After an autism diagnosis, choosing the right ABA therapy center can feel overwhelming. This parent-focused guide breaks down what truly matters in quality autism care, helping you confidently evaluate ABA centers and make an informed decision about your child’s therapy.

Tips on How To Find the Best ABA Center for Your Autistic Child

If your child has received an autism diagnosis, you likely have countless questions about the best ways to support their development. Applied Behavior Analysis (ABA) therapy is one of the most commonly used, and widely recognized, therapeutic interventions for autistic people and those with other developmental challenges. It is based on the principles of behaviorism, so this approach uses positive reinforcement to encourage good behavior and introduces consequences to reduce challenging behaviors. 

Endorsed by medical professionals, including the U.S. Surgeon General, ABA therapy has helped countless families navigate their autism journey. But, to get the most out of this intervention, parents need to make sure they’re choosing the right center for autism and related disorders. 

Why ABA Therapy?

ABA services for autism are not a one-size-fits-all approach. Each plan is uniquely built around your child and the best approach for them. The process starts with an in-depth assessment by a Board Certified Behavior Analyst (BCBA), who will take the time to learn about who your child is, their abilities, their challenges, and your family’s goals. Based on this assessment, they will then create a personalized treatment plan that changes and grows with your child. 

This approach is backed by science, but an important factor that helps make it so effective is collaboration. Your BCBA doesn’t work in isolation; they work with you, your family, your child’s teachers, and other support systems to help your child develop skills that can make a real difference in their everyday life. Whether it’s communicating better, building friendships, learning proper hygiene and self-care practices, or gaining more independence with daily tasks. 

This therapy also focuses on reducing challenging behaviors while promoting positive ones, all while adapting the approach to what works best for your child. If you’re considering ABA therapy for your child, choosing the right center is crucial for their success. Let’s explore what you should look for when you’re trying to find the best ABA therapy center.

Credentials and Certifications

This may seem like a no-brainer, but it’s extremely important to make sure that the people running the ABA program you’re looking into are properly certified. Two of the main certifications you should be looking out for are Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs). These credentials aren’t just fancy titles. They reflect years of education, rigorous training, and practical, hands-on experience that will be needed to develop and implement an effective treatment plan and help your child thrive. 

Your child’s progress depends heavily on having qualified ABA providers and medical professionals overseeing their care. A BCBA should be actively involved in developing and supervising your child’s treatment plan from day one. They’ll work closely with RBTs, who provide the day-to-day therapy under their supervision. It’s also worth asking how many cases your BCBA manages. They can be the best practitioner in the world, but it won’t help as much if they don’t have enough time to give your child’s program the attention it deserves.

Don’t hesitate to ask about the qualifications of everyone who will be working with your child. Quality ABA centers are always happy to share information about their team’s credentials and ongoing training programs. After all, your child’s development is too important to leave in the hands of any who are less than fully qualified professionals.

Customized Therapy Programs

No two children are exactly the same, right? Since this is true, it makes sense that no two children will have exactly the same therapy needs. They will have different behavior problems and will be behind in different developmental milestones. Therefore, ABA centers should never offer cookie-cutter therapy programs.

In designing an autism therapy program, the ABA center should perform a deep assessment of your child’s needs. An analysis of your child’s current skills will be produced from this assessment. Then, a board-certified professional will design a therapy program tailored to your child and their current skills. Additionally, the ABA center should be asking for parental input in the initial and ongoing assessment. Parents add value to the assessment by providing information about behaviors the child is showing and skills they are lacking. This is also a chance for parents to communicate the goals they have for their child. Goals can range from basic life skills like toilet training to more sophisticated skills like vocal communication.

Any worthwhile ABA center should be willing to create a unique therapy program to meet your child’s and family’s needs.

Formal Assessment Tools

Formal assessment tools, such as the VB-MAPP and AFLS should be used to evaluate the skill sets of an individual diagnosed with autism. They should be part of the foundation and structure of any great ABA curriculum.

The VB-MAPP is an assessment tool used to determine an individual’s social and early learner skills. VB-MAPP stands for Verbal Behavior Milestones Assessment and Placement Program. Quality ABA centers use the VB-MAPP, or something similar, to assess a child’s skills and then guide the design of that child’s goals.

