Spotting Autism Signs At Age Four

Identifying signs of high functioning autism in four-year-olds. Discover early intervention strategies and support for your child's unique journey.

Understanding High Functioning Autism

High functioning autism, also known as Autism Spectrum Disorder (ASD) level 1, is a neurodevelopmental disorder that affects social interaction, communication, and behavior. Individuals with high functioning autism often have normal to above-average intelligence and exhibit fewer difficulties in language and cognitive skills compared to those with other forms of autism. It is not a separate diagnosis but rather a descriptor used to distinguish individuals with autism who have better adaptive functioning and cognitive abilities.

Definition and Characteristics

High functioning autism refers to individuals who have autism but possess average or above-average intellectual abilities. While each person with high functioning autism is unique, there are common characteristics that may be observed. These can include:

It's important to note that the severity and manifestation of these characteristics can vary from person to person. Each individual with high functioning autism has their own strengths, challenges, and unique way of experiencing the world.

Importance of Early Intervention

Early intervention is vital for children with high functioning autism. Research has shown that early intervention can significantly improve a child's long-term prognosis and quality of life, particularly in terms of communication skills, social interactions, and overall development.

By identifying signs of high functioning autism in children at an early age, interventions and therapies can be implemented to support their specific needs. Early intervention programs may focus on developing communication skills, social interaction abilities, and adaptive behaviors. This can help children with high functioning autism navigate their daily lives more effectively and maximize their potential.

Parents and caregivers play a crucial role in recognizing the signs and seeking professional help if they suspect their child may have high functioning autism. Early identification and intervention can lead to improved outcomes and better long-term outcomes for individuals with high functioning autism.

In the following sections, we will explore the specific signs of high functioning autism in children, sensory sensitivities experienced by individuals with autism, strategies for building friendships, and the importance of diagnosis and support in managing high functioning autism.

Signs of High Functioning Autism in Children

High functioning autism, also known as Autism Spectrum Disorder (ASD) level 1, is a neurodevelopmental disorder that affects social interaction, communication, and behavior. It is characterized by individuals who have autism but possess average or above-average intellectual abilities. Identifying signs of high functioning autism in children, especially at the age of four, is crucial for early intervention and support. Here are some common signs to look out for:

Communication Challenges

One of the key indicators of high functioning autism in children is communication difficulties. At the age of four, children with high functioning autism may exhibit delayed speech and language development compared to their peers. They may struggle with expressing themselves verbally, have limited vocabulary, and find it challenging to initiate or sustain conversations [2]. It's important to note that while speech and language delays are common, some children with high functioning autism may have advanced language skills but struggle with pragmatic language, such as using appropriate tone, gestures, and taking turns during conversations.

Social Interaction Difficulties

Children with high functioning autism often face challenges in social interaction. At the age of four, these difficulties can manifest as difficulty with eye contact and social engagement. They may have trouble understanding social cues and non-verbal communication, leading to difficulty in establishing and maintaining friendships. These children may also struggle with taking turns, sharing, and understanding social norms and expectations. It's important to note that social difficulties can vary in severity and presentation among individuals with high functioning autism.

Repetitive Behaviors and Restricted Interests

Repetitive behaviors and restricted interests are common signs of high functioning autism in children. At the age of four, children may engage in repetitive movements such as hand-flapping, rocking, or spinning. They may also display intense focus or preoccupation with specific topics, objects, or activities. These restricted interests can sometimes be highly specialized and may dominate the child's attention and play. It's important to note that while repetitive behaviors and restricted interests are common, they can vary in intensity and form among individuals with high functioning autism.

Recognizing these signs of high functioning autism in four-year-old children can help parents and caregivers seek appropriate support and early intervention. If you notice these red flags, it is advisable to consult with a healthcare professional or seek a comprehensive evaluation to obtain a formal diagnosis. Early identification and intervention can make a significant difference in the development and well-being of children with high functioning autism.

Sensory Sensitivities in Autism

Individuals with high-functioning autism often experience sensory sensitivities that can significantly impact their daily lives. These sensitivities can manifest in two distinct ways: oversensitivity and undersensitivity. Understanding these responses is crucial for providing appropriate support and intervention.

