Article about autism treatment malpractice in the NYT

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futureapppsy2

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Sadly, not shocked by this--the standards for RBTs are low as it is, BCBA supervision is often limited and BCBAs are often stretched extremely thin, and many of these centers probably don't require BTs to be RBTs anyway. Add in a strong billing motivation that maximizes treatment hours above all else, and it's ripe for situations where children may be in danger at worst or just given inappropriate treatment plans designed to maximize billing.
 
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The Wall Street Journal also covered this a few months ago. The NYT investigation seems to come to the same conclusions.


maybe if we say their name enough times, we can manifest @ClinicalABA for their opinion on the matter.
I have been manifested! I concur wholeheartedly with @futureapppsy2 . I think the following quote from the article sums up the problem:

"Adi Khindaria, the chief executive of Compleat Kidz, said scale is crucial to making the clinics successful and able to help more children. I personally believe in the fact that, you know, profit is like oxygen,” he said. “Without oxygen, you can’t live. But the purpose of living is not breathing oxygen, right? The purpose of living is to do something useful.”

That's a common refrain/twist on the private equity model- bigger profit means we can "do more good for more kids." In my experience, its actually means that we can provide cheaper services to more kids. Remember- increased client census (not better outcomes) is the goal. The next private equity firm that buys the company via a leveraged buyout will pay you more than you paid for the company based largely on increased census and revenue. The don't give a **** about outcomes. They don't really even care about profit, for that matter- these arrogant f**ks think the only thing standing between tight margins and huge profits is their business expertise. Regardless, they will have flipped the company for a profit before the complaint box is even opened. End goal is to not be the last one holding after the bubble bursts, rather than than to retire as the proud owner of really good program that you're proud to pass down to the next generation.

Now next time manifest me for something more pleasant!