The Triad Of Impairments In Autism Revealed

Unveiling the triad of impairments in autism! Explore social challenges, communication difficulties, and repetitive behaviors in this eye-opening article.

Understanding Autism's Triad

Autism is characterized by a triad of impairments that impact individuals in various ways. These impairments encompass challenges in social interaction, communication, and repetitive behaviors or interests. Understanding these aspects is crucial for comprehending the experiences of individuals with autism.

Social Interaction Challenges

One of the core features of autism is difficulty with social interaction. People with autism may struggle with understanding social cues, interpreting facial expressions, and engaging in reciprocal conversations. They may find it challenging to establish and maintain relationships, leading to feelings of isolation or exclusion.

Communication Difficulties

Communication difficulties are another significant aspect of the triad of impairments in autism. Verbal and nonverbal communication can be challenging for individuals with autism. Some may have delayed speech development or struggle with expressive language, while others may have difficulty understanding and interpreting nonverbal cues such as body language and facial expressions.

It's important to note that communication challenges can vary greatly among individuals with autism. While some may be nonverbal and rely on alternative forms of communication, others may have well-developed language skills but still struggle with pragmatic language and social communication.

Repetitive Behaviors & Interests

Repetitive behaviors and interests are a characteristic feature of autism's triad of impairments. Many individuals with autism engage in repetitive movements, such as hand flapping or rocking. They may also display a strong attachment to routines and have difficulty adapting to change.

Additionally, individuals with autism often exhibit intense and narrow interests. They may become deeply engrossed in a specific topic or subject matter and display extensive knowledge in that area. While these fixed interests can be a source of passion and expertise, they may also limit engagement in other activities.

Understanding the triad of impairments in autism is essential for providing support and creating inclusive environments. By recognizing and addressing challenges related to social interaction, communication, and repetitive behaviors or interests, individuals with autism can be empowered to thrive and reach their full potential.

Signs to Screen for Autism

Recognizing the early signs of autism is crucial for early detection and intervention. The triad of impairments in autism consists of social interaction impairments, communication impairments, and restricted and repetitive patterns of behavior. These three areas are common characteristics of autism and can vary in severity and manifestation among individuals [1]. Let's explore the signs to screen for autism, including early signs in infants, developmental milestones, and the importance of early detection.

Early Signs in Infants

Identifying early signs of autism in infants can be challenging, but there are some red flags that caregivers can look out for. While it's important to note that every child develops at their own pace, the following early signs may warrant further evaluation:

If caregivers notice any of these early signs, it is advisable to consult with a healthcare professional for further assessment and guidance.

Developmental Milestones

Monitoring developmental milestones is another important aspect of screening for autism. While the timing of milestones can vary, delays or regressions in certain areas may indicate the need for further evaluation. Some examples of developmental milestones include:

Developmental AreaMilestone ExamplesSocial and EmotionalSmiling in response to others, imitating facial expressions, engaging in reciprocal playCommunication and LanguageBabbling, pointing, using simple gestures, understanding simple instructionsCognitive SkillsExploring objects, problem-solving, imitating actionsMotor SkillsRolling over, sitting up unsupported, crawling, walking

It's important to remember that developmental milestones are general guidelines, and some children may achieve them at different ages. However, if there are significant delays or a loss of previously acquired skills, it is essential to consult with a healthcare professional for a comprehensive evaluation.

Importance of Early Detection

Early detection and intervention are crucial for individuals with autism. Research has consistently shown that early intervention can lead to improved outcomes and better quality of life for individuals on the autism spectrum. By identifying signs of autism early on, appropriate supports and therapies can be provided to help address the challenges associated with the triad of impairments.

Early detection allows for the implementation of individualized education plans (IEPs) and therapeutic strategies tailored to the specific needs of each individual. These interventions can support the development of social skills, communication abilities, and adaptive behaviors. Additionally, early detection enables caregivers and educators to create supportive environments that promote inclusion and understanding.

Remember, if there are concerns about a child's development or signs of autism, seeking professional guidance and evaluation is crucial. Early detection and intervention pave the way for a brighter future, unlocking the potential for growth and progress in individuals with autism.

