What is the history and purpose of Genesis Behavior Center?
Why is intervention based on Applied Behavior Analysis?
What is Verbal Behavior, and how does it fit in with your programs?
What qualifications does your staff have?
How are goals and program placement determined?
How is progress toward goals and objectives measured?
What are the entrance and exit criteria for programs offered by
Genesis Behavior Center?
What is the history and purpose of Genesis Behavior
Center? Top
Genesis Behavior Center was initiated in December 2003 with the
goal of providing appropriate, research-based behavior intervention
services to children with autism. Its founder, Romina Kiryakous,
has long had a passion for children with this disability. After
working with established providers in the field, obtaining her
Master's degree in Applied Behavior Analysis and Counseling Psychology,
and conducting much research and self-study, she formed Genesis
Behavior Center. Mrs.Kiryakous is currently pursuing her Ph.D in Psychology.
It is her goal to provide services in locations where there is
a need for autism providers, where families need options and access
to a program based on the best research available. The purpose
of Genesis' behavior intervention programs is to assist each child
in reaching his or her highest level of independence, that he
or she may actively participate in the least restrictive social
and educational environment possible. Genesis Behavior Center
is committed to forming partnerships with school districts and
regional centers to give all students access to the services most
appropriate for their needs. It is with these goals in mind that
Genesis serves children and families every day.
Why is intervention based on Applied Behavior Analysis? Top
Programs delivered by Genesis are data and research-based, utilizing
techniques that have demonstrated efficacy for students with autism.
Though many treatment methods are available, Applied Behavior
Analysis is currently the only method backed by empirical data
and peer-reviewed research. Probably the most well-known study
is that published by Dr. Ivar Lovaas in 1987, in which students
with autism were treated with different interventions for a period
of 2 years or more. The best-outcome group was among those that
received 35-40 hours per week of intensive 1:1 instruction utilizing
Discrete Trials Training, generalization procedures, and behavior
modification to teach skills and to treat maladaptive behaviors.
Nine out of nineteen (47%) of the best-outcome students were able
to achieve a normal IQ and attend general education classes without
support by the first grade. Those students not in the best-outcome
group made progress as well, and 42% were able to attend less
restrictive special education classrooms rather than autism classrooms.
Overall, the students in the experimental group who received 35-40
hours per week for 2 or more years fared much better than those
in the control groups. Lovaas continues his research today, and
recently published a work entitled Teaching Individuals with Developmental
Delays: Basic Intervention Techniques. This book is one of the primary resources used by Genesis in developing behavior intervention programs.
Lovaas' research has greatly contributed to current programs
providing services to children with autism. In the five counties
served by Valley Mountain Regional Center, a successful collaboration
has been formed that promotes partnership in the application of
ABA to the treatment of autism. The following is an excerpt from
the EIBT 4-Way Agreement between parents, providers, VMRC, SELPAs,
and the Family Resource Network approved in March of 2004.
"Studies suggest that approximately 75 percent of children
in EIBT programs make significant gains during their first year.
Additional research indicates that 40 percent to 50 percent of
children participating in EIBT programs demonstrate developmental
"catch up" rates relative to typically developing same-age
peers that warrant continued EIBT. These latter children may participate
in EIBT programs for two to four years. Many of these children
are included in primary regular education classrooms with diminishing
need for aide support. As is the case with all special educational
programs, the continued appropriateness of placement and continuation
in an intensive in-home treatment program is reviewed at least
once a year by the IFSP or IEP Team."
Though all children do not achieve the results of Lovaas' best-outcome
group, nearly all children make significant progress when taught
using ABA principles and procedures. It is Genesis' expectation
that all children will learn a method of functional communication,
make progress in self-help skills, play skills, imitation, and
social skills. They will be more independent when they exit the
program than they were when they entered. It is expected that
their lives and the lives of their families will be more enjoyable,
productive, and independent as a result. Additional information
on Applied Behavior Analysis and its effectiveness is available
in Related Website Links.
