Studying ASD without all the ABA?

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PsychNLife

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ASD is one of a number conditions that I might be interested in studying during grad school. However, when looking at current research and potential faculty at schools that I'm looking into... it ALWAYS involves ABA. I know that ABA seems to be semi-effective, but it has a pretty harmful history, and those within the ASD community seem to be almost entirely against it, and from what I've seen (videos of ABA and kids involved with it), it seems not great. Therefore, I really want to study ASD but other interesting parts of ASD that aren't all involved with ABA. For example, ASD x Emotional processing, ASD x Social perceptions, ASD x interpersonal expression... stuff like that.

Is this even possible? I just don't want to be associated with ABA if it's truly as bad as it seems like it could be.
 
I'd suggest looking more thoroughly (and objectively) into ABA. I'm not an ABA practitioner and don't commonly work with kiddos and/or folks with ASD, but I generally know enough to classify ABA and related principles as more than semi-effective. I don't think it's as bad as you're seemingly thinking it is.

However, there are certainly doctoral programs and advisors that don't just (or perhaps at all) focus on ABA in ASD, particularly with respect to research. I would try looking for papers using some of the terms you've referenced above, identify some common authors across those studies, and see if they're accepting students.

Others on the board will no doubt be able to provide a much more informed opinion than my own, though.
 
ASD is one of a number conditions that I might be interested in studying during grad school. However, when looking at current research and potential faculty at schools that I'm looking into... it ALWAYS involves ABA. I know that ABA seems to be semi-effective, but it has a pretty harmful history, and those within the ASD community seem to be almost entirely against it, and from what I've seen (videos of ABA and kids involved with it), it seems not great. Therefore, I really want to study ASD but other interesting parts of ASD that aren't all involved with ABA. For example, ASD x Emotional processing, ASD x Social perceptions, ASD x interpersonal expression... stuff like that.

Is this even possible? I just don't want to be associated with ABA if it's truly as bad as it seems like it could be.
While I encourage you to get more factual knowledge regarding what ABA is/isn't, as well as its benefits and limitations, that's a topic for another thread. I'll say you're bit uninformed/misinformed and leave it at that😉

There is much research into ASD that is non-ABA related (such as the topics you mentioned in your OP). I see a great need for more research into the effectiveness of cbt and psychiatric interventions for non-ASD related conditions as applied to individuals with ASD. Do a literature search and look for patterns of authors/institutions. Then, look up these authors/institutions to get a better sense of what they're up to and where they're doing.
 
We have an internationally recognized autism center that currently has something like 20 million dollars in grant funding and there is not a single ABA person involved. So yes, it is definitely possible.

That said - its reputation is not nearly as bad as you may believe. There are certainly bad actors, but every field has them.
 
One of the best things you can do if you're interested in autism is to work with those who have ASD. You'll get to see how much variability exists.

ABA really isn't that bad. Are you spending a lot of time online? That's kind of like saying that physics is bad.

You might want to see if you can land a Leadership Education in Neurodevelopmental Disorder (LEND) fellowship.
 
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I've done a lot of research and clinical work on ASD, both in and outside of ABA, and I'm going to take the unpopular tack of saying that ABA honestly deserves some of the criticism it gets. ABA is an awesome science, but from a practitioner point of view, the quality control and the understanding of both the science of ABA itself and of autism in the field is... pretty awful. ABA services are mostly delivered by techs with--I kid you not--a 40 hour training and a high school diploma (minimum, but still) who receive the bare minimum of supervision that companies can ethically get away with providing, in order to maximize profits. Through no fault of their own, these techs often have no clue why they are doing what they are doing and just know to implement protocols. BCBAs/BCaBAs are... somewhat better. They have master's degrees (for BCBAs) and bachelor's degrees (for BCaBAs, who receive some supervision from BCBAs) and 1500 of supervised clinical experience, but their caseloads are often insane (again, for reasons of $$$$) and a lot of them still know very little about ASD and a surprising number have a weak conceptual knowledge of ABA. Also, many ABA folks refuse to acknowledge any science outside of ABA and have huge, you-could-drive-a-truck-through-them-size knowledge gaps in areas like cultural competency and child development as a result. There is a lot of truly bad, dangerous/borderline dangerous ABA being practiced out there.
 
The concerns that @futureapppsy2 mentioned are valid (though there is a lot of bad psychotherapy out there, period). There is a lot of work to be done because the alternatives are not great either. Many of the therapies I've seen recommended as alternatives to ABA are not science-based, as feel-good and intuitive as they might sound. And the alternative medicine community has exploited many ASD families.

