Service Stages

School

School

EXHIBIT A
DESCRIPTION OF SERVICES

(Please note that this is a general sequence of events – each child may follow a different service delivery course depending upon their individual needs & also what insurance authorizes, as applicable)

 
STAGE A: INTAKE, ASSESSMENT, TREATMENT PLAN & PROGRAM DEVELOPMENT

1. INTAKE MEETING
Intake meeting are just for parents and are designed to accomplish 3 main goals:

  • To provide the opportunity to meet with the APPLE Consulting Team and ask questions about services, policies, and any other queries

  • To discuss together the APPLE Consulting Initial Assessment Form and administer other assessments to identify family needs and priorities

  • To draft initial goals and make a plan for assessment and intervention.

2. ASSESSMENT

  •  Provider(s) administer(s) appropriate assessments

  •  A visit to your child’s school (or other observations) may also occur

3. TREATMENT PLAN

  • Once assessments are completed and scored, a treatment plan is developed.  The treatment plan, developed with feedback from parents (and other providers as applicable), contains information about your child’s current levels of functioning across a variety of domains, recommended individualized goals, service delivery method and requested frequency. 

  • Parents are actively involved in the treatment plan development by making suggestions, reviewing drafts, and ultimately signing the final treatment plan document (indicating agreement with the plan).

4. PROGRAM DEVELOPMENT

  • Based upon the treatment plan goals, individualized programs are developed to address specifically how goals will be taught.  This includes but is not limited to: instruction given, response expected, how the skill is broken down into smaller, more manageable parts, how to respond to correct and incorrect (or prevent error) responses, specific prompting methods, generalization, mastery criteria (inclusive of the Four Levels of Learning), & data collection strategy.

  • The programs are combined into a program binder that includes each goal, individualized program, graph for each program and other forms.  This binder serves as the “curriculum” book for your child and is regularly updated, modified and analyzed.

 

 
STAGE B: ONGOING IMPLEMENTATION & SUPERVISION

1. INTERVENTION

  • Our Certified Behavior Technicians receive rigorous training prior to initial delivery of services with your child.  Additionally, they have reviewed and signed your child’s treatment plan and discussed areas of need with the Clinical Supervisor

  • The technicians deliver the direct care to your child at the frequency and intensity recommended (and authorized by insurance) following the treatment plan goals and individualized programs developed within your child’s program binder.

2. PARENT TRAINING SESSIONS

  • Focus on providing families with tools to work on current programming skills, generalization and maintenance of skills.

  • Program is reviewed with parent, and any parent concerns or requests are addressed 

3. SUPERVISION

  • Clinical Supervisors (BCBAs) supervise the technicians who deliver the direct service to your child from 5 – 20% (depending upon need and what is authorized by insurance).

  • Supervisors observe intervention, make changes based upon observations and data, model programs and practice techniques with your child. 

4. 6-MONTH ASSESSMENT/TREATMENT PLAN UPDATES & FORMAL REVIEW

  • At least twice per year, formalized assessments are conducted to gauge your child’s progress against a curriculum-based and/or norm-based instrument

  • Treatment plans updated outlining your child’s progress with each treatment plan goal over the past 6 months; new goals are developed in consultation with parents/other team members to develop a revised, comprehensive treatment plan. 

  • During a parent training session or other session, Clinical Supervisors review revised treatment plans with parents (approximately 20 min) and make any changes based upon feedback.  Parents must sign treatment plan within 30 days of finalization in order to continue services, as the treatment plan is analogous to a services agreement that must be updated/approved regularly.

© 2018  A.P.P.L.E. Consulting, LLC

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18311 Bothell-Everett Highway Suites 180 & 260 Bothell, WA  98012

Tel:  206-437-5412