Self-Care and Sensory Needs for Neurodivergent Individuals

Dr. Megan Anna Neff, a Neurodivergent Psychologist joins us to discuss discovering her own autism in the aftermath of her child’s diagnosis and how that has inspired her passion to support the neurodivergent community. Dr. Neff describes the experience of her autism revelation in this way, “For the first time in my life, my body made sense, my experience of self made sense, and it was a powerful moment of liberation.” We also delve into helpful strategies about sensory sensitivity and self-care that are helpful for adults and parents of children with autism.

For more information:

neurodivergentinsights.com

@neurodivergent_insights on Instagram

All Autism Talk (https://www.allautismtalk.com/) is sponsored by LEARN Behavioral (https://learnbehavioral.com).

Milestone Moments: Celebrating Elisha Villanueva’s Career Journey with AST

Elisha Villanueva, board certified behavior analyst (BCBA) and assistant clinical director of California’s San Gabriel Valley region, just reached 20 incredible years with AST. Her two-decade journey stands as a testament to LEARN’s commitment to fostering professional development and creating a culture of mentorship and community.

From starting out as a behavior technician to now serving as an assistant clinical director, Elisha shows how employees can grow in their careers with LEARN. In our new blog series, “Milestone Moments,” we shine a spotlight on dedicated employees like Elisha who have achieved significant milestones, showcasing their growth and contributions to the organization and the greater field of applied behavior analysis (ABA).

As she celebrates this great achievement, LEARN had the opportunity to speak with her about her experience working at AST and what keeps her inspired to grow as a clinician.

How did you discover the job as a BT with AST? 

I attended graduate school at Cal State LA and was enrolled in the psych program with an emphasis on applied behavior analysis (ABA). While in school, I worked as a behavior technician (BT) with another ABA company. At the time, I was only working with one family, but I wanted to grow and work with more families. I reached out to one of my graduate professors, William Frea, Ph.D., co-founder of AST, and asked if he knew of any opportunities. He helped get me an interview at AST, and I started working at the Culver City office at the end of 2003. At the time, the Culver City office only had 30 employees, including the CEO, president, clinical supervisors, etc.

How does working as a BT now differ from when you started? 

When I started in the early 2000s, training was only three days long, and we had opportunities to shadow staff. Once in the field, supervision was provided, but I may have benefitted from seeing more of my supervisor. Today, training has evolved and is now more comprehensive. After the 2-3 week new hire training, regional orientation, and staff shadowing, clinical supervisors provide ongoing support to new BTs in the field. Employees, especially those new to ABA, now receive more training and supervision.

What was your motivation to become a BCBA? 

Prior to working at AST, I worked as a BT with the same family for over three years. I saw the value of ABA and the impact it made on the family, particularly the 8-year-old client. I wanted to learn more about ABA and looked into grad school programs with an emphasis on ABA. While in school, I branched out and began working with AST to grow and service more families. My end goal was to earn my BCBA credentials. 

Why is mentoring important to you as a clinician? 

I started in the field with little supervision before working at AST. There wasn’t much thought put into growth and the potential for BTs to become future BCBAs. After seeing the type of support that AST offered, I wanted to do the same and help employees grow. I’m proud to say that a handful of the BTs I’ve supervised have gone on to become BCBAs. Some have even grown into managing behavior analysts (MBAs).

I’m also part of the emerging behavior analyst (EBA) program, which mentors BTs, lead technicians (LTs), and managing technicians (MTs) who are enrolled in master’s programs. Seniors BCBAs and MBAs help those in the EBA program increase their supervision hours to sit for the BCBA exam and understand the expectations of being a BCBA.

Can you share a story about a particular supervisee/student you have mentored? 