Oversensitivity Responses

Children with high-functioning autism who are oversensitive to sensory information may display distress or discomfort when exposed to certain sensory experiences they dislike. This can include bright lights, loud noises, strong smells, or particular textures. Some common signs of oversensitivity responses in autistic children include:

It's important to note that oversensitive individuals may also display exceptional skills in certain areas, such as balance or coordination. However, they may also have a strong aversion to being in close proximity to others due to sensory sensitivity.

Undersensitivity Responses

On the other hand, some children with high-functioning autism may exhibit undersensitivity to sensory information. This means they have a reduced sensitivity to certain sensory stimuli. Undersensitive individuals may seek out sensory experiences or display behaviors that increase sensory input. Some common signs of undersensitivity responses in autistic children include:

Autistic children with undersensitivity may have difficulty processing and responding appropriately to sensory information, which can impact their safety and well-being. Understanding their unique sensory needs is crucial for providing effective support and ensuring their overall sensory experiences are balanced.

Sensory Issues and Behavior

Sensory sensitivities in autistic children can lead to a range of behavioral responses. It's important to recognize that these behaviors are often a result of sensory challenges rather than deliberate actions. By addressing the underlying sensory issues, it is possible to support children in managing their behaviors effectively.

Understanding the specific sensory sensitivities and responses of each child is essential for tailoring interventions and strategies. Creating an environment that minimizes sensory triggers and providing tools for self-regulation can greatly benefit children with high-functioning autism. Seeking professional help, such as occupational therapy, can also be beneficial in addressing sensory issues and promoting overall well-being.

By acknowledging and addressing sensory sensitivities in children with high-functioning autism, caregivers and professionals can create supportive environments that enhance their quality of life and facilitate their overall development.

Building Friendships for Autistic Children

When it comes to building friendships, autistic children may face unique social challenges. However, with understanding, support, and guidance, they can develop meaningful relationships with their peers. In this section, we will explore the social challenges on the playground, connecting with peers, and managing social conflict.

Social Challenges on the Playground

Autistic children may experience difficulties navigating social situations on the playground. They may operate on the periphery, finding it challenging to initiate or join in on play activities. Encouraging positive social skills among neurotypical children and facilitating interactions can help improve social networks for children with autism.

To support autistic children on the playground, it can be helpful to provide structure and clear expectations. Creating visual schedules or using social stories can assist them in understanding and participating in various play activities. Additionally, promoting inclusive play environments that foster empathy and acceptance among all children can contribute to a more inclusive and supportive playground experience.

Connecting with Peers

Connecting with peers can be challenging for autistic children due to difficulties in processing social information efficiently. Shared activities may be less pleasurable for them compared to neurotypical children, which can hinder the development of deeper connections. However, autistic people often find and befriend others with autism, as they feel most connected and similar to one another.

To facilitate connections with peers, it can be beneficial to provide opportunities for shared interests and activities. Autistic children may thrive in environments where they can engage in activities that align with their passions, allowing them to connect with others who share similar interests. This can include joining clubs, groups, or participating in specialized classes or programs that cater to their specific interests.

Managing Social Conflict

Autistic children, particularly girls, may experience more conflict and find it harder to manage compared to their neurotypical peers. Recognizing the intensity of their feelings and teaching them effective strategies for coping with conflict is crucial. Providing guidance on conflict resolution, emotion regulation, and perspective-taking can help them navigate challenging social situations.

Teaching social skills through role-playing, social stories, and visual supports can assist autistic children in understanding different perspectives and problem-solving. It's important to create a safe and supportive environment where they feel comfortable expressing their emotions and concerns. Encouraging open communication and providing guidance on appropriate ways to express their feelings can empower them to navigate social conflict more effectively.

By addressing the unique social challenges on the playground, facilitating connections with peers, and providing support in managing social conflict, we can help autistic children develop meaningful friendships. Embracing their individual strengths and fostering inclusive environments can create opportunities for them to thrive socially and build rewarding relationships with their peers.

