Services

ABA, LLC was formed in 2007 to provide the highest quality of behavior supports and related services in the State of Kentucky. Since that time, we have served many individuals including:

  • Over 1800 individuals through the SCL waiver, Michelle P Waiver, ABI Waiver, EPSDT, School District Contracts, Medicaid, Private Insurance, DCBS Contracts, State General Funds contacts, and Money Follows the Person (Federal Grant). We are currently serving over 1100 individuals through these funding sources.
  • Helped to transition 72 clients from institutional settings into community placement.
  • Over 70 individuals through the HCBS waiver and 7 Co. Crusade Grant (for kids with autism).
  • Over 25 individuals in psychiatric placement.

Areas of expertise include:

  • Verbal aggression

  • Physical aggression

  • Property destruction

  • Self-injurious behavior

  • Pica (eat non-edibles)

  • Elopement

  • Inappropriate sexual behaviors

  • Autism Spectrum Disorders

  • Mental Illness (schizophrenia, etc.)

  • and many more…

ABA, LLC Provides:

 

  • Functional Behavior Assessments (Links to BX Assessments Page, See Addendum)

  • Behavior Support Plan Development

  • Training for Caregivers

  • Monitoring of Implemented Plans

  • Early Intervention Services (Autism)

  • In Home Behavior Therapy

  • idd/DD Crisis Services

  • Psychological Services

  • Community Living Support

  • Occupational Therapy

  • Physical Therapy

  • Speech Language Pathology

  • Supported Employment

  • Person Centered Coaching

  • Community Access

  • Personal Assistance

  • idd/DD Waiver Programs

  • Adult Psychiatric Hospitals

  • ICF/idd

  • School Systems

  • Family Homes

  • Adult Day Training Centers

  • idd/DD Independent Living Sites

Services Provided through the Following Funding Streams:

  • Supports for Community Living (SCL) Waiver: For individuals with developmental disabilities living in a community residential setting
  •  Michelle P Waiver (MPW): For individuals with developmental disabilities who live with their family/guardian
  • DCBS Contract: For individuals with developmental disabilities under the age of 21 who are no longer living in their family home.
  •  Acquired Brain Injury (ABI) Waiver: For individuals who have been diagnosed with a brain injury
  • Private Insurance: For children who have been diagnosed with autism–early intervention services
  • 7 Counties Crisis Team: For individuals with developmental disabilities that are in acute behavioral crisis
  • Private Pay Services: Determined on a case by case basis

Please contact our Director of Programming, Leslie Owens, to find out more about the different options to help pay for behavioral services or other therapies.

What to expect from ABA’s Behavioral Support Services

At ABA, we strive to provide the highest quality of behavioral services. We understand that you may have never received behavioral services before, received services from another agency you were not pleased with, or simply do not know what to expect. The following information should help to clarify what you should expect from ABA regarding your behavioral services.

Getting Started

Behavior support services will start as soon as all of the necessary paperwork has been received by our office and Medicaid has issued us an authorization to provide the service. The amount of time to complete this step varies per client. You may contact our office or speak to your Case manager or Support Broker to check on this status.

Functional Assessment

The first step for the behavior analyst is to complete a functional assessment (FA) of the clients behavior. This process includes interviews, observations, data collection, review of any clinical records, writing the assessment and recommendations.

  • We expect that the FA will be completed within 6-8 weeks.
  • The clinician will spend the first several weeks of the process completing interviews and observations before spending approximately 2 weeks to write up the assessment of the behavior/recommendations for the behavior support plan, and to have the assessment reviewed by a supervisor. (Your clinician will most likely not meet with you during their writing time, but should keep you informed of what they are working on, when the assessment will be completed, and when they will meet with you to review it and provide you with a copy. Please call or email the clinician with any behavioral concerns or emergencies during this time.)  
  • After the FA has been reviewed by a supervisor, the clinician will meet with you and review their assessment and the recommendations for the behavior support plan. This is an opportunity for you to ask questions, correct any discrepancies, and have the clinician explain ‘why‘ they have recommended certain interventions.  

Monitoring of the BSP

The third step is for the behavior analyst to monitor the effectiveness of the BSP. Activities necessary to monitor the BSP will vary by the clients behavioral status, needs of their support system, and technical difficulty of the recommended strategies.

  • The clinician should have at least weekly contact with the client and/or their caregiver. It is preferable that this contact occur face to face and may vary by environment.
  • The clinician should be meeting with caregivers to collect information on the current behavioral status, provide insight or assessment of any recent challenging behaviors, review over recommended strategies, make adjustment to the recommended strategies as necessary, teach specific skills, observe caregivers implementing the recommended strategies, and provide on the spot training or schedule formal training or re-training on the BSP.
  • The clinician should collect data on behaviors targeted for both increase and decrease. The type of data collection will vary by the clients needs.
  •  The clinician will perform a number of activities that are not face to face.  These include graphing and assessment of collected data, revisions to the BSP, creation of new data sheets as needs change, creation of specific materials necessary for the implementation of the plan (i.e. picture schedules, reinforcement systems, etc). The clinician should be keeping you informed about any of these activities and providing new materials as soon as they are completed.
  • The clinician is not expected to provide immediate on-site crisis assistance. They may, but they are not required to do so.
  • The clinician is expected to respond to voicemails or emails within 24 business hours. They are expected to provide adequate notice of any time off as well as instructions for who to contact while they are away.

Behavioral Support Plan

The second step for the behavior analyst is to complete a detailed behavior support plan (BSP). The BSP will be completed based upon the recommendations contained in the FA.

  • We expect that the BSP will be completed within 2 weeks of reviewing the FA with you. It is then sent to the Behavior Intervention Committee and Human Rights Committee. The BIC and HRC are independent of our agency and we do not control the amount of time for them to review our plans
  • After the BSP has been completed and reviewed by a supervisor and approved by the BIC and HRC, the clinician will schedule a time to meet with you and train you on the strategies contained in the BSP. It is very important that all of the people in the clients life are trained on the BSP. This includes family members, paid staff, school staff, etc. It may be necessary for the clinician to schedule more than one training.

Progress Notes

For every service date, the clinician must complete a detailed progress note. This note should reflect the activities performed by the clinician on that date and time.

  • Clinicians turn their progress notes into the ABA office with their billing summary every two weeks.
  • We provide copies of the progress notes to the Case Manager or Support Broker by the 10th of the following month. We provide the CM or SB a months worth of progress notes not every two weeks.
  • The CM or SB, reviews the notes and completes a written monthly summary as part of their duties to ensure that supports and services are being provided in accordance with the Plan of Care.
  • The CM or SB should check on your satisfaction with our services during their monthly face to face meeting with you. You are also welcome to call our office at any time with concerns.
  • You do have the right to see any notes, summaries, or other official documents related to your loved ones services at any time. Due to the high volume of clients we serve, we ask that you first contact your CM or SB if you would like to see copies of progress notes.

 

Bx Assessment

As Behavior Analysts, we believe that all behaviors are under the control of the environment around us. The environment includes both internal and external stimuli.

  • A Functional Behavior Assessment is completed to determine the environmental variables that surround episodes of problem behaviors.
  • Through direct observation, interviews, and data collection we will identify the setting events and antecedents that precede episodes of problem behavior and the consequence/function that maintains the behavior.
  • Based upon this assessment, we will recommend strategies to address each variable and identify a socially acceptable behavior that will be taught to replace the problem behavior.
  • The diagram below shows the basic cycle of behavior: