Boosting Executive Functioning In Autism

Discover how to support executive functioning skills in autism with friendly strategies for daily success!

August 30, 2024

Understanding Executive Functioning in Autism

Individuals with autism often face significant challenges related to executive functioning skills. These skills encompass a range of cognitive processes, including working memory, cognitive flexibility, and inhibitory control. According to Psychology Today, people with autism frequently struggle with communication, planning, daily tasks, impulse control, attention, verbal reasoning, and rigid thinking.

Up to 80% of individuals with autism experience executive function disorder, which can lead to difficulties managing time, completing tasks, and organizing daily activities.

Executive Functioning Challenges & Percentage of Individuals Affected:

Difficulty with Planning: 80%
Problems with Working Memory: 75%
Impulse Control Issues: 70%
Challenges in Emotional Regulation: 65%

Many individuals with autism may also find it hard to stay organized and sequence information effectively. These difficulties can contribute to frustration and anxiety, making it essential to explore strategies for improving executive functioning skills.

Impact on Daily Life

The impact of impaired executive functioning on daily life can be profound. Individuals may encounter obstacles in routine tasks, which can lead to feelings of overwhelm. For instance, difficulties with planning and organization can affect their ability to complete homework, manage personal care, or adhere to a daily schedule. This can result in stress and anxiety, especially when trying to navigate social situations or unexpected changes in routine.

Moreover, challenges in emotional regulation can manifest in meltdowns or outbursts, further complicating interactions with peers and family members. The struggle to manage time and complete tasks can also lead to academic difficulties.

Understanding these challenges is crucial for caregivers and family members who are looking for effective ways to support individuals with autism. By learning how to support executive functioning skills in autism, caregivers can help foster independence and improve overall quality of life. For additional insights, consider exploring the role of family therapy in autism or how to manage anxiety in children with autism.

Key Components of Executive Functioning

Understanding the key components of executive functioning is crucial for learning how to support executive functioning skills in autism. These components include working memory, cognitive flexibility, and inhibitory control. Each area plays a significant role in how individuals with autism manage daily tasks and adapt to their environments.

Working Memory

Working memory refers to the ability to hold and manipulate specific short-term memories necessary for executing tasks. Individuals with autism may experience deficits in this area, making it challenging to remember instructions or complete multi-step tasks. Research indicates that attention and working memory are closely tied, where individuals may excel at focusing on a task but struggle to recall information from short-term memory.

Characteristics of Working Memory in Autism:

Difficulty recalling instructions
Challenges in multi-step tasks
Strength in focusing on tasks

Cognitive Flexibility

Cognitive flexibility is the ability to adapt to changes in routine or switch between tasks. For individuals with autism, this can be particularly challenging due to a preference for structure and predictability. While cognitive flexibility may be impaired, research shows that fundamental cognitive control often remains intact. For instance, children with autism have been observed to outperform typically developing peers in certain tasks, such as the Stroop task, suggesting that not all executive processing is negatively impacted.

Characteristics of Cognitive Flexibility in Autism:

Difficulty adapting to changes
Preference for structured environments
Potential strengths in specific cognitive tasks

Inhibitory Control

Inhibitory control involves the ability to suppress impulses and regulate behavior. Individuals with autism often exhibit difficulties in this area, leading to challenges with impulse control. This can manifest as acting out or having trouble waiting for their turn in social situations. Improving inhibitory control can significantly enhance an individual's ability to navigate social interactions and adhere to rules in various settings.

Characteristics of Inhibitory Control in Autism:

Challenges with impulse control
Difficulty waiting for turns in social situations
Need for strategies to regulate behavior

Understanding these key components of executive functioning can help caregivers and individuals develop strategies to enhance skills and improve daily functioning. For additional support and resources, consider exploring the role of family therapy in autism and other helpful strategies.

Strategies for Supporting Executive Functioning

Supporting executive functioning skills in individuals with autism involves implementing various strategies that address initiating actions, planning and organizing, and managing emotions. These strategies can enhance daily life and improve overall functioning.

Initiating Actions

Individuals with autism often face challenges with initiation, which is the ability to start an activity, plan, or task, even when they want to do so. To support this skill, caregivers can:

Create a Routine: Establishing a consistent daily schedule helps individuals know what to expect and when to start tasks.
Use Visual Supports: Visual schedules and checklists can provide clear cues for actions, making it easier to initiate activities.
Break Tasks into Smaller Steps: Smaller, manageable steps can make starting a task feel less overwhelming.

Strategy & Description:

Create a Routine: Establish a consistent daily schedule.
Use Visual Supports: Provide visual schedules and checklists.
Break Tasks into Smaller Steps: Divide tasks into manageable parts.

Planning and Organizing

Planning and organizing are critical components of executive functioning. Individuals may struggle with these skills, leading to challenges in completing tasks effectively. Strategies to assist include:

Setting Goals: Helping individuals set achievable short-term and long-term goals can provide direction and purpose.
Using Organizational Tools: Tools like planners, apps, or calendars can help track tasks and deadlines.
Teaching Problem-Solving Skills: Encouraging individuals to think through problems and develop solutions fosters independence in planning.

Strategy & Description:

Setting Goals: Establish achievable short-term and long-term goals.
Using Organizational Tools: Utilize planners, apps, or calendars.
Teaching Problem-Solving Skills: Encourage independent thinking and solution development.

Managing Emotions

Emotional regulation is an essential skill for executive functioning. Individuals with autism may experience difficulties managing their emotions, which can impact their ability to focus and complete tasks. Strategies for managing emotions include:

Creating a Calm-Down Corner: Designating a space where individuals can go to relax and regroup can help manage overwhelming feelings.
Teaching Coping Strategies: Introducing techniques such as deep breathing, mindfulness, or sensory breaks can provide tools for managing stress and anxiety.
Using Visual Supports for Emotions: Emotion charts or visual cues can help individuals identify and express their feelings more effectively.

Strategy & Description:

Creating a Calm-Down Corner: Designate a space for relaxation and regrouping.
Teaching Coping Strategies: Introduce techniques like deep breathing and mindfulness.
Using Visual Supports for Emotions: Utilize emotion charts or visual cues for expression.

Implementing these strategies can significantly enhance executive functioning skills in individuals with autism, leading to improved daily living and social interactions. For further guidance on supporting individuals with autism, consider exploring the role of family therapy in autism and other resources that address specific needs and challenges.

Enhancing Executive Functioning in Autism

Supporting executive functioning skills in individuals with autism requires a combination of professional support and active parental involvement. These two elements work together to create a nurturing environment, promoting growth and development.

Professional Support

Professional support plays a significant role in enhancing executive functioning in individuals with autism. Mental health providers, such as therapists and counselors, can offer tailored strategies to help individuals manage challenges related to executive dysfunction. For example, Applied Behavior Analysis (ABA) therapy is often employed to improve executive function skills. ABA therapists focus on building positive habits and understanding specific behaviors, which can enhance daily experiences.

Programs offered by specialized centers, such as the Adult Autism Center, focus on encouraging independent living skills, supported employment, vocational training, and community integration for adults with autism. These programs aim to provide opportunities for personal growth and improve the quality of life for individuals on the spectrum [3].

Additionally, evidence-based practices that educators may use to support executive functioning include visual supports, social narratives, and video modeling. These tools help individuals understand and navigate daily tasks more effectively.

Parental Involvement

Parental involvement is essential in helping children with autism develop executive functioning skills. Research indicates that children facing challenges in executive functioning can significantly improve their skills through strong parental support. Parents can create structured routines and provide guidance to help their children learn how to manage tasks effectively.

Engaging in activities that promote executive functioning, such as games that require planning and strategy, can be beneficial. Parents can also help their children practice self-regulation techniques, which are crucial for managing impulsive behaviors often associated with executive functioning difficulties in autism.

In summary, enhancing executive functioning in individuals with autism involves a collaborative effort between professional support and active parental engagement. This combined approach not only fosters skill development but also helps create a supportive environment that encourages independence and personal growth.

For additional insights into supporting children with autism, consider exploring how to manage anxiety in children with autism? and helping a child with autism develop self-help skills.

Interventions for Improving Executive Function

Enhancing executive functioning skills in individuals with autism can be supported through various interventions. Two effective approaches include play therapy and virtual training combined with physical exercise.

Play Therapy

Play therapy is a valuable intervention designed primarily for children with autism. This therapeutic approach allows children to engage in play activities of their interest, helping them express themselves in comfortable and meaningful ways. By utilizing toys or activities they choose, children can transition from unwanted behaviors to more positive, non-injurious expressive behaviors.

