Michigan Association of CMH Boards 2014 Annual Spring Conference

Transcription

1 Michigan Association of CMH Boards 2014 Annual Spring Conference Mindy Newhouse, MA, BCBA Becky Wiskirchen, MA, BCBA Treasure Rousselo, MBA, PMP Jessica Frieder, PhD, BCBA-D

2 Goals Participants will be able to: Identify important skills that need to be taught to behavior aides working in an early intervention clinic. Explain how Advanced Training Solutions online learning modules can be used in the initial training of those skills Explain how the Model-Lead-Test method can be used in both the initial training and on-going training and supervision of behavior aides. Explain the importance of ongoing training and supervision.

3 Outline Importance of initial and on-going training Skills to teach Initial training process Advanced Training Solutions on-line modules Model-Lead-Test in-situ training Linking the two together On-going training process

4 Importance of Training: Michigan Department of Community Health (MDCH) MSA Bulletin Section VII. Provider Qualifications

5 ABA services are provided to increase developmentally appropriate skills to facilitate a child s independence. These services must be provided directly to, or on behalf of, the child by training their parents/caregivers, ABA Aides, and/or a Board Certified Assistant Behavior Analyst (BCaBA) to deliver the ABA services. The ABA services must be provided under the supervision of a BCBA, other appropriately qualified licensed or limited licensed psychologist (LP, LLP), or master s prepared CMHP working within their scope of practice. MSA bulletin issued March 1, 2013, effective April 1, 2013

6 The ABA Aide must: be at least 18 years of age, be able to prevent transmission of communicable disease, be able to communicate expressively and receptively, be able to report on activities performed, be in good standing with the law, be able to perform basic first aid procedures, and be trained in the child s plan of service. The ABA Aide must receive training in the principles of behavior, behavioral measurement and data collection, function of behaviors, basic concepts of ABA, generalization and its importance in sustainability of learned/acquired skills and medical conditions/illness that impact behaviors. The ABA Aide must work under the supervision of a BCBA, LP, LLP, or CMHP overseeing the ABA plan. MSA bulletin issued March 1, 2013, effective April 1, 2013

7 Importance of Training Behavior Analyst Certification Board (BACB ) standards ( BCBA, BCaBA, RBT certifications Fourth Edition Task List Basic Behavior Analytic Skills (70) Client Centered Responsibilities (45) Foundational Knowledge (48)

8 Importance of Training Medical and other insurance company requirements for supervision of behavior aides Professionalism Typical job responsibilities Treatment results Customer satisfaction

9 What Skills Need to Be Taught What does a behavior aide do? In Session Discrete trial training (DTT) Prompting hierarchies Reinforcement

10 Discrete Trial Training

11 What Skills Need to Be Taught What does a behavior aide do? In Session Discrete trial training (DTT) Prompting hierarchies Reinforcement Natural environment training (NET) Contriving opportunities Generalization of skills

12 Natural Environment Training

13 What Skills Need to Be Taught What does a behavior aide do? In Session Discrete trial training (DTT) Prompting hierarchies Reinforcement Natural environment training (NET) Contriving opportunities Generalization of skills Behavior reduction tactics Replacement behavior Functional communication Data collection Methods of measurement

14 What Skills Need to Be Taught What does a behavior aide do? Post-Session Graph and evaluate data Write reports Communication with parents and other clinicians Assist in developing new programs

15 Initial Training Process 1. Recipient rights and other typical agency trainings 2. Advanced Training Solutions on-line modules 3. Model-Lead-Test in-situ training

16 Who we are Behavior Analysts Educators Producers Content Editors Cinematographers Production Team Marketing Team Research Team Advisory Board Software Developers CONFIDENTIAL AND PROPRIETARY 16

17 CONFIDENTIAL AND PROPRIETARY 17

18 Training Content We didn t create a new autism treatment, just a better method to train staff in established autism interventions. Our trainings are based on Empirical research National Standards Project/National Professional Development Center Cooper Book Applied Behavior Analysis, 2 nd Edition B.F. Skinner Ivar Lovaas Vincent Carbone Mark Sundberg Jack Michael CONFIDENTIAL AND PROPRIETARY 18

19 Curriculum Behavior Management Series Principles of Behavior Instructional Control Antecedent Interventions Consequence Interventions Introduction to Verbal Behavior Recording and Analyzing Behavior Teaching Procedures Teaching New Behavior Discrete Trial Training Teaching Requests/ Mand Training Naturalistic Teaching Strategies Intensive Trial Teaching Teaching Receptive Language Teaching Imitation Teaching Vocal Imitation CONFIDENTIAL AND PROPRIETARY 19

20 Curriculum Professionalism Clients Rights Assessment and Progress Evaluation Functional Behavioral Assessment Autism Spectrum Disorders Autism Spectrum Disorders Ethics VB-MAPP Asperger s Syndrome Graphing and Progress Evaluation CONFIDENTIAL AND PROPRIETARY 20

