Jada

Case example: Jada is an elementary school student. She experiences Level 3 Autism Spectrum Disorder (ASD). Level 3 is the severity level of Autism which is characterized by “requiring very substantial support.” Jada has also been diagnosed with a severe Intellectual Disability (ID). Jada has just transferred to a private school for individuals with global needs. She loves all kinds of play and messy activities, such as finger paint and water play. She also enjoys swinging on the playground, eating popcorn, and watching Disney movies. She loves to be read to, and laughs when staff make dramatic gestures while reading picture books. Jada does not use any vocal speech. She makes noises sometimes, such as humming. Jada engages in motor stimming, including upper body tensing and flapping her arms. Jada engages in severe challenging behavior, including self injury (hand to head and head to surface) and aggression (including hitting and biting). Jada has a mom, dad, and older brother living together in one home. Jada’s family has advocated for her to attend a private program, and they are excited for her to get high quality services. Jada’s new behavior analyst is Dr. Brown-Davis, who is a BCBA-D employed by the private program.

Example of Item I-2: Dr. Brown-Davis creates fidelity checklists for each one of Jada’s programs. The facility where Jada attends school also has clear policies regarding universal expectations, such as working hours, dress code, areas of the building available to students, etc. All programming and expectations are reviewed with staff so that they can ask questions.

Donovan

Case example: Donovan is a high school student. He has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD). He attends a public school and has been placed in a support program for students with social/emotional/behavioral needs. Donovan enjoys playing video games and drawing in his sketchbook. He would like to be a welder when he is an adult. Academic achievement and attendance have been challenges for Donovan historically, and he is currently not on track to graduate with his peers due to missed work and failing grades in several classes. Donovan’s team has identified challenges including frequent non-attendance to school, walking the halls during class times, non-attendance at expected guidance appointments, and non-completion of classwork. Donovan lives with his mother and older brother. Donovan’s mother is concerned about her son’s school challenges and expresses frustration about his “lack of commitment” to his education. She wants Donovan to understand how important it is to graduate from high school. Donovan’s behavior analyst is Ms. Bailey, who has just started contracting with Donovan’s school district through the agency she works for.

Example of Item I-2: Ms. Bailey sets clear expectations for her new clinical supervisee, Mandy. These expectations include attendance at supervision meetings, completion of assigned readings and self-assessments, and timely completion of delegated tasks. Mandy is also expected to engage in some consultation with school staff (including Donovan’s team), but only after demonstrating competency herself through explicit instruction with Ms. Bailey. Ms. Bailey, working with her agency, clearly communicates expectations with Mandy regarding professional, legal, and ethical boundaries. For example, Mandy is proactively told that she must never offer any advice about a student, or agree to observe the student or look at their records, unless that student has been onboarded as an ABA client.