It’s motivating to watch employees grow in their careers at AST. I began supervising Angela Parker when she became an advanced technician. Angela was incredibly organized and eager to accrue her hours. At the time, she was also enrolled in an ABA master’s program. She was one of my first supervisees who became a BCBA. She started with AST completely new to the field of ABA and now serves as an MBA. She’s helped countless clients and families. She also mentors EBAs and supervises several behavior analysts. She’s been with AST for about 12 years now. I’m so proud of Angela’s growth and contributions to our region.

What piece of advice would you give new Behavior Technicians entering the field? 

This is not an easy field. We work with clients and families who are going through a lot. My best advice is to be patient and compassionate to your clients and families. There will be tough days, but we have extremely motivated supervisors who will help you work through them. You won’t see results right away, but I promise it’s worth seeing your clients make progress and meet their goals. You might not be changing the world, but you’re changing the world for them.

What about AST has kept you here for 20 incredible years? 

The people I work with are what’s kept me at AST. I’ve been fortunate to work with the San Gabriel Clinical Director Teresa Suen for many years. She’s mentored me, and I deeply admire her and her compassion. I feel great pride for our SGV team. Almost all of our behavior analysts in this region started out as BTs. Watching them grow and creating a positive work culture keeps me motivated and encouraged to stay where I am. We call our region the “SGV family” because of the support we have for one another. It’s comforting to know that we have the same mission to help our clients and families achieve success.

What does the next chapter look like for you? 

After being here for 20 years, AST is all I know—and that’s a good thing. I’ve stayed here for this long because of the wonderful clients and staff that I am fortunate to work with daily. I’m excited for continued growth within AST and LEARN and look forward to helping more clients and families and mentoring staff who want to grow in ABA.

To learn more about working at AST and to search for openings near you, visit our careers page.

Upholding Clinical Integrity: A Cornerstone for Leadership and Clinical Practice at LEARN Behavioral

Written by Dr. Ashley Williams, Ph.D., LABA, BCBA-D, Vice President

In the realm of healthcare and behavioral sciences, integrity stands as an unwavering pillar that supports both the practitioners and the individuals seeking assistance. Within LEARN Behavioral, a leading organization dedicated to enhancing lives through applied behavior analysis (ABA), the significance of clinical integrity resonates deeply, shaping not only the quality of services provided but also how we lead our teams.

The Essence of Clinical Integrity

Clinical integrity encompasses more than just adhering to ethical guidelines; it embodies a commitment to honesty, transparency, and a genuine dedication to the clients’ well-being. In the context of ABA, clinical integrity means adhering to evidence-based practices, valuing the principles of behavior analysis, and consistently providing high-quality services. As a leader at LEARN, integrity is my core value, and choosing to lead with integrity is a choice and commitment that I make each day to guide every decision I make.

Leadership and Clinical Integrity

As leaders, we understand that we serve as role models for our teams. We recognize that upholding clinical integrity isn’t just a checkbox but a responsibility that influences the organization’s culture and outcomes. When leaders prioritize integrity, it creates a ripple effect. Employees witness the importance of their work and feel empowered to maintain the same level of commitment. The leaders’ commitment to clinical integrity sets the tone for the team, fostering an environment of trust, professionalism, and continuous learning.

Impact on Employees

For employees, working within a culture of clinical integrity brings a profound sense of purpose, pride, and trust. When team members see their leaders consistently making ethical decisions and prioritizing evidence-based practices, it enhances their job satisfaction and motivation. They feel secure in the knowledge that they contribute to meaningful change in clients’ lives. This sense of fulfillment, in turn, translates into increased productivity, better teamwork, and reduced burnout.

Impact on Clients

Clients receiving ABA services from LEARN benefit from an organization rooted in clinical integrity. They can trust that their well-being is the top priority and that the interventions and strategies suggested are backed by contemporary, evidence-based behavior analysis. This trust is vital in fostering a strong therapist-client relationship, a cornerstone of successful behavior intervention. Clients experience progress that is not only effective but ethical, ensuring their dignity and respect are upheld throughout their journey.

