Lighthouse Autism Center has a team of dual-certified clinicians who are Board Certified Behavior Analysts and speech-language pathologists. These experts ensure every learner receives exceptional treatment. Explore benefits of dual certification, types available, and the qualifications required. 

How Does Dual Certification Benefit Learners at Lighthouse?

Dual certification in any healthcare field is an impressive accomplishment that showcases a clinician’s expertise in two, often separate, but related areas of treatment. In ABA, clinicians are required to obtain certification as a Board Certified Behavior Analyst (BCBA), which is a recognized standard in the industry. Dually-certified BCBAs, often have additional training, degrees, or licensure in other related fields.  

This combination of certifications allows professionals to integrate different therapies and derive a deeper understanding of their work while offering a more comprehensive approach to helping autistic people or those with other developmental disabilities. 

Let’s take a look at what it means to be dual certified, different types of dual certifications, what it takes to achieve, and why Lighthouse Autism Center’s team of dual-certified clinicians gives your child the best treatment opportunities.  

How does dual certification enhance ABA services?

Dual certification refers to the achievement of holding two distinct certifications. Within the field of ABA, clincians are considered dual-certified when they  have obtained certification as a Board Certified Behavior Analyst (BCBA) along with an additional certification in another related field. 

The purpose of dual certification is to broaden and deepen the knowledge and expertise of professionals working with individuals with autism spectrum disorder (ASD) or other developmental disabilities. By combining expertise from multiple disciplines, practitioners can offer a more comprehensive and integrated approach to assessment and treatment. 

Different types of dual certification, often seen in ABA settings

There are several different types of dually certified clinicians you might find in the autism space. Some of the more common ones include: 

BCBA and Speech-Language Pathologist (SLP)

This combination allows professionals to address both behavioral and communication challenges that autistic children may experience. They can provide comprehensive intervention plans that target both ABA-based goals and speech and language goals. 

BCBA and Occupational Therapist (OT)

Dual certification as a BCBA and an OT equips professionals with the skills to address both behavioral and sensory-motor challenges. This combination is particularly useful for autistic people who have sensory processing difficulties and require interventions to improve their motor skills. 

BCBA and Special Education Teacher

Dual certification as a BCBA and a special education teacher enables professionals to effectively support autistic learners within educational settings. This combination allows for a better understanding of the academic and behavioral needs of autistic people. 

BCBA and Clinical Psychologist

This combination provides expertise in both behavioral analysis and psychological assessment. Professionals with this dual certification can conduct comprehensive assessments, design behavior intervention plans, and address the emotional and psychological well-being of autistic people. 

What do you have to study to be dually certified?

To be dually certified, individuals typically need to complete the educational requirements and training for both certifications they seek. The specific requirements vary depending on the certifications pursued, but here is a general overview: 

BCBA certification

To become a Board Certified Behavior Analyst (BCBA), individuals must have a minimum of a master’s degree in behavior analysis, education, or a related field. They need to complete approved coursework in behavior analysis, accumulate supervised fieldwork hours, and pass the BCBA examination administered by the Behavior Analyst Certification Board (BACB). 

Additional certification 

The requirements for the additional certification vary depending on the chosen field. For example, to become a speech-language pathologist, individuals need a master’s degree in speech-language pathology, complete clinical practicum hours, and pass a national examination for SLP licensure. Similarly, other professions will have their own specific educational and training requirements. 

Dual certification often involves completing the necessary coursework, practical experience, and examinations for both certifications. This typically requires a significant commitment of time, effort, and dedication to studying and gaining expertise in multiple areas. 

Benefits of dual certification in ABA therapy

Dual certification offers several significant benefits for professionals working with autistic individuals or people with other developmental disabilities. Here are some key advantages: 

Comprehensive assessment and treatment 

Professionals with dual certification possess a broader range of skills and knowledge across multiple disciplines. This allows for a more comprehensive assessment of an individual’s needs and the development of targeted treatment plans. By combining expertise from different fields, practitioners can address a wider range of challenges and provide integrated interventions that consider both behavioral and other relevant domains. 

Holistic approach

Dual-certified professionals can take a holistic approach to intervention. They understand the interconnectedness between different areas of development, such as behavior, communication, sensory processing, or academic skills. This comprehensive perspective enables them to design interventions that address the underlying issues contributing to behavioral challenges and support overall development in a well-rounded manner. 

Enhanced collaboration

Having dual certification facilitates collaboration among professionals from various disciplines. Professionals with dual certification can effectively communicate and collaborate with their colleagues in different specialties, such as speech-language pathologists, occupational therapists, or special education teachers. This collaborative approach promotes a cohesive and coordinated effort, ensuring that interventions are aligned and reinforcing across different domains of development. 

Increased job opportunities

Professionals with dual certification often have an advantage in the job market. Their diverse skill set and ability to provide comprehensive services make them highly sought after by employers in various settings, such as autism centers, schools, clinics, or private practice. Dual certification can expand career opportunities and increase professional marketability, allowing individuals to pursue diverse roles and work with a broader range of clients. 

Improved outcomes for autistic people 

Ultimately, the primary goal of dual certification is to improve outcomes for autistic people. By drawing from multiple disciplines and employing a multidimensional approach, dual-certified professionals can develop more effective and individualized interventions. This comprehensive support can lead to improved behavior, communication, social skills, academic performance, and overall quality of life for autistic individuals. 

Dual certification at Lighthouse Autism Center 

Lighthouse Autism Center has a team of dual-certified clinicians, some of only a handful in the world, who are both Board Certified Behavior Analysts and speech-language pathologists. These clinicians are experts in the fields of ABA and speech therapy for autism, and every learner at Lighthouse has the opportunity to work with these world-class clinicians. 

These therapists specializing in autism are among the many autism resources available at LAC and are also expert practitioners of our innovative Lighthouse Fusion ABA Therapy.  

Raising autistic children can be challenging, with parents experiencing higher than usual stress levels. This, in turn, impacts mental and physical health, making it crucial to understand and address common stressors in parents of autistic children.

How Can Parents of Autistic Children Reduce Their Stress?

Parenting can be quite a challenging journey, and when it comes to raising autistic children, the stress levels can be even higher. Research has consistently shown that parents of autistic children tend to experience more stress compared to other groups of parents.  

While a little stress can be beneficial and keep us motivated, prolonged and excessive stress can have negative effects on our health. In fact, the relationship between parenting and autism often results in higher levels of depression, anxiety, and stress-related health issues. 

Understanding and addressing parental stress is crucial for the well-being of both parents and their autistic children. Let’s try to understand the most common stressors in parents, the effect stress has on both parents and children, as well as ways to reduce stress.  

Common reasons for stress in parents

Parenting an autistic child increases stress levels beyond those of parents of allistic children. The need for constant vigilance, financial burdens associated with therapy costs, sleep deprivation, and managing challenging behaviors can all contribute to increased parental stress levels.  

The impact of parental stress extends beyond individual well-being. It can also affect marital relationships, parenting effectiveness, and even the decision to continue with treatment.  Let’s take a closer look at these different stressors and the effect they have on parents. 

Psychological stress

Taking care of an autistic child can increase the risk of psychological distress like depression, anxiety, and other mental health issues in a caregiver. It’s important for parents to prioritize their own mental well-being and learn healthy coping strategies to manage stress effectively. 

Physical stress

Chronic stress can have physical effects on parents of autistic children, making them more vulnerable to cardiovascular, immune system, and gastrointestinal issues. Research has shown that caregivers in these situations have higher levels of the stress hormone cortisol and biomarkers like CRP, which are linked to various physical illnesses. Fatigue and sleep difficulties may also be common, especially if the child struggles with sleep as well. 

Social stress

Autism spectrum disorder is often misunderstood by the general public, leading to blame or misunderstanding of a child’s behaviors. This can result in a stigma that isolates parents socially, causing them to withdraw from public gatherings and even strain relationships with friends and family. Marital stress may also be more prevalent in families with an autistic child. 

Financial stress

Research suggests that parents of autistic children face financial challenges, such as lower income or reduced work hours, compared to other parents. Additional expenses related to therapy, medical care, and childcare can add a significant financial burden. Some parents may even risk job instability due to frequent absences needed to care for their child.  

Acceptance

One of the first steps towards reducing your stress is acceptance. Accepting that your child has autism and that it is not a disease to be “cured” or “fixed” can play a massive role in managing your expectations of both yourself and your child. Autism is part of who your child is, and every intervention moving forward should be based on that key understanding. Acceptance takes time, years for some, but is an integral part of the success of your child, and the overall family unit.  

It takes a village

Solid support systems are crucial for parents of autistic children. Don’t hesitate to lean on family members and close friends for help. Give them specific tasks to assist you. You don’t have to educate them about autism spectrum disorder yourself — direct them to resources where they can learn more.  

Additionally, disability organizations, places of worship, schools, and community organizations can be valuable additions to your support system. Meeting other parents who understand what you’re going through can be a great support. They “get” the challenges and joys of raising an autistic child, and you can learn from each other’s experiences. 

Focus on reality and not “what ifs”

It’s natural to wonder what life would be like without autism, but dwelling on “what if” scenarios adds unnecessary stress. Focus on the present and embrace your child’s unique journey. Face uncertainties with a positive mindset.  