Diagnosis and Intervention

When it comes to autism, early diagnosis and intervention are key to providing appropriate support and enhancing the overall quality of life for individuals with autism. In this section, we will explore the diagnostic process, individualized education plans, and therapeutic strategies that play a crucial role in the management of autism.

Diagnostic Process

The diagnostic process for autism involves a comprehensive evaluation conducted by healthcare professionals, such as psychologists, developmental pediatricians, or psychiatrists. The evaluation typically includes assessments and observations to identify the presence of the triad of impairments in autism, which encompasses difficulties with social interaction, communication, and repetitive behaviors or narrow, obsessive interests [2].

To arrive at a diagnosis, the healthcare professional may use standardized tools, interview the individual and their caregivers, and gather information about the individual's developmental history and behavior. It's important to note that the severity and presentation of autism can vary significantly among individuals.

Individualized Education Plans

Once a diagnosis of autism is confirmed, the next step is to develop an individualized education plan (IEP). An IEP is a customized plan that outlines specific educational goals and strategies to support the individual's learning and development. It is created collaboratively by a team that includes parents or caregivers, teachers, therapists, and other professionals involved in the individual's education.

The IEP takes into account the individual's unique strengths, challenges, and learning style. It may include accommodations, modifications, and specialized instruction tailored to the individual's needs. The goal is to provide a supportive and inclusive learning environment that promotes the individual's academic, social, and emotional growth.

Therapeutic Strategies

Therapeutic strategies play a vital role in supporting individuals with autism. These strategies are designed to address the challenges associated with the triad of impairments. Some common therapeutic approaches include:

It's important to note that the specific therapeutic strategies employed may vary depending on the individual's unique needs and goals. A multidisciplinary approach involving a team of professionals ensures that a comprehensive range of interventions is provided to address the challenges associated with autism.

By utilizing a combination of diagnostic evaluations, individualized education plans, and therapeutic strategies, individuals with autism can receive the support and interventions necessary to navigate their daily lives more effectively. With early detection and targeted interventions, individuals with autism can thrive and reach their full potential.

Support Strategies for Autism

When it comes to supporting individuals with autism, it is essential to provide an environment that nurtures their unique needs and promotes their overall well-being. This section explores three key support strategies: creating supportive environments, inclusive practices, and utilizing community resources.

Creating Supportive Environments

Creating a supportive environment is crucial for individuals with autism to thrive. This involves establishing a safe and predictable space that minimizes sensory overload and provides opportunities for comfort and self-regulation. Consider the following strategies when creating a supportive environment:

Inclusive Practices

Inclusion plays a vital role in supporting individuals with autism. By promoting inclusivity, we can create a sense of belonging and enable individuals to fully participate in various settings. Consider the following inclusive practices:

Community Resources

Utilizing community resources can be immensely helpful in providing support for individuals with autism and their caregivers. These resources can offer assistance, guidance, and opportunities for socialization. Some community resources to consider include:

ResourceDescriptionAutism support groupsLocal support groups often provide a platform for individuals with autism and their families to connect, share experiences, and access valuable resources. These groups can offer emotional support, advice, and a sense of community.Therapeutic servicesOccupational therapy, speech therapy, and behavioral therapy are often employed to address specific challenges associated with autism. These services can help individuals develop essential skills, improve communication, and manage behaviors.Community centers and recreational programsMany communities offer specialized programs and activities tailored to the needs and interests of individuals with autism. These programs provide opportunities for social interaction, skill-building, and recreational activities in a supportive environment.Autism advocacy organizationsNon-profit organizations dedicated to autism advocacy can provide valuable resources, education, and advocacy support for individuals with autism and their families. These organizations often offer guidance on navigating services, accessing educational support, and staying updated on the latest research and interventions.

By implementing these support strategies and utilizing community resources, we can create an inclusive and empowering environment for individuals with autism. It is important to remember that each individual is unique, and support strategies should be tailored to their specific needs and strengths. Together, we can foster a society that embraces and supports individuals with autism, allowing them to lead fulfilling lives.