What does clinical integrity look like each day? Here are a few examples:

  • Commitment to Neurodiversity: LEARN’s commitment to contemporary ABA and supporting neurodivergence goes hand-in-hand with clinical integrity by promoting the dignity and respect of all of our clients in all settings and at all times.
  • Continuous Professional Development: LEARN offers a monthly Speaker Series and a library of recorded trainings for our clinicians, allowing both behavior technicians (BTs) and behavior analysts access to continuing education on an ongoing basis.
  • Adherence to the Ethical Code: The Behavior Analyst Certification Board (BACB) Ethics Code and relevant state licensure requirements, as applicable, serve to guide our clinical practice.
  • Honesty in Reporting Data: As behavior analysts, we are responsible for maintaining data accurately and honestly.
  • Clinical Assessments and Evaluations: Regular assessments and evaluations ensure that practices remain aligned with the latest research and ethical standards. Our clinicians choose from a battery of assessments that includes norm-referenced and criterion-referenced tools that help inform their clinical practice.


A commitment to clinical integrity is at the heart of our practice at LEARN. As we see the field of behavior analysis evolve and as our company continues to grow and change, our support of clinical integrity is our constant. My hope as a leader is for all clinicians to make a renewed commitment to leading with integrity every day. Collectively, a shared commitment to honesty, transparency, and respect will profoundly impact the clients we serve and build trust in the autism community.

Ashley Williams is a Vice President at LEARN Behavioral.

Q&A About ABA Therapy for Children with Autism: FAQ for Caregivers

Was your child recently diagnosed with autism? Are you beginning to navigate treatment for your child? Before you get started, check out these seven FAQs about ABA therapy.

What is the goal of ABA therapy?

ABA therapy is designed to support autistic individuals and their families, achieve their identified goals, and improve their quality of life. ABA-based interventions are supported by decades of research and enhance social, communication, play, and adaptive skills. Services incorporate the needs and interests of the autistic individual and their caregiver(s). A behavior analyst delivers the ABA services with the help of behavior technicians, who often provide direct care to the autistic individual. Services are tailored to the individual’s unique needs, with their feedback, and evolve over time. Services for children may look quite different than services for adults, given the individuals’ needs differ over time.

What is “contemporary ABA therapy”?

At LEARN, we refer to our approach as “contemporary ABA.” It is an evolved approach to ABA therapy that promotes individualized treatment, naturalistic and play-based teaching, and is person-centered. LEARN provides a contemporary approach that acknowledges the evolution of ABA, values the individual and their family, and creates space for individuality. Practicing contemporary ABA means that our behavior analysts deeply understand their responsibility to positively and meaningfully impact the lives of the individuals served.

How many hours of ABA therapy will my child receive?

Your child’s hours will be determined between you and your behavior analyst. Your behavior analyst recommends hours based on assessing your child’s needs, other therapies received, and your feedback as the parent/caregiver. Focused programs range from 10-25 hours per week, and comprehensive programs range from 30-40 hours weekly. At LEARN, we provide home-based, center-based, and community-based services, and you can reach out to your local clinical director to find out which services are available in your area.

Are your ABA therapy services individualized?

Absolutely! Each autistic person we serve is unique, and we believe that should be celebrated. Our goal is to promote individual interests and incorporate those into ABA therapy. Behavior analysts make individualized recommendations for services, including hours based on the child and customized goals that fit their needs. Behavior therapists receive training on how to understand the preferences of their clients and include those in sessions to make them fun, rewarding, and engaging.

How is neurodiversity integrated into your approach to ABA therapy?

Listening to the perspective of autistic folks has informed our approach to ABA therapy and led us to incorporate neurodiversity into our practice. Our goal is to elevate the autistic voices in our community, including the individuals we serve, our neurodivergent employees, and the greater neurodivergent community. We’re deeply committed to person-centered ABA therapy practices and promote assent-based care, meaning we validate the identities and experiences of neurodivergent folks and create space for autistic voices to be heard and upheld.

