Joint Attention For Autism

Discover therapies, strategies, and the impact on social interactions.

August 13, 2024

Understanding Joint Attention

Joint attention is a fundamental social and cognitive skill that plays a crucial role in the development of individuals, particularly in language acquisition, socio-emotional development, and the ability to engage in meaningful relationships. It refers to the ability to coordinate attention and share a point of reference with another person. Joint attention typically begins to emerge in children around their first year and continues to develop throughout their second year.

Definition and Importance

Joint attention is the ability to focus on an object or event while also sharing that focus with someone else. It involves three key components: the ability to follow someone else's gaze, the ability to point or direct attention towards an object, and the ability to share attention with another person.

This skill is considered essential for various aspects of development. In terms of language acquisition, joint attention allows individuals to learn words and understand the meaning behind them. It also helps in developing socio-emotional skills, such as forming and maintaining relationships, interpreting nonverbal cues, and understanding the intentions of others.

Furthermore, joint attention fosters the development of theory of mind, which is the ability to understand and attribute mental states to oneself and others.

Development of Joint Attention Skills

The development of joint attention skills typically follows a general timeline. Around 6 to 9 months of age, infants begin to engage in episodes of joint attention, where they alternate their gaze between an object and a caregiver. By 9 to 12 months, they start to respond to joint attention, meaning they follow another person's gaze or point to an object of interest. Finally, between 12 to 15 months, infants begin to initiate joint attention by pointing or showing objects to others and sharing their interests.

For individuals with autism spectrum disorder (ASD), joint attention development may be delayed or impaired. A lack of joint attention skills can be an early indicator of autism and can help determine if early intervention is needed. Studies have shown that initiating joint attention at 8 months and responding to joint attention at 12 months were linked to the risk of ASD at 18 months of age [4].

Understanding joint attention and its importance is crucial for individuals with autism and their caregivers. Recognizing and supporting the development of joint attention skills can contribute to improved communication, social interactions, and overall well-being.

Impacts of Joint Attention

Joint attention plays a significant role in the development of individuals, particularly for those with autism. It has notable impacts on communication and language learning, as well as social and cognitive development.

Communication and Language Learning

Joint attention is crucial for communication and language development, allowing individuals to engage in meaningful interactions and understand the intentions of others. When individuals with autism struggle with joint attention, it can hinder their ability to effectively communicate and acquire language skills.

Research shows that joint attention skills in young children are correlated with more advanced spoken language and higher social skills as they grow [5]. By actively engaging in joint attention, individuals with autism can improve their language comprehension, expressive language abilities, and overall communication skills. Joint attention therapy, which focuses on improving specific skills related to shared attention, can be an effective intervention for promoting language development.

Social and Cognitive Development

Joint attention also plays a vital role in social and cognitive development. It helps individuals with autism develop social skills, establish connections, and engage in reciprocal interactions with others. By sharing attention and participating in joint activities, individuals with autism can learn important skills such as taking turns, understanding emotions, and developing theory of mind.

Studies have shown that joint attention interventions can lead to improvements in social communication skills, eye contact, and imitation in children with autism spectrum disorder [2]. By actively engaging in joint attention, individuals with autism can enhance their ability to understand and respond to social cues, which can positively impact their relationships and overall social functioning.

In summary, joint attention has a profound impact on individuals with autism, particularly in the areas of communication, language learning, and social development. By actively working on joint attention skills, individuals with autism can improve their ability to communicate effectively, understand social cues, and engage meaningfully with others.

Joint Attention Deficits In Autism

In individuals with autism spectrum disorder (ASD), joint attention deficits are commonly observed. Joint attention refers to the ability to coordinate attention and share a point of reference with another person. It involves the ability to follow someone's gaze, point, or other gestures, as well as to direct attention to objects or events of interest together with another person.

Research has shown that joint attention is regarded as a predictor of various developmental outcomes in children with ASD. According to ABTABA, it is associated with language function, social skills, communication, adaptive function, and intelligence in children with ASD. Deficits in joint attention skills can significantly impact the overall development and functioning of individuals with autism.

