
  • Behavior reduction
  • Documentation and reporting
  • Scope of practice and professional conduct

In some clinics, especially those that focus on certain specialties, RBTs may need to know more than the aforementioned list of responsibilities. Typically, RBTs work in clinical settings, but some RBTs may perform their services in a client’s home or school programs. Certain RBTs may even get more training to enter into specialties to focus primarily on certain types of behavior challenges.

 

How Long Does it Take to Get an RBT Degree in Indiana?

If you are interested in receiving a RBT degree in Indiana, you must first meet some eligibility requirements, and enter into a certified RBT program within the state of Indiana.

After qualifying, students complete a 40-hour training course and then have to take and pass the RBT exam at the end of their training. Training will be overseen by a qualified BACB certificant. Students can only take the test after their application is approved.

This initial competency assessment covers everything taught in the course and ensures that everyone taking the assessment has an understanding of Applied Behavior Analysis. In addition to learning about ABA, those going through this training program will also need to learn about some of the administrative work involved with this role.

Once an individual has their RBT certification, there are still things that these professionals will need to do in order to maintain their certification. This includes ongoing supervision, and proof that the individuals have adhered to medical ethics. RBTs will need to take courses (usually available online) to annually renew their certification. This must be done every year approximately 45 days before it expires.

 

Prerequisites for RBT training in Indiana

In order to enroll in the Registered Behavior Technician training program in Indiana, there are several prerequisites that you need to meet, such as:

  • Students must be at least 18 years of age.
  •  Students must have a high school diploma or GED.
  • Students must pass a background check.
  • Students must complete the entire training program.
  • Students must pass a competency assessment.
  • Students must pass the RBT exam.
  • Students must maintain certification with continuing education.

Once students with these requirements pass their training certification they can start applying for jobs as a RBT in different facilities around the country.  

How Much Does RBT Training Cost in Indiana?

For many individuals considering RBT in Indiana, the first concern they have is the cost of getting certified in this field. The average training program costs between $65 and $200, but there are also some free programs as well.

In order to take the entrance test, there is an exam appointment fee of $45 and a certification application processing fee of $50. This means it’s more than worth the initial investment cost for the solid income provided. This is why more and more people are not only becoming RBTs but adding RBT certification to their existing repertoire.

 

What is the RBT Exam?

Here is what is typically covered on the RBT Exam:

The RBT exam is a 75 multiple-choice question test administered by the Pearson VUE computer-based testing platform. The following topics will be discussed on the exam:

 

  • Assessment
  • Behavior Reduction
  • Documentation and Reporting
  • Measurement
  • Professional Conduct and Scope of Practice
  • Skill Acquisition

Results for this test are given on-site, so students will know right away if they pass. Students who do not pass the exam the first time will be able to take it again one week later. Once students pass, they will be on their way to a rewarding career as a Registered Behavior Technician.

 

How much does an RBT make in Indiana?

The average salary for a certified RBT in Indiana varies depending on experience, training, hours and the individual behavioral center. The typical average falls between $40,363 and $60,665, These technicians can make as low as $12,024 with the average for professionals in this industry in Indiana being $36,618 per year.

Many RBTs will work hourly in New York, and their average hourly rate typically comes out to slightly above $20 per hour. Many individuals will continue to earn more with experience or can earn more by adding extra certifications or specialties.

 

Who Can Benefit From Being an RBT?

 While some medical professionals will just become an RBT, it is also a certification that can enhance the careers of many professionals as well. This includes:

  • Hospital administrators and staff
  • Nursing supervisors or specials needs staff
  • Home health aides
  • Case managers
  • Emergency response teams
  • Hospice staff and supervisors
  • substitute teachers
  • Daycare supervisors and staff

The extra training and certification can go a long way in helping these professionals have a better understanding of behavior modification.

 

If you are ready to work with the best ABA therapy provider in Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

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Autism Recovery

Introduction

Autism spectrum disorder, usually referred to as ASD, is a neurodevelopmental condition that impacts speech and behavior. This article takes a deep dive into ASD to determine whether the condition is curable. It answers questions like: Can people ‘grow’ out of autism? Does the condition worsen with age? What is the significance of ABA therapy in ASD treatment?  

So without further ado, let’s dive in!

Autism in a Nutshell

A complicated developmental condition known as an autism spectrum disorder (ASD) is characterized by ongoing difficulties with social communication and restricted interests. Autism is considered a disability that lasts a person’s entire life; nevertheless, the degree to which a person with autism is impaired in functioning due to the obstacles they face varies greatly.

In most cases, the symptoms manifest themselves during the early years, specifically between 12 and 24 months. However, a diagnosis might not be made until much later, mainly if the symptoms are vague.