Will my child be required to do discrete trials and sit at a table?

Not all autistic folks benefi t from discrete trials or tabletop work. For example, a two-year-old child with lots of energy may benefit more from a play-based approach with the therapist sitting on the floor and embedding learning opportunities in play with their favorite toy. Behavior analysts overseeing the treatment plan take time to assess the individual’s needs and work collaboratively with the family to identify an approach to treatment that will work best for the child.

What if someone doesn’t want ABA therapy?

We understand that not everyone seeks ABA therapy, feels it’s the best fit, or perhaps, thinks it’s the right time to try. As with other medical services, the patient (along with their caregiver, if a child) has the right to decide when, if, and what treatment is right for them. Not all ABA therapy providers have the same approach, either, and LEARN supports a family’s right to choose a provider that meets their needs and is a good match for their treatment goals. We want families and our clients to be excited about services and encourage collaboration on our journey together.

San Gabriel Learning Center Grand Opening

Our new San Gabriel, CA Learning Center had a successful grand opening! 🎉 We are so excited to offer ABA services in a clinic-based setting at our new center in San Gabriel.

Contact us for more information by visiting https://lrnbvr.com/ast-san-gabriel-rc

How ABA Therapy Helped Our Children Succeed: Insights from Two BCBA Moms


In this informative video, two Board Certified Behavior Analyst (BCBA) moms, Heather and Trisha, share their personal experiences with Applied Behavior Analysis (ABA) therapy and how it has helped their children succeed. For more information about our ABA Therapy services, visit: https://lrnbvr.com/yt-aba-moms

How Neurodiverse Voices are Influencing the Evolution of ABA

Dr. Becky Thompson, Director of Clinical Services for the Wisconsin Early Autism Project (WEAP), and Reux Lennon, Non-binary member of both the LGBT and Autism community and Lead technician with WEAP join us to share their work on the Person-Centered ABA team and the Neurodivergent Advisory Committee.  Dr. Thompson leads LEARN’s Person-Centered ABA team, which is a group of clinical leaders within LEARN who are dedicated to compassionate and individualized ABA services. Reux shares how their work as one of the original members of the Neurodivergent Advisory Committee is creating change and including neurodivergent voices and perspectives.

For more information visit:

https://learnbehavioral.com/learnacademy/culture/neurodiversity

All Autism Talk (https://www.allautismtalk.com/) is sponsored by LEARN Behavioral (https://learnbehavioral.com/learnacademy).

Successful Models for Assent-Based Vaccine Clinics

Kerry Hoops the current President of the Autism Society of Greater Wisconsin and the clinical director for Wisconsin Early Autism Project’s Green Bay region joins us to share about a unique clinic event and what can be learned. Kerry shares details of sensory-friendly covid vaccine events that utilized assent-based practice to create a comfortable experience for children. As Kerry put it, “When it was time for the shot, that was determined by the child. We were very open and honest with the child and let them know it would only happen when they said it was ok.” 

Neurodiversity – Origins and Impact

By Katherine Johnson. M.S., BCBA
Senior Director of Partnerships, LEARN Behavioral

Judy Singer is an autistic Australian social scientist. In the 1990’s, seeing echoes of her mother’s struggles in herself and her own daughter, it occurred to Singer that this common thread pointed to the possibility that their differences were actually neurological traits. They were having a first-hand experience of that part of biodiversity that is the natural range of variations in brain functioning: she coined it neurodiversity

The neurodiversity paradigm considers all brains to be normal; brain differences are simply the neurological counterpart to genetic variations in height, eye color, or hair color. Scientists consider such variation in biological traits to be essential to the health of individual populations and entire ecosystems.  When viewing autism through the lens of neurodiversity, it comes to light that some of the individual differences that have been assumed to need remediation in the past, may actually be important in helping society as a whole make progress through new and different ways of thinking. 