Ask yourself what your responsibilities are to your child and yourself in the present moment. By focusing on the reality-based needs of your child and what you can actually control, you can alleviate unnecessary stress. 

Find space for yourself

When you feel overwhelmed by the various sources of stress as a parent of an autistic child, it can be helpful to start with small changes. Focus on getting enough sleep, incorporating regular exercise into your routine, and carving out some time for yourself.  

Even smaller changes — like slowing down your daily routine or drinking more water — can make a difference.  

For some, work can provide a break from caregiving for parents of autistic children, but it shouldn’t be the only reprieve. You need to have time and space outside of work where you can prioritize your emotional and physical well-being, pursue your interests, and nurture other relationships.  

Don’t let the fear of how your child will adjust to a new caregiver hold you back. Allowing your child to interact with other adults can be beneficial for both of you. Schedule respite care by hiring a babysitter, asking for help from family or friends, or exploring options like the Medicaid autism waiver. Use this time to rest, run errands, or do something that helps you relax. 

Finding some time for yourself is essential. It can be as short as 15 or 20 minutes. Whether it’s quiet time while your child plays independently or trading caregiving responsibilities with your partner, prioritize moments of self-care. Taking care of yourself can have a positive impact on both your own well-being and your child’s functioning. 

Emotional regulation is key

As parents, we’re human and experience a range of emotions. Find healthy outlets to regulate your emotions, such as exercise, meditation, journaling, or engaging in activities you enjoy. These practices can help you manage stress and maintain emotional well-being. 

Start small and mark the wins

Recognize and celebrate both major and minor victories for you and your child. Acknowledging the positive aspects of your life can uplift your spirits and reduce stress. Share your wins with others and savor the progress you and your child make. 

Find professional help 

Don’t underestimate the value of professional help in managing your stress levels. If regular therapy or counseling is not feasible, there are still options available. Schedule an appointment with your primary care physician to ensure your physical health is in check.  

Disability or autism organizations, as well as your local school or hospital, can help connect you with support groups for caregivers of children with autism. These groups not only provide a listening ear but also offer valuable resources and information to reduce parenting stress. 

Let Lighthouse Autism Center support you and your autistic child

Among the many autism resources available at the Lighthouse Autism Center are a host of autism parenting secrets to help our parents raise their autistic children with empathy and effective care. Combined with our innovative Lighthouse Fusion ABA Therapy, parents are able to live happier and less stressful lives at home with their autistic children. 

Understanding the stages of speech development, the impact of autism on speech development and providing appropriate support and interventions can empower autistic children to reach their full communication potential, enriching their lives and those of their families.

First Word Milestones and What They Mean to Some Families

First word milestones represent a breakthrough in overcoming communication and autism-related challenges, and signify that a child is finding their voice. They’re a testament to the hard work, dedication, and the incredible journey of growth that families and their autistic children have embarked upon.

This journey is unique and can present challenges along the way. Each milestone, especially the first words, holds deep meaning and significance for families. It represents progress and communication breakthroughs while strengthening the bond between parents and their child.

Understanding the stages of speech development, the impact of autism on speech development and providing appropriate support and interventions can empower autistic children to reach their full communication potential, enriching their lives and those of their families.

Let’s understand the different speech development stages in autistic children, why some children miss milestones, how autism affects speech and language, and what first word milestones mean to families with a autistic children.

Stages of speech development in autism

Speech and language development in autistic children can vary widely. While some may follow a similar progression to neurotypical children, others may experience delays or differences in reaching speech milestones. 

Understanding the different stages of speech development can provide insight into the developmental journey of autistic children and the relationship between autism and communication. Here are the typical developmental stages in speech and language development.

1. Preverbal communication

This stage involves the use of nonverbal communication, such as eye contact, gestures, and vocalizations, to express needs and engage with others.

2. Babbling

Children begin producing repetitive syllables and sounds, laying the foundation for later speech.

3. Single words

In this stage, children use individual words to communicate their needs, desires, and thoughts.

4. Phrase and sentence formation

As language skills evolve, children start combining words into phrases and sentences to convey more complex ideas.

Understanding why autistic children may miss first word milestones

Speech development in children can be understood in terms of the development of various capacities, including expressive language (the ability to express oneself through words or gestures) and receptive language (the ability to understand and comprehend spoken language).

It involves the acquisition of vocabulary, grammar, sentence structure, and the development of speech sounds and articulation.

Despite these generalities, speech and language development remains unique for every child. Additionally, the process through which autistic children in general reach first word milestones will often differ from their neurotypical peers. So just how does autism affect communication?

Here are some factors that can contribute to autistic children missing these early language milestones.

Communication challenges

Autistic children often face difficulties in expressing themselves verbally and understanding spoken language. They may struggle with the back-and-forth nature of conversation, have limited vocabulary, or find it challenging to use words to convey their needs and emotions. These communication challenges can impede their progress in reaching the first word milestone.

Sensory sensitivities

Many autistic children experience sensory sensitivities, where they may be hypersensitive or hyposensitive to certain sensory stimuli. In terms of speech and language development, these sensitivities can affect their ability to process and imitate sounds. Sensory sensitivities to noise, for example, may make it harder for an autistic child to focus on and understand spoken words, leading to delays in acquiring their first words.

Motor skills and oral-motor coordination

Developing speech involves intricate coordination of the oral muscles to produce specific sounds. Some autistic children may experience challenges with fine motor skills, including those required for precise tongue, lip, and jaw movements. Difficulties in oral-motor coordination can also impact their ability to articulate sounds, resulting in delays or difficulties in developing their first words.

Delayed social communication skills

Autistic children often experience delays in social communication skills, such as joint attention and understanding social cues. These delays can affect their language development, including the acquisition of first words. Communication is not just about words; it also involves engaging with others, taking turns, and understanding the social context of conversations. Without these foundational skills, autistic children may experience delays in reaching their first word milestones.

Individual differences and unique developmental trajectories

It’s essential to recognize that each autistic child is unique and has their own strengths, challenges, and developmental trajectory. While some may miss the typical timeline for first word milestones, they may excel in other areas of development. It’s crucial to focus on individual progress and provide support tailored to each child’s specific needs rather than comparing them to neurotypical or allistic benchmarks.

Autistic characteristics to look out for

There’s a direct relationship between autism and language, and understanding this as a marker to assess your child’s development can be very useful. If you suspect, or are uncertain, that your child may be autistic, these are some characteristics of autism to look out for. 

Delayed speech

Some autistic children may experience a delay in producing their first words or demonstrate trouble with their overall speech development.

Echolalia

Repetitive or echoed speech, where children repeat words or phrases without understanding their meaning, is common among some autistic individuals.

Difficulty with pragmatics 

Pragmatic language skills, such as taking turns in conversation, understanding social cues and using appropriate gestures, may be challenging for some autistic individuals.

Verbal apraxia

Some autistic children may struggle with planning and coordinating the precise movements required for speech, leading to difficulties in articulation.

What first word milestones mean to families

For families with an autistic child, the articulation of first words is a remarkable and heartwarming milestone. It signifies progress in communication skills, an important step towards self-expression and a deeper connection with their child. These first words can bring immense joy, hope and pride to families who have tirelessly supported their child’s speech and language development.

Early intervention with Lighthouse Autism Center

Early intervention plays a vital role in supporting autistic children in their speech and language development. Speech therapy, applied behavior analysis (ABA) and other evidence-based interventions can address communication challenges, promote language acquisition and enhance social communication skills. 

Lighthouse Autism Center (LAC) has a plethora of autism resources to complement their innovative Lighthouse Fusion ABA Therapy to help you with early detection and intervention.

Early detection of ASD and early application of ABA therapy can positively impact your autistic child’s quality of life. Parents are encouraged to act quickly to get the full benefit of ABA and give their children the best opportunity to develop their social, behavioral, and communication skills.

The Benefits of Early Intervention and Full-Time ABA Therapy

Any therapist you talk to about autism and autistic children will tell you that the earlier you detect Autism Spectrum Disorder (ASD) in your child, the more effective any intervention will be. This is especially true of Applied Behavior Analysis (ABA) therapy in autism. 

Research has shown that early ABA intervention in autism at a young age is associated with better outcomes in life skills development and helps reduce challenging behaviors that can make it difficult for children with autism to interact with others and learn in traditional ways.

Find out why it is important to detect ASD early and the benefits of early intervention for autism with ABA therapy.

How do I know my child is autistic?

Signs of ASD can start showing up in babies as young as six months old. And by the time they’re 12–18 months old, those signs can become even more noticeable. 

In fact, the American Academy of Pediatrics recommends that all 18–24-month-old children be screened for ASD and other developmental disorders. If you do see anything that worries you, don’t hesitate to talk to your child’s doctor about it. 