Common Signs of Autism

People who have ASD may have contradictory symptoms. There are some children with ASD who do not want to be squeezed and cannot even accept a handshake. On the other hand, some children crave the sensation of being squeezed so desperately that they bump their bodies into other people. Some common symptoms include:

  • Difficulty coping with sudden changes
  • Not responding to their name
  • Being overly focused on a particular object
  • Sensory hypersensitivity
  • Stereotypical movements like hand flapping, spinning, rocking
  • Constantly arranging things in a very particular manner

Autism is a lifetime diagnosis, and there is currently no cure for the condition.   

Is It Possible to Recover from Autism?

According to experts, the answer is no; unfortunately, autism is not something that can be outgrown.

In some instances, where it seems as though the autistic symptoms have gone away, other conditions may have taken their place. However, this does not mean that the youngster developed another disorder in place of autism as they got older. If an individual diagnosed with autism does seem to outgrow their symptoms entirely, it indicates that they were not properly diagnosed.

Because autism is incurable, most specialists take an approach that focuses on managing symptoms or developing skills and support. Behavioral, psychological, and educational therapies are often the preferred route. 

Does Autism Worsen with Age?

It’s important to remember that autism does not change with age.

However, while your child’s autism may not worsen as they grow, they may always require the specialized assistance that a parent can only provide. According to studies, children whose parents are actively involved in their treatment from an early age demonstrate improved language and daily life skills when they reach their teenage years.

Helping children learn how to control their symptoms and develop crucial life skills can be significantly aided by receiving an accurate diagnosis and early intervention. Your child may learn coping methods to help control the symptoms that hinder your child’s adulthood, but these strategies may not eliminate the symptoms entirely.

The Latest Research Hoping to Cure Autism

The scientific community is becoming more interested in determining the elements related to autism as it continues to grow at an alarming rate.

The most recent studies on autism include investigations into factors associated with this neurotype, in addition to genetic polymorphisms, abnormalities in the gut biome, and neurological aspects that may contribute to it.

However, discovering and evaluating potential novel treatments for autism can be fairly difficult. Autism does not manifest itself in any obvious physical ways, such as elevated blood pressure or cholesterol levels. Therefore, it becomes challenging to evaluate the level of achievement.

When it comes to specific treatment alternatives, one approach utilized by many therapists, schools, and healthcare providers is applied behavior analysis (ABA) therapy

What is ABA Therapy for Autism? 

Applied behavioral analysis therapy is a kind of treatment that emphasizes using positive reinforcement to enhance a patient’s behavioral, social, communication, and educational abilities. In ABA therapy, behavioral concepts are used to define goals, reinforce actions, and evaluate the effectiveness of treatment.

The ideas of behaviorism, in particular operant conditioning and the application of incentives and consequences to shape behavior, are the foundation upon which ABA therapy is built. In the 1950s and 1960s, practitioners in the field of mental health began using concepts such as token economics to treat various mental health disorders, including schizophrenia and developmental disabilities.

Types of ABA therapy include:

  • Discrete Trial Training (DTT)
  • Early Intensive Behavioral Intervention (EIBI)
  • Early Start Denver Model (ESDM)
  • Natural Environment Training
  • Comprehensive ABA Therapy
  • Focused ABA Therapy

Benefits of ABA Therapy

Autism is not “treated” by ABA therapy, but it can be used to teach desired behaviors and to lessen or eliminate undesirable ones. ABA therapy may also be used to teach social skills.

For example, ABA may be utilized to treat autism to lessen the severity of tantrums, instruct a child to sit quietly or teach them to use words when making requests. By breaking desirable behaviors down into their parts and exposing ABA therapy, specialists are able to teach children which behaviors are suitable for particular circumstances. These children receive a prize after completing each stage of the process. 

How to Help Your Autistic Child Thrive?

If your child has just been diagnosed with autism, you are undoubtedly wondering and fretting about the next step. No parent would ever be ready to hear that their child is anything other than normal and healthy, and an ASD diagnosis can be incredibly unsettling.

The following are some things that you can do to assist, support, and encourage the development of your child with ASD.

  • Signing up for ABA therapy – Through therapy, your child will gain the skills necessary to lead more independent lives and participate in the communities in which they reside.
  • Ensuring your child’s safety – Children with autism frequently face concerns over their safety. Your child’s sense of safety and security will be supported, and the risk of the child hurting themselves or others will be reduced if you provide them with a designated safe spot to go to whenever they feel overwhelmed.
  • Connecting in non-verbal ways – You will be able to engage your child in a helpful manner if you learn functional communication skills and put them into practice. Finding a means to communicate with your child will strengthen your relationships.
  • Finding help and support – You can obtain information, treatment choices, services, and a feeling of community by assisting various specialists, organizations, and groups. You will be able to control your feelings of stress better and find a way to enjoy the unique bond you share with your child if you and your child have access to better assistance.

The Bottom Line

Although there’s no known cure for ASD, several treatment methods, such as ABA therapy, can assist persons with ASD in navigating daily circumstances and developing abilities. Find a group of caring and experienced specialists who can help you and your child on this path in order to make the most of it. 