The main objectives of play therapy include:

Honoring each child's unique mental abilities and developmental levels.
Preventing or addressing psychosocial difficulties.
Promoting optimal growth and development.

Children with autism often face limitations in adaptive behavior and social interaction. Play therapy caters to these challenges by encouraging expression and interaction in a safe environment. It is essential to evaluate each child's specific needs to determine the most suitable type of intervention [7]. For further insights into supporting children with autism, consider exploring our article on helping a child with autism develop self-help skills.

Virtual Training and Physical Exercise

Combining virtual training with physical exercise offers another effective strategy for improving executive functioning skills in individuals with autism. Virtual training provides structured, engaging activities that can enhance cognitive flexibility, working memory, and inhibitory control. These skills are vital for managing daily tasks and interactions.

Physical exercise also plays a crucial role in boosting executive functioning. Regular physical activity has been shown to improve attention span, memory, and overall mental health. Exercise releases endorphins, which can help reduce anxiety and improve mood, further supporting cognitive functions.

Utilizing technology in a fun and interactive way can appeal to children’s interests while promoting essential skills. Activities can range from online games that challenge their cognitive abilities to virtual fitness classes that encourage movement and coordination. For information on managing anxiety in children with autism, check out our article on how to manage anxiety in children with autism?.

By integrating play therapy and virtual training with physical activity, caregivers can create a multifaceted approach to support and enhance executive functioning skills in children with autism.

Practical Approaches for Executive Function Support

Supporting executive functioning skills in individuals with autism can be effectively achieved through various practical approaches. Three notable strategies include the use of visual supports, video modeling, and evidence-based practices.

Visual Supports

Visual supports are powerful tools that can help individuals with autism understand and manage tasks more effectively. These supports can take various forms, including charts, pictures, and schedules. They provide clear, visual cues that assist in organizing thoughts and actions. For example, a visual schedule can outline daily routines, helping to reduce anxiety and improve task completion.

Implementing visual supports can enhance understanding and retention of information, allowing individuals to follow instructions more easily. Teachers and caregivers can utilize visual supports to create a structured environment, thereby fostering better executive functioning skills. For more information on effective strategies, visit our article on the role of family therapy in autism.

Video Modeling

Video modeling is another effective strategy for enhancing executive functioning skills. This technique involves presenting a visual representation of the skill or behavior being taught. By watching videos that demonstrate tasks or social interactions, individuals with autism can observe and learn appropriate responses and actions in a controlled setting. Video modeling has shown success in both home and school environments and can address a wide range of needs for learners of all ages.

Evidence-Based Practices

The National Standards Project from the National Autism Center has identified numerous evidence-based practices for individuals with autism, particularly focusing on improving executive functioning skills. These practices include a variety of interventions that have proven effective for ages 0-22, as well as specific strategies for individuals over 22.

Utilizing these established interventions can provide caregivers and educators with valuable resources for supporting the development of executive functioning in learners with autism.

By incorporating visual supports, video modeling, and evidence-based practices, caregivers and educators can significantly enhance executive functioning skills in individuals with autism, leading to improved daily living and learning experiences. For additional strategies on supporting children with autism, explore our article on helping a child with autism develop self-help skills.

References

[1]: https://autismawarenesscentre.com/executive-function-what-is-it-and-how-do-we-support-it-in-those-with-autism-part-i/

‍[2]: https://www.autismspeaks.org/executive-functioning

‍[3]: https://adultautismcenter.org/blog/autism-and-executive-function/

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How To Find A Great BCBA Supervisor

