Frequently Asked Questions

Questions about ABA

What is ABA Therapy?

Applied Behavior Analysis (ABA) is the science of behavior.  ABA therapy incorporates evidence based processes to teach skills, reduce challenging behavior, and make a meaningful change in individuals’  lives.  ABA therapy can be done with individuals of any age and in a variety of settings, including school, home, and in the community.

How does ABA Therapy work?

ABA therapy works by adapting to each individuals’ unique needs.  ABA therapy uses assessments to determine client’s skills and needs and designs specific programs used to teach these skills.  ABA therapy uses processes such as reinforcement, schedules, and continued assessments to teach skills including communication, social skills, self-help, and life skills, along with behavior reduction of challenging behaviors.  ABA therapy also involves consistent data collection so decisions can be data based and can reflect the progress of the client. 

Where to get ABA Therapy? 

ABA therapy can be offered through private agencies and through school based services.  ABA therapy should always involve a Board Certified Behavior Analyst (BCBA) as a supervisor and a behavior therapist to implement the programming.  If you are interested in finding out more about how to receive ABA therapy from Graham Behavior Services, please contact us here.

Can ABA Therapy be done virtually?

ABA therapy can be done online virtually via video conference software.  When providing ABA therapy telehealth, BCBAs and therapists should connect remotely via a video and audio connection.  The virtual services may incorporate materials the client has at their home or materials that are presented on the screen through a screen share from the therapist.  The virtual services should match the quality of the in person services, and may have the parents be present through the session to assist with prompting when needed.  Graham Behavior Services has been successfully implementing ABA therapy virtually in this way.

What about when ABA Therapy doesn’t work?

ABA therapy can help with a variety of skills and diagnoses.  Improvements should always be seen while using ABA therapy, however, the amount of time it takes for skill development will vary.  Challenges or lack of progress may occur when ABA therapy is not implemented correctly or if there are other medical issues affecting behavior.  It’s always recommended to visit your pediatrician to rule out additional medical complications.  Also, if you do not feel ABA therapy has been helpful for you or your child, reach out to the supervising BCBA to talk about the programs and protocols.  Make sure you and your child’s needs are known and if you do not feel they are being addressed, consider talking to a supervisor.

Who needs ABA Therapy?

Many individuals can benefit from ABA services, including individuals with autism, special needs, and behavior challenges, or for anyone who has a behavior they want to learn to change.  Graham Behavior Services offers help for parents through our Purposeful Parenting program and sleep consultation through our sleeping skills instructions.  Both of these services are available in person or can be accessed through online instruction here and here.  These can be implemented with individuals of typical development or with individuals with special needs.  ABA therapy can be helpful for individuals of any age from birth through adulthood. 

Why does ABA Therapy work?

ABA therapy works by meeting the needs of individual clients and assessing each individual personally.  Evidence based treatments are used to provide effective intervention plans and skill acquisition programs.

How can I treat problem behavior without medication?

Within the field of Behavior Analysis, we make every attempt to treat challenging behaviors without medication.  We believe that it’s best to approach problem behavior without medication because there is no medication at this time that treats the actual problem behavior.  Medication most often dulls all of the client’s emotions and behaviors.  If challenging behaviors are treated with ABA therapy, the actual behaviors are treated and reduced, allowing a client to avoid the need for medication.

Where does therapy occur? What skills are taught?

Most often ABA therapy is conducted in the home, school, and community setting. We work on a variety of skills including: academic, leisure/play skills, self care, communication, job skills, social skills, feeding, imitation, desensitization, tolerance training, toileting, sleeping, self management, and to decreasing challenging behaviors. All goals for your child are based on assessments conducted by a Board Certified Behavior Analyst (BCBA) and then individualized programs are written based on scientific research. We then track your child’s progress by taking data. It may sound scary, however this is how we can make programming decisions and to ensure your child is making progress. 

When working on these skills we might teach them through play; other times we might need to sit at a table, or go out into the community. Sometimes it might look different from traditional teaching, however learning is always occuring! Depending on the skills we are working on, we might need to start out in one environment before generalizing to other environments. 

What ages do you service?

We provide ABA therapy for children as well as adults. We work with your child from diagnosis, which could be as young as 12 months, through adulthood. When children are younger more intensive therapy is needed. Research shows that children who receive early and intensive behavioral intervention prior to age 5 make the most gains. Research shows that ABA can change the pattern of the brain. However, ABA therapy is also very effective for individuals over the age of 5. Once therapy is started, consistency is key. This is similar to other therapies people may need. For example, physical therapy after an accident won’t work if it occurs only one time, or for a short duration.

Who’s involved in ABA therapy?

We work together as a team here at Graham to help your child meet their goals. There is a Board Certified Behavior Analyst (BCBA) who writes the programs for your child and trains the therapist on the team to implement those programs. The BCBA also collaborates with other professionals your child works with, such as occupational therapists, speech language pathologists, physical therapists, teachers, child study teams, etc. The therapists and BCBA will work closely with your child. They will work with your child at least twice a week in most cases, if not more often. The BCBA also works with you, the parent and/or family, to coach you through how to teach your child new skills or decrease problem behavior.  This helps maximize the amount of therapy your child receives, resulting in faster acquisition. Your BCBA is there to help you with any concerns you have about your child.

Questions about Graham Behavior Services

What are our employee’s qualifications? Do we perform background checks?