21 Blended Approach 1) Didactic Instruction Written Verbal Face-to-Face Online 4) In-Vivo Coaching Feedback 2) Demonstration Modeling Video Modeling 3) Hands-on Training Role Play Feedback (Reid & Parsons, 2002; Kadzin, 2001) CONFIDENTIAL AND PROPRIETARY 21

22 5 step e-training Solution Pre Test Video Competency Checks Post Test Self-Checklist CONFIDENTIAL AND PROPRIETARY 22

23 Solution: ATS Online Training and Supervision Supervisor dashboard allows tracking of all staff training progress as well as areas of struggle that may need to be supported CONFIDENTIAL AND PROPRIETARY 23

24 On Demand Training Training can be done at a variable pace as needed to minimize impact of training time CONFIDENTIAL AND PROPRIETARY 24

25 Combat Turnover ATS online training helped combat the negative effects of employee turnover in three different ways Screens New Hires Before embarking on a lengthy hiring/training process, you can test potential hires through our online competencies. Self-Paced, Interactive, Video-based The training is engaging. Many staff report that they don t feel like they are training. Free Replacement Seats If an employee quits or is terminated before the majority of training is complete, the seat will be transferred free of charge. CONFIDENTIAL AND PROPRIETARY 25

26 Try it Free! For a FREE full access free trial contact: Treasure@AdvancedTrainingSolutions.com Treasure Rousselo Director of Business Development Advanced Training Solutions (810) CONFIDENTIAL AND PROPRIETARY 26

27 Step 3 of Initial Training Process: Model-Lead-Test On-the-job training Trainees: MODEL: Observe another behavior aide conduct a session Probe questions reviewing ATS material

28 Training Checklist: Week One (MODEL)

29 Step 3 of Initial Training Process: Model-Lead-Test On-the-job training Trainees: MODEL: Observe another behavior aide conduct a session Probe questions reviewing ATS material LEAD: Conduct a session with coaching Guidance and feedback provided throughout

30 Training Checklist: Week Two (LEAD)

31 Step 3 of Initial Training Process: Model-Lead-Test On-the-job training Trainees: MODEL: Observe another behavior aide conduct a session Probe questions reviewing ATS material LEAD: Conduct a session with coaching Guidance and feedback provided throughout TEST: Conduct a session independently Supervisor provides feedback after

32 Training Checklist: Week Three (TEST)

33 Model-Lead-Test Teaching specific skills Trainees: MODEL: Observe someone else use skill Probe questions reviewing ATS material LEAD: Practice skill with coaching Guidance and feedback provided throughout TEST: Practice skill independently Supervisor provides feedback after

34 Model-Lead-Test Example Teaching a behavior aide to conduct echoic training MODEL: Probe questions reviewing ATS material Supervisor conducts echoic training with customer Trainee observes

35 Model-Lead-Test Example Teaching a behavior aide to conduct echoic training LEAD: Supervisor reviews echoic training steps with trainee Trainee conducts procedure Supervisor observes and provides guidance and feedback

36 Model-Lead-Test Example Teaching a behavior aide to conduct echoic training TEST: Trainee conducts procedure Supervisor provides feedback after

37 Feedback Suggestions Structured Supervisor should take real time data on behavior aide s behavior Based on targeted skills Treatment integrity forms Task analyses of skills

38 Sample Feedback Sheet

39 On-Going Training Embedded into supervision Evaluate: Fidelity of skill acquisition program implementation Fidelity of behavior intervention plan implementation Data collection and analysis skills Inter-observer agreement

40 Integrity Form for Implementation of Programs

41 On-Going Training Embedded into supervision Evaluate: Relevant background knowledge Obtained from ATS Supervisee s development of programs Provide opportunities to create programs and task analyses of skills being used Oral and written communication Create opportunities (progress reports, parent training, case reviews, chart shares)

42 Ongoing Training: Team Meetings Structure team meetings to create learning opportunities Public Reinforcement Case reviews Chart shares Troubleshooting Task Analyses Mini-trainings Ethics discussions Article reviews

43 Percent Correct Tracking Behavior Aide Progress 100 Client: Aide: Suzie Mr. E Q Program: Skill: Data Labeling Collection Common Accuracy Objects Session

44 How to Track Progress Training Checklist ATS Certificates Fidelity Checks Competencies Contracts can include competencies that could be tracked and monitored These could also be compiled into a portfolio for behavior aides to keep for personal records and future job promotions

45 Putting it all together Strategy: Identify what skills or competencies your behavior aides need to know Technology: Use most effective and efficient methods to teach those skills Set up system to monitor acquisition and mastery of skills People: Provide ongoing learning opportunities

46 Questions? Thank you for your time and attention! Mindy Newhouse Becky Wiskirchen Treasure Rousselo