Understanding the Role of a BCBA SupervisorWhen seeking autism treatment, finding the right Board Certified Behavior Analyst (BCBA) supervisor is crucial. A BCBA supervisor plays a vital role in overseeing and guiding the treatment process for individuals with autism. Let's take a closer look at what a BCBA supervisor is and why their role is essential in autism treatment.What is a BCBA Supervisor?A BCBA supervisor is a professional who has earned board certification as a behavior analyst and has extensive experience working with individuals with autism. They have completed advanced coursework, gained hands-on experience, and passed a rigorous examination to obtain their certification.Typically, BCBA supervisors work directly with individuals with autism, their families, and a team of behavior technicians or therapists. They design and implement behavior intervention plans, assess progress, and provide ongoing supervision and support to ensure effective treatment.The Importance of a BCBA Supervisor in Autism TreatmentA BCBA supervisor plays a crucial role in the success of autism treatment. Here are a few key reasons why their involvement is vital:Expertise and Knowledge: BCBA supervisors possess specialized knowledge and expertise in applied behavior analysis (ABA) and autism treatment. They stay up-to-date with the latest research and best practices, enabling them to provide evidence-based interventions tailored to the unique needs of each individual.Treatment Planning and Oversight: BCBA supervisors are responsible for developing comprehensive treatment plans based on thorough assessments. They oversee the implementation of these plans, ensuring that interventions are appropriate, effective, and aligned with the individual's goals and needs.Supervision and Training: BCBA supervisors provide ongoing supervision to behavior technicians or therapists working directly with individuals with autism. Through regular meetings and observations, they offer guidance, feedback, and training to ensure the highest quality of care and treatment fidelity.Data Collection and Analysis: BCBA supervisors monitor and analyze data collected during the treatment process. This data helps them evaluate progress, make data-driven decisions, and modify intervention strategies as necessary.Collaboration and Advocacy: BCBA supervisors collaborate with other professionals, such as speech therapists, occupational therapists, and educators, to ensure a comprehensive and integrated approach to treatment. They also serve as advocates for individuals with autism and their families, helping them navigate the healthcare and educational systems.Finding a qualified and experienced BCBA supervisor is a crucial step in the autism treatment journey. Their expertise, guidance, and support can make a significant difference in the progress and overall well-being of individuals with autism.Identifying Your NeedsBefore embarking on the search for a BCBA (Board Certified Behavior Analyst) supervisor, it is important to clearly identify your goals and needs. This will help you find a supervisor who aligns with your specific requirements and can provide the support necessary for effective autism treatment.Assessing Your Goals and NeedsTo begin, take some time to reflect on your goals for autism treatment and the specific areas where you need assistance. Consider the following questions:What are your primary goals for autism treatment?Are there any specific areas of concern or challenges that you would like the BCBA supervisor to address?What are your expectations regarding the frequency and duration of supervision sessions?Do you have any preferences or requirements regarding the location or format of supervision sessions?By assessing your goals and needs, you will have a clearer understanding of the qualities and expertise you are looking for in a BCBA supervisor.Determining the Scope of Supervision RequiredThe scope of supervision required will vary depending on the individual and their unique circumstances. Consider the following factors to determine the level of supervision needed:Experience and expertise: Are you seeking a supervisor with extensive experience in working with individuals with autism or specific expertise in certain treatment approaches?Intensity of support: Do you require intensive supervision, including frequent in-person meetings and regular feedback, or are you looking for a more flexible arrangement?Treatment setting: Will the supervision primarily take place in a clinical setting, a school, or in the home environment?Legal and ethical considerations: Are there any specific legal or ethical requirements that need to be considered, such as adherence to state or local regulations?Understanding the scope of supervision required will help you narrow down your search and find a BCBA supervisor who can meet your specific needs.By assessing your goals and determining the scope of supervision required, you will be better equipped to find a BCBA supervisor who can provide the necessary support and guidance for effective autism treatment.Finding Potential BCBA SupervisorsWhen searching for a BCBA (Board Certified Behavior Analyst) supervisor, it's important to explore various avenues to find potential candidates who can meet your needs. Here are three ways to find potential BCBA supervisors:Referrals from ProfessionalsOne effective way to find a BCBA supervisor is through referrals from professionals in the field. Reach out to your child's primary care physician, pediatrician, or any other healthcare professionals who specialize in autism treatment. They often have connections with BCBA supervisors and can provide recommendations based on their knowledge and experience. Additionally, therapists, educators, and other individuals who work with individuals with autism may also be able to offer valuable referrals.Online Directories and DatabasesUtilizing