You don't have to study treatments at all, but if you do, you might look into work with adolescents or young adults who have "aged out" of ABA but still would benefit from other interventions.
 
You've got a rather narrow perspective without going into too much detail. Like most things, ABA can be done well/appropriately or not well and some criticism is certainly deserved- many people use it inflexibly and cookie-cutter-esque though maybe not their own fault exactly. Direct providers make very little money most of the time and often don't have much of a background - my training at the places I worked at varied widely but was never all that great from the actual organization. in my experience most providers were college students from a variety of backgrounds/majors I think that it is important to at least be knowledgeable about the principles (which can be applied more flexibly and in combination with other approaches). But I've been working in ASD for more than a decade and all places I've worked since starting grad school have not been ABA (although as I said, familiarity with teh principles is, in fact, helpful). In my grad program ABA classes were available but not required; about half of my autism-based lab took the classes. There are no ABA people at my current autism clinic.

Look for labs/programs that work more with school-age kids and up. You certainly aren't going to have adolescents and adults doing ABA. Or if you're more set on little kids, there's a lab in Florida that does PCIT with kids on the spectrum (my supervisor is from that program but I can't recall right now which it is). The TEACCH program at UNC is another one to check out. Also consider checking out the meeting archives for research presented at previous INSAR meetings to find things that strike your interested and check out those programs. Meeting Archives - International Society for Autism Research (INSAR) If you do decide to go the ASD route feel free to reach out later if you have any additional/more specific questions.
 
I'm not an autism person but I am a trauma person, so all I can contribute is that the study that found "ABA causes PTSD" is AWFUL. Like, complete garbage. Not sure if you've run into it when reading about criticism of ABA (and I agree that some of it is certainly justified), but just FYI if you have.
 
I'm not an autism person but I am a trauma person, so all I can contribute is that the study that found "ABA causes PTSD" is AWFUL. Like, complete garbage. Not sure if you've run into it when reading about criticism of ABA (and I agree that some of it is certainly justified), but just FYI if you have.

I think we all know by now that monetary compensation causes PTSD. Just ask the 20% of the Minneapolis PD pursuing PTSD disability. 😉
 
ASD is one of a number conditions that I might be interested in studying during grad school. However, when looking at current research and potential faculty at schools that I'm looking into... it ALWAYS involves ABA. I know that ABA seems to be semi-effective, but it has a pretty harmful history, and those within the ASD community seem to be almost entirely against it, and from what I've seen (videos of ABA and kids involved with it), it seems not great. Therefore, I really want to study ASD but other interesting parts of ASD that aren't all involved with ABA. For example, ASD x Emotional processing, ASD x Social perceptions, ASD x interpersonal expression... stuff like that.

Is this even possible? I just don't want to be associated with ABA if it's truly as bad as it seems like it could be.
Look up the great social skills work that Michelle Garcia Winner and Pamela Crooke are doing in the US, and Tony Atwood in Australia. Depending on the age and present deficits of the autistic child there are many methods to help and methods can change as the child progresses.
 
I'm neither an autism- nor peds- specialist, but you might find what you're looking for in pediatric neuropsychology.

The science behind ABA is sound, and I honestly can't imagine identifying as someone who specializes in ASD (even if more on the diagnostic side) without at least acknowledging ABA as one of the (if not 'the') superior interventions for ASD -- I don't even mean that judgmentally, I really just mean that it seems like it would make things professionally challenging. It feels like someone identifying as an anxiety specialist but then dismissing exposure-based interventions, or someone identifying as a depression specialist but then dismissing behavioral activation... I guess this post is showing my bias for behavioral interventions -- I should probably get that analyzed.

If vehemently opposed to ABA but interested in working with children and/or neurodevelopmental disorders, then I'd recommend possibly looking beyond ASD. Alternatively, if open to working with adults with a variety of disabilities (e.g., physical, sensory, cognitive), then I'd look into rehabilitation psychology and/or adult neuropsychology. I second what others have mentioned re: social skills training -- I don't have experience with it, but I've *heard* good things (i.e., I don't know what the literature actually says) about the PEERS intervention program (link).
 
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I'm not an autism person but I am a trauma person, so all I can contribute is that the study that found "ABA causes PTSD" is AWFUL. Like, complete garbage. Not sure if you've run into it when reading about criticism of ABA (and I agree that some of it is certainly justified), but just FYI if you have.
It is such a bad study, and the author is attempting to do an even worse study on autism and suicide (where she asks [autistic] participants to write out the hypothetical suicide note of a suicidal, autistic friend they’ve known, and somehow the for-profit IRB she used classified this as minimal risk).
 