 

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

 

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What Is It Like to Have Autism

Autism spectrum disorder (ASD) is a complex disorder that affects the development of the brain. These conditions are usually characterized by a varying degree of difficulty in social interaction, verbal and non-verbal communication, and other behavioral issues. 

While many people know about the disorder, most might not know what it is like to have autism and live with it.

People with autism often experience a sensory overload accompanied by anxiety and confusion when experiencing changes in their surroundings. Most individuals with autism try to cope with this chaos in their minds by repeating movements, called stimming, like rocking back and forth, flapping arms, and similar gestures. 

People might perceive this behavior as “unnatural” and even strange. However, understanding why these symptoms manifest in children with autism might help you understand and comfort them when they need you the most. Let’s dive deeper into what children with autism go through and how you can help. 

Struggles children with autism face

The biggest challenges that children with autism face daily include communicating their thoughts and needs and regulating their behavior. 

As their environment changes, children with autism are flooded with a range of emotions that create a state of turmoil in their brains. The state of confusion and anxiety, coupled with poorly developed communication skills, can make them socially awkward. 

Here are some of the challenges that children with autism face:

Anxiety 

Every child faces some level of anxiety, but children with autism feel anxious and stressed about things a typically developing child might not. Some of the situations when an children with autism might feel extremely anxious and worried include:

  • Even the smallest disruption in their schedules
  • Unfamiliar or unpredictable social situations
  • Certain sensitive stimuli such as bright lights, certain smells, and textures in food
  • Times of transition, such as starting a new activity

Some manifestations of these stressors include emotional meltdowns, social withdrawal, and increased reliance on obsessions and rituals. 

Poor communication skills

Communicating their wants, needs, and concerns helps children regulate their behavior, learn, and socialize. Children with autism struggle with sharing their thoughts, leading to subsequent difficulties regulating their behavior. 

Inability to communicate clearly can add to the already high level of anxiety and complicate the situation. Children with autism often require support to learn and practice their communication skills. 

The lack of communication skills is also partly due to the inability of children with autism to learn from and interpret social cues and non-verbal communication. 

Not being able to read social cues

Social cues such as body language, tone of voice, and facial expressions are paramount when navigating society. Unfortunately, children with autism often struggle with learning and interpreting social cues making it difficult to understand implied behavior and the conversation context. 

Children with autism often miss the non-verbal social cues leading to people having to tell them how to behave. It’s no wonder, then, that children with autism are often labeled a “problem child.” 

Motor skills

Studies have shown that children with autism might have difficulty with fine and gross motor skills, suggesting that children with autism can be six months behind compared to their peers. 

Difficulties with gross motor skills cause children with autism to have body awareness, balance, and motor control issues. Fine motor issues might lead to difficulties completing activities that involve precise movements like writing or playing an instrument. 

Resistance to change

Change can be difficult for children to handle. Children with autism find it particularly difficult to adjust even when there is a slight change in their surroundings. 

For instance, you might see children with autism resisting a change in the utensil they use to eat their food. While it might not be an issue with most children, it can be a huge change from a child with autisms perspective, leading to anxiety and frustration. 

The changes are often the most difficult to handle when they come suddenly and without warning. While children with autism can be taught to accept changes, it does involve a fair amount of training and assistance. 

Children with autism need to know that you understand them and acknowledge their opinions even though you might want to introduce a change. 

Others are not able to understand them

Autism comes with many issues that might make children with the disorder seem difficult and “not normal.” 

Peers of children with autism might not be able to understand why they behave in a certain way and treat them as social outcasts. Bullying is also a huge concern among children with autism. 

Bullying can hurt their mental health and self-esteem and make them withdrawn. With an already high level of anxiety and difficulty communicating, bullying can be especially bad for children with autism. 

Understanding what children with autism might feel like can go a long way in preventing such behavior and helping them integrate better. 

What’s it like to have autism?

While it’s true that you might never exactly understand what it’s like to have autism, you can try to understand what a child with autism goes through. The best way to do it is by comparing some situations we face daily. 

For instance, you must have felt shy or uncomfortable while meeting new people at some point in your life. Do you know that children with autism feel like that all the time? Imagine how difficult it was for you to handle that situation. Now imagine how difficult it must be for a child with autism to take it daily with limited communication skills. 

Being particular with their things can be a cute quirk for some people, but with children with autism, it can be a nightmare. Children with autism find it extremely difficult to handle any change in their routine, however minor it might seem. A change can be catastrophic to their mind, and they might lose control of their emotions and act out to reestablish a modicum of control. 

Controlling anger can also be a huge problem for children with autism. You might have experienced how irrationally you behave when you get angry. Now imagine your brain actively preventing you from acting rationally. 

That’s exactly what it is like to have children with autism who can’t control their emotions, including anger, and rationalize their behavior. 

Understanding these aspects of autism can help you better connect with a child with autism.