Common signs cut across three different categories – social, communication, and behavior. These signs may manifest in the following ways:

Social

• Avoiding eye contact
• Not responding to smiles or other facial expressions
• Making facial expressions that don’t suit the context
• Struggling to understand other people’s facial expressions
• Ignoring objects when they’re pointed out
• Not pointing out objects to others
• Having difficulty showing empathy
• Less likely to share things with others
• Not responding when their name is called
• Not using toys or other objects during play as expected

Communication

• Not saying single words by 15 months or two-word phrases by 24 months
• Repeating words without understanding their meaning
• Showing little interest in communicating with others
• Losing language or social skills between 15 months and 2 years old.
• Unable to express feelings or thoughts independently
• Not babbling, or echoing sounds as an infant

Behavior

• Engages in repetitive behaviors (stimming), such as rocking, spinning, twirling fingers, or flapping hands, to self-regulate
• Walks on toes for extended periods
• Prefers routine and struggles with changes or transitions to new activities
• Can become fixated on a specific object or interest
• Repeats certain activities or actions over and over
• Has heightened or diminished sensitivity to smell, sound, light, texture, or touch

By catching any potential issues early, you can give your child the best possible chance for early intervention and successful treatment.

What is ABA?

ABA is a type of therapy that helps individuals with ASD learn new skills and shape their behavior by using positive reinforcement and other teaching strategies in a way that’s fun and engaging for the person receiving therapy.

ABA therapy has been shown to be really effective for people with ASD of all ages. Benefits include improvements and help with all kinds of skills, like communication, social interaction, and self-care.

Does early intervention work for autism?

The short answer is yes. Early intervention in children with autism means starting a treatment or therapy during the pre-preschool years – basically from birth to around age 3 – and there are many reasons why. 

At that age, the brain is super flexible and able to learn a lot more easily than it will be later on. That’s why starting treatment early is so important – it gives your child the best possible chance to make big strides in their development.

Here are some key reasons why early detection of autism and early intervention with ABA therapy is so important.

Neuroplasticity

The biggest advantage of early intervention when it comes to Autism Spectrum Disorder has to do with something called neuroplasticity. This simply means that the brain can change and adapt based on what it’s experiencing.

When kids with ASD receive early intervention, there’s a better chance that their brain development will be positively influenced, creating and shaping new neural pathways early on. This can sometimes even prevent challenging behaviors from becoming habits, which can be a big help for both the child and their family.

Learning and school-readiness

Another benefit of early intervention is that it can help children with ASD to be better prepared for starting school. ABA can help children with autism develop the skills they need to learn effectively in a group or classroom setting, like paying attention to the teacher, following directions, and working cooperatively with peers.

Communication skills

ABA is particularly effective in developing communication skills in autistic children. This can include teaching them how to use language to communicate their needs, wants, and thoughts. Depending on the needs of the child and family, different communication styles can be taught, and ABA teams should collaborate with other providers to best determine what direction to go in. 

Social skills

ABA can also help children with ASD develop social skills, such as how to make friends, take turns, and engage in conversation. The sooner they learn these, the easier their lives will be in social settings. 

Behavior

Early intervention with ABA can also help reduce challenging behaviors in autistic children. In many instances, it teaches them how to manage their emotions, follow rules, and engage in other appropriate behaviors, including how to ask for space or a break if needed. 

Parenting

Parenting a child with autism is challenging, which makes it important to really understand your child’s unique traits and behaviors. This is especially true when they’re upset or distressed and may not communicate in the same way as other kids.

ABA teaches new techniques that can help you interact with your child in a more effective way and offer innovative solutions that can make a big difference for both you and your child. ABA therapy is not just about working with your child, it’s about incorporating the family into services and making sure the skills your child learns in therapy can be transferred to the home setting. 

Matching their peers

A really important study done by Dr. Ivar Lovaas showed that almost half of the children who received early intensive ABA Therapy were able to catch up to the average range of their peers in intellectual and educational function. 

Independent living skills

It is really important for autistic children to do things independently, just like other children, and early intervention helps your child learn important life skills right from the beginning.

When you start working on these skills early on, your child is much more likely to become confident and independent as they grow. This can be a big help in dealing with all kinds of challenges that come up in daily life. Think of things from washing their own hands, to toilet training, dressing independently, to packing their own lunch. 

Intervene early with the Lighthouse Autism Center

Lighthouse fusion ABA therapy is an innovative approach used by the Lighthouse Autism Center to fuse the best practices of ABA and speech therapy into a one-of-a-kind clinical model that delivers better outcomes for children with autism. LAC combines this with various autism resources to help you and your child live a better life.

As with any travel plans, preparation is key. It is especially challenging when traveling with an autistic child. From finding autism-friendly destinations to transport options and even insurance, ensuring you prepare well will reduce risks and make the trip a happy experience for everyone.

Preparing for a Trip With Autistic Children 

Planning any family trip or vacation is always fun but also incredibly stressful. This becomes even more challenging when you need to prepare for a trip with an autistic child. Apart from the normal checklists any trip requires, parents who combine the challenges of autism and traveling have to consider many other factors.  

From managing your and your child’s autism-related travel anxiety to ensuring their safety and comfort in new environments, here are a few tips on how to reduce risks and increase the fun on your next trip. 

Planning the trip

The planning phase of the trip is crucial to travel for a person with autism. It requires extra attention and preparation to ensure that the child’s needs are met at every stage of the trip so that everyone can enjoy the vacation. 

Research your destination

Before you book anything, research your destination to ensure that it is suitable for your child. Highly stimulating experiences like amusement parks, playgrounds, and performance venues can be overwhelming for children, especially those living with sensory overload.  

Consider destinations like Sesame Place, the world’s first theme park to be designated as a certified autism center. They have trained staff who are knowledgeable about autism and how to provide support to individuals with sensory sensitivities as well as sensory guides to help families plan their visit and navigate the park. There are also quiet rooms where visitors can take a break from the noise and crowds and have some downtime.  

Here is a comprehensive list of questions you can forward to any prospective destination to assess their readiness to host you and your child: 

• Can you tell me how long the wait times are? 
• Where can we find our room or seat? 
• How long does the program, event, or attraction typically last? 
• What sets your location apart from others like it? 
• Do you offer sensory guides for your guests? 
• What type of training do your employees undergo, if any? 
• Are there any times when staff members won’t be available to assist me? 
• Do you have any employees who specialize in autism? 
• How many people are usually around? 
• Is the street typically busy? 
• What kind of view can we expect from our room or seat? 
• How noisy is it usually? 
• Is it generally quiet during the night? 
• Is it hot and humid outdoors? 
• What material are the seats/linen made of? Cloth, leather, or plastic? 
• Is it possible to receive a menu beforehand? 
• Am I allowed to bring my own food? 
• What kind of food substitutions are allowed? 
• How far away is our room from the pool and kitchen? 
• Do you use scented detergent or cleaners in the rooms? 
• Where is the garbage and waste collected, and how often is it done? 
• Is there a designated area where I can take my child if they become overwhelmed? 
• How easy is it to get to that space? 
• What safety procedures do you have in place in case of a medical emergency? 

Special travel insurance

Autism travel insurance is a type of travel insurance that’s specially designed to provide extra coverage and protection for people with autism when they’re traveling. Beyond normal travel coverage, special autism travel insurance can also cover additional expenses that may arise due to autism-related incidents.

For example, if someone who is autistic experiences a behavioral or sensory meltdown during their trip, the insurance can help cover any costs associated with that incident, like the cost of a hotel room or a medical professional’s assistance. 

Autism travel card

An autism travel card is a special card or document that autistic children should carry when they travel. It helps to let transportation officials and other service providers, like hotel staff, know that your child is autistic and might need some extra help or accommodations during their trip. 

The card usually has basic information like their name, age, and picture, along with details about their sensory needs, communication preferences, and any other support they might need. Combine the card with a list of your child’s specific issues so that if they get lost or wander off, adults who find them are able to respond accordingly.  

Different organizations or agencies might have their own version of the card, but they all serve the same purpose. 

Preparing your child

This is perhaps the most important aspect of the trip. Both you and your child may be entering an unfamiliar environment which can spark anxiety and serious behavioral reactions.  

Ensuring that your child is well prepared and ready to tackle these new challenges and changes to routine and environment will go a long way to making their and your trip enjoyable. 

Create a schedule and social story 

Detailed schedules should include the travel process, holiday activities, meals, and breaks. This will help your child feel more comfortable and reduce anxiety. 

It’s a great idea to illustrate the schedule in a picture and/or word social story. This will help them understand what to expect and feel more comfortable with the unfamiliar experience. 

Include pictures or descriptions of all aspects of the trip, especially when you combine autism and air travel. Make sure to illustrate security processes, the terminal, the airplane, hotel/accommodation, activities etc. You can also add sensory experiences that your child may encounter during the trip, such as ear-popping during takeoff and landing. 

These concepts require reinforcement. A useful technique is to get your child to explain the schedule back to you repeatedly. You can also mark the departure date on a calendar at least three weeks before and get them to mark each day off. 

Additional training

If you find your homespun efforts are falling a little short, then consider travel training for autism, a program that helps autistic children learn how to travel in a more structured way. It teaches them many of the skills and knowledge they need to be able to navigate the trip, while also helping prepare you as a parent. 

Travel training programs can vary depending on the specific program, but they usually include a mix of classroom instruction and hands-on training. These could include exposure therapy where the child can be acclimated to certain sensory stimuli like sand, snow, escalators, or even the feel of wearing a bathing suit. 