The AFLS (Assessment of Functional Living Skills) is another assessment tool that could be used by an ABA center to assess your child’s needs. AFLS assesses the more practical, functional skills like toileting, dressing, basic communication, and self-management.

There are even more tools that ABA centers could be using, like the ABLLS and the Essentials for Living. These tools not only allow the therapy team to do an initial assessment of a child but they are also designed for continued monitoring and measurement of your child’s progress. The therapy team uses these tools to re-evaluate the effectiveness of the therapy program and make changes as goals are reached or if certain approaches may work better than others.

Consider asking an ABA center if they are using these tools to initially evaluate and continually monitor their children. Without these tools and the data they provide, an ABA center would have far less visibility into your child’s needs and progress.

Programs Based on Data

Data is the lifeblood of any quality ABA program and guides the decision-making about your child’s therapy programs.

For example, when your child first comes to a center, they may spend 60 minutes of every day flopping on the floor and screaming. A proper ABA center should be tracking the amount of time your child engages in this behavior. Over time, it will become possible to see a trend in the frequency of problem behaviors from one day to the next. The therapy program supervisors will then use this daily/weekly trend to decide how well the intervention is working. Eventually, they’ll want to see the 60 minutes of daily tantrums become 30 or 15 minutes. This declining trend in tantrums could indicate that the program is working. 

On the flip side, if that 60 minutes of daily tantrums consistently stayed at 60 minutes over the course of several months, this might indicate that something about the therapy program wasn’t working. In the case of a program not working, the program supervisors should be able to re-examine the child’s behavior and shift the therapy program accordingly.

Consider asking the center for autism, “What kind of data do you use to track my child’s progress?” and “Can I see the data?”

Social Skills, Natural Environment Training, and Table Work

Every ABA therapy program should be based on three different components of ABA.

1. Social skills: The child should be learning social skills by communicating with the therapist, working on eye contact improvements, and socializing with other children at the center. To make sure your child is getting the right social skills training, you want to know that they will have appropriate peer groups of the same age. A 10-year-old will not gain as many social skills interacting with only 5-year-old children, as opposed to interacting with children their own age.
2. Natural environment training: Natural environment training involves using the principles of ABA therapy in natural environments or “the real world.” If your child only learned at a table in a therapy room, then they would have a harder time applying their teachings to other situations. By integrating therapy into “natural environments” like a kitchen, a bathroom, or even a playroom, your child becomes more equipped to use their new skills in the rest of the world and in your home.
3. Table work: Table work is the initial teaching arm of the therapy program. Table work provides an environment that is engineered to reduce distractions. The reduced-distraction environment of table work creates focused learning experiences for your child. Through table work, they will become more accustomed to the kind of setting they will experience in a regular classroom as well as at a desk job.

One-on-One Therapy

An intense ABA therapy program means there will be a lower ratio between therapists and children. Additionally, an intensive ABA therapy program should strive for a 1:1 ratio between therapists and children as much as possible.

A 1:1 ratio has a positive impact on implementing the therapy. With a 1:1 ratio, the therapist can be fully aware of all your child’s behaviors, struggles, triumphs, and skills.

Furthermore, the 1:1 ratio also has benefits beyond the learning part of the therapy program and impacts the general operation of the autism center. Even small amounts of time where therapists must manage multiple children can result in behaviors going unnoticed and safety becoming increasingly at risk.

Ask the ABA center how often your child will be one-on-one with a therapist. If it’s possible, try to find a center that provides 100% one-on-one ABA therapy. This means that at NO point during the therapy program will your child be without a one-on-one setting with a therapist.

Contact Lighthouse Autism Center to learn more about finding a quality ABA center for your child.

Our in-depth infographic explains the importance of early detection and diagnosis in autistic children. We also identify some of the early signs to look out for.

INFOGRAPHIC: Why is Early Detection and Diagnosis So Important? 

What is Autism?