How to connect with an child with autism

Connecting with children with autism can be a huge challenge if you don’t understand where the behavior originates. A child with autism needs special attention and treatment different from a typically developing child. 

Here is how you can connect with a child with autism:

Take time to learn triggers

It is crucial to learn what triggers a bout of panic or emotional turmoil in children with autism. Things that can trigger such behavior might include:

  • Certain smells, tastes, and textures
  • Light
  • Color
  • Touch

It is crucial to monitor what causes the trigger so that you are in a better position to avoid it or deal with it when it is introduced. 

Say what you mean 

Remember that reading social cues and body language is not a strong suit for children with autism. If you want to communicate something, make it direct and clear. The child might be unable to interpret what you mean from the context of subtle non-verbal cues. 

It is best, therefore, to say what is expected of the child so they know exactly what you mean. Children with autism might also need more time to process new information, so if you truly want to connect with them, learn to be patient and give them the time to figure things out at their own pace. 

Monitor your reactions 

Children with autism and adults struggle with social skills. It might be difficult for them to address certain social situations with appropriate behavioral responses.  

It is important to ensure that you monitor their social responses and not misinterpret them as a sign of disrespect or insubordination. They are trying their best to assimilate, and your job is to give them the best chance through care and therapy. 

How can ABA therapy help your child with autism? 

Applied Behavioral Analysis, or ABA, is a treatment that teaches children with autism functional behavior and new skills. Several studies have proven the effectiveness of ABA in discouraging inappropriate behavior. 

ABA is one of the top treatment options for children with autism and can be tailored toward the child’s specific needs. The program helps you and your child set goals, break them down into actionable steps, and meet them in realistic timelines. 

ABA therapists meet your children in a one-on-one interaction in a familiar environment for the child that helps alleviate the anxiety and open up the child’s mind to learn new things. 

Therapists administer ABA treatment closely with your family and incorporate everyone in the therapy program, encouraging a family approach to modify behavior and induce learning.   

To conclude

Living with autism can be very difficult for your child. It helps if people around them try to understand what they are going through. Knowing how your children with autism feel makes you more empathetic, patient, and helpful in making their life easy to navigate. 

Here at Golden Care Therapy, we are committed to helping children with autism learn new skills and lead fruitful, happy, and independent lives. If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

 

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Social Skills for Autism

Autism Spectrum Disorder is a developmental disorder thought to originate from neural differences. Children with autism frequently show restricted interests, repetitive behaviors, challenges in paying attention, moving and learning, and difficulties with interaction, communication and social skills.

Social dysfunction is a core characteristic of autism, with responses ranging from avoiding social interactions altogether to dominating social interactions. This social inattention is one of the disorder’s principal identifiers.

kids playing

What Are Social Skills?

 

Essential social skills straddle four broad categories:

  • Non-verbal: Non-verbal cues include facial expressions and body movements that communicate information in addition to spoken words. Frowns, smiles, and grimaces can express anger, surprise, sadness, happiness, disgust and fear, regardless of verbal communication. In addition, body movements – arm and hand gestures, posture and stance can convey feelings and attitudes.

Other forms of non-verbal communication include eye contact, touch, physical space perception, and tone of voice.

  • Verbal: These skills include active listening and asking questions, including open-ended questions. In addition, verbal ability relies on non-verbal skills, such as the faculty to identify and react to non-verbal clues. These non-verbal communication cues include facial expressions, body language and environmental cues.
  • Empathetic: Empathy, putting yourself ‘in another’s shoes’ to understand their point of view, emotions and challenges, is fundamental to all social skills. Most social connections rely on empathy and compassion, including making good social decisions and creating and building lasting relationships.
  • Written social skills: This skill set involves written communication abilities: being able to transfer facts, thoughts, and ideas clearly and understandably in writing.

 

Social skills tend to be goal-oriented and context-based, meaning how skills are applied on where, when and with whom interactions occur.

However, it’s not uncommon for children living with autism to struggle with most or all of the basic social skills, leaving them vulnerable, whether at school, college, or with family or peer groups. Lacking familiarity and comfort with any of these skills can leave children with autism feeling overwhelmed, unable to learn and develop effectively or enjoy warm and supportive social connections.  

 

Why Do Children With Autism Struggle With Social Skills?

 

Difficulty learning social skills is rooted in the fundamentals of autism spectrum disorder: delays in acquiring verbal skills, challenges in reading non-verbal and social cues, obsessive, repetitive behaviors, and rigid routines making it harder for them to fit in.

Older children diagnosed as living with autism, particularly, can take longer to learn and develop these abilities, thanks to needing to unlearn old, less healthy habits and replace these with socially appropriate behaviors.

 

Learning Social Skills

 

Social skills are typically learnt naturally during social interaction. However, for children living with autism, knowing these skills are essential, what they are, and when to use them isn’t enough.

A genuine understanding of the skills and how they can benefit can help children living with autism to learn, build cognitive control over, and authentically develop and apply these essential social skills in daily life.