Diagnosis and Support for Autism

When it comes to high functioning autism, early diagnosis and support are essential for providing the necessary interventions and resources. Recognizing the signs of autism in children at a young age is crucial for ensuring that they receive the appropriate care and assistance. In this section, we will explore the various aspects of diagnosis and support for autism.

Screening Tools and Evaluations

To determine if a child may be exhibiting signs of high functioning autism, doctors, parents, and caregivers can use screening tools and evaluations. One widely used tool is the Modified Checklist for Autism in Toddlers (M-CHAT), which helps identify potential indicators of autism in children up to 2.5 years old. Although primarily designed for younger children, it can still be helpful for children up to 4 years old.

During the evaluation process, healthcare professionals observe the child's behavior, interactions, and play to assess if autism may be present. If a child shows signs of autism, the doctor may refer the family to a specialist for a more comprehensive examination. It's important to remember that a diagnosis of autism is made based on a thorough evaluation and not solely on the results of a screening tool.

Early Identification Importance

Recognizing signs of autism in children as early as possible is crucial for their development and well-being. According to Cross River Therapy, symptoms of autism are typically evident by the age of 4. Identifying these signs at an early stage allows for timely intervention and support, which can significantly improve outcomes for children with high functioning autism.

Early identification provides the opportunity to implement strategies and therapies tailored to the child's needs. These interventions can target areas such as communication, social interaction, and behavior, helping children with autism thrive and reach their full potential.

Seeking Professional Help

If you suspect that your 4-year-old may be exhibiting signs of high functioning autism, it's essential to seek professional evaluation. Consulting with your child's doctor is the first step in the process. They can guide you on the appropriate steps to take, including referring you to specialists who specialize in autism assessments.

Autism assessments usually involve a comprehensive evaluation conducted by a team of professionals, such as psychologists, developmental pediatricians, or speech-language pathologists. These evaluations assess various aspects of a child's development, including communication skills, social interactions, and behavior patterns. Through this evaluation, professionals can determine if a child meets the criteria for an autism diagnosis and help create an individualized support plan.

Remember, every child is unique, and the signs of high functioning autism may vary. Trust your instincts as a caregiver and advocate for your child's well-being. By seeking professional help, you can gain valuable insights and access to resources that will support your child's growth and development.

Play and Social Skills in Autistic Children

Play and social skills play a crucial role in the development of all children, including those with high functioning autism. Understanding how autistic children engage in play and face challenges in collaborative play can help caregivers and professionals provide appropriate support. Additionally, various therapies are available to enhance social development and promote positive play experiences.

Play Behaviors in Toddlers

Autistic toddlers often display unique play behaviors that differ from those of neurotypical children. They may engage in solitary play, focusing on activities that self-regulate or stimulate themselves, rather than actively seeking interaction or collaborative play with peers [6]. This means they may prefer to play alone, engage in repetitive actions, or show intense interest in specific objects or topics.

Collaborative Play Challenges

Collaborative play can pose challenges for autistic children, particularly in their early years. They may struggle with interactive communication, including recognizing social cues, adjusting their tone, and engaging in reciprocal conversations. Joint attention skills, which involve focusing on something with another person to achieve a shared goal, may also be difficult for autistic children.

However, as autistic children grow older, they may develop the ability to learn the rules of group play. They may engage in parallel play, where they play in the same room as others, but without direct interaction. This type of play allows them to have autonomy over when to talk and respect their own needs and boundaries, while still being in the presence of others.

Therapies for Social Development

Various therapies are available to help autistic children develop play skills, build relationships, and enhance social skills. These therapies can provide valuable support to both the child and their caregivers. Some notable therapies include:

By incorporating these therapies into the child's routine, caregivers and professionals can help autistic children develop vital social skills, enhance their play experiences, and foster positive relationships with peers.

Understanding the play behaviors and challenges faced by autistic children is crucial in providing the necessary support for their social development. Through appropriate interventions, therapies, and a nurturing environment, caregivers can help autistic children thrive and engage meaningfully in play activities.

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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