Milestone Delays In Children With Autism

Navigate milestone delays in children with autism. Discover early identification, interventions, and caregiver support for better outcomes.

Understanding Milestone Delays in Children with Autism

Children with autism often experience milestone delays, which can impact their development in various areas. It is important to understand what developmental milestones are and how they can be affected in children with autism.

What Are Developmental Milestones?

Developmental milestones are behaviors or physical skills observed in infants and children as they grow and develop. These milestones serve as guidelines to track a child's progress and ensure they are reaching age-appropriate skills. They cover different areas of development, including physical, cognitive, social, and emotional development.

Examples of developmental milestones include rolling over, crawling, walking, talking, and interacting with others. Each age range has its own set of milestones, and there is a normal range within which a child may achieve each milestone. For instance, walking can occur as early as 8 months or as late as 18 months and still be considered within the normal range [1].

Milestone Delays in Children with Autism

Children with autism are more likely to experience milestone delays compared to their neurotypical peers. Autism affects communication, social interaction, and behavior, which can impact a child's ability to reach developmental milestones [3]. These delays can manifest in various ways, such as difficulties with speaking, making eye contact, responding to their name, and engaging in social interactions.

The challenges faced by children with autism in reaching developmental milestones can make it more difficult for them to form meaningful relationships with others and engage in everyday activities. Early identification and intervention are crucial in supporting children with autism, as they can significantly improve outcomes and help children reach their full potential.

By understanding the impact of autism on developmental milestones, parents, caregivers, and healthcare professionals can work together to provide the necessary support and interventions to help children with autism thrive in their development.

Early Identification and Intervention

Recognizing and addressing milestone delays in children with autism at an early stage is crucial for their overall development and future success. Early intervention plays a vital role in helping children with autism reach their full potential. By understanding the importance of early intervention and recognizing the early signs and red flags, caregivers can take proactive steps to support their child's development.

Importance of Early Intervention

Early intervention programs have been shown to significantly reduce delays among children with autism, leading to better outcomes in their overall development [4]. Seeking professional help as soon as possible is essential to ensure that appropriate interventions and therapies are implemented at the earliest opportunity. By starting early intervention services, caregivers can help minimize and often prevent the long-term effects of developmental delays in children up to 3 years of age [5].

Research indicates that early intervention can lead to improved cognitive, language, and adaptive behaviors in children with autism, even when the intervention is provided during infancy or the toddler years. By addressing milestone delays early on, caregivers can provide their child with the best possible opportunities for growth and development.

Early Signs and Red Flags

Identifying the early signs and red flags of developmental delays in children with autism is crucial for early intervention. While every child is unique, there are some common signs that caregivers should be aware of. These signs may include:

If caregivers notice any of these signs or have concerns about their child's development, it is important to consult with healthcare professionals experienced in diagnosing and treating autism. Early intervention services, such as speech therapy, occupational therapy, and physical therapy, can help improve communication, behavior, and social skills, potentially minimizing milestone delays in children with autism. Prompt action and effective communication with healthcare providers can ensure that appropriate interventions are initiated early, giving children the best chance for positive outcomes in their developmental journey.

Developmental Milestones Affected by Autism

Children with autism often experience delays in reaching developmental milestones compared to their neurotypical peers. Autism primarily affects communication, social interaction, and behavior, leading to unique challenges in achieving certain milestones. Let's explore the specific milestones that may be affected by autism.

Language and Communication Milestones

Delayed speech and language development are common in children with autism. They may exhibit delays in babbling, gestures, vocabulary, and sentence formation. For example, by 12 months, children with autism might not engage in baby talk, and by 24 months, they may have limited or no words compared to their typically developing peers.

AgeLanguage and Communication Milestones12 monthsLimited or no baby talk24 monthsLimited or no words compared to peers

Social Interaction Milestones

Social interactions can be challenging for children with autism. They may experience delays in responding to their name, making eye contact, and sharing enjoyment with others. The lack of appropriate social responses may lead to difficulties in forming relationships, playing with peers, and participating in group activities.