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I'm neither an autism- nor peds- specialist, but you might find what you're looking for in pediatric neuropsychology.

The science behind ABA is sound, and I honestly can't imagine identifying as someone who specializes in ASD (even if more on the diagnostic side) without at least acknowledging ABA as one of the (if not 'the') superior interventions for ASD -- I don't even mean that judgmentally, I really just mean that it seems like it would make things professionally challenging. It feels like someone identifying as an anxiety specialist but then dismissing exposure-based interventions, or someone identifying as a depression specialist but then dismissing behavioral activation... I guess this post is showing my bias for behavioral interventions -- I should probably get that analyzed.

If vehemently opposed to ABA but interested in working with children and/or neurodevelopmental disorders, then I'd recommend possibly looking beyond ASD. Alternatively, if open to working with adults with a variety of disabilities (e.g., physical, sensory, cognitive), then I'd look into rehabilitation psychology and/or adult neuropsychology. I second what others have mentioned re: social skills training -- I don't have experience with it, but I've *heard* good things (i.e., I don't know what the literature actually says) about the PEERS intervention program (link).
A good colleague of mine does work on adults with ASD and doesn’t like or touch ABA in her work. She’s an outlier, but she also just got an R01 to study this (on top of a lot of previous/current external funding), so it’s definitely possible to be a successful ASD researcher without focusing ABA.
 
A good colleague of mine does work on adults with ASD and doesn’t like or touch ABA in her work. She’s an outlier, but she also just got an R01 to study this (on top of a lot of previous/current external funding), so it’s definitely possible to be a successful ASD researcher without focusing ABA.

I don't necessarily disagree that it's possible to succeed as a researcher studying ASD without having to focus heavily (or at all) on ABA -- Like I alluded to, I know a few pediatric neuropsychologists who focus all (or most) of their time on studying neurologic correlates, etc., of ASD, some of whom have large NIH grants to do just that.

I do, however, think that it would be professionally difficult to meaningfully engage with patients with ASD as a clinician without (at least lukewarmly) embracing ABA -- It's probably technically possible, but I think my analogies to exposure for anxiety and BA for depression hold up. Even in the context of neuropsychology, I imagine that it would be important (or at least helpful) to make actionable recommendations which can be implemented or addressed by a BCBA. I'm sure @ClinicalABA can speak more to this point though.
 
Therefore, I really want to study ASD but other interesting parts of ASD that aren't all involved with ABA. For example, ASD x Emotional processing, ASD x Social perceptions, ASD x interpersonal expression... stuff like that.

agreed with the others that at least understanding ABA is necessary for ASD, but there are certainly people who do the above topics. I was a study therapist for an emotion regulation intervention for ASD based off Atwood's work, for example, and it was basically ASD-adapted CBT. Keep in mind, though, that these sorts of interventions are generally designed for people on the higher functioning end of ASD and so end up not being applicable for many people who need treatment. In terms of programs/researchers, my research is not on autism (so caveat emptor) but based on where colleagues who do autism work have gone, possible programs would be UAB, Emory, University of Pittsburgh, UNC, Duke, Virginia Tech, maybe Penn.
 
I don't necessarily disagree that it's possible to succeed as a researcher studying ASD without having to focus heavily (or at all) on ABA -- Like I alluded to, I know a few pediatric neuropsychologists who focus all (or most) of their time on studying neurologic correlates, etc., of ASD, some of whom have large NIH grants to do just that.

