How to Make Effective Treatment Plans for Behavior Management

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Autism is a neurodevelopmental disorder that may limit a person’s communication skills, emotional regulation, and social skills, and often makes day-to-day activities a challenge to overcome. While there is no cure for autism, multiple evidence-based practices, including Applied Behavior Analysis (ABA), Speech Therapy, and Occupational Therapy (OT), target the development of specific skills and encourage progress through positive reinforcement.

A treatment plan is designed by a professional such as a Board Certified Behavioral AnalystⓇ  (BCBAⓇ) to help persons with autism or developmental delays increase productivity and decrease maladaptive behaviors..  Providers assess the development of each individual and accordingly set goals to suit their unique needs; they also tailor therapies to address each person’s distinct challenges and often include a combination of multiple strategies and cross-functional collaboration of professionals to prepare a holistic and effective treatment plan.

Importance of Treatment Plans in ABA Therapy

ABA therapy addresses challenging behaviors and develops skills such as good communication, emotional regulation, and enhanced social interaction to promote the display of desired behaviors over problematic ones in any situation.

Autism affects each individual in a unique way - while there are similarities, each patient's experience is different and requires individual attention rather than generic strategies. This is why individualized treatment plans are so important. They highlight techniques that would be most suitable for a specific person to meet their individual needs.

Without a treatment plan, therapists would have to depend on trial-and-error and apply-and-observe approaches, which are comparatively less effective and time-consuming. Having a plan ensures that behaviors are systematically addressed and strategies such as prompting are faded based on data-based decision making.

Treatment plans are designed to specifically target each required need individually - whether it's improving communication skills or emotional regulation, therapies are selected according to the skills a person already has and the ones they need to develop or improve.

A patient’s response to any intervention is recorded and tracked, which shows how effective or ineffective a particular treatment is for that patient. Plans are then further tailored to ensure the individual successfully accomplishes the targets set for their overall improvement. Thus, treatment plans make therapies more efficient and raise the chances of successfully helping an autistic person lead a more independent life.

Steps to Create an Effective Treatment Plan

For any treatment plan to be effective, it has to be customized to suit the distinct needs of an autistic individual. This is why before any therapy can be recommended, therapists have to perform an initial assessment and accordingly decide on suitable therapies with clear goals to be achieved in a realistic timeframe.

Initial Assessment

Prior to choosing the intervention to apply, therapists have to understand the existing skill level of the autistic person. The therapist may assess using a variety of exercises or tasks without any help to check the extent to which the patient can successfully and easily accomplish those tasks on their own. They may even ask a series of questions and interact with their family members or caregivers, to learn more about habits and tendencies.

The initial assessment exposes the strengths and weaknesses of the autistic person, as well as the desires of the individual and their family, so the therapist can target them with the most precise selection of interventions. This is the first step to making an effective treatment plan as it identifies the needs or requirements of the person and their existing competency level, which ultimately lights up the plan for the rest of the treatment.  Professionals will consult research to ensure that they are using the most up-to-date and effective methods.

Setting Goals

Once the initial assessment is complete, the therapist works with the individual and family to identify the skills the patient needs to develop. The therapist then chooses goals and interventions keeping the following in mind:

  • The treatment should target the development of the required skill.
  • The individual should display a positive response to the applied therapy.

These goals have to be specific, measurable, and relevant to the individual’s needs. A specific timeline is also mapped out to measure the progress of the individuals.

Keeping Track of Progress

It is not enough to set goals once and implement the plan hoping to see improvement. Results and performance are enhanced by tracking progress and adjusting the goals accordingly to ensure the individual is successful.

The performance of the individual is measured against the selected goals; the extent to which they are achieved and the time taken to achieve them is tracked by recording results at regular intervals. This confirms whether progress is being made in the right direction or not.

The therapist can then review the goals and make adjustments accordingly to make a manageable therapy plan for the individual which not only targets their needs but also caters to their learning style and temperament.

Collaboration with Others

Therapy is not a one-person show. Since autistic people often need assistance to acquire a spectrum of skills, therapy plans often include an integration of multiple interventions and methods and collaboration from several professionals to holistically improve skills and reach overall independence.

Here are some of the professionals which may collaborate to provide a successful treatment path for an autistic person.

Professional Role Description Example
Applied Behavior Analyst (BCBA) Develops behavior intervention plans to help autistic people reduce/overcome problematic behaviors and learn replacement behaviors. Focuses on skill development leading to independence. Change the environment to make vocal communication preferential to aggression.
Occupational Therapist Assists in learning or improving skills required in ADLs - activities of daily living. Use a sensory bin to regulate sensory processing issues in autistic children.
Speech Therapist Focuses on developing speech clarity and increasing language comprehension. Improves communication skills. Teach how to place an order at a restaurant or ask for directions.
Educator Incorporate ideas and activities in the classroom to cater to the distinct learning needs of autistic students. Use visual aids or posters with step-by-step illustrations to help autistic children learn a new process or routine.

Role of Family Members

In addition to the collaboration of professionals, support is also required from parents or caregivers to create a friendly, learning environment at home. Most often, the learning process of the autistic person is not restricted to the therapist’s office, but is ongoing at home, school, or in the community.

Family members interact with the therapists and team of professionals and actively participate in the therapy sessions, as well, to understand how certain interventions are carried out. It is crucial for the success of any therapy plan that parents provide a consistent learning environment at home, to promote more efficient growth and development.

Conclusion

Treatment plans are essential in ensuring autistic individuals receive therapy that targets their unique needs and that they stay on track to independence.  Treatment plans include interventions that are customized to suit the individual’s skill level so therapy sessions are effective. Good treatment plans usually involve the integration of multiple therapies and the combined effort of various professionals, educators, and family members, to holistically target the requirements of autistic people and enhance their chances of moving towards an independent life.

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