On the way

Release pent-up energy 

Travel often requires long periods of sitting still and being quiet, which can be challenging for children who have a lot of energy. To help your child relieve any pent-up energy before departure, encourage them to engage in high motor activity. 

Activities that involve gross motor movements, such as running or jumping on a trampoline, for approximately 20 minutes, can be especially helpful. This type of activity can help your child release energy and reduce feelings of restlessness, making it easier for them to remain calm and comfortable during the journey. Many airports now have child play spaces that would be ideal for a pre-flight activity session. 

Bring items of comfort along

Comforting items from home, such as a favorite blanket or toy, help your child feel more at ease in unfamiliar surroundings. You should also consider not washing certain items to keep the smell of home constantly present as a comfort in times of distress.  

Sensory supplies 

A good idea is to keep a bag of supplies in the car based on what you know about your child’s needs and their sensory sensitivities. Consider giving your child a small backpack with items they can access on their own as well. 

Include sensory blockers like headphones to help with noise hypersensitivity. Other helpful items for sensory relief can include portable fans, hand sanitizer, and moisture-wicking towels. 

While you’re there

Once you arrive at your destination, it is important to reinforce much of the preparation that was done with your child and ensure that the venue/accommodation can deliver on what was presented. You also need to be prepared for any eventuality you may not have considered.  

Establish a routine

On arrival, it is important to remind your child of all the preparation that was done and then establish a routine for the rest of the vacation. Use all the tools you would at home to make them immediately comfortable in the new space, and put up the schedule you prepared as a visual reference.  

Plan for sensory breaks 

Your child may need breaks from sensory stimulation, so plan for quiet or calming activities during the trip. This can include activities like reading, drawing, or playing with sensory toys. Assuming you booked at a certified autism center, the resort, hotel, or park may offer specially-designed facilities for this.  

Inform all service providers

Let hotel staff and tour guides know about your child’s needs in advance so they can be prepared to provide any necessary accommodations. It is, however, important to remind them when you arrive and during the stay, as staff can rotate, or your instructions may not make it all the way down to the cleaners, waiters, and other service staff.  

Have a backup plan

With all the planning and preparation in the world, there will always be situations that you cannot anticipate. In these cases, you need an emergency backup plan to mitigate any unforeseen stimuli, changes, or triggers that could overwhelm your child. 

This could include returning to your hotel room for a break or finding a quiet, less stimulating activity. To avoid unnecessary anxiety and distress, be prepared to stop any activity immediately to limit the impact on both you and your child.  

Lighthouse Autism Center, a partner on your autism journey

Planning for any changes in your child’s life is a challenge. Let Lighthouse Autism Center help you navigate these spaces through their innovative programs and products like their Lighthouse Fusion ABA Therapy and the numerous autism resources they house on their website. 

Autism Spectrum Disorder (ASD) diagnoses seem to be on the rise. Why is this? We investigate what current data reveals about autism rates, the disparities that exist, and why the statistics don’t necessarily tell the whole story. 

If There’s No Autism Epidemic, Why Are the Autism Statistics Climbing? 

Having just emerged from the throes of the COVID pandemic, it’s fair to say that we have become acutely aware of the many medical conditions that afflict us as a society. More recently, though, we are witness to another perceived crisis, the autism epidemic.  

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects a person’s communication, social interaction, and behavior. It’s called a “spectrum” disorder because it affects people in different ways and to varying degrees.  

Some people with ASD may have difficulty with social cues or communicating their wants and needs, while others may struggle with repetitive behaviors or intense interests in specific topics. ASD is typically diagnosed in childhood and can affect a person throughout their life. 

According to multiple reports from the CDC and other medical journals, autism spectrum disorder statistics show sharp increases in the last few years. Yet experts say there is no need to be alarmed and that there is no epidemic. Let’s look at the data and investigate why the numbers continue to rise, and why experts remain calm. 

What the data says

According to several studies reported by the Center for Disease Control (CDC) as well as medical journals like Pediatrics and Autism Research, autism facts and statistics show a marked rise in the number of ASD diagnoses in children between the ages of 4 and 8, both in the USA and the rest of the world. 

Autism in the USA

A study published in the journal Pediatrics found that the rate of autism among children in the New York and New Jersey metropolitan areas tripled between 2000 and 2016.  

In the CDC’s 2021 follow-up report on autism in the USA, statistics showed similar increases to what was observed in New York and New Jersey. In 2016, one in 54 children had been diagnosed with autism by age 8, compared to 1 in 150 in 2000. 

Another study announced by the CDC in 2023 showed that the number had jumped significantly to 1 in every 36 children. This was up from 1 in 44 in 2021. 

Autism across the world 

A recent study published in the journal Autism Research revealed that the global prevalence of ASD has increased to around 100 in 10,000 (or 1 in 100) children. This is a significant rise from the 2012 global prevalence report, which estimated that 62 in 10,000 children had ASD. 

What are the reasons for the rise in numbers? 

So what do these statistics on autism really mean? And why don’t the experts seem to be worried? The answer, it appears, is layered. There are a number of factors that contributed to autism seeing an increase in statistics, but most of them point to better reporting rather than an increase in the actual number of cases. 

Better diagnoses

According to the team who conducted the New York and New Jersey study, the increase in autism spectrum disorder diagnosis is mainly due to the advancements in diagnostic capabilities and a greater understanding and awareness of the disorder. This is especially prevalent in diagnoses of ASD in children without intellectual disabilities.  

The study showed the percentage of 8-year-olds diagnosed with autism in New York and New Jersey without intellectual disabilities had increased more rapidly than those with intellectual disabilities. From 2000 to 2016, the percentage of those without intellectual disabilities increased five times, while the percentage of those with intellectual disabilities increased only twice. 

This is primarily attributed to advancements in diagnostic techniques rather than an increase in cases. 

The increase in autism prevalence in other parts of the world is also attributed to improvements in public awareness and healthcare systems that respond to autism. 

Now, children are diagnosed at an earlier stage, and regions such as Africa and the Middle East, which were previously underrepresented, have made progress in measuring autism prevalence. 

Racial and gender disparities

The New York and New Jersey study also showed that although the gap has decreased, there are still racial disparities in autism diagnoses. In the past, Black and Hispanic children were diagnosed with autism less frequently than white children.  

The recent analysis revealed that Black children without intellectual disabilities were 30% less likely to be diagnosed with autism than white children. 

According to a neurodiversity scholar at the College of William & Mary, too many marginalized individuals who belong to racial or gender minority groups may not receive an autism diagnosis due to less effective screening tools.  

As diagnostic tools and expertise continue to improve, more individuals from these groups may receive a diagnosis, leading to an increase in autism diagnoses overall. 

Autism in women and girls

Studies have shown that autism is often underdiagnosed in girls and women, as well as in people with less visible symptoms. The latest CDC report shows a 4-to-1 ratio of male-to-female diagnoses, but some scholars are not completely convinced that this accurately reflects the reality on the ground. 

In other research, some academics found that there are often more autistic female students than male students in college groups. And as one social worker has shown, many women are diagnosed with autism later in life, often after they’ve become mothers or grandmothers. This suggests that there are still many girls and women who are going undiagnosed today. 

As these diagnoses increase, so will the overall number of cases. 

Genetics

According to one analysis, around 83% of the risk of developing autism comes from inherited genetic factors. The study pointed out that autism is likely influenced by 2,000 to 3,000 genes, but only about 100 of them are consistently linked to the disorder. 

It was also shown that older parents are more likely to have autistic children, and recent trends show that more people are waiting longer to have children. This is flagged as another possible contributor to the increase in ASD prevalence. 

Lighthouse Autism Center makes life better

Given the increased awareness of ASD prevalence in the USA, it is important to seek out support systems and resources to help families with autistic children. The vast repository of autism resources and LAC’s innovative and groundbreaking Lighthouse Fusion ABA Therapy provide autistic children with the ideal path to holistic well-being. 

Applied Behavior Analysis (ABA) therapy is a necessary medical expense to help our autistic children thrive. But do our health insurance providers cover ABA therapy? Let’s find out how to check your coverage, how your coverage works, why you might not be covered, and how to get the best out of it.

How Do I Know if My Insurance Covers Aba Therapy?

Autism spectrum disorder (ASD) is a well-known and understood condition, yet we often don’t know whether our health insurance providers cover the treatments our autistic children need to thrive in the world. This is especially true of insurance coverage for ABA therapy. 

Applied Behavior Analysis (ABA) therapy is a treatment that helps people with autism spectrum disorder and other developmental disabilities improve their behavior and communication skills using behavioral principles. 

ABA typically involves working with a licensed ABA therapist, who designs and implements a personalized treatment plan for your child. The frequency and duration of therapy sessions may vary depending on their specific needs. Obviously, these treatments and sessions cost money. 

So does your insurance actually cover ABA therapy? To avoid any nasty surprises when we submit claims against our health insurance policy for ABA therapy, it is important to know the answer to this question beforehand. You’ll need to know your coverage works, why you might not be covered, and how to get the best out of your coverage. 

How does ABA coverage work?