Impact on Social Interactions

Joint attention deficits in autism can have a profound impact on social interactions. Joint attention is a fundamental building block of social communication and plays a crucial role in the development of children with autism spectrum disorder. It allows individuals to share experiences, engage in reciprocal communication, and develop social bonds.

When joint attention skills are impaired, individuals with autism may struggle to establish and maintain meaningful social connections. Difficulties in following another person's gaze or understanding shared references can lead to challenges in initiating and sustaining conversations, participating in cooperative play, and understanding the intentions or emotions of others.

Furthermore, joint attention deficits can hinder the development of important social skills, such as turn-taking, joint problem-solving, and empathy. These difficulties may contribute to feelings of isolation, frustration, and social anxiety in individuals with autism.

Early identification of joint attention deficits is crucial as it can serve as an early indicator of autism spectrum disorder. According to Autism Parenting Magazine, a lack of joint attention skills can help determine if early intervention is needed. Identifying and addressing joint attention deficits at an early age can support the development of social communication skills and promote positive social interactions.

To address joint attention deficits in autism, various therapies and interventions, such as joint attention therapy and applied behavior analysis (ABA), can be effective. These interventions focus on enhancing joint attention skills and promoting social engagement. Speech-language pathologists also play a vital role in supporting individuals with autism by providing strategies and techniques to improve joint attention and overall communication skills.

By fostering joint attention skills and supporting social interactions, individuals with autism can enhance their ability to connect with others and navigate social environments more effectively.

Therapies and Interventions

When it comes to addressing the challenges associated with joint attention deficits in individuals with autism, various therapies and interventions have been developed to improve these skills and promote better social interactions. Two commonly used approaches are joint attention therapy and applied behavior analysis (ABA).

Joint Attention Therapy

Joint attention therapy is a specialized intervention designed to target and enhance specific skills related to shared attention. This therapy focuses on improving the ability to establish, maintain, and shift attention between people and objects. By working with a trained therapist, individuals with autism can develop their joint attention skills and improve their communication and social interactions.

Research has shown that improvements achieved through joint attention therapy can have long-lasting effects, with benefits lasting for years. This therapy can be particularly beneficial for individuals with autism who struggle with joint attention deficits.

Applied Behavior Analysis (ABA)

Applied behavior analysis (ABA) is a widely recognized and evidence-based therapy used to address various challenges associated with autism, including joint attention deficits. ABA focuses on understanding and modifying behavior through systematic and data-driven approaches.

In the context of joint attention, ABA can be utilized to teach and reinforce specific skills related to shared attention. A qualified ABA therapist will assess the individual's current abilities, develop targeted goals, and implement interventions tailored to their needs. This may involve breaking down joint attention skills into smaller, achievable steps and using positive reinforcement to encourage progress.

ABA therapy can be implemented in different settings, including clinics, schools, or through home-based programs. The structured nature of ABA allows for consistent practice and reinforcement of joint attention skills, leading to improvements over time.

Both joint attention therapy and ABA have shown promise in improving joint attention skills in individuals with autism. Early intervention and targeted therapies, such as ABA, have been found to be beneficial in enhancing joint attention abilities. By working closely with trained professionals and utilizing evidence-based interventions, individuals with autism can develop and strengthen their joint attention skills, leading to improved communication, social interactions, and overall quality of life.

To explore more therapies and resources for individuals with autism, you can refer to our article on autism therapy tools and resources.

Strategies for Improving Joint Attention

Improving joint attention skills can greatly benefit individuals with autism, enhancing their communication and social interactions. Caregivers play a crucial role in facilitating joint attention, and speech-language pathologists can also provide valuable assistance. Here are some strategies to consider:

Tips for Caregivers

As a caregiver, you can actively support the development of joint attention skills in individuals with autism. Here are some tips to help you engage in successful joint attention interactions:

Be a Good Language Model: Use clear and simple language, providing verbal cues to direct attention towards objects or events of interest.
Get on the Child's Level: By positioning yourself at the same eye level as the individual with autism, you can encourage eye contact and facilitate joint attention.
Follow the Child's Lead: Allow the individual to take the lead during play or activities, following their interests and joining in on their preferred play choices.
Imitate the Child's Actions: Mirror their actions and imitate their play behaviors to create a sense of connection and shared focus.
Keep Interactions Fun: Make joint attention experiences enjoyable and engaging through play. Incorporate toys, games, and activities that capture their attention and promote shared focus.