AgeSocial Interaction MilestonesBefore 3 yearsLack of joint attention (not showing, pointing, or sharing interest with a caregiver in objects or events)

Cognitive and Motor Milestones

Children with autism may also exhibit delays in cognitive and motor milestones. For example, a delay in motor skills, such as sitting, crawling, or walking, might be observed and can be identified through milestone tracking and evaluation by healthcare providers [8]. Additionally, delays in pretend play skills, such as engaging in imaginative play activities, may be noticeable by 18 months.

AgeCognitive and Motor Milestones18 monthsLack of pretend play skillsVariesDelay in motor skills (sitting, crawling, walking)

It's important to note that while delays in reaching developmental milestones are more common in children with autism, each child may exhibit a unique pattern of development. Early identification, intervention, and ongoing support are crucial in helping children with autism overcome these milestone delays and reach their full potential.

Strategies for Supporting Development

When it comes to supporting children with autism who experience milestone delays, there are various strategies that can help promote their development. Two key approaches include occupational therapy for motor skill delays and creating a sensory-friendly environment.

Occupational Therapy for Motor Skill Delays

Occupational therapy is a crucial intervention for children with autism who experience motor skill delays. Occupational therapists work closely with children to develop the skills they need to perform everyday activities independently. These therapists utilize a range of techniques and activities to improve motor skills, coordination, and sensory processing.

Through targeted interventions, occupational therapy helps children with autism improve their ability to engage in self-care tasks, such as dressing, feeding, and grooming. Occupational therapists also work on enhancing fine motor skills, such as writing, drawing, and using utensils effectively.

Additionally, occupational therapists provide valuable support and education to parents and caregivers. They offer guidance on incorporating therapeutic activities and strategies into daily routines at home, which can further enhance a child's progress.

Creating a Sensory-Friendly Environment

Creating a sensory-friendly environment at home is another effective strategy for supporting the development of children with autism. Sensory-friendly environments are designed to minimize sensory overload and provide a safe and secure space for children to thrive.

Some strategies to create a sensory-friendly environment include:

By implementing these strategies, parents and caregivers can help create an environment that supports the sensory needs of children with autism. This can contribute to their overall well-being and development.

Remember, every child with autism is unique, and what works for one child may not work for another. It's important to tailor strategies to the individual needs and preferences of the child. Consulting with healthcare professionals, such as occupational therapists and developmental specialists, can provide further guidance and support in implementing these strategies effectively.

By combining occupational therapy for motor skill delays with a sensory-friendly environment, parents and caregivers can play a vital role in supporting the development and well-being of children with autism. These strategies, along with early identification and intervention, collaborative efforts with healthcare providers, and other tailored interventions, can help children with autism reach their full potential and minimize milestone delays.

Collaborating with Healthcare Providers

When it comes to milestone delays in children with autism, collaborating with healthcare providers is crucial for early identification and intervention. Together, parents, caregivers, and healthcare professionals can monitor developmental progress and seek professional assessment when necessary.

Monitoring Developmental Progress

Monitoring a child's developmental progress is essential in identifying any potential milestone delays. By keeping track of developmental milestones using a checklist or calendar, parents and caregivers can observe if a child is achieving age-appropriate skills. Research has shown that early initiation of developmental services leads to better outcomes.

Regular developmental screening is recommended at specific ages to identify children at risk for developmental delays. This screening can help in early detection and intervention for children with autism, potentially preventing significant milestone delays.

Seeking Professional Assessment

If significant delays or concerns in multiple areas of development are noticed, it is recommended to seek a professional assessment from a qualified healthcare provider or developmental specialist. Early intervention is crucial for children with autism as it can help address developmental delays and provide appropriate support [2].

Healthcare providers who specialize in autism can conduct comprehensive evaluations and assessments to determine if a child has developmental delays related to autism. These assessments may involve observations, interviews, and standardized tests to gather information about a child's development in various areas.

Working closely with healthcare providers allows for a collaborative approach in addressing milestone delays. The healthcare team can provide guidance, resources, and interventions tailored to the unique needs of the child with autism. This collaboration ensures that the child receives the appropriate support and interventions to help them reach their full potential.