Health insurance coverage for autism, and more specifically, ABA therapy insurance, is dependent on a few things. Firstly, you need to understand the type of health insurance plan you have.

In the past, there were very few formal regulations governing ABA therapy for autism and insurance coverage. More recently, however, state and federal governments introduced laws to ensure more uniform coverage across plans and divided the plans into two specific types: self-funded plans and fully insured plans.

Self-funded

These plans are regulated by federal laws rather than state laws. Under this plan, your employer decides what is covered and what isn’t. These plans are not mandated to cover ABA therapy, but as a result of federal mental health parity law requirements, ABA coverage on self-funded plans is increasing.

Fully insured

These are the most common plans offered by employers and must comply with state laws regarding coverage of ABA benefits. Under this type of plan, the insurance company decides what is covered and what is not covered, subject to state regulations. All 50 states mandate that these plans cover ABA. 

The following list will give you an idea of how fully insured plan regulations differ from state to state.

Arkansas

ABA therapy is covered if provided by a supervised, Board Certified Behavior Analyst.

California

A plan covering physical treatments must also cover mental health services. ABA is considered a covered treatment.

Delaware

ABA therapy and necessary items or equipment needed for treatment are covered.

Florida

ABA therapy is covered under state-regulated plans. If you were diagnosed with a developmental disability at age eight or younger, you are eligible for coverage. If you’re over 18, you will still receive coverage as long as you’re still in high school. Coverage for autism in Florida is capped at $36,000 per annum, with a lifetime limit of $200,000.

Georgia

ABA is not explicitly covered in Georgia.

Indiana

In Indiana, ABA is not explicitly covered, but treatment for autism and related disorders can’t be subject to limits or deductibles.

Massachusetts

ABA therapy is covered under MassHealth Standard, CommonHealth, and Family Assistance. There are age limits, but private, fully funded options are available too.

Montana

ABA is not explicitly mentioned, but treatment for autism spectrum disorder can be capped at $50,000 per year for children under eight.

New Hampshire

Coverage for autism is covered under state-regulated plans. Coverage is capped at $36,000 per year for individuals aged 0 to 12 and $27,000 per year for those aged 12 to 21.

It is crucial, however, to check your plan properly. While all 50 states include ABA therapy and autism treatments in their base requirement, some may not enforce full coverage as part of the state regulation. 

How to find out if you’re covered

The first step is to establish which type of plan you’re on. Call your employer’s health insurance representative (usually the HR department) to find out exactly which plan you are on. Once you know if you’re on a self-funded or fully insured plan, you need to find out if you have ABA insurance coverage.

When talking to your health insurance representative about insurance for ABA therapy, you need to ask the following questions: 

1. Does my current plan cover the screening, diagnosis, and treatment of autism spectrum disorder?
2. Does the plan cover ABA therapy?
3. Can I obtain a copy of the Summary Plan Description (SPD) to review coverage details and specific exclusions in writing? It’s crucial to document coverage in writing for future reference.

Choosing a new or different plan

If your current plan does not offer sufficient cover, consider changing your plan. Most employers offer multiple plans, while some even offer both self-funded and fully insured options.

If you have the option of a fully insured plan, you should inquire about the state that regulates the plan, which is typically the state where the company is headquartered rather than your place of residence. 

You should also ask whether it is a small group or large group plan. You can then check whether the state that regulates the fully insured plan mandates coverage in the type of plan offered by your company.

Child-only insurance

Young children with autism often require up to 40 hours of ABA therapy per week, making a child-only insurance plan a wise financial decision. This will allow your child to receive the recommended amount of therapy necessary to reach their full potential.

You can go through the Healthcare Marketplace to obtain a child-only insurance plan. The ABA benefit is included in the “Essential Health Benefits” package, which is mandatory for all Marketplace plans in Texas and Colorado.

It’s important to note that Healthcare Marketplace plans can only be purchased during designated Open Enrollment periods.

How to get the most out of your coverage

Once you have selected a plan that suits your needs and budget, you should spend time interrogating the details of ABA therapy for autism and the insurance coverage per benefit. Knowing how your plan works will empower you to extract as much value as possible without incurring additional costs. Here are some benefits and rules you should keep in mind when using your insurance. 

Deductibles

The deductible is the amount you need to pay before your insurance starts contributing. You’ll have to pay this every year.

Copayment or coinsurance

You’ll either have a copay or a coinsurance. A copay is a fixed amount you pay per visit, including for ABA therapy. Coinsurance is a percentage of the total charges you’re responsible for paying after you’ve paid the deductible.

Out-of-pocket maximum

This is the highest amount you’ll have to pay in a year. Once you reach it, you won’t have to pay any other out-of-pocket expenses for ABA therapy for the remainder of the year. Like your deductible, the out-of-pocket maximum resets each year.

Documentation requirements

Experts recommend that a good insurance plan requires ongoing documentation of your child’s progress. Your child’s Registered Behavior Technician (RBT) will need to submit documentation to show that the treatment is effective. A Board Certified Behavior Analyst (BCBA) will review the progress reports. Although you are not responsible for creating these reports, they are a crucial component of ABA therapy.

In-network practitioners

Use therapists and Board Certified Behavior Analysts (BCBAs) who are in-network with your insurance provider.

Pre-authorizations

Make sure to submit all necessary paperwork before beginning ABA therapy sessions to be certain the costs have been authorized. Failing to do so could leave you responsible for paying the entire bill. A formal diagnosis of autism spectrum disorder and a comprehensive behavior assessment are generally required for ABA therapy.

Lighthouse Autism Center covers your autism treatment needs

Lighthouse Autism Center meets the requirements of most health insurance plans. Through diligent use of your insurance, you can take full advantage of our Lighthouse Fusion ABA Therapy and the many other autism resources available from the Lighthouse Autism Center. 

It’s difficult to know when, or even if, you should move your autistic child from ABA therapy to a mainstream school. We take a look at all the different elements you need to factor into your decision so that you can make the right choice for your child and family.

Moving From ABA Therapy to a Mainstream School 

As a parent to a child with autism, you don’t have to worry about asking yourself whether you understand “what is school readiness” or “why is school readiness important” if you’ve been working with an ABA therapy provider. ABA therapy is an important tool in helping your child gain the specific skills they need to ready them for a transition into a traditional schooling environment and to ensure they tick all the boxes on a school readiness checklist.  

However, there is still a lot for you as a parent to understand if you’ve been thinking about when to transition your autistic child into a mainstream school, and you may even have doubts and questions about the process (you can also find out more about autism with our dedicated autism resources).  

This is why we’re going to take a closer look at why the move into a traditional school is important for so many children with autism, the pros and cons you may need to consider, and many other important elements related to this transition. 

Can my child with autism fit into a regular school?

As a parent, the first question you’ll probably ask long before you make any decisions is “Will my child manage in a regular school environment?” The good news is that an overwhelming majority of autistic children are placed in a typical school environment. The article “Educating Autistic Children”, written by Aubyn Stahmer and Laura Schreibman from the American Federation of Teachers, shares how 89% of autistic children attend regular public schools (even if the time they spend in a regular classroom may vary depending on their individual needs).  

There’s no doubt that it may not be as easy for many children with autism to adapt to a mainstream school, but they can make the switch from an ABA therapy program with the right skills and support. 

Should my child with autism transition to a school environment?

But as you’ve undoubtedly realized yourself, just because your child can attend a mainstream school doesn’t automatically mean that they should. There are various pros and cons for a child with autism entering the traditional school system that you need to consider first. Let’s unpack the advantages and disadvantages that your autistic child may experience in a mainstream schooling environment. 

The pros of attending a mainstream school

There are many advantages to moving a child  with autism into a regular school. These include: 

• A child with autism may feel better knowing they are included in a regular school with other children, even if they know they are different from their peers. 
• A mainstream school environment will help them develop the social skills to navigate life both during and after school, directly from their peers 
• It will help your child with autism develop relationships outside of their immediate family or therapists they work with in other programs 
• Public schooling is not only free, but many public schools offer support to help an child with an autism diagnosis make progress in a traditional classroom, such as Individualized Educational Plans (IEPs). 
• Your child will play an important role in helping neurotypical children better understand neurodivergent children through their daily interactions. 

The cons of attending a mainstream school 

However, just as there are advantages, there are also disadvantages that may affect an child with autism in a regular school. These include: 

• Your child may feel left out in a mainstream school if their social skills are lacking. 
• Neurotypical children may not understand the differences children with autism have which could lead to isolation or difficulty connecting to peers. 
• As much as a mainstream school may offer some degree of support to your child with autism, there may be a lack of teaching resources and academic support to empower your child’s success at school. Though teacher may have the best of intentions, they might not have the resources to support your child the way they want to. 
• Your child’s confidence may suffer if they aren’t able to keep up academically with their peers. 
• Depending on their symptoms of autism , your child may struggle with handling the day-to-day tasks of a regular day at school, such as making sure you’re at the right class on time or navigating a large school building. 
• Negative experiences may lead to additional negative outcomes as your child with autism grows older.  