What is Verbal Behavior, and how does it fit in with
your programs? Top
Application of Applied Behavior Analysis to teaching language
has given rise to a field within ABA called Verbal Behavior, originally
presented by B.F. Skinner in 1957. Today, the work of Mark Sundberg,
James Partington, Vincent Carbone, and others has successfully
applied these principles to teaching children with autism. Verbal
Behavior focuses on the function, or the "why" of language,
rather than just teaching the form. It utilizes motivational procedures
to make learning fun, which in turn contributes to decreased maladaptive
behaviors. Genesis uses Sundberg and Partington's The Assessment of Basic Learning and Language Skills (The ABLLS) as another primary resource in developing individualized programs.
The ABLLS is a specific and measurable tool that outlines individual
skills in each of the program curriculum areas targeted. The ABLLS
also includes graphs to provide visual representation of skill
performance and acquisition.
What qualifications does your staff have? Top
• The Program Director possesses a Master's Degree
in Counseling Psychology and Applied Behavior Analysis, and has
experience performing 1:1 intervention with children with autism. She has extensively researched various programs and attends ongoing
professional conferences to remain current on the most effective
techniques in the field. She is a member of the Association for Behavior
Analysis and the California Association of Behavior Analysis (CalABA), and is Pro-ACT certified.
• The Clinical Director is a licensed psychologist who has experience with both typically developing and developmentally delayed children.
• Behavior Consultants have a Bachelor's or Master's degree in Psychology
or a related field, and have extensive experience implementing,
and training others to implement, 1:1 intervention with various
children diagnosed with ASD. Behavior Consultants receive ongoing
education to remain informed of developments in the field.
• Behavior Therapists possess a highschool diploma or a Bachelor's degree and / or have extensive experience working specifically with children with autism or developmental delays. They also meet the requirements set forth by the CA
Department of Education, and have passed TB tests and background
clearances.
How are goals and program placement determined? Top
Before a child is placed, an assessment of current functioning
level and behavioral deficits and excesses is conducted. Program
placement, goals, and objectives are determined by the IEP/IFSP
team based upon the data collected during the assessment as well
as the child's age and educational placement. Genesis Behavior
Center staff will be using their expertise in the field to propose
placement as well as goals and objectives, but a team approach
is always emphasized, and team feedback is highly valued.
How is progress toward goals and objectives measured? Top
Goals and objectives are written in terminology that is specific
and measurable. Data collection is necessary to track each child's
progress to determine the effectiveness of intervention and progression
toward those goals and objectives. When a child is not progressing,
data are used to troubleshoot programs and to make treatment decisions.
Data allow us to tailor the intervention to the child by objectively
and specifically measuring which approaches are the most effective.
Data are collected by Behavior Therapists and regularly measured
for reliability by supervisors. Quarterly team meetings (every
three months) are suggested to review progress toward annual goals
and to adjust benchmarks toward those goals as needed. At these
meetings, Genesis presents data-based reports to substantiate
each child's progress, and the team makes decisions about the
direction of intervention.
What are the entrance and exit criteria for programs
offered by Genesis Behavior Center? Top
In order to enter one of the behavioral treatment programs
at Genesis Behavior Center, the following criteria must apply:
• Diagnosis of Autism Spectrum Disorder or Pervasive Developmental Disorder by a professional
licensed to make such a diagnosis (i.e. licensed psychologist)
according to the criteria set forth by the DSM-IV-TR
• The child must be between the ages of 2 and 12 years old
• Parents must agree to and sign the Parent-Provider Agreement
• An assessment must be completed and recommendations made
in favor of a behavioral treatment program
• The IEP/IFSP team (if applicable) must agree to such a
placement
•Appropriate funding must be secured, either by: the regional center, the school district, the SELPA.
• Agreement with proposed goals and objectives, and data-based
measurements to determine fulfillment of the goals and objectives
The following criteria apply in determining the time of
exit or transition from a behavioral treatment program at Genesis
Behavior Center:
• Fulfillment of all proposed goals and objectives indicates readiness
to move to another placement
• Consistent acquisition rate of less than 75-80% of original goals
proposed, over a 9-12 month period indicates that a different
program may be more beneficial at this time
• The IEP/IFSP team determines that services are not longer needed
or are not beneficial at this time
• Consistent failure to comply with the guidelines set forth in
the Parent-Provider Agreement
• Family change of residence may affect services if the family is
moving to a geographical area that Genesis does not currently
serve
• Health or other issues preventing full participation in the program
NOTE: If other agencies are assisting in funding
the behavioral treatment program, they may have additional entrance
and exit criteria in addition to those listed above.
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