Autism spectrum disorder (ASD) is a developmental disability that can cause significant social, communication, and behavioral challenges. About 1 in 36 children has been identified with autism spectrum disorder (ASD), according to estimates from CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network. People with ASD have abilities that vary significantly. Autism affects each person differently, making it truly a spectrum disorder. People with autism may behave, communicate, interact, and learn in ways that are different from most other people. Some people with ASD need a lot of assistance, whereas others live very independently with little to no support.  

Autistic individuals typically do not have any identifiable defining physical features that set them apart from other people, and the characteristics of autism often become more obvious when judging against behavioral milestones. Some children show symptoms of autism within the first 12 months. In others, symptoms may not show up until 24 months of age or later. Some autistic children gain new skills and meet developmental milestones until around 18 to 24 months of age, and then they stop gaining new skills or lose the skills they once had. 

Signs and Symptoms

People on the autism spectrum often struggle with social interactions and communication, as well as repetitive and restrictive behaviors. It’s important to recognize the signs of early autism to get a diagnosis as soon as possible. 

Some of the most common early signs of autism in babies typically include:  

• No social smiles or other joyful expressions for caretakers or parents, 

• Limited or no eye contact, 

• No sharing of vocal sounds, smiles, or other nonverbal communication, 

• No babbling, and 

• No response to being called by their name.  

The early signs of autism in toddlers typically include: 

• No use of gestures to communicate, such as pointing, reaching, or waving, 

• No words or verbal communication, 

• Loss of any previously acquired speech, verbal communication, or social skills, and 

• Loss or pause of obvious physical development milestones like eye contact and smiling. 

Learn more about the early signs and symptoms of Autism Spectrum Disorder. 

Learn more about important milestones that your child should reach. 

Evaluating your Child

Are you seeing the signs of autism in your child but don’t have an evaluation yet? Early detection and diagnosis are crucial to improved outcomes and increased success and independence in the long run. View our list of early signs and symptoms of autism in babies, toddlers, and young children. Then, connect with Lighthouse’s network of professionals who have the expertise to fully evaluate your child with a comprehensive autism evaluation. 

Find Out more 

Early intervention is vital to the success of autism therapy. We examine why early intervention is so important and how it helps autistic children. 

Early Autism Intervention: Why is Early Intervention Important?

It’s vital to be able to assist a child with autism as early as possible. We take a look at the benefits of early intervention, the signs of autism, and how we can help evaluate your child. 

Infographic: Early Intervention and Autism Treatment

Recognizing the signs and symptoms of autism in early childhood can help improve a child’s chances of success in the future. Here’s a quick look at why early intervention is so important and the positive results of identifying the early autism signs in children: 

What are the early signs of autism?

As a parent, you may be wondering what are some of the autism signs and symptoms you should watch out for. Key developmental milestones can help you identify whether your child has autism or not. You can also keep an eye out for certain early signs of autism, such as social, behavioral, or emotional practices, which may indicate that your child is autistic. 

How early should you try to assist a child diagnosed as autistic?

Depending on the child, early intervention programs can begin as early as 18 months of age. 

What is early intervention in autism and how can it help?

Early intervention for autism means providing treatment and therapeutic services to autistic children starting from 18 months or as soon as an older child is diagnosed. There are many advantages to early intervention. Some of the specific benefits an autistic child can attain include improvements in: 

• IQ, reflected in performance on IQ tests 

• Language abilities, including listening and understanding 

• Coping skills, including emotional regulation 

• Physical development, such as enhanced balance and coordination 

• Social interactions, both with a child’s peers and parents 

• Nonverbal autism, where there’s a lack of or limited use of verbal communication 

Evaluating your Child

Are you seeing the signs of autism in your child but don’t have an evaluation yet? Early intervention is crucial to improved outcomes and increased success and independence in the long run. You can view our list of early signs and symptoms of autism in babies, toddlers, and young children. Then, you can connect with Lighthouse’s network of professionals who understand how to identify autistic children and who can let you know more about how early autism can be diagnosed. 

Summer brings a break from the rigors of school, but for children with autism spectrum disorder (ASD), the change in routine can be challenging. The structure provided by school can be comforting and stabilizing, and disrupting that routine during the summer months may lead to anxiety or difficulties adjusting. However, with careful planning and consideration, you can create a summer routine that supports your child’s needs while also allowing for fun and relaxation. Below are some tips for keeping a summer routine for a child with autism. 