Living with Autism

Living with autism presents unique challenges and opportunities for individuals and their caregivers. Understanding and implementing coping mechanisms, advocating for awareness, and nurturing strengths are essential aspects of supporting individuals with autism.

Coping Mechanisms

Coping mechanisms play a vital role in helping individuals with autism navigate daily challenges and promote their well-being. These mechanisms can vary depending on the individual's needs and abilities. Some common coping strategies include:

By providing individuals with autism the tools and support they need to develop and utilize effective coping mechanisms, we can enhance their ability to navigate the challenges they may face in their daily lives.

Advocacy and Awareness

Advocacy and raising awareness about autism are crucial for fostering understanding, acceptance, and inclusion. Advocacy efforts involve educating the community, challenging stereotypes, and advocating for the rights and needs of individuals with autism. Key aspects of advocacy and awareness include:

By advocating for individuals with autism, we can create a more inclusive society that values and supports their diverse needs and abilities.

Nurturing Strengths

Recognizing and nurturing the strengths and talents of individuals with autism is essential for their self-esteem, confidence, and overall well-being. Some ways to nurture strengths include:

By nurturing strengths, we celebrate the unique qualities of individuals with autism and help them develop a positive sense of self and their capabilities.

By implementing coping mechanisms, advocating for awareness and acceptance, and nurturing strengths, individuals with autism can lead fulfilling lives and reach their full potential. It is through understanding, support, and inclusivity that we can create a more inclusive and accepting world for everyone.

Research and Future Perspectives

As research continues to advance, the understanding of autism and its triad of impairments deepens. Let's explore the latest advances in autism research, promising interventions, and strategies aimed at enhancing the quality of life for individuals with autism.

Advances in Autism Research

Ongoing research in the field of autism has led to significant advancements in our understanding of the condition. Researchers strive to uncover the underlying causes, genetic factors, and neurological mechanisms that contribute to the triad of impairments in autism.

Scientists are exploring various approaches, including neuroimaging studies, genetic analyses, and behavioral assessments, to gain insights into the complex nature of autism. This research helps inform the development of targeted interventions and personalized treatment plans, tailored to the unique needs of individuals with autism.

Promising Interventions

The evolution of autism research has paved the way for promising interventions that aim to address the challenges associated with the triad of impairments. These interventions encompass a range of therapeutic approaches, educational strategies, and support services.

Early intervention has proven to be crucial in maximizing outcomes for individuals with autism. Intensive behavioral interventions, such as Applied Behavior Analysis (ABA), have shown promising results in improving communication skills, social interactions, and reducing repetitive behaviors. Speech therapy, occupational therapy, and social skills training also play important roles in supporting individuals with autism.

Additionally, advancements in technology have opened new avenues for intervention. Innovative tools and applications, such as virtual reality and social robots, are being explored to enhance social communication skills and provide opportunities for practicing real-life scenarios in a controlled environment.

Enhancing Quality of Life

The ultimate goal of research and interventions in the field of autism is to enhance the quality of life for individuals with autism and their families. By focusing on the unique strengths and needs of each individual, strategies can be developed to create supportive environments and promote inclusivity.

Creating supportive environments involves establishing inclusive educational settings, workplaces, and communities that foster understanding, acceptance, and accommodations for individuals with autism. This enables individuals with autism to participate fully in society and reach their full potential.

Advocacy and awareness efforts play a vital role in promoting understanding and acceptance of autism. By increasing public knowledge about autism, dispelling myths and misconceptions, and advocating for individuals with autism, we can foster a more inclusive and empathetic society.

Nurturing the strengths and interests of individuals with autism is also essential for enhancing their quality of life. Recognizing and supporting their unique talents, whether in art, music, mathematics, or other areas, can empower individuals with autism and provide avenues for personal growth and fulfillment.

As research continues to advance, promising interventions and strategies are being developed to support individuals with autism and their families. By staying informed and embracing a person-centered approach, we can work towards a more inclusive and supportive society that celebrates the strengths and potential of individuals 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