Ultimately, it depends on your child as an individual 

It’s undoubtedly difficult to weigh up these pros and cons, but ultimately, the decision to move a child from ABA therapy into a mainstream schooling environment very much depends on your child and whether they meet the requirements for school readiness. While some autistic children have great difficulty adjusting to regular school life, it may be much easier for others to adapt to traditional schooling offerings. 

Signs that your child with autism is ready to start mainstream school 

While you are likely working with your ABA provider who can help you gauge when your child is ready to make the move into a mainstream school, it’s also important to better educate yourself on this important time in your child’s life. The article “When Is a Child Ready for Mainstreaming?” written by Yael Goldmintz-Rosenbaum, Ph.D., and Susan J. Schwartz, MAEd, covers this topic for the Child Mind Institute, an independent nonprofit that works with children struggling with mental health and learning disorders.  

In this piece, they identify four important factors to keep in mind when deciding to move your child into mainstream schooling, which we go through in detail below. 

School Readiness Checklist

These are the four elements that you should consider part of your school readiness checklist for your autistic child: 

1. What grade is your child going into? 

There are specific years when children are introduced to new academic challenges, and these could be very difficult or even too much for an autistic child to handle. It’s important to make sure that your autistic child has the necessary skills to meet these demands before you move them into a specific grade at a regular school. 
 

2. Can your child meet expectations in the new class?

An child with autism who may not  have the cognitive skills to match their peers may become demoralized, resulting in them falling even further behind. It’s recommended that your child undergo testing to see what their cognitive and academic strengths and weaknesses are to make sure they are put into a grade in a regular school environment where they are able to perform adequately. 
 

3. How resilient is your child?

If your child has the mental and emotional fortitude to push through and overcome their challenges, then they might be able to manage a mainstream school environment despite any academic or social weaknesses they may have. However, a child who isn’t quite as confident in this regard might need a more supportive schooling environment. 
 

4. Is your child comfortable being an advocate for themselves?

If your child is able to speak up and let the teacher know they don’t understand and they need help, they are more likely to manage in a traditional classroom. Children who aren’t quite so confident may not be able to express themselves properly and struggle with the learning process as a result. 

How to support your autistic child during this process 

One of the most important things to remember once you’ve decided to place your child in a mainstream school is that your ABA provider will be there to assist you. They will play a role in ensuring that your child with autism understands all the things to do to get ready for school, and some providers specifically teach goals to achieve school readiness skills in mock classroom set-ups. Your ABA provider should also engage with the school you’ve chosen to ensure it is properly equipped to meet your child’s needs and support the IEP as needed 

By working with your autistic child, ABA provider, and your chosen school, you’ll be able to help your child make the move from ABA therapy to mainstream schooling as easy as possible. 

Ensure your child is ready for a mainstream school with Lighthouse Autism Center

At Lighthouse Autism Center, we offer the Lighthouse Fusion ABA therapy program, a unique program that combines the best elements of ABA and speech therapy to ensure that your autistic child can achieve the best outcomes. We also provide a variety of autism resources to help you better understand autism and any issues related to it. 

IEPs are an important educational tool that can help autistic and other special-needs children develop the skills they need to navigate life. We explain what IEPs are, who is involved in their development, whether your child qualifies for an IEP and the benefits an IEP can provide.

Learn About Individualized Education Programs

Parents of  children with autism may have heard discussions of an IEP for their child, or may already be involved in the IEP process but are unsure of their role in it, or what qualifies a child for an IEP. In this blog, we’ll take a look at exactly what IEPs are, how they work, who’s involved in the IEP process, and how they can help your child. 

What is an IEP? 

IEP stands for Individualized Education Program. It is a specific type of education program that is aimed at helping special needs kids and is a part of the PreK-12 education system. This means an IEP aims to address the education needs of special-needs children from 3 to 21 years old, when in a public school system. 

The IEP must lay out achievable educational goals for a child for a school year, while also outlining what services will be necessary and available to achieve these goals.  

How does an IEP work?

The creation of an IEP consists of several phases.  

The process begins with an assessment and eligibility phase that aims to identify whether your child qualifies for special education services. This is usually initiated by a teacher (who must get consent from a parent or guardian) or a guardian who recognizes the child may be struggling with learning.All parents have the right to request their child be evalutated for an IEP. The evaluations and assessments are typically conducted by a multidisciplainary team within the school system.  

After the assessment is completed and it is determined by a group of qualified professionals that a child qualifies, the creation of the IEP itself will begin. The IEP will aim to create specific, detailed, and measurable short- and long-term goals, take into account any educational accommodations or modifications that are required, as well as ensuring that your child has all the support services they need. This may include supportssuch as occupational or speech therapy, assistive technology, additional time on tests, or transportation. 

As your child works through their IEP, progress will be recorded and feedback provided to you. An IEP is regularly reviewed to ensure that it adapts to your child’s needs as your child grows. These reviews are usually annual but could occur more frequently, depending on your child. Parents can also request to meet with their IEP team at anytime throughout the school year.  

Usually, from the age of 14, the IEP will also start to include post-school transition goals. The IEP will then look at what services are needed to help your child achieve these objectives and be ready for adult life. 

Who is involved in the creation of an IEP?

An IEP is a team effort that requires input from a child’s parents and education specialists. Other highly qualified health practitioners, such as behavioral specialists, psychologists, occupational therapists, and speech therapists, may also be required to assess your child’s needs.   

As a parent or guardian, you will have an opportunity to review the IEP and provide feedback. This way, you can flag any issues you have with the IEP with the people involved in putting it together and work on producing a program that best suits your child. 

It’s important to get as many of the original team involved in the IEP’s creation as possible for IEP reviews. 

How does a child qualify for an IEP?

There are 13 criteria that make a child eligible for an IEP under the Individuals with Disabilities Education Act (IDEA). These include: 

• Autism spectrum disorder (ASD) 
• Attention-deficit/hyperactivity disorder (ADHD) 

• Developmental delays 
• Emotional disorders or disturbances 
• Intellectual disabilities 
• Physical disabilities 
• Sensory impairments, such as hearing or vision impairments. 

A child is also covered if they are affected by multiple disabilities that are listed under the IDEA. 

The benefits of an IEP

Now that you understand how an IEP works, you might be wondering if it’s worth all the effort. Here are the benefits that an IEP offers to children who need it. 

Can help a child with special needs achieve better educational outcomes by providing an opportunity for success

Without access to additional supports in a traditional learning environment, children with special needs may be constantly behind their peers, not because they lack the ability to learn, but because material isn’t being taught in a way that works for them. An IEP can provide the child with an education that suits their needs or style of learning. 

It is a planned and structured system for learning for a special needs child

For the child, parent, or guardian, it’s reassuring to know that you can go into each lesson knowing what to expect from an educational program and how it is going to be presented. You can also look ahead to see how the educational process will unfold for your special needs child, and you also have an idea of each person’s role and what is expected of them. 

Has advanced measurable objectives to track progress more accurately

While all educational programs have some metrics that allow you to monitor a student’s progress, many IEPs take things a step further with SMART goals. SMART stands for Specific, Measurable, Attainable, Results-oriented, and Time-bound. This means that very detailed goals will be created for the child to reach, as opposed to aiming for any improvement in general. For example, a non-SMART goal would be that a child’s reading speed will improve, versus a SMART goal that says a child’s reading speed will improve to 150 words per minute. This elevates IEP goals and objectives above the goals and objectives of a traditional educational program. This also means that progress can be tracked and available to the parent at their request. 

Ensures a quality education is provided

An IEP is more than an ordinary educational program. IEPs fall under the IDEA, meaning there are even stricter requirements that will ensure a special needs child receives a high-quality education. For example, an IEP must be planned and taught by professional educators and other highly qualified individuals.What is written into an IEP is considered law, and must be follwed by the team working with the child.  
 

It caters specifically to the needs of an individual child

Not only is an IEP created that caters to the specific strengths and weaknesses of an individual child in mind, but many IEPs ensure that a special needs child gets additional one-on-one time with a teacher to improve their educational outcomes. 

Help your autistic child gain the skills they need at Lighthouse Autism Center

Lighthouse Autism Center is the home of the unique Lighthouse Fusion ABA therapy program, a special program that combines the best of ABA and speech therapy to help your autistic child achieve their goals. These, when combined with our in-depth autism resources, can provide your autistic child with a solid foundation to develop their skills so that they can successfully navigate through life. 

Medicaid helps millions of people across the United States to gain access to much-needed health services using special Medicaid waivers. These waivers allow states to provide services to those with specific needs, including low-income families that have an autistic family member. Learn more here.

Everything You Need to Know About Medicaid Waivers & Autism

If you’re in need of financial assistance for your autistic child, you may be able to get that help from Medicaid’s waiver program. Join us as we take a look at what Medicaid is, what they are, how a Medicaid waiver could help your autistic child and how you can apply for assistance.

What is Medicaid?

According to the official Medicaid website, “Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.”

In a nutshell, it’s a public health insurance program for those who can’t afford to pay for specific health-related services on their own. 

While certain federal government rules apply to all Medicaid programs, the programs are run by each state, meaning that specific rules may differ depending on which state you live in.

What is a Medicaid waiver?