 

The Benefits of Good Social Skills

 

Children living with autism often can’t recognize or are slower to pick up on social cues, making them seem socially awkward, uncaring and inconsiderate.

Instead, learning and genuinely understanding adequate social skills can help children living with autism to:

  • Understand acceptable behavior in different social situations.
  • Make and keep new friends.
  • Find and enjoy new interests and hobbies.
  • Learn from the people around them.

 

Access to and control over reliable social skills may also positively influence emotional and mental health, helping children living with autism express their feelings in a more socially acceptable way and communicate their thoughts and emotions more effectively. 

This self-management can help reduce frustration and enhance confidence, self-esteem, social success and quality of life, especially by focusing on essential skills. 

kids

Essential Social Skills to Teach Children Living With Autism

 

Crucial social skills for children with autism include:

 

  • Play: These sharing skills include patience, understanding and fairness, and respecting another child’s or adult’s needs. Play skills are usually demonstrated through sharing toys and having the self-control to take turns in playing.
  • Conversation: This ability includes understanding when to talk and when to listen, what and what not to talk about in social situations, and how to manage body language and eye contact.
  •  Emotional: Learning to manage emotions is vital in social and home settings. Emotional skills include identifying, understanding, expressing and managing strong feelings. 
  • Problem-solving: Play, conversation and emotional skills all rely on making appropriate decisions, so learning how to problem solve can significantly help children with autism manage and resolve conflict and other choice situations in social settings.

 

Social skills include listening, sharing, acceptable manners and cooperation skills. Learning these behaviors can help children living with autism set goals and boundaries, understand teamwork, show respect, appear more approachable, and make and maintain relationships. 

Respecting personal space and privacy, using appropriate eye contact, and following directions also increase learning ability, boost self-esteem, and enhance communication effectiveness.

In addition, good social skills help children with autism build independence, lead meaningful and productive social and work lives, contribute positively to society, and take on leadership roles.

Learning these social skills can be complex.

However, appropriate techniques such as Applied Behavioral Analysis (ABA) therapy is an effective and widely-used therapy for helping children living with autism.

 

How Can ABA Therapy for Children Living With Autism Improve Their Social Skills?

 

ABA therapy is a tried and tested approach based on behavioral and learning science. It helps users understand what drives behavior, how it’s affected by environmental factors, and how learning happens. 

The customizable therapy then turns this deeper understanding into real situations to reduce harmful habits and promote helpful behaviors, including: improving language and communication skills.

  • Boosting attention, focus, memory, and social and academic skills. 
  • Minimizing challenging behaviors.
  • Increasing play and motor skills.
  • Encouraging self-care.

This flexible and person-first therapy uses numerous techniques, applies various situations and locations, and offers individual or group therapy formats.

One of the therapy’s main strategies is focusing on positive reinforcement to encourage positive change over time. This approach involves initial evaluation, planning, goal setting, and ongoing progress assessment for dynamic, individual, family and milieu-specific assistance.

First, goals are developed and adjusted for age and ability. Skills are then broken down into small, practical steps, with each stage introduced and taught in turn. Parents and caregivers, too, are provided with knowledge and skills to continue learning at home.

mom and child

Additional Strategies for Teaching and Developing Social Skills 

Beyond social skills training and positive praise and reinforcement for children living with autism, additional beneficial activities include games, visual supports, video modeling and role-playing for teaching social skills include:  

 

  • Playing games: Game playing, including video games, helps develop motor skills, essential problem-solving skills, learning from mistakes, and encourages persistence in the face of loss or challenge. Games also promote a flexible attitude, resilience and adaptability.
  • Visual supports: Visual aids, whether pictures, checklists, prompt cards, worksheets, or words, can help children living with autism learn, remember and develop social skills and their context, reminding them what they already know or introducing new concepts.
  •  Video modeling: This technique involves a video of the skill modeled by a child living with autism, another child or an adult. Video modeling is an effective method of demonstrating social skills and can be reviewed as a reminder.
  • Role-playing: This interactive activity helps familiarize children with appropriate behavior, language and emotional tone during various social situations. Role-playing can provide guidance and direction and, importantly, offer an opportunity to practice talking and interacting, with immediate feedback and a chance to try again using a different approach.

 

Learning a robust set of social skills for children living with autism is thus an accessible, achievable and worthwhile goal.

It may take some time, especially in older children diagnosed later, but with patience, understanding and compassion, combined with appropriate and effective techniques such as ABA therapy, social comfort, control, and success is possible and a child with autism can develop social skills.   

 

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

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Social Skills Worksheets for Autism

Everyone needs a level of social awareness and skills to get by in today’s world. However, individuals with autism spectrum disorder (ASD) may find it difficult to cope with daily living due to their lack of social skills.

 

In this article, we’ll go over how social skill worksheets can help people with autism.

Why are Worksheets Helpful for People With Autism?

People on the spectrum often find it challenging to learn new things or interact with others using casual language.