I do, however, think that it would be professionally difficult to meaningfully engage with patients with ASD as a clinician without (at least lukewarmly) embracing ABA -- It's probably technically possible, but I think my analogies to exposure for anxiety and BA for depression hold up. Even in the context of neuropsychology, I imagine that it would be important (or at least helpful) to make actionable recommendations which can be implemented or addressed by a BCBA. I'm sure @ClinicalABA can speak more to this point though.
As someone who generally likes and supports ABA as an intervention for ASD and has (pretty extensive) training in it, I don't think ABA is at the level of CBT/BA for depression in terms of ASD treatment yet. Does it work well to teach skills and modify behaviors, especially in the short-term? Yes, we have clear, good data on that. Is it often implemented very poorly in ways that don't align with the science? So, so much (though as @MamaPhD points out, this is hardly unique to ABA, though I think the use of techs and industry built up around ABA makes it a bit worse). Do we have data on the longer term effects of early, intensive behavioral intervention (EIBI)? Eh, sort of... there's been some intriguing studies of longitudinal maintenance in functional gains, but there's also been a really dearth of anyone even trying to investigate potential longitudinal negative outcomes of any ABA interventions (can't find it or rule it out if you don't measure it--that terrible PTSD study doesn't count), even as we have emerging research that suggests masking of autistic traits (a key part of a lot of EIBI, at least historically) may have serious negative psychological sequalae (depression, anxiety, suicidality). We also have a whole lot of things that get lumped under "ABA" that sometimes aren't adherent to the science at all, and again, a really massive lack of quality control to weed this out because no one at the administrative level really cares as long as the billing goes through and if people do care, they often get burnt out quickly and leave the field. Would I recommend ABA to the family of a child with ASD? Yes, but with more reservations than I would have prior to seeing how practice often works in the field.

Also, the person I mentioned does clinical research, though focusing on adults does allow her to sidestep the ABA issue.
 
..., I imagine that it would be important (or at least helpful) to make actionable recommendations which can be implemented or addressed by a BCBA. I'm sure @ClinicalABA can speak more to this point though.

I appreciate the call-out, but- despite my username- don't want to set myself up as an expert on the topic. However, i do have a bit of experience with this stuff 😉

In my work diagnosing toddlers with ASD, I think you'd be remiss to not recommend ABA (It's basically the only game in town as far as specialty early intervention/birth-to-three services go, with the exception of some questionable "floor-time" programs in my area). I do think if you are going to recommend it, you should have a rudimentary sense of what it is/ is not. If you are going to work in the clinical service delivery field with young children with ASD, you really can't avoid ABA. Whether you support it, are against it, or somewhere in-between, you should be reasonably informed of what you speak. See @futureapppsy2 post for some, imho, well informed and largely accurate criticisms of ABA (though some of her criticisms may be a bit geographically biased).

As to the OP- I'm an example of someone who currently works almost exclusively in ASD, but does not currently provide any ABA services to clients. Within my department of psychologists, about half of us are BCBA certified, but the others aren't. I did not take any graduate level ABA courses when doing my clinical Ph.D. (though I did take some great experimental analysis of behavior courses that informed my psych practice, including a great one on fear conditioning and anxiety). There is actually a strong trend for stand alone ABA departments, separate from psychology. It's a distinct field with it's own credentialling and licensure, so unless you go looking for it, it's likely that your psychology graduate training may not involve any formal study of ABA.

As far as studying ASD in graduate school, you may find that a lot of the research in done outside of clinical/counseling programs. It comes from labs in development, education, psychiatric, and even public health (though with a lot of the scientifically sound treatment research coming from ABA programs). There really is a great need for greater understanding of therapeutic techniques and outcomes with older children and adults with an ASD diagnosis. I like thing's simple and straightforward, so I stick with the largely non-verbal little kiddos, where the focus i largely on teaching foundational attention and communication skills (for which ABA can work extremely well, if done correctly). It's a little tougher to find clinicians for older kiddos with ASD who display the full range of adjustment problems and "axis 1" stuff as non-ASD clients. While I don't do that kind of work, i would think that understanding the difference between, say, repetitive behaviors that are positively reinforced by sensory feedback vs. those that are negatively reinforced by escape from unpleasant thoughts would be crucial for those doing CBT for anxiety.

Long story short, there's lots of opportunities (and need) for non-ABA study of ASD treament related topics. In may, in fact, be the mode approach outside of pure ABA programs. If you want to expand outside of therapy/applied stuff, there's even more exciting and necessary research being done/to be done. Stuff on gender and cultural differences, life span stuff (HUGE cohort effects and early identification and therapy become increasingly prevalent), romantic and sexual relationships, workplace related stuff. sub-clinical presentations in siblings, etc., etc., etc. As others (and maybe even I) have mentioned earlier, do some lit searches and I'm sure you'll discover lots of interesting stuff. Do, however, be cautious with assumptions and blanket statements about an entire field about which you may not have a lot of accurate information. It's certainly ok to say you that you're not interested in ABA (most people aren't, and it can be pretty dry stuff at least academically), it's less ok to propagate uninformed myths or present opinions as facts. Good luck in your endeavors, OP!
 
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Look up the great social skills work that Michelle Garcia Winner and Pamela Crooke are doing in the US,...