A Medicaid waiver is any exception that’s made to existing Medicaid rules in order to cater for a certain individual’s or group’s specific needs. For example, if you’re disabled or have a chronic illness, instead of having to move into an institution to receive assistance, this waiver may make it possible for you to receive assistance in your own home. Each state decides how to implement waivers in order to meet the needs of its citizens. 

Different types of waiver programs

There are many different types of Medicaid waiver programs depending on where you live. That said, three types of waivers are most commonly used across the United States:

Section 1115 waivers

This type of waiver allows a state to experiment with different methods for operating their Medicaid programs, such as using new methods to provide care or additional funding. Basically, any program that can improve assistance to those who need Medicaid can be tested under this waiver.

Section 1915(b) waivers

This type of waiver allows a state to provide its own care delivery system which a Medicaid beneficiary is required to use. While this may sound restrictive compared to allowing a beneficiary to use any Medicaid provider of their choice, care delivery programs that are run under this waiver must demonstrate that it’s more cost-effective, efficient and represents the overall values of the Medicaid program.

Section 1915(c) waivers

This type of waiver allows a state to provide long-term care services to an individual in their own home or community instead of requiring them to seek care at an institution. 

How can a Medicaid waiver help autistic children?

Medicaid can provide financial assistance to families that need help meeting the needs of autistic children. In July 2014, the Centers for Medicare & Medicaid Services (CMS) federal agency made it clear that states are required to provide services to help treat Autism Spectrum Disorder (ASD) in children who are eligible for Medicaid and are under the age of 21. This is done through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.

However, this does not mean that all autistic children will automatically qualify for Medicaid. While there is a Medicaid waiver for autism, the qualifying criteria may differ from state to state and you’ll need to apply for Medicaid to find out if you meet the requirements for assistance through the program. 

How do I apply for Medicaid?

Before you apply, it’s important to know who’s eligible for Medicaid assistance since there are specific requirements one has to meet in order to become a Medicaid beneficiary. Firstly, you must either be a citizen of the United States, a United States national, or have the relevant immigration status in order to qualify. Secondly, once you’ve met this baseline requirement, you need to find out if you qualify for Medicaid in your state. Other factors, such as household income, the size of your family, and age, will play a role in whether your application is successful or not. If you have any questions, you should reach out to your state Medicaid agency to learn more about Medicaid eligibility.

Since your application will be processed at state level, it may be useful to find out more about applying for Medicaid in your state on the Medicaid & CHIP How-To Information page on the Medicaid website. 

Lighthouse Autism Center is ready to help your family

At Lighthouse Autism Center we provide Lighthouse Fusion ABA therapy, an approach which combines ABA and speech therapy techniques to create a unique program which helps to improve your autistic child’s outcomes. You can also make use of our helpful autism resources to improve your understanding of autism and how to approach life with an autistic child. Contact us to learn more about how the Midwest’s leading autism therapy institution can assist your family.

Positive reinforcement for autistic children is a strategy to manage behavior and promote growth. Find out what positive reinforcers are, how they differ from bribery, and how to find the right ones for your child.  

Positive Behavior Support

As a parent of an autistic child, it isn’t always easy to know how to help your child negotiate daily life in a positive and productive way. Whether it’s a simple task that needs to be accomplished or complex problems that distress your child, it is important to find positive behavior strategies that work for both of you.  

Encouraging positive behavior can help autistic children recognize their own emotions and needs, as well as teach them how to ask for help or self-regulate when they are overwhelmed.  

Let’s find out how positive reinforcement can help your child, what reinforcers are, how to use them, and which ones are right for your child. 

What is positive reinforcement in autism?

Positive reinforcement helps autistic children to articulate their emotions and needs in a positive way without acting out or resorting to destructive behaviors like elopement or violence.  

You can use positive reinforcement at home by selecting suitable reinforcers like praise, games, sporting events and even tokens like stickers that accumulate towards earning a privilege or desired item or activity. Reinforcers may vary from child to child and finding ones that suit your child can be a rewarding process requiring observation, analysis, as well as trial and error. 

Why use positive reinforcement?

Reinforcers for autism have proved to yield the best results and is largely recognized as the most ethical use of Applied Behavior Analysis therapy (ABA), the foundation for using learning to help increase or decrease certain behaviors in autistic children. 

What is negative reinforcement?

Negative reinforcement is when you remove something that creates discomfort or distress to your child to increase a desired behavior. 

For instance, if a child responds with extreme anger or aggression to loud music with physical outbursts, it should be communicated or demonstrated to the child that the music can be softened or removed if they request it in a calm manner.  

After teaching the child the appropriate response parents can provide opportunities for them to request the removal of the irritant calmly and achieve the desired goal.  

Punishment should not be used

Punishment is not an accepted practice. According to the Behavior Analyst Certification Board’s (BACB) Professional and Ethical Compliance Code for Behavior Analysts, punishing a child may not just further distress them but cause them to backslide into unhealthy behaviors. 

What is the difference between reinforcement and bribery?

As a parent of an autistic child, knowing the difference between bribery and positive reinforcement is key to the successful use of reinforcers.  

Bribes are generally offered to children without explaining what is expected from them or simply to stop an undesired behavior in the heat of the moment. This form of reward often entrenches bad habits in the child and often perpetuates a pattern of extracting rewards rather than learning how to articulate needs.   

Reinforcers, on the other hand, are not chosen and implemented arbitrarily. They form part of a much broader strategy and employ analysis as well as tried and tested techniques that do not entrench a pattern of unsustainable habits.  

How to use positive reinforcement

Positive reinforcement is a technique that ABA therapists use in treatment but also needs parents to implement at home. Here’s how you can use it to help your child.  

The ABCs of ABA

ABA practitioners use the ABC model to assess problem behaviors in autistic children. ABC is an acronym for Antecedent, Behavior, and Consequence. With the help of an ABA therapist, you can assess your own child’s behaviors using this model.  

• Antecedents refer to “what comes before” or triggers the behavior and can be anything from a situation or item to a time of day or even a topic of conversation.  

• Behavior is fairly self-explanatory and refers to the action that needs to be understood and changed.  

• Consequences refer to what happens immediately after the behavior is observed and, in the context of ABA, can result in reinforcing or punishing positive or negative behavior. 

Assessing the child’s needs

Every autistic child’s situation is unique. From environment to family dynamics and where on the spectrum they fall, as a parent, it is important to work with ABA therapists to observe and evaluate the exact needs of your child and what reinforcers to use. 

Without a proper understanding of these factors, positive reinforcement interventions may not work properly and may even have the opposite effect. Assessments will include but are not limited to: 

• Past motivations  
• Interviews with the child to understand their likes and dislikes 
• Assessing the child’s main triggers (i.e., what do they desire or find difficult to attain?)  

Finding the right reinforcers for the child

Once you and the therapist have done a full assessment, you will move on to selecting the right reinforcers for your child. These can range from simple things like praise to more involved reinforcers where praise, for instance, is combined with a toy and activity to effect a positive response. 

It is important that parents enlist the support of ABA therapists to do the assessments and identify the most effective reinforcers for their children. There isn’t a one-size-fits-all model, and using unsuitable reinforcers for your child could actively harm your child as well as negatively impact their behavior. 

How to use reinforcers effectively 

Once you and the team have identified the reinforcers, they need to be implemented in a controlled and structured manner. Otherwise, you run the risk of receding into bribery or unuseful habits. 

Here are a few guidelines on how you can optimize the use of reinforcers. 

• Reduce dependence on the reinforcer. At the beginning of the therapy, there will be intense use of the reinforcer to establish a pattern. However, it is important to phase it out as the new behavior becomes entrenched. 
• Always combine the reinforcer with praise and verbal encouragement until the verbal praise becomes the main reinforcer and not the item or activity. 
• Model the behavior you want to see in your child. Always practice what you preach! 

• Be clear and concise in your instructions. 
• Make sure your child understands as much as possible why they are doing something, rather than just doing it because they are told. 
• Try not to allow free access to the reinforcer as this may lead to the reinforcer losing its impact. Instead limit access to about 80% to keep the child engaged in the future.   
• Be aware of how you implement the reinforcer. Introducing it suddenly may actually reverse the effect, as many autistic children do not respond well to sudden changes. 
• Have a backup for when your child doesn’t succeed.

ABA at Lighthouse Autistic Center

If you want to see how positive reinforcement affects behavior look no further than the Lighthouse Autism Center. They are leaders in the implementation of positive reinforcement through their ground-breaking Lighthouse Fusion ABA Therapy program, which fuses the best practices of ABA and speech therapy into a one-of-a-kind clinical model that delivers better outcomes for children with autism. Combined with world-leading autism resources, LAC is the Midwest’s leading autism therapy institution. 

Elopement presents a major risk to your autistic child’s safety. Find out the causes for elopement, what prevention strategies to use, as well as how to plan for a possible elopement.

Autism Elopement Prevention & Safety

Elopement or wandering can be defined as when someone who may require supervision leaves a safe area or a responsible caregiver. When that person is an autistic child, the consequences can be tragic. Autistic children who elope often fall victim to harm through traffic accidents, drowning, falling, extreme weather, or even encounters with predators (human or otherwise).  

