In home ABA

[chickypoo]

Has anyone done this instead of center based? I'm all nervous about it now. The report from the doctor said she recommends 20-40 hours a week and I thought it was going to be like 10. The woman I just spoke to said the younger kids get more time because they don't have to work around school and so they can get them ready for kindergarten. They have to come separate from therapy, which he has OT, ST, PT, FT every week and TVI twice a month. He naps at like 1. I have to get my other son to and from preschool 2 days a week and it's only 2.5 hours long so that cuts into things. Someone 18 and up has to be here, which means I'm forever house bound? The. What happens? Am I an active participant the whole time or can I do housework and stuff? I know I probably need to wait to start worrying until after the BCBA comes for her evaluation and recommendations but I feel like I should have some idea about what's going on ahead of time.

Again, he's only 2. I know usually kids don't get an ASD diagnosis this young.

[muppetinma]

Our circumstances are different, but maybe this'll be helpful.

We did ABA at home for about a year when my son was two, but for far fewer hours than what you're looking at. My son had it for a few hours on Monday and Friday mornings. He went to preschool with a full time facilitator on Tuesdays and Thursdays. Wednesdays, we had ST and other appointments. Everything was done in the mornings, so my son could have lunch and a nap at the same time every day. In the afternoons, we'd have time to just be unstructured. We had planned on adding on more ABA if necessary, but we found a good routine and stick with it.

I had to be home for it, but I wasn't supposed to be in the room. Honestly, I tended to go back to bed more often than not. 😝

He's five now and in a general dual immersion kindergarten. He has an IEP, but very few accommodations are needed.

[chickypoo]

Aug 28, 2017 14:55:31 GMT -5 muppetinma said:

Our circumstances are different, but maybe this'll be helpful.

We did ABA at home for about a year when my son was two, but for far fewer hours than what you're looking at. My son had it for a few hours on Monday and Friday mornings. He went to preschool with a full time facilitator on Tuesdays and Thursdays. Wednesdays, we had ST and other appointments. Everything was done in the mornings, so my son could have lunch and a nap at the same time every day. In the afternoons, we'd have time to just be unstructured. We had planned on adding on more ABA if necessary, but we found a good routine and stick with it.

I had to be home for it, but I wasn't supposed to be in the room. Honestly, I tended to go back to bed more often than not. 😝

He's five now and in a general dual immersion kindergarten. He has an IEP, but very few accommodations are needed.

Ok, that helps. The neuropsych did say at our first visit that she wasn't sure how many hours they would do for a younger child, so maybe her recommendation was just a guess. I didn't know if that would affect ins or anything if they decided on less. I guess I really do need to just wait and see what they say huh.

[muppetinma]

Aug 28, 2017 15:02:13 GMT -5 chickypoo said:

Aug 28, 2017 14:55:31 GMT -5 muppetinma said:

Our circumstances are different, but maybe this'll be helpful.

We did ABA at home for about a year when my son was two, but for far fewer hours than what you're looking at. My son had it for a few hours on Monday and Friday mornings. He went to preschool with a full time facilitator on Tuesdays and Thursdays. Wednesdays, we had ST and other appointments. Everything was done in the mornings, so my son could have lunch and a nap at the same time every day. In the afternoons, we'd have time to just be unstructured. We had planned on adding on more ABA if necessary, but we found a good routine and stick with it.

I had to be home for it, but I wasn't supposed to be in the room. Honestly, I tended to go back to bed more often than not. 😝

He's five now and in a general dual immersion kindergarten. He has an IEP, but very few accommodations are needed.

Ok, that helps. The neuropsych did say at our first visit that she wasn't sure how many hours they would do for a younger child, so maybe her recommendation was just a guess. I didn't know if that would affect ins or anything if they decided on less. I guess I really do need to just wait and see what they say huh.

We were advised to do more, but we were paying out of pocket for it all, as well as paying for his preschool aide.  We were trying to find a balance between getting the help he needed and not bankrupting us in the process.  

[irishgrl]

My son is older 8 but, We started in Home in June and it has made such a huge difference already. We told them that we want to start off 2 days a week for 2 hours at a time but, it really was too much so we cut back to 1.5 hours 2 days a week. The Dr can suggestion 40 hours a week but, ultimately you get to decide how much time is best for your situation.

[auntie]

20-40 hours is the gold standard for ABA and considered best practices.

Early studies done on the efficacy of ABA used 40 hours, more recent ones have shown significant benefits at 20 hours/week.

[chickypoo]

Sept 1, 2017 9:15:59 GMT -5 auntie said:

20-40 hours is the gold standard for ABA and considered best practices.

Early studies done on the efficacy of ABA used 40 hours, more recent ones have shown significant benefits at 20 hours/week.

When I had first asked about it I believe you said that with the significance of his delays ABA should really benefit him. I have looked but can't find anything on just delays, how would that factor into things? Not questioning what you said, I'm just interested. Would that affect the time?

[auntie]

By "just delays" do you mean a child with a developmentally delay that isn't ASD? This is more information and links to ABA sites. HTH.

www.autismspeaks.org/what-autism/treatment/applied-behavior-analysis-aba

[freezorburn]

For the past year, we did 2 hours at home, 2 hours in center. We also alternated in-home weeks between my place and XH's place, sometimes the park. I think this speaks to one of our specific goals being to build flexibility, and for his skills to not be context-specific.

For sessions at my place I generally do not participate. I might be in the next room doing chores. One of our goals had been to get DS to play more independently and realize that he doesn't need to be attached to me like a barnacle all the time. So I use that time to get stuff done. Usually. There was one time when I had a headache and let myself take a nap.

I do know that XH has participated when they do sessions at his place, especially when they are working on group skills.

So, 4 hours from the provider, but I would also count his one-on-one time with me, when I am trying to apply things from therapy sessions to other parts of our day. We spent a lot of time working on our morning and evening routines, for example. And he also had a 90-minute social skills class once a week, that also counted. For our purposes, pretty much any time he was in a social setting with peers and had to function without me, also counts. He may not have been working directly with his BT during those times, but time at preschool or gym class or tae kwon do all provided opportunities to transfer his skills to different contexts. If I add all that up I'm sure it's in excess of 30 hours.