 

For instance, children with autism may not be able to discern social cues, such as when to begin a conversation, how to react when others make social approaches, and how to adapt to unspoken social rules quickly. Fortunately, with the aid of a social skills worksheet, individuals with ASD can learn various social skills and how to use them in real-life situations.

Worksheets are helpful learning tools for individuals with autism. Because these worksheets provide visual aid, they are effective for teaching people, especially children on the autism spectrum. 

 

Going forward, we’ll examine the relationship between social skills and autism spectrum disorder.

Socials Skills and Autism

Although the impact of autism spectrum disorder varies from person to person, difficulties with facets of social interaction, like communication, social connection, and relationship forming, are common among people on the autism spectrum.

 

Because social communication is often difficult for people with ASD, they may struggle to hold meaningful conversations or build social connections.

 

Even though most individuals on the autism spectrum are willing to socialize, they may not know how to relate with friends or may even become overwhelmed in social situations.

 

Naturally, communication goes deeper than spoken words and verbal messages, as people tend to interact more without saying anything. In fact, a 2010 PMC study shows that about 60% to 65% of human communication is conveyed through non-verbal behaviors.

 

These non-verbal behaviors, referred to as social norms or cues, are a significant part of social interaction. For example, in the United States, attending to others during a conversation is a social norm, and anyone who does not conform to this standard may be perceived as shy, nervous, or even odd.

 

People on the spectrum usually find it hard to recognize and adhere to social norms and cues, causing challenges with socialization. 

 

Hence, you must ensure that social skills and cues are taught to your child with autism at home and school to help them get along with others, boost their self-esteem, and become more independent.

 

There are various social skills to teach your kid on the autism spectrum. This article highlights these skills that neurodivergent children need to interact with their surrounding world just as well as their neurotypical peers.

What Social Skills to Work On

You can teach your child who is on the autism spectrum to relate better with others by getting them to improve on these social skills:

 

  • Maintaining eye contact during conversations with other people.
  • Understanding facial expressions and body language.
  • Discerning what other people are thinking and feeling.
  • Forging and maintaining healthy relationships.
  • Recognizing boundaries and respecting others’ personal space.
  • Knowing how the concept of turn-taking works in a social setting or gathering.
  • Using the appropriate voice tone and volume during various types of conversations.
  • Adapting to new, unexpected social situations.
  • Knowing how to resolve conflict, disagree with other people politely, and respect other people’s opinions.
  • Sharing interests and cooperating with other people.
  • Recognizing and understanding unwritten social rules and non-verbal cues.

 

Teaching your child with autism how to interact socially is essential, and a social skills worksheet is one of the most effective ways to do this. Continue reading this piece to find out how and why.

What are Social Skills Worksheets?

Simply put, a social skills worksheet is a material created to teach children with autism and other disabilities how to interact and engage with others in their environment. Given that most children, especially kids on the spectrum, learn better with visual aids, worksheets effectively teach social skills to your child.

 

Social skills worksheets offer excellent resources to help your child with autism to develop and hone their ability to communicate and relate with others. This way, they can build confidence and become more socially active. 

 

From pre-school and primary school children to teenagers, social skills worksheets can benefit the social development of kids across different age groups. 

 

Moving forward, we’ll emphasize the wide variety of worksheets effective for teaching social norms and behaviors to children with autism.

Social Skills Worksheets for People with Autism

Various types of worksheets can assist you in inculcating interactive skills and social awareness in your child. These materials are uniquely designed to address specific areas of social well-being in autistic individuals.

 

The following are the different types of social skills worksheets for people with autism.

  1. Worksheets for Emotional Health

Recognizing who they are and managing how they feel is an essential aspect of social and emotional development in kids. However, children on the autism spectrum often find developing their emotional awareness challenging. This is where emotional health worksheets come in handy, as it helps in teaching your child how to work out theirs and others’ feelings.

 

Emotional Cues Worksheet 

 

This worksheet is created to help your child recognize others’ feelings through their body language. The emotional health material teaches various facial expressions, body gestures, and the tone of voice that should accompany them.

 

Body and Voice Language Worksheet

 

This emotional health worksheet explains how the tone and volume of one’s voice convey different emotions. Also, it will teach your child to express their feelings with their body rather than voice.

 

Empathy Skills Builder

 

Being able to perceive and understand how others feel is fundamental to developing empathy. The empathy skill builder uses demonstrative pictures to teach children with autism to identify a person’s emotions through their facial expressions and body language.

  1. Worksheets for Object Identification

These worksheets help your child learn to recognize common objects, enhance their visual memory skills, and improve their reasoning and pre-reading abilities.

 

Where Does It Belong?

 

This object identification worksheet will teach your child to apply their reasoning skills when discerning an object’s position. While on the sheet, as your child decides where an object rightfully belongs, they also learn to recognize the words written beneath each image.

 

Identifying Common Objects Cards

 

These cards will assist your child in identifying everyday objects while working on their word pronunciation.