Graham Behavior Services employs the highest quality Board Certified Behavior Analysts and behavior therapists.  We verify each professionals’ experience prior to hiring and complete background checks on each employee. 

What services do we offer?

We offer ABA therapy services in home, school, and community settings for individuals from diagnosis age through adulthood.  There is no age limit to our services, and while we typically work with individuals with autism and special needs, we can work with various diagnoses and challenging behaviors.  We work with insurance and school funders and work together with Medicaid through their DDD program.  Graham Behavior Services offers sleep consultation and parent training programs.  Both of these services are available in person or can be accessed through online instruction here and here.  We also provide advocacy services to assist with school placements, IEP meetings, and school services.  Additionally, we offer online training options for professionals and families, and continuing education trainings both live and recorded for professionals.

Who should I contact if I’m interested in services?

You can contact us by filling out our contact us form here.  We will return your inquiry within 48 hours of receiving your information.

What makes you better than other providers?

Graham Behavior Services provides the highest level of ABA therapy by hiring quality Board Certified Behavior Analysts (BCBA) and behavior therapists.  We also have an additional level of supervision by providing BCBA Clinical Supervisors, who provide supervision and support to field BCBAs.  In addition, the Clinical Director and Executive Director are both BCBAs and provide support to our families along with our Clinical Supervisors, field BCBAs, and behavior therapists.  The strong team atmosphere and continued training allows all of our professional staff to reach their full potential and provide the best possible service to our clients and families.

How is my family supported during ABA services?

ABA therapy focuses heavily on providing support, training, and assistance to the family while working with the individual receiving services.  The Board Certified Behavior Analyst (BCBA) will provide parent training and will be available to meet with you weekly to review progress.  We also take into consideration which goals are important to you and your family to make sure these goals are assessed and targeted for development.  To learn more about family involvement at Graham Behavior Services, see our information here.

What areas do you service?

We service throughout the state of New Jersey,  Currently we provide services in Monmouth, Middlesex, Ocean, Burlington, Mercer, Morris, Hunderton, Union, and Somerset counties, however, we are always open to working in additional areas.

Who provides the ABA Therapy?

According to the BACB®:

The Board Certified Behavior Analyst® (BCBA®) is a graduate-level certification in behavior analysis. Professionals who are certified at the BCBA level are independent practitioners who provide behavior-analytic services. In addition, BCBAs supervise the work of Board Certified Assistant Behavior Analysts, Registered Behavior Technicians, and others who implement behavior-analytic interventions.

The Board Certified Assistant Behavior Analyst® (BCaBA®) is an undergraduate-level certification in behavior analysis. Professionals who are certified at the BCaBA level may not practice independently, but must be supervised by someone certified at the BCBA/BCBA-D level. In addition, BCaBAs can supervise the work of Registered Behavior Technicians, and others who implement behavior-analytic interventions.

The Registered Behavior TechnicianTM (RBT®) is a paraprofessional who practices under the close, ongoing supervision of a BCBA, BCaBA, or FL-CBA. The RBT is primarily responsible for the direct implementation of behavior-analytic services. The RBT does not design intervention or assessment plans. It is the responsibility of the RBT supervisor to determine which tasks an RBT may perform as a function of his or her training, experience, and competence. The BACB certificant supervising the RBT is responsible for the work performed by the RBT on the cases they are overseeing.

At Graham Behavior Services “others who implement behavior-analytic interventions” (behavior therapists) have a minimum of a bachelors degree and 1 year experience providing ABA services in home or school settings.  Most of our behavior therapists are certified teachers, social workers, or graduate students completing masters degree programs in behavior analysis.

For more information go to Behavior Analyst Certification Board® (BACB®) 

Questions about Insurance and other Payers

Does insurance cover ABA Therapy?

There are many insurances that cover ABA therapy, however, it will be dependent on your specific insurance plan.  We can contact your insurance company for you to get details on your coverage.  If you’re interested in learning more, please contact us here.

Do you accept Medicaid?

Graham Behavior Services in an approved DDD provider and we are able to provide Community Based Supports.  There are also additional ways in which we can work together with Medicaid.  Please contact us for additional information.

Are you in-network with my insurance?

We are an out of network provider, however, there are many options for us to work with your insurance.  If you’re interested in finding out more, please contact us here.

How much does autism therapy cost? Why is it so expensive?

This depends on a few factors, including, the insurance plan you have and the amount of services you receive. Due to these differences, it will be different for each person. ABA therapy can be very costly for families since most clients require many hours of service.  Research shows that most individuals with autism need 25-40 hours of therapy each week. Luckily, under the 2009 New Jersey Autism and Other Developmental Disabilities insurance mandate, individual and small employer health benefits carriers are required to cover ABA for the treatment of autism. Most families will still have some responsibility for the cost of services, including their deductible, co-pay, or co-insurance.  At Graham Behavior Services we help you understand your insurance benefit and exactly what the cost for services will be for your family before we start services. If you have any questions about your benefits or insurance, please complete the contact us form and someone will reach out to you within one business day.

Can you work with my school district to provide services?

Graham Behavior Services works with many school districts, and there is a possibility that we could work with your school district as well.  Here is more information about the school services we are able to provide.  You could contact your school district and request to work with Graham Behavior Services, or you can contact us directly and we can work together to approach your school.