Tips for Keeping a Summer Routine for an Autistic Child

For many children, summer vacation means a break from school and its strict schedules. However, not all children will be excited about that. A change in daily routine can be a source of great stress for autistic individuals and their caregivers. Structure and routine provide a sense of predictability and security that can alleviate stress caused by the unknown and lessen the cognitive load required to navigate daily life. As such, autistic children often exhibit a strong attachment to their daily rituals and schedule, making autism and change of routine challenging to manage for both caregiver and child. 

Top Summer Routine Tips

Establish a Visual Schedule 

Visual schedules are invaluable tools for children with autism as they provide predictability and clarity about what to expect throughout the day as well as help manage transitions between activities, providing clear cues and timeframes. As such, you’ll want to create an anticipatory schedule (basically a laundry list) of each day’s events.  

Visual schedules for individuals with autism are particularly helpful in mitigating the stress of the unknown by providing a clear and consistent visual cue about what will happen and in what sequence. By using pictures, symbols, or written cues, these visual supports for those with autism can help your child understand and anticipate upcoming transitions, reducing anxiety and increasing their capacity to cope with changes in their routine.  

Utilize Cues 

Some children respond better to auditory cues than visual ones, so incorporating sound-based cues into their daily schedules can be highly effective. Unlike visual prompts, auditory signals such as timers or alarms can cut through the noise of other activities, providing a clear and distinct indication that a transition is approaching. 

Prepare for Transitions 

Transitions between activities or environments can be challenging for children with autism. Prepare your child for transitions by using visual timers, countdowns, or transition cues to signal upcoming changes. Provide warnings and reminders before transitions occur to help your child prepare mentally for the change. 

Maintain Consistency

Maintain consistency to help manage a routine. While some flexibility is necessary during the summer months, try to maintain consistency in certain aspects of your child’s routine, such as waking up and going to bed at consistent times, mealtimes, and therapy sessions. Consistency helps provide a sense of stability and security for children with autism. 

Allow Downtime

It’s important to balance structured activities with downtime to prevent overwhelm and fatigue. Create quiet spaces in your home where your child can retreat when they need a break from stimulation. Encourage activities that promote relaxation, such as reading, listening to music, or practicing deep breathing exercises. 

Plan Outdoor Activities for Autistic Kids 

Summer camps can be an enriching experience, offering structured environments with outdoor activities for autistic children. This will give your child the opportunity to learn new skills and build social connections within a supportive setting. The immersive nature of summer camps provides repetitive scheduling, which can promote a sense of security and predictability.  

Encourage Socialization

Summer is an excellent time to facilitate social opportunities for your child with autism. Arrange playdates with peers who understand and accept your child’s unique needs. Consider joining support groups or community events where your child can interact with other children and families in a safe and inclusive environment. 

Incorporate Sensory Activities 

Many children with autism have sensory sensitivities or seek sensory input. Incorporate sensory activities into your child’s summer routine, such as swimming, playing in a sensory bin filled with rice or sand, or engaging in activities that provide proprioceptive input like jumping on a trampoline or swinging. These activities can help regulate sensory processing and promote relaxation.  

Planning a Structured  Autism Summer Program While  Staying  Flexible

Structure your child’s day with a mix of structured and unstructured activities. Structured activities can include arts and crafts, puzzles, board games, and educational activities tailored to your child’s interests and abilities. Consider enrolling your child in summer camps or programs specifically designed for children with autism, where they can engage in structured activities in a supportive environment. 

While routines are beneficial for children with autism, it’s essential to remain flexible and adaptable. Be open to making adjustments to your child’s summer routine based on their changing needs, interests, and preferences. Flexibility allows you to accommodate unexpected events or opportunities while maintaining a sense of structure and predictability. 

In conclusion, creating a summer routine for a child with autism requires careful planning, consideration, and flexibility. By establishing a structured yet flexible routine, incorporating sensory activities, maintaining consistency, and allowing for socialization and downtime, you can help support your child’s well-being and enjoyment during the summer months. Remember to celebrate small victories and cherish the special moments shared with your child as you navigate the summer together. 