 

Circle & Identify Object Worksheet 

 

This object identification worksheet is designed to enhance your child’s observation skills. To complete their task on this worksheet, your kid will be required to spot and circle the picture corresponding to each object.

  1. Worksheets for Anger Management 

People on the autism spectrum should be taught effective ways to manage strong emotions like anger. With anger management worksheets, your child can learn how to deal with their anger in different social situations.

 

Below are the different worksheets for controlling anger in people with autism.

 

  • Anger triggers worksheets 
  • Anger signs worksheets
  • Anger expression worksheets
  • Problem-solving worksheets

 

Anger Management Skills Cards

 

Your child can learn to control their anger using the healthy anger management techniques depicted in this 12-card set. 

 

Autism Anger Management Problem Solving Wheels

 

These worksheets – in the form of a wheel – will give your child insights into how to react when angry. For example, the material teaches kids to ‘wait and cool off’, ‘go to another activity,’ or ‘talk it out’ when upset.

 

Angers Signs Worksheets

 

These sheets will enable your child to identify and interpret common anger signs such as clenching jaws, flushed skin, and loud voice tones. 

  1. Worksheets for Communication

As already noted in this article, social communication can be a challenge for people on the autism spectrum. Fortunately, these worksheets will help your child with autism develop excellent communication skills.

 

Social Communication for Autism

 

This set of 29 communication worksheets will teach kids with autism how to strike good conversations and be empathetic towards other people.

 

Clothes and Dressing Communication Cards

 

Your child will find this visual communication tool helpful as they learn how to make clothing-related decisions and requests.

 

Communication Worksheets for Children with Autism

 

These sheets are specifically designed to assist children with autism build effective communicative skills. 

 

Asides from employing these worksheets, there are other ways to help your loved one improve their social skills. For example, therapy is a proven way to assist individuals with autism spectrum disorder.

How Golden Care ABA Can Help Those With Social Skills Need

At Golden Care therapy, we provide ABA therapy to children with autism spectrum disorder and help them lead happy, independent, and fulfilling lives.

 

ABA, which stands for applied behavior analysis, is a procedure of therapy that teaches functional behaviors and new skills to individuals on the autism spectrum. And this treatment will improve your child’s social life in the following ways:

 

  • It assists your child in harnessing their communication and conversational skills.
  • ABA therapy enhances your child with autism’s social awareness, focus, and memory.
  • It also helps your loved one understand facial expressions and body language.
  • Your child will learn to manage their emotions better with ABA therapy.

 

 

If you are ready to work with the best ABA therapy provider in New York, New Jersey or Indiana, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

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New Jersey Medicaid for Autism

New Jersey Medicaid, also known as NJ FamilyCare, covers ABA therapy and other services for children diagnosed with autism spectrum disorder. 

In this article, we provide comprehensive information about New Jersey Medicaid for autism and explain how families can access this benefit for their children.

What Medicaid Benefits Are There for Children with Autism in New Jersey?

Medicaid started covering applied behavior analysis (ABA) therapy and other treatments for autism in April 2020. Children on the spectrum residing in the state of New Jersey can benefit from Medicaid assistance for a wide range of autism-related services.

“ASD services are available to any NJ FamilyCare Medicaid child member, under the age of 21, who has been diagnosed with ASD, defined by ICD-10-CM diagnosis codes F84.0 through F84.9″ New Jersey Department of Human Service

 

The following treatments are currently covered through the NJ FamilyCare program:

 

  • Applied behavior analysis (ABA) therapy
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Augmentative and alternative communication
  • Clinical interventions
  • Sensory Integration therapy
  • Developmental and relationship-based interventions. 

Coverage of Applied Behavior Analysis (ABA) Therapy

New Jersey has the highest prevalence of children with autism in the nation, out of which more than 40% are in need of ABA therapy. All children diagnosed with autism can get reimbursed for the costs associated with ABA therapy, as long as they are protected under a Medicaid plan. 

NJ FamilyCare reimburses Medicaid-enrolled ABA therapy providers for the following autism treatment services:

  • Behavior identification assessments
  • Supporting assessments
  • Adaptive behavior treatment
  • Individual, group, and family adaptive behavior treatments.

 

Continue reading to learn more about eligibility criteria for autism treatments covered by Medicaid.

How to Qualify for Autism Medicaid Services in New Jersey

NJ Family Care members ages 0-21 who have received an autism diagnosis from a qualified healthcare professional are entitled to receive Medicaid services. Since New Jersey residents who qualify for Supplemental Security Income (SSI) are automatically eligible for Medicaid, autistic children can also qualify for Medicaid due to their SSI eligibility.

Receiving an autism diagnosis

To benefit from Medicaid-covered services in New Jersey, your child must have an official autism spectrum disorder (ASD) diagnosis. NJ FamilyCare services can’t be denied based on pre-existing conditions, which means that you can get access to benefits also If your child has an existing autism diagnosis. However, without a formal diagnosis, you won’t be able to use Medicaid benefits, even if your child needs them.

