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ABA - will this be enough to help? (sorry, bit long)

8 replies

WorrierPrincess · 19/03/2012 14:21

DS had his assessment last week. It'll be a month til we get the official "verdict" but both the SALT and paediatrician agreed there were issues with his social communication and his understanding of emotions and imaginative play. He has, in their words, "a lot of ability" and was generally good at following the SALT's instructions but his verbal and non-verbal language are often mismatched, and his comprehension is also behind his vocabulary.

DH and I are both acutely aware this is a such a crucial time for intervention (DS is about to turn 3) and want to do ABA. But now we are trying to work out what we can do (within our current work situation) and if it's enough.

I work four days a week, as does DH. We have a NT 20 month DD (who DS really does engage with brilliantly). We could probably, at a stretch, have DD in nursery five days a week and have DS on his own at home on our days "off" (Mondays and Fridays) for an ABA programme.

DS is happily settled in a daycare nursery who've been great and are currently applying for DS to have one-to-one sessions (two one-hour blocks per nursery day) with his favourite carer, a girl he's bonded with hugely and vice versa.

If we did two full days a week of ABA (and hopefully paid for DS's nursery carer to have some ABA training too), plus did ABA work on our own at weekends, is that likely to be enough to make a real difference? And how many people would need to be involved in the at-home sessions? Would just one parent and a tutor be enough? I guess I don't know much about the realities of ABA but stuff about 40 hours a week and employing what sounds like a whole team sounds so scary (and impossibly expensive).

If anyone has any thoughts that'd be brilliant.

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StarlightDicKenzie · 19/03/2012 14:33

Absolutely you could run an ABA programme like that. The key to a successful programme IMO is the involvement of the parents and as few other deliverers as possible.

And those two full days would have to be peppered with breaks and as play-based as possible so chose you tutor(s) carefully.

LeninGrad · 19/03/2012 15:03

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silverfrog · 19/03/2012 16:50

dd1 only ever had dd2 around for her home programme. trying to separate them was pointless - dd2 wailed ot be with dd1, and dd1 was too distracted (because her sister was upset) to do anything useful with her ABA sessions.

so her (poor) tutors had the pair of them - dd1 was 3 and dd2 1 when we started our home programme, and dd1 was 5 and dd2 nearly 3 when we stopped it. not a single session was spent apart.

so agree, don't underestimate what you can achieve with a sibling around.

we had a part time (2 or 3 hours a day, usually afternoon sessions) programme, and dd1 has only ever done full time ABA at school (she is now in fulltime ABA school).

At its maximum, our home prgramme was 16 hours a week, at times we did as little as 8 or so. it is not a 40 hours a wekk or nothing situation.

we also only ever had one tutor at a time (on the programme, not per session), never had a team. it wouldn't have worked for dd1. so we had 8-16 hurs per week of contact time with on tutor, and our consultant came down ever 6-8 weeks to oversee.

WorrierPrincess · 19/03/2012 20:12

Thanks so much for your replies. I hadn't even considered including DD in the sessions - didn't realise it was do-able - and it sounds like it could be really good for both of them. DS started addressing DD by name before he even did us - "let's go over there DD", that kind of thing - so maybe he'd actually do better if she was there. And it seems fairer on DD too, it seems so unfair to have her in nursery 8-6 five days a week simply because DS has different needs.

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StarlightDicKenzie · 19/03/2012 20:27

Dd was around for much of ds' therapy too. She's benefited loads from watching and the two have an amazing bond.

AgnesDiPesto · 19/03/2012 22:53

Yes it would be enough to make a difference
What about your DD doing half days at nursery on your days off so your DS gets say mornings on his own in 1:1 session and more social / play session with his sister in the afternoons?
That will give you each a chance to sit in on a 1:1 session each week where you can really concentrate and pick up what to do in the weekend sessions you are doing.
I found sitting in on sessions very useful

PipinJo · 20/03/2012 00:10

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WorrierPrincess · 20/03/2012 17:15

pipinjo liking that idea LOL! And yes, we really are so lucky to have them so close, they are so good for each other (just not for our sanity/eardrums at times... competitive screetching anyone?)

Agnes that's a great suggestion, thank you.

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