ABA Therapy Frequently Asked Questions

What is ABA therapy and how does it help children with autism?

Applied Behavior Analysis, or ABA, is an evidence-based approach that helps people with autism build meaningful skills for everyday life. ABA teaches skills across many areas including communication, play, social, transitions, self-care, independence, and daily routines.

ABA therapy may be beneficial if your child needs support in developing communication, social, and play skills, or assistance with transitions, daily routines, and appropriate behaviors. To determine whether ABA therapy is the right fit for your child, the first step is to begin the intake process, where our team can assess your child’s unique needs and goals.
 

ABA therapy can begin as early as developmental concerns are identified. Research has shown that early intervention can be particularly effective because young children are rapidly developing communication, social, learning, and adaptive skills.

Our center-based model takes place inside typical pre-schools and provides a structured learning environment where children can build communication, social, play, and adaptive skills while interacting with peers. Specifically beneficial for young children, the center setting lends itself to an immersive yet natural environment for therapy.
In-home therapy takes place in the child’s everyday environment, allowing therapists to teach and reinforce skills during natural routines and activities. This approach helps children apply what they learn in real-life situations and encourages active family involvement to support progress across settings.

The number of hours or ABA therapy recommended is based up your child’s needs, assessment results, family goals, insurance authorization, and clinical recommendations. Some children may need more intensive support, while others may need fewer hours focused on specific skills. Hand Over Hand reviews recommendations with each family before services begin.

Insurance coverage can vary by plan, diagnosis, age, and authorization requirements. Many insurance plans cover ABA therapy, but each family’s benefits may be different. Hand Over Hand’s intake team can help you understand the authorization process and what information may be needed.

A typical ABA therapy session is tailored to your child’s unique strengths, needs, and goals. Depending on your child’s treatment plan and therapy setting, sessions may focus on developing communication, social, play, and daily living skills, as well as improving transitions, routines, and appropriate behaviors. One-on-one instruction and caregiver coaching is provided and may include play-based learning, social interaction, or group activities. A Board Certified Behavior Analyst (BCBA) will oversee your child’s goals and treatment and provide supervision to the behavior technician during ABA therapy.

The duration of therapy varies based on your child’s needs and progress. Therapy plans are reviewed regularly and adjusted as your child builds new skills with the intention to reduce the number of hours over time.

Parents and caregivers are an essential component of any ABA program. Your child will make the most progress from your involvement in conjunction with their clinical team.

At Hand Over Hand, we provide fully developed ABA therapy programs in our own dedicated space within private preschools. This integrated model allows children to receive therapy while participating in a preschool setting alongside neurodivergent and neurotypical peers.

A BCBA, or Board Certified Behavior Analyst, helps assess your child’s needs, develop therapy goals, review progress, provide parent training, and guide the clinical team throughout your child’s services.

Behavior therapists, often called Registered Behavior Technicians (RBTs), provide direct ABA therapy services to children under the supervision of a Board Certified Behavior Analyst (BCBA). They complete specialized training in ABA principles, demonstrate competency through an assessment, and receive ongoing supervision to ensure high-quality care.

You can start by contacting Hand Over Hand’s intake team. They will answer your questions, gather basic information, review documentation, discuss insurance, and help your family understand the next steps for assessment and service recommendations.

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