online directories and databases can be a convenient and efficient method of finding potential BCBA supervisors. There are several reputable websites and platforms that provide comprehensive listings of BCBA supervisors in your area.These directories often include information about their credentials, experience, and areas of expertise, allowing you to narrow down your search based on your specific requirements. Consider using trusted directories, such as those provided by professional organizations or autism advocacy groups.Local Autism Support GroupsEngaging with local autism support groups can be an invaluable resource for finding BCBA supervisors. These groups typically consist of parents, caregivers, and individuals with autism who share information, resources, and recommendations.By connecting with these groups, you can tap into their collective knowledge and experiences to identify potential BCBA supervisors. Attend support group meetings, participate in online forums, or join social media groups dedicated to autism support in your community. These interactions can help you gather insights and recommendations from people who have firsthand experience with BCBA supervisors in your area.By exploring referrals from professionals, utilizing online directories and databases, and engaging with local autism support groups, you can broaden your search and find potential BCBA supervisors who may be a good fit for your needs. It's important to keep in mind that each method has its own advantages, so consider using a combination of approaches to maximize your chances of finding the perfect BCBA supervisor for your situation.Evaluating BCBA SupervisorsWhen searching for a BCBA (Board Certified Behavior Analyst) supervisor, it is crucial to thoroughly evaluate potential candidates to ensure they meet your specific needs. Here are some key factors to consider when evaluating BCBA supervisors:Reviewing Credentials and ExperienceReviewing the credentials and experience of BCBA supervisors is essential in determining their qualifications for the role. Look for the following information:Credential or Experience and Importance‍‍Board Certification as a BCBA: EssentialYears of Experience as a BCBA: ImportantSpecializations or Areas of Expertise: Relevant to Your NeedsContinuing Education and Professional Development: Demonstrates CommitmentTake note of the BCBA supervisor's credentials and experience to determine if they have the necessary knowledge and skills to provide effective supervision.Assessing Communication and Interpersonal SkillsEffective communication and interpersonal skills are vital for a successful BCBA supervision relationship. Consider the following factors during your assessment:Skill and Importance‍‍Active Listening: EssentialClear and Concise Communication: EssentialEmpathy and Understanding: ImportantCollaborative Approach: ImportantA BCBA supervisor with strong communication and interpersonal skills will be able to effectively communicate goals, provide feedback, and establish a positive working relationship.Requesting References and Client TestimonialsTo gain insights into the BCBA supervisor's performance and reputation, it is recommended to request references and client testimonials. This feedback can provide valuable information about their professionalism, effectiveness, and ability to work with individuals with autism.When contacting references, consider asking questions such as:How long have you worked with the BCBA supervisor?Did they demonstrate expertise in your specific needs?How did they communicate and collaborate with you?Did they provide constructive feedback and support?Were they responsive to your concerns or questions?Client testimonials can also offer valuable perspectives on the BCBA supervisor's approach and effectiveness in delivering quality supervision.By thoroughly evaluating BCBA supervisors based on their credentials and experience, communication and interpersonal skills, and client feedback, you can make an informed decision when choosing the right BCBA supervisor for your needs. Remember, finding the right fit is crucial as the BCBA supervisor will play a significant role in guiding and supporting autism treatment.Interviewing Potential BCBA SupervisorsOnce you have identified potential BCBA supervisors for autism treatment, the next step is to interview them to ensure they are the right fit for your needs. This section will guide you through the interview process, including preparing questions, discussing their approach and treatment philosophy, and addressing availability and logistics.Preparing Questions for the InterviewBefore the interview, it's helpful to prepare a list of questions to gather relevant information and assess the suitability of the BCBA supervisor. Consider the following questions:Can you tell me about your experience working with individuals with autism and your specific expertise in this area?How do you approach individualized treatment planning for your clients with autism?What strategies do you use to address challenging behaviors in individuals with autism?How do you involve the family and caregivers in the treatment process?Can you describe a successful case or outcome you have achieved with a client with autism?Asking About Approach and Treatment PhilosophyDuring the interview, it's important to ask the BCBA supervisor about their approach and treatment philosophy. Understanding their methods and beliefs will help you determine if they align with your goals and values. Consider asking the following questions:What is your overall treatment approach for individuals with autism?How do you incorporate evidence-based practices into your treatment plans?Do you take a collaborative approach, involving other professionals such as speech therapists or occupational therapists?How do you stay up-to-date with the latest research and advancements in autism treatment?Discussing