I encourage you to look at the research basis for their Social Thinking materials. Last I checked (admittedly a 3 or so years ago), there was around one published "peer reviewed" study. The main/only statistic analysis was a Wilcoxon Matched Pairs. I have used the article as an example of poor experimental control. Winner's stated position regarding research evidence is along the lines of "we can't let the need for research get in the way of using effective programs." What's missing is a clear description of how you determine what is an "effective program" in the absence of controlled research. Anecdotally, I've worked with many children who went through that curriculum and were actually really good at "social thinking"- the could verbally describe concepts like the taking the perspective of others, conflict resolution strategies, joining in with others, etc. However, they were still really bad at "social doing."


Don't take my word on it: Social Thinking®: Science, Pseudoscience, or Antiscience?
 
Anecdotally, I've worked with many children who went through that curriculum and were actually really good at "social thinking"- the could verbally describe concepts like the taking the perspective of others, conflict resolution strategies, joining in with others, etc. However, they were still really bad at "social doing."

That's been my experience with it as well. The kids know what to do, but have trouble putting the rubber to the road.
 
I encourage you to look at the research basis for their Social Thinking materials. Last I checked (admittedly a 3 or so years ago), there was around one published "peer reviewed" study. The main/only statistic analysis was a Wilcoxon Matched Pairs. I have used the article as an example of poor experimental control. Winner's stated position regarding research evidence is along the lines of "we can't let the need for research get in the way of using effective programs." What's missing is a clear description of how you determine what is an "effective program" in the absence of controlled research. Anecdotally, I've worked with many children who went through that curriculum and were actually really good at "social thinking"- the could verbally describe concepts like the taking the perspective of others, conflict resolution strategies, joining in with others, etc. However, they were still really bad at "social doing."


Don't take my word on it: Social Thinking®: Science, Pseudoscience, or Antiscience?
Social Thinking and its pretty much non-existent evidence base bothers me so much.
 
Anecdotally, I've worked with many children who went through that curriculum and were actually really good at "social thinking"- the could verbally describe concepts like the taking the perspective of others, conflict resolution strategies, joining in with others, etc. However, they were still really bad at "social doing."


Don't take my word on it: Social Thinking®: Science, Pseudoscience, or Antiscience?
I've seen the same - but in the past few years we have been doing a group / parent coaching program that pairs Social Thinking with Zones of Regulation and some other strategies to accommodate ASD-esque learning styles, and I think the key component for us has been the parent involvement - each group has some time for didactics and problem-solving for parents and the rest of the time they are engaged in the group with the kids so that they have the same language and understanding of use of supports and strategies to support the doing at home / in community, with little homework assignments each week. The kids who have really engaged parents we have seen get notably better at the "doing." And at recognizing when others aren't following the "group plan..." One of my favorite moments was one kid yelling at another kid "YOU HAVE TO STOP! That is UNEXPECTED behavior because you are NOT following the group plan and it is making me have uncomfortable thoughts about you!" and the other kid immediately stopped running around the room and went to do some emotion regulation which was pretty awesome- and also pretty amusing - kid #1 was probably saying verbatim what he had heard others say to him, but hey, it worked - for those two, anyway. I both like the curriculum- I think parents find it pretty approachable at least in the way we've tried it- and definitely think there needs to be research on it and what components are and aren't helpful.
 
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I encourage you to look at the research basis for their Social Thinking materials. Last I checked (admittedly a 3 or so years ago), there was around one published "peer reviewed" study. The main/only statistic analysis was a Wilcoxon Matched Pairs. I have used the article as an example of poor experimental control. Winner's stated position regarding research evidence is along the lines of "we can't let the need for research get in the way of using effective programs." What's missing is a clear description of how you determine what is an "effective program" in the absence of controlled research. Anecdotally, I've worked with many children who went through that curriculum and were actually really good at "social thinking"- the could verbally describe concepts like the taking the perspective of others, conflict resolution strategies, joining in with others, etc. However, they were still really bad at "social doing."


Don't take my word on it: Social Thinking®: Science, Pseudoscience, or Antiscience?
I was just giving an example of something non-ABA.
I was reluctant to post on an autism topic. I have read the social thinking stuff and taken & used bits from it but definitely not the whole magilla.
@ClinicalABA yes those mad memorization skills are often used in unexpected ways 🙁

I agree with what @singasongofjoy wrote that the emphasis on categorizing one's responses could definitely backfire!
 