Remember, every child is unique, so it's important to tailor these strategies to their individual needs and preferences. For more detailed guidance and insights, consider consulting a speech-language pathologist.

Speech-Language Pathologist Assistance

Speech-language pathologists (SLPs), also known as speech therapists, are professionals trained in assessing and treating communication difficulties. They play a crucial role in supporting individuals with autism to develop and improve their joint attention skills, as well as their speech and language abilities.

SLPs can provide the following assistance:

Assessment: SLPs can evaluate the individual's current level of joint attention and communication skills to identify areas that require attention and improvement.
Therapy Sessions: SLPs use evidence-based techniques and activities to target joint attention skills, such as following gaze, pointing, and shared referencing.
Individualized Intervention Plans: SLPs develop personalized therapy plans tailored to the specific needs and abilities of the individual with autism, focusing on joint attention as a key area of intervention.
Collaboration with Caregivers: SLPs work closely with caregivers, providing guidance, training, and resources to support joint attention practice at home and in various settings.

Seeking assistance from a speech-language pathologist can greatly enhance the progress and outcomes of individuals with autism in developing joint attention skills and improving their overall communication abilities.

Remember, joint attention is a fundamental building block for communication and social development in individuals with autism. By implementing these strategies and seeking professional support when needed, caregivers and speech-language pathologists can empower individuals with autism to effectively engage in joint attention interactions, promoting meaningful connections and enhancing their overall quality of life.

Research and Findings

In recent years, research has shed light on the importance of joint attention in individuals with autism. Joint attention refers to the ability to coordinate attention and share a point of reference with another person. It plays a crucial role in social communication and can have implications for cognitive development and intelligence. Let's explore two key research findings related to joint attention and autism.

Link Between Joint Attention and Intelligence

Studies have shown a significant association between joint attention and intelligence in children with autism spectrum disorder (ASD) [8]. A study analyzing 113 children with ASD aged 40-98 months found a positive relationship between joint attention and the Mental Processing Index (MPI), as well as two subscales of MPI [8].

The findings suggest that impairment of joint attention is associated with lower intelligence in children with ASD. However, it is important to note that this association is observed in children without severe intellectual disability. Joint attention deficits were found to be significantly associated with low intelligence in this particular group of children with ASD.

Understanding the link between joint attention and intelligence can help guide interventions and therapies aimed at promoting the development of joint attention skills in individuals with ASD. By strengthening joint attention abilities, it may be possible to support cognitive growth and enhance overall intelligence in this population.

Early Markers of Autism Spectrum Disorder

Impairment of joint attention is considered an early marker of autism spectrum disorder (ASD) and has been linked to the risk of developing ASD later in life [4]. Initiating joint attention at 8 months and responding to joint attention at 12 months have been identified as markers of the risk of ASD at 18 months of age [4].

These findings highlight the importance of assessing joint attention skills in early developmental stages. Early identification of joint attention difficulties can aid in the timely implementation of interventions and therapies, leading to improved outcomes for individuals with ASD.

By further exploring the relationship between joint attention and intelligence, as well as understanding joint attention as an early marker of ASD, researchers aim to enhance our understanding of the condition and develop effective strategies for intervention and support.

In the next sections of this article, we will delve into various therapies, interventions, and strategies that can be employed to improve joint attention skills in individuals with autism. Stay tuned for more information on how we can empower individuals with autism through the harnessing of joint attention.

References

[1]: https://www.abtaba.com/blog/joint-attention-autism

‍[2]: https://www.autismparentingmagazine.com/joint-attention-autism/

‍[3]: https://www.autismparentingmagazine.com/joint-attention-autism

‍[4]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9027970/

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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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