If you need professional assistance in designing and implementing a summer vacation schedule, chat with our experts at Lighthouse Autism Center. Our innovative program, Lighthouse Fusion ABA Therapy, helps autistic children develop the skills they need to adapt to changing environments. 

Discover more helpful autism resources and tools for parents.  

Here are a few common questions that parents may have about autism. These questions and answers can help you with your autistic child. 

6 Questions and Answers for Parents of an Autistic Child

Hey there, parents! Do you have a range of questions about your child’s recent autism diagnosis? You’ve probably been searching far and wide for the necessary answers. Well, this article is a go-to guide with six questions many parents of autistic children may have. Consider this information as autism parent support, where all the knowledge is provided to you. 

1. How can I ease medical appointments for my child with autism?

There are several things parents can do to make these necessary visits as easy as possible. Simple things such as buying play stethoscopes or creating picture books can go a long way. If you own an iPad or iPhone, you guessed it: “There’s an app for that,” it is called iPrompts, a visual program for autistic people. 

Walk your child through what is going to happen at the visit so they understand what to expect before getting there. The same is true for dental visits. It may take multiple visits before your child will actually sit in the dentist’s chair, but you can help them get comfortable enough to tolerate most of these visits. You can also talk to your child’s doctor or dentist about extending the time of visits so you child can adjust to the setting and people.  

2. How can I tell when something is hurting my child when they’re nonverbal?

According to Rebecca Landa, the director of the Center for Autism and Related Disorders at the Kennedy Krieger Institute located in Baltimore, “We know that autism is a multisystem disorder. When it’s not evident that there’s a certain body system not working as it should, we have to look to other indicators. Any time there’s an alteration in a child’s behavioral pattern, this could tell us something we need to be paying attention to medically.” This is why it’s important to know if your doctor works with other autistic patients. In the case of nonverbal autism symptoms, doctors can adopt a personalized and holistic approach to ensure the child’s comfort during these visits. 

3. With so many support groups out there, how do I know which one to join?

Autism resources for parents are definitely available. Your doctor should at least know of a few nearby support groups to recommend. The key to joining a support group of any type is to make sure you are joining a group of people who have accepted the issue (in this case, the diagnosis of autism) and are making an effort to move forward. The goal of a support group is to do just that: offer support and different perspectives on how to handle issues as they happen. You want to be able to get insight from parents who have been where you are so that they can offer tips on how to get through the phase you are in. Autism tools for parents can ensure you are equipped with the necessary information and know the correct places to seek guidance. 

Support groups and support networks are important. Your doctor should be able to offer you a list of local support groups. 

4. How can I learn all I can about autism to help my child, and what are some trusted sources?

While it’s impossible for any individual to know about all the content on the internet or have a list of every reliable source out there, there are a few credible sources your doctor should be able to direct you to. These reliable sources will undoubtedly lead you to other trusted sites. Programs such as virtual training for parents can ultimately guide you to reputable people and institutions.  

The most reliable websites are those that are government sites or educational sites. For example, PubMed Health and Autism Society are credible sites that offer resources to parents and people with autism. 

5. How can I keep everyone involved in my child’s care on the same page?

Communication and collaboration is essential because it is a team effort when it comes to making sure that the therapists, doctors, and educators are all working together. Some websites allow parents to set up an account and have the doctors, therapists, teachers, and caregivers all log on to talk about the child. You can also keep a journal. You can ask one of the persons involved to be the “case manager,” but make sure you choose someone who understands your child’s condition and treatment plan and is respected by the other people on the “team.” Most professionals have their own ethical obligations, depending on their specific speciality area, that require them to collaborate with other clinicians who work with the same child.  

6. How do I help my other children understand their autistic sibling?

Your doctor should encourage you to have your child’s siblings participate in the therapy sessions if appropriate, or atleast understand the types of therapy their sibling is in and what they are working on. Sometimes, resentment or anger can build because other children do not understand the behavior of autism in siblings. One way that you can help all of your children is to seek out therapy that involves all of your kids. It is important to include your other children, but not force them to participate. Taking the time to explain autism to their siblings will help your other children understand that their siblings’ differences are a natural part of their personality. It will help promote acceptance and lessen confusion. Your autistic child will also be able to learn appropriate social cues through the example of their siblings, and it helps your other children feel as though they are a part of the child’s care. 