...needs to be research on it and what components are and aren't helpful.
I think this is key. There's so much to the curriculum with all the books, strategies, etc., and, as with your experience, it is often combined with a lot of stuff. A good component analysis could provide a lot useful information. What if you'd get the same outcomes just by doing two groups and covering page 3-15 in the first book? Is it justifiable/ethical to do all the other stuff too? No doubt some kids who go through the program make progress (though anecdotes and a bunch of A-B studies/observations aren't evidence). It is still to be determined why they make that progress.

I really think that anyone who gives credence to empiricism should be at least a little put-off by Winners position on research, as well as many of the trappings of pseudoscience that surround the program.
 
Not at all. Emotions and stakes are always high on this topic.
As someone with research/professional involvement in both ABA and autism acceptance/disability justice, yes! It’s often nigh impossible to have a conversation with either side, because so many people on both sides are 100% convinced that a) ABA is pure abusive torture or b) ABA is faultless and the one true way to respond to autism. And then the ad hominem attacks from both sides are... something.
 
I think this is key. There's so much to the curriculum with all the books, strategies, etc., and, as with your experience, it is often combined with a lot of stuff. A good component analysis could provide a lot useful information. What if you'd get the same outcomes just by doing two groups and covering page 3-15 in the first book? Is it justifiable/ethical to do all the other stuff too? No doubt some kids who go through the program make progress (though anecdotes and a bunch of A-B studies/observations aren't evidence). It is still to be determined why they make that progress.

I really think that anyone who gives credence to empiricism should be at least a little put-off by Winners position on research, as well as many of the trappings of pseudoscience that surround the program.
Yeah, I do find her approach to research very off-putting. I wasn't aware of that. Ouch.
 
I've done a lot of research and clinical work on ASD, both in and outside of ABA, and I'm going to take the unpopular tack of saying that ABA honestly deserves some of the criticism it gets. ABA is an awesome science, but from a practitioner point of view, the quality control and the understanding of both the science of ABA itself and of autism in the field is... pretty awful. ABA services are mostly delivered by techs with--I kid you not--a 40 hour training and a high school diploma (minimum, but still) who receive the bare minimum of supervision that companies can ethically get away with providing, in order to maximize profits. Through no fault of their own, these techs often have no clue why they are doing what they are doing and just know to implement protocols. BCBAs/BCaBAs are... somewhat better. They have master's degrees (for BCBAs) and bachelor's degrees (for BCaBAs, who receive some supervision from BCBAs) and 1500 of supervised clinical experience, but their caseloads are often insane (again, for reasons of $$$$) and a lot of them still know very little about ASD and a surprising number have a weak conceptual knowledge of ABA. Also, many ABA folks refuse to acknowledge any science outside of ABA and have huge, you-could-drive-a-truck-through-them-size knowledge gaps in areas like cultural competency and child development as a result. There is a lot of truly bad, dangerous/borderline dangerous ABA being practiced out there.
I'm currently at a residential center for kids/adolescents/young adults. with ASD. We have behavior therapists some of them were education majors and then they went for their masters to be an ABA. I feel like the quality of care the ABAs provide is quite bad. We have an invidivual here who claims he hears voices and sees things. The ABAs told us it was "just his personality" when in reality he has a diagnosis of schizophrenia. I could go on and on about how bad the care is.
 
I'm currently at a residential center for kids/adolescents/young adults. with ASD. We have behavior therapists some of them were education majors and then they went for their masters to be an ABA. I feel like the quality of care the ABAs provide is quite bad. We have an invidivual here who claims he hears voices and sees things. The ABAs told us it was "just his personality" when in reality he has a diagnosis of schizophrenia. I could go on and on about how bad the care is.
If clients are not getting necessary treatment and clinicians are practicing either outside their scope of practice or without adequate supervision, you are likely obligated by your state's mandated reporting laws to report this to the appropriate oversight agency ( or at least insure that it is reported by somebody else). There is most likely a confidential reporting hotline. You coukdvface legal consequences for not reporting suspected neglect or abuse. I'm not sure what an "ABA" is in your program, but if they are BCBAs and are practicing outside of the scope of their training without appropriate supervision, then they are in direct violation of the board enforceable Ethical Guidelines of the Behavior Analyst Certification Board, and their behavior should be reported (see BACB.com for guidelines in how to report). If they are on-board certified/licenced and are independently making such treatment decisions, then there's the added issue of them practicing without a license. In short, this goes beyond just being an example of "ABA is bad," but into the realm of possible illegal and reportable unethical behavior, of which you likely have a LEGAL OBLIGATION to report to an appropriate oversight agency. I'm sorry you are in this situation and wish you luck in addressing this issue. Please PM if you have questions.
 
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