Availability and LogisticsIn addition to assessing their qualifications and treatment approach, it's crucial to discuss practical matters such as availability and logistics. This will ensure that the BCBA supervisor can accommodate your needs and fit into your schedule. Consider discussing the following points:What is your availability for supervision sessions? Are you able to accommodate my preferred days and times?How frequently will supervision sessions occur, and for how long?What is your preferred mode of communication? Are you accessible for questions or concerns outside of scheduled sessions?Do you have any geographical restrictions or limitations on the areas you serve?By asking these questions and having open discussions during the interview, you can gain valuable insights into the BCBA supervisor's approach, experience, and availability. This will help you make an informed decision when selecting the right BCBA supervisor for your autism treatment journey. Remember to take notes during the interview process to compare and evaluate the candidates effectively.Making the DecisionWhen it comes to finding the perfect BCBA Supervisor, making the right decision is crucial for the success of autism treatment. It's important to carefully consider various factors and weigh the pros and cons before finalizing your choice. Trusting your instincts and starting the supervision process are also essential steps in this decision-making process.Weighing the Pros and ConsTo make an informed decision, it's helpful to weigh the pros and cons of each potential BCBA Supervisor. Consider the following factors:ProsExtensive experience in autism treatmentStrong communication and interpersonal skillsPositive client testimonialsConvenient location and flexible schedulingConsLimited availabilityHigher cost of supervisionDiffering treatment philosophyLimited references availableBy evaluating these pros and cons, you can gain a clearer understanding of the advantages and potential drawbacks associated with each BCBA Supervisor. This analysis will help you make a decision that aligns with your specific needs and goals.Trusting Your InstinctsWhile it's important to consider objective factors when choosing a BCBA Supervisor, trusting your instincts is equally valuable. Pay attention to your gut feelings and instincts during the evaluation process. If you have a positive connection with a particular BCBA Supervisor and feel comfortable discussing your concerns and goals, it may indicate a good fit.Remember that the trust and rapport between you and the BCBA Supervisor are crucial for effective collaboration. If you have reservations or doubts about a potential supervisor, it's important to listen to those feelings and continue your search until you find someone you trust and feel confident in.Starting the Supervision ProcessOnce you have made a decision and selected a BCBA Supervisor, it's time to start the supervision process. This typically involves an initial meeting to discuss goals, expectations, and logistics. The BCBA Supervisor will provide guidance, support, and ongoing supervision to ensure the effective implementation of autism treatment plans.During this initial meeting, it's important to establish clear lines of communication and discuss any specific requirements or preferences you may have. This will help set the stage for a productive and collaborative relationship between you and the BCBA Supervisor.Remember, finding the perfect BCBA Supervisor is a process that requires careful consideration and evaluation. By weighing the pros and cons, trusting your instincts, and starting the supervision process, you can make an informed decision that sets the foundation for successful autism treatment.FAQsWhat qualities should I look for in a BCBA supervisor beyond just their credentials?It's not just about the letters after their name. Seek someone who values mentorship, understands your goals, and resonates with your approach to learning.How do I know if a BCBA supervisor will be a good fit for my learning style and career goals?Look for supervisors who take the time to understand your individual learning needs and align with your professional aspirations. A good fit goes beyond just qualifications.Is it okay to ask potential BCBA supervisors about their teaching philosophy or mentoring approach?Absolutely! In fact, it's encouraged. Understanding their approach gives you insights into whether it aligns with your learning preferences and goals.Should I consider geographical location when choosing a BCBA supervisor?It depends on your preferences and the flexibility of the supervisor. Some interactions may be in person, but many supervisors are open to virtual meetings, expanding your options.How important is it to find a BCBA supervisor with experience in my specific area of interest within Applied Behavior Analysis?It can be beneficial, but it's not the only factor. A supervisor with a broad understanding of ABA principles can often guide you effectively, even if they haven't specialized in your specific area.SummaryAs we wrap up the quest to find that perfect BCBA supervisor, remember that this journey is as much about connection as it is about credentials. It's about finding someone who not only guides you professionally but also understands your unique aspirations and learning style.So, go beyond the checklist, trust your instincts, and seek a supervisor who not only helps you grow in the field of Applied Behavior Analysis but also supports you in becoming the best version of yourself. Your ideal BCBA supervisor is out there – here's to a collaborative and fulfilling professional partnership ahead!Sourceshttps://hoomhouse.com/blog/how-to-find-a-bcba-supervisorhttps://www.iloveaba.com/2014/12/are-you-great-supervisorhttps://readysetaba.com/finding-quality-supervision-for-bcba-bcba

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