By actively monitoring developmental progress and seeking professional assessment when needed, parents, caregivers, and healthcare providers can work together to address milestone delays in children with autism. Early identification and intervention pave the way for better outcomes and improved development for children on the autism spectrum.

Early Intervention for Better Outcomes

Early intervention plays a crucial role in supporting children with autism and minimizing milestone delays. Through targeted therapies and interventions, children can develop important skills and enhance their overall development. Two key interventions that have shown positive outcomes in children with autism are Applied Behavior Analysis (ABA) therapy and speech therapy, along with other interventions.

Applied Behavior Analysis (ABA) Therapy

Applied Behavior Analysis (ABA) therapy is an evidence-based treatment that focuses on improving communication, social interaction, and learning skills in children with autism. This therapy utilizes techniques that reinforce positive behaviors and reduce challenging behaviors. ABA therapy is typically tailored to an individual's specific needs and is implemented in a consistent and structured manner.

Research has shown that early and consistent implementation of ABA therapy can lead to significant improvements in communication, social skills, and overall development in children with autism. By focusing on reinforcing desired behaviors and providing systematic support, ABA therapy can help reduce milestone delays and enhance a child's quality of life.

Speech Therapy and Other Interventions

Speech therapy is another essential intervention for children with autism. This therapy focuses on improving language and communication skills, which are often delayed in children on the autism spectrum. Speech therapists work with children to develop their speech production, language comprehension, and social communication abilities.

In addition to ABA therapy and speech therapy, other interventions may also be beneficial for children with autism. These can include occupational therapy, physical therapy, and other specialized therapies that address specific areas of development. These interventions aim to enhance motor skills, sensory processing, and adaptive behaviors.

Early intervention programs have been shown to have positive effects on reducing milestone delays in children with autism. Research suggests that starting these programs as early as possible can lead to better outcomes in a child's development. Early intervention services, including ABA therapy and speech therapy, have been found to improve communication, behavior, and social skills in children with autism, potentially minimizing milestone delays.

By providing early and consistent interventions such as ABA therapy and speech therapy, children with autism can make significant progress in their development, improve their communication skills, and enhance their overall functioning. It is important for caregivers to work closely with healthcare professionals to determine the most appropriate interventions for their child and to create a supportive and nurturing environment at home to facilitate their progress.

The Role of Caregivers in Milestone Delays

Caregivers play a vital role in supporting children with autism who experience milestone delays. By providing a nurturing and enabling environment, caregivers can help facilitate their child's development. Two key aspects of caregiver involvement include supporting development at home and working collaboratively with healthcare professionals.

Supporting Development at Home

Creating a sensory-friendly environment at home is essential for children with autism. This enables them to feel safe and secure while supporting their development. Strategies to achieve this include:

By implementing these strategies, caregivers can create a supportive environment that promotes their child's development and overall well-being.

Working with Healthcare Professionals

Collaboration between caregivers and healthcare professionals is crucial in addressing milestone delays in children with autism. By working together, they can monitor a child's development, identify concerns early, and seek appropriate interventions if necessary.

Regular communication with healthcare providers is important for keeping them informed about any observed delays or challenges. They can provide valuable guidance and support in navigating the developmental journey of a child with autism. It is important for caregivers to share their observations, concerns, and questions with healthcare professionals to ensure the best possible outcomes for their child.

Healthcare professionals, such as developmental pediatricians, psychologists, and therapists, may recommend specific interventions based on the child's needs. These interventions may include occupational therapy for motor skill delays, speech therapy for language and communication delays, and other therapies tailored to address specific developmental challenges [1].

By actively participating in their child's care and collaborating with healthcare professionals, caregivers can help provide the necessary support and interventions to promote their child's development and help them reach their full potential.

In conclusion, caregivers play a crucial role in supporting children with autism who experience milestone delays. By creating a sensory-friendly environment at home and working collaboratively with healthcare professionals, caregivers can provide the necessary support and interventions to facilitate their child's development. Through their dedication and involvement, caregivers contribute significantly to the overall well-being and progress of their child with autism.

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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