Frequently Asked Questions: ABA Therapy

What is ABA therapy?

ABA, or Applied Behavior Analysis therapy, is a structured, evidence-based approach that helps children with autism learn new skills and reduce challenging behaviors. It works by breaking down complex skills into small, manageable steps and using positive reinforcement, like praise or rewards, to encourage desired behaviors. It was first developed in the 1970s and benefits from decades of research to support its effectiveness for making meaningful changes in individual behavior.

How does ABA therapy work?

ABA therapy reduces problematic behaviors such as aggression and improves attention, communication, social skills, safety, self-care, emotional regulation, and language abilities. Additionally, ABA therapy can improve language and expressive communication skills.

A trained therapist will work one-on-one with your child, observing what motivates them and tailoring activities to their unique needs and interests. The therapy can address everything from communication and social skills to daily living tasks like getting dressed or following routines. Most families see meaningful progress over time, though the intensity and duration vary based on each child's goals. Think of it as a personalized teaching method that helps your child build confidence and independence at their pace.

When should my child begin ABA therapy?

Children should start ABA therapy soon after receiving a definitive autism diagnosis. Research clearly demonstrates that early intervention can greatly improve learning and long-term skill development. Each child learns at their own pace and encounters individual challenges impacting their rate of development, which can vary significantly based on factors such as the severity of their autism, the type of interventions used, and the support they receive from caregivers and educators.

How can I know if ABA therapy is right for my child?

ABA therapy is designed to support children who are on the autism spectrum. Recognizing that every child is unique, our approach begins by getting to know your son or daughter on a personal level. We conduct a thorough assessment of their unique strengths, needs, and preferences to create a therapy plan tailored specifically for them. This personalized process helps us address your child’s distinct challenges and goals, making ABA a flexible and effective option for a wide range of developmental needs.

Where does ABA therapy take place?

ABA therapy can take place in the home, at your child’s school, or at an ABA center. Autism Centers of Pittsburgh offers all three options.

Research shows that ABA therapy is most effective in structured learning environments. This approach is why ACP most commonly begins ABA services at our center. To help children apply the learned skills and positive behaviors to their daily lives, we incorporate therapy sessions designed for home and community settings as well.

Parent and caregiver coaching and ABA team practice outside the center help children apply new behaviors and skills in various settings during their day-to-day routines.

Will my insurance cover ABA therapy?

With an autism diagnosis from Dr. John Carosso, Psy.D., or an alternate M.D. Health insurance plans typically cover ABA therapy with an autism diagnosis from Dr. John Carosso, Psy.D., or an alternate M.D. The amounts and details of coverage can vary between insurance providers and plans.

Autism Centers of Pittsburgh works with most insurance plans, including Medicaid, and we're here to help you navigate your coverage. Our team handles the paperwork and approval process, making it as straightforward and stress-free as possible for you.

We know that insurance can be a challenging and confusing subject. This is why we’ve created the Ultimate Guide to Navigating Insurance for Autism Care. Check it out here.

How many hours per week will my child be in therapy at your center?

The answer to this question varies for each child. Some children thrive with just a few hours each week, while others need more intensive support, with 20 to 40 hours per week being common.

The ultimate goal is for your child to achieve independence with meaningful skills, eventually making ABA therapy unnecessary. We are committed to supporting every successful transition out of therapy.

What role does the parent play in ABA therapy?

Active parental or caregiver involvement is essential for effective ABA therapy. Studies show that engaged parents lead to better outcomes in various skills and behaviors, such as communication, social interactions, and daily living skills. Autism Centers of Pittsburgh and most insurers require parents to attend coaching and education sessions at least twice a month.

During therapy, specific goals are set for parents to help support their child's progress. Coaching with your child's BCBA (Board Certified Behavior Analyst) ensures therapy targets the most relevant skills for your child and family. Caregiver coaching also helps generalize learned skills to different settings and people, as children often need support applying these skills outside of therapy.

Can you describe ACP’s approach to ABA therapy?

Our clinicians offer a supportive environment with numerous learning opportunities to help children excel. ABA methods include Verbal Behavior Therapy, Discrete Trial Teaching (DTT), Natural Environment Teaching (NET), Pivotal Response Treatment (PRT), and Incidental Teaching.

Care plans are tailored to each child's skills and goals. Some methods are highly structured, while others are more naturalistic. The therapy team ensures sessions are engaging so children stay motivated and often learn without even noticing.

Does ACP provide one-on-one ABA therapy?

Yes! Each child in our ABA program is supported by a therapy team consisting of one Board Certified Behavior Analyst (BCBA) and one Registered Behavior Technician (RBT). Therapy is always provided one-on-one, with one RBT per child.

Do I need to stay at the center during sessions?

You're welcome to stay for a few minutes if needed to help your child get settled, but sessions are drop-off only. Parent training will keep you fully involved, and your BCBA is available to address any questions or concerns.