Determining treatment plan

The physician will recommend a treatment for your child or direct you to a specialist who will create a suitable plan. Note that insurance companies will only pay for therapies and treatments that are considered medically necessary.

Finding a provider

After receiving a diagnosis and a treatment plan, the next step is getting in touch with different ABA services to check whether they accept Medicaid. Services must be provided by a licensed or certified clinician contracted with Medicaid/NJ FamilyCare and/or your managed care organization. 

 

Below, we list the best New Jersey Medicaid programs for children with autism spectrum disorder. 

The Best Medicaid Programs for Children with Autism in New Jersey

Aetna

Aetna’s autism benefit covers occupational therapy, speech and physical therapies, behavioral health treatment, and applied behavior analysis (ABA). There are no visit limits for these treatments. However, some Aetna plans don’t cover educational services that are part of your child’s schooling, experimental procedures (allergy testing, acupuncture, art therapy, hippotherapy), and communication aids.

 

Aetna’s Autism Advocate Program can help you understand your benefits, find a suitable network provider for your child, and connect you with resources for caregivers and family support.

Cigna

Cigna covers behavioral health treatments, such as behavior modification, family therapy, and cognitive behavioral therapy, and other medically necessary therapies for children with autism. 

 

To be eligible, your child must have a formal autism diagnosis. Proposed services must be appropriate in terms of type, frequency, and duration, provided by a behavioral health care professional, and therapy must be expected to lead to a meaningful and measurable improvement.

 

Some Cigna plans don’t cover speech-generating devices or services that are not considered medically necessary, for example, classroom environmental manipulation, academic skills training, and parental training. Coverage of medications related to the treatment of autism is subject to the pharmacy benefit portion of the applicable benefit plan.

UHC/Optum

UHC/Optum reimburses ABA services for children between 18 months and 21 years old covered under the NJ FamilyCare Medicaid Program. To be eligible, your child must have autism as the primary diagnosis.

 

Coverage is provided for medically necessary interventions based on the principles of applied behavioral analysis (ABA), in addition to physical therapy, occupational therapy, and speech-language therapy with no benefit limitations. Prescribed assistive communication devices are also covered, as long as they are used as aids in communication related to lack of speech due to autism. 

 

New Jersey benefits don’t include coverage for Picture Exchange Communication Systems (PECS), speech-generating devices, and outpatient prescription medications.

Horizon

Horizon NJ Health covers all medically necessary ABA services for autism determined by a qualified healthcare professional. The following autism-specific treatments are also covered:

  • Physical therapy, speech therapy, and occupational therapy
  • Sensory integration (SI) therapy provided by an occupational therapist
  • Augmentative and alternative communication (AAC) assessments and devices

In addition, the Horizon NJ Autism Care Management Program provides resources, care coordination, as well as psychological and social support for families of autistic children. 

Wellcare

To benefit from the Wellcare coverage, your child must be diagnosed with autism by a multidisciplinary team of practitioners. In addition, the team must indicate that your child’s condition is likely to result in developmental delay. 

 

Wellcare-funded autism services include: 

 

  • ABA therapy
  • Allied health (occupational, physical, speech, and language therapies)
  • Clinical interventions
  • Augmentative and alternative communications
  • Sensory integration therapy

 

In addition to services available through NJ FamilyCare, children diagnosed with autism who also have an intellectual or developmental disability (IDD) may qualify to receive skill acquisition and capacity-building services. Eligibility for these services is determined by the Department of Children and Families.

Beacon

Beacon enables families of children with autism to access the full range of health services and benefits under their coordinated model of care. The following services are covered in addition to ABA therapy:

  • Referrals to behavioral health therapists in order to obtain a comprehensive evaluation and assessment
  • Case management
  • Care coordination with families and caregivers, healthcare providers, community programs, and education
  • Psychotherapy and psychiatric services
  • Social skills training
  • Paraprofessional supervision

Moreover, Beacon offers parent training and coaching support to educate families about autism diagnosis, available treatment options, coping strategies, support groups, and advocating on a child’s behalf.

EmblemHealth

EmblemHealth (formerly known as GHI) covers ABA therapy services for eligible Medicaid members under the age of 21 who have received a diagnosis of autism spectrum disorder and are referred by a Medicaid-enrolled physician.

 

Autism-related services must be provided by licensed behavior analysts (LBA) or certified behavior analyst assistants (CBAA) working under the supervision of LBAs. Accepted settings include private and group practices, homes, clinics, hospitals, residences, and community settings.

Note that ABA services delivered through telehealth or in school-based health centers, as well as services that are part of an Individualized Education Program (IEP), are not covered by EmblemHealth plans. 

If you are ready to work with the best ABA therapy provider in New Jersey, give us a call at (732) 402-0297. Our dedicated team is ready to help and we will treat you like family.

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