Lighthouse Autism Center

When it comes to autism and parenting, Lighthouse Autism Center provides the highest quality ABA therapy services to ensure your child gets the best possible care. Find out about the Lighthouse Fusion ABA Therapy and more to help your child. 

Dealing With Insurance to Cover ABA Therapy

Does the center offer support for dealing with insurance companies and helping you navigate the insurance process?

Dealing with insurance by yourself can be a nightmare. Many insurance companies can prove to be difficult when it comes to covering ABA therapy. That is why it is so important that a quality ABA center has someone on their administrative staff who is dedicated to dealing with insurance-related issues, processes, and questions.
When going through the ABA therapy coverage process, you will likely have many questions. You want someone on your team who is thoroughly familiar with the ABA coverage process. This ABA coverage expert will know what kind of documents you need, what kinds of obstacles you might run into in getting coverage, and how to overcome those obstacles. A quality ABA center should have someone with this skill set on staff and readily accessible to all families. This way, every parent or caregiver who comes to the center will have an insurance expert on their team.
What if your insurance decides to deny coverage in the middle of therapy? Would your child be immediately denied services if insurance won’t pay anymore? You might want to ask them about how they have handled scenarios like this in the past. A quality ABA center would have their ABA coverage expert help you work through a situation like this and work through the appeals process.

Does the center call you back?
When you call the center to inquire about services, how good are they at getting back to you? Were they prompt? Did you have to call back multiple times?
If a center is not calling you back after you inquire about services, that is generally a bad sign. The intake team might be too disorganized and chaotic to promptly call back new inquiries. In this case, this is an ABA center that you will want to avoid.

Does the center provide a clear and comfortable intake process?
The process of giving you a tour of the center, collecting information about your child, providing a therapy program proposal, and ultimately enrolling your child is all part of the intake process. The intake process is essentially the process you go through to enroll your child at an ABA center. You, as a parent or caregiver within the intake process, should be able to answer these questions:

• Are you on a waiting list for enrollment?
• Are you waiting to hear about your insurance coverage?
• Does your child have a start date yet?

You should be able to easily answer all these questions if the intake process is well-communicated and transparent. If you can’t answer some, or all, of these questions, you might need to re-evaluate the ABA center you are working with. A confusing intake process is a symptom of deeper problems within the ABA center’s management and potentially their therapy overall

Does the center have a family outreach/support person to answer questions and provide resources no matter what?

Getting ABA services for your child can be complicated to say the least. An quality ABA center will be there to guide you and answer your questions about autism and autism resources, even if your child does not go to their center.
A family outreach or family support coordinator is someone at an ABA center that families can rely on to answer questions about ABA, finding autism resources in the community, and referring to other agencies if needed, and more . For instance, the family outreach coordinator should be able to answer the following:

• Where you can go for a dentist that works with patients with autism?
• Who are the local doctors that do autism testing and what are their respective wait times?
• Are there different resources in the community for children versus adults?

Without the family outreach/support component, an ABA center won’t be serving the community as well as they could. A lack of family support resources can show you that a center is not very interested in helping families in the community.

Does the center stop talking to you if you don’t have insurance coverage?
You can quickly get a sense for how much a center is focused on your insurance coverage, not your child, when you first speak with them about services. How quickly do they ask you about what insurance you have? Is it among the first 3 questions they ask you?
Generally speaking, if the ABA center staff ask you about insurance before discussing anything else, it shows you what is most important to them. You can imagine that an ABA center like this might see you as a big stack of money. You’ll want to avoid such a provider, because they will not be focused on doing what is best for your child and your family. This type of ABA center will do what is best for their bottom line before they consider you.
Another great way to tell if the center only cares about finances is to see what happens after they find out that you don’t have insurance that covers ABA. Do they quickly end the conversation and get you off the phone? Do they not return your calls afterwards?
An ABA center that puts the needs of the community first will not abandon you after finding out you don’t have coverage. Instead they might:

• Show you the various options for coverage such as buying a policy.
• Offer to add you to a list for updates as changes might occur with insurance or open enrollment.