When faced with such a terrifying prospect, it is no wonder that parents of autistic children can be tempted to employ extreme measures to protect them without considering whether their interventions will be effective or not.  

The fact, however, is that nearly 50% of autistic children have eloped at some point in their lives, often with tragic consequences, and many parents are left in a constant state of anxiety.  

According to the Organisation for Autism Research (OAR) following their Safety Planning Cycle helps parents to constantly equip themselves and their children with the tools and skills to secure their child’s safety through prevention and planning. 

Why do autistic children elope? 

Firstly, it is important to understand why many autistic children elope. In their review of the assessment and treatment of elopement, Dr. Megan Boyle and Dr. Reesha Adamson of Missouri State University describe the four most common reasons for elopement as follows: 

1. To get away from a place, activity, or person (escape) 

2. To obtain access to an item, activity, or person 

3. To engage in an intrinsically pleasurable activity, such as running 

4. To gain attention 

Understanding your child’s triggers makes prevention and safety much easier to manage. If it is not immediately apparent why a child elopes, consider keeping a log of every elopement, to help you identify trends.

Here are a few questions to guide what to log: 

• What sequence of events preceded the elopement? 
• Who was present? 
• Can you remember any significant stimuli or obvious triggers? 
• Where was the child going?
• What happened after the elopement?   

Once there is a fairly good understanding of the reason for elopement, parents need to develop an elopement prevention plan that anticipates these triggers and mitigates the need for elopement as a response.  

The prevention plan may include some of the following interventions. 

The Safety Planning Cycle

There are five basic steps in the Safety Planning Cycle: 

1. Understand

What does your child need? What makes the child safe or unsafe in a particular situation?  

2. Prepare

What skills does your child need to practice in order to be safe? What resources do they need? What can be done to support your child?  

3. Practice 

Once you’ve created your plan and identified the various tools and skills, implement them and find effective ways to reinforce them. 

4. Share

This is a key step towards securing your wandering child. Share your plan, skills and tools with everyone entrusted with your child’s safety as well as those who form part of your support network. From school teachers to community safety personnel like police and firefighters and EMS, the more people who are aware of your needs, the safer your child is. 

5. Update

Work with your child to constantly assess the plan, tools and skills. See what works and what doesn’t then revise and update the plan accordingly.  

Behavior modification

Elopement prevention for children with autism should go beyond just locking the house down to create a gilded prison for your child. Remember that a child who feels safe, who feels that they have choice in their decisions, and who feels that all their physical and emotional needs are met, are far less likely to elope.  

Your prevention plan should therefore begin with behavioral interventions that reduce the need for your children to elope. These should also be supplemented with more practical interventions to inhibit them should they be overcome with the urge to run.  

A behavior intervention plan for preventing elopement should focus on addressing the triggers mentioned above. A key tool in this is to implement Functional Communication Training (FCT), a process of reinforcing alternative behaviors to elopement that meet the needs of the child as defined by the triggers. Here are a few FCT interventions that you can discuss with your professional support network to consider in your plan.  

Attention-seeking 

In the case of a child seeking attention, parents should use visual aids to teach the child how to get their attention without running away. Parents, who are often the preferred person, should be the ones using visual aids to reinforce the alternative behavior. It might also help to give increased fun and exciting attention in spaces where you want your child to stay.   

Parents should avoid overly angry responses in response to elopement as this will make it even more reinforcing for attention. Instead, provide positive reinforcement for all things you want your child to do, other than elopement.

 

Trying to escape

First, try to identify what would trigger a child’s need to escape a particular situation. This could be overstimulation, change in environment, or even just a chaotic or noisy environment.  

Parents need to teach their children how to ask for a break from whatever the trigger is rather than elope. If they run anyway, it is important to bring them back, safely and then review better strategies for escape in the future. 

Once back, parents should adjust the task or change the environment to reduce the stress on the child by introducing breaks or moving to a quieter room. This should then be followed by positive reinforcement of getting back to the task. Again, meeting elopement with anger will trigger further elopement or in this circumstance, turn it into a game.  

Doing something pleasurable

Sometimes referred to as “automatic reinforcement or maintained behavior,” autistic children often elope simply to engage in something they enjoy doing, like running or the feeling of the breeze outside.  

In cases where automatic reinforcement is the trigger, parents need to provide more regular access to that activity in a controlled environment. This will reduce the impulse to elope to access it. For example, a child who loves running should have additional access to a gym or track with supervision.  

Desire to access an item, person, or area

Where the trigger is a desire to gain access to an item, person, area, or activity, parents need to teach their children how to ask for it or access it in a safer way. It is also important to establish a routine for access and explain when they will get access and reinforce this by making absolutely sure that they get it on schedule. A break in routine will definitely encourage elopement.  

Teach your child essential skills

Here are some situational elopement strategies on how to prevent autistic children from wandering off, as well as ways to protect them should they succeed.  

Swimming

Swimming lessons for children with special needs can be difficult to find. The YMCA in many locations across the country offers this specialized service at affordable rates. 

How to navigate traffic

Teach your child basic traffic navigation skills like what traffic lights mean, when and where to cross the road, and how to avoid moving vehicles.  

Stay with you in public spaces

Teach your child to understand the difference between walking and running. Reinforce holding hands or to walk within 6-12 inches of an accompanying adult as well as words like “go, walk, stop”. Reinforce things like staying by the cart in a grocery store, or keeping a hand on the cart in a parking lot.   

How to communicate contact information

Verbal children can be taught to memorize parents’ phone numbers, addresses, and other critical information and should be taught how to provide the answers. This may be difficult or impossible for non-verbal children so alternative means may be necessary in the form of an ID bracelet or card. Even in verbal children, this is a useful tool.  

Practical interventions

Behavioral interventions will only go so far towards mitigating the underlying reasons for elopement while skills are usually employed once in distress. Even if you have a high-functioning autistic child, there may still be a risk of elopement, which requires parents to take very practical steps towards preventing a child from wandering off and to be in a state of readiness should the child elope.  

Create an emergency plan

There are many resources available with templates for an emergency plan in the case of elopement. This plan should include emergency contact information and a step-by-step guide on what to do should your child wander off.  

Your emergency plan should include things like a Google map of the area, a 911 emergency call script, highlights of dangerous areas like bodies of water and high-traffic zones, possible points of interest for your child, etc.  

You should have multiple copies of the plan stored in your home, car, office, school, etc. Be sure to share the plan with key people in your safety network like neighbors, schools, EMS, and others, especially if your child has a history of elopement in the past.  

Secure the home 

In instances where your child routinely wanders, you may need to consider securing your home with locks for your doors and windows, home alarms, printed STOP signs around the house, and even fencing off your yard. It would be a great idea to discuss these options with your local emergency responders to determine what is most appropriate, but also safe.  

Explore a tracking device 

There are numerous wearable tracking devices that use different methods. Some use radio frequencies and triangulation while others use GPS. Consider the right wearable for your child. Some may prove irritating and be removed.  Many devices double up act as elopement prevention devices by alerting parents when a child leaves a predetermined radius or location.  

ID bracelets

Traditional medical ID bracelets will include your name, telephone number, and other important information. They may also state that your child has autism and is non-verbal, if applicable. If your child will not wear a bracelet or necklace, consider other means of ensuring that critical information is located on your child.  

Establish a safety network 

Informing those around you and your child of your child’s vulnerabilities will go a long way to preventing wandering into extremely dangerous situations.  

Introduce your child to your neighbors 

Creating a safety network starts with those in closest proximity. Introduce your child to the neighbors and try to establish a rapport where possible. Provide them with a picture of your child so they will recognize them.  

Introduce your child to first responders

Providing first responders with key information before an incident occurs may improve response. Informational handouts should include all pertinent information and be copied and carried with caregivers at all times. Circulate the handout to family, neighbors, friends, co-workers, and first responders. See the tool kits below for resources to use to alert them. 

Work with your child’s school

Ensure that your child’s school has a crisis plan in place in anticipation of possible wandering and elopement of autistic children.  

What to do if your child elopes

Should your child manage to elope, follow these steps to reduce the possibility of harm and ensure a speedy recovery.  

• Call 911. 
• Locate your emergency plan and follow the action steps.  
• Alert first responders in your area and request an amber alert.  
• Explain to first responders that your child has autism and, if applicable, that their cognitive impairment makes them unaware of danger. Explain how they should interact with your child and what may trigger a flight response or paralysis. Give them suggestions of what to do and what not to do specific to your child’s needs.
• Request that your child’s information be immediately entered into the National Crime Information Center (NCIC) Missing Person File.  
• Alert neighbors and enlist them to help search for your child.  
• Distribute prepared materials with the following details: child’s name, communication level, how to calm your child if they are distressed, a recent picture of your child, caregiver’s contact information, and places your child is likely to go to. Distribute this information to individuals in your search party as well as public authorities. 

Lighthouse Autistic Center

The Lighthouse Autism Center is the Midwest’s leading autism therapy institution, which also provides world-class autism resources and is the proprietor of their unique, ground-breaking Lighthouse Fusion ABA Therapy program, which fuses the best practices of ABA and speech therapy into a one-of-a-kind clinical model to deliver better outcomes for autistic children.