The concept of neurodiversity has been enthusiastically embraced by that portion of the autistic community who are able to speak, as it promises to alleviate some of the bias and discrimination they have experienced. Their common message? Specific words and types of support can have unintended negative effects, causing them to feel inferior, powerless, misunderstood.  

Arising from these negative experiences is a more widespread understanding of how words and actions affect the private events (thoughts and feelings) of people on the spectrum. ABA practitioners are charged by the BACB Ethical Code to “treat others with compassion, dignity, and respect,” and the voices of the neurodivergent convey essential information about ways to do this. 

LEARN’s Response

LEARN’s neurodiversity initiative is a direct result of listening to the insights of autistic folks who are able to express their experiences of living in a society that was built for neurotypical people. 

  • Development of a Person-Centered ABA workgroup – Learn Leadership charged a workgroup of clinical leaders with the task of supporting clinicians in reaching our vision for a neurodiversity-informed, Person-Centered ABA approach. The workgroup includes clinicians, supervisors, and clinical development individuals. 

  • Forming of a Neurodivergent Advisory Committee – The first action of the Person-Centered ABA workgroup was to formalize a process for getting input from the neurodivergent community.  The committee is made up of neurodivergent clinicians and non-clinicians who work at LEARN; they meet regularly to review and give feedback on articles, trainings, and other materials, and are compensated for their role on the committee.      

  • Co-creation of the Values Statement – The Person-Centered Workgroup and the Neurodivergent Advisory Committee co-created a values statement, entitled “LEARN Values Neurodiversity.” The statement was written in order to express our position to our clinicians and also guide subsequent actions by the Person-Centered ABA Workgroup. It was presented at an internal training and is available on our website. 
  • Communication – Shifting the mindset of a large organization doesn’t happen overnight. In order to connect regularly with our clinicians on person-centered topics, a portion of our monthly video message to clinicians includes information about subjects related to neurodiversity, such as ableism, assent, and including client input in treatment planning. It’s important that staff are not only hearing this information but also discussing it, so each month, clinical teams engage in discussions with their colleagues on these topics. 

  • Assent Leadership Workgroup – With the addition of “assent” to the BACB ethical code and the subject’s importance to treating our clients with compassion, dignity, and respect, LEARN is offering “guided exploration” groups in assent that meet regularly for four months. The intention is to create local leaders in Assent-Based Programming throughout our network.   

  • Treatment Plan Evaluations – Our Treatment Plan Evaluation team works hard to review clinicians’ clinical work through the permanent product of their treatment plans. These reviewers have been given resources to help them identify Person-Centered practices to promote in their feedback.

  • New Hire Training – In the 2022 revision of our New Hire Training for behavior technicians, we are explicitly teaching them about neurodiversity and assent, as well as ensuring that language throughout is respectful, and that programming examples fit Learn’s conception of Person-Centered ABA.
     
  • Autistic Voices – Throughout this process, we are having an increasing number of autistic guests on our podcast and making it a regular practice to interview autistic folks for guest blog posts.  These are ways that we can listen to autistic voices ourselves and also use our resources to center those voices in the ongoing cultural conversation.

As ABA practitioners, we have always cared about our clients – helping and supporting others is our entire reason for being. In the initial years of our still-young field, that care was expressed by taking a singular approach: teaching skills to help them function in our society. As autistic self-advocates find more channels by which to make their voices heard, the themes that are emerging tell us that there is more to supporting this community than just teaching skills. For instance, using words that validate our clients’ identities and sense of self is important. We can create a positive emotional experience for the people we support during the learning process – by listening to them and giving them agency. And most importantly: where success measures are concerned, our clients’ quality of life should be central.

LEARN is listening. 

To learn more about neurodiversity, check out our other blogs “Voices for All: Ash Franks” and “Neurodiversity: What It Means, Why It Matters.”