› without support of a BCaBA is 10 – 15.* The recommended caseload range for one (1) Behavior Analyst supervising Focused treatment availability of support staff for the Behavior Analyst (for example, a BCaBA).location and modality of supervision and treatment (for example, center vs.
expertise and skills of the Behavior Analyst.total case supervision and clinical direction required by caseload.total treatment hours delivered to the clients in the caseload.complexity and needs of the clients in the caseload.Caseload size for the Behavior Analyst is typically determined by the following factors: transitions with implications for continuity of care Caseload Sizeīehavior Analysts should carry a caseload that allows them to provide appropriate case supervision to facilitate effective treatment delivery and ensure consumer protection.lack of progress or increased rate of progress.family dynamics or community environment.the sophistication or complexity of treatment protocols.issues of client health and safety (for example, certain skill deficits, dangerous problem behavior).A number of factors increase or decrease case supervision needs on a shorter- or longer-term basis. This ratio of case supervision hours to direct treatment hours reflects the complexity of the client’s ASD symptoms and the responsive, individualized, data-based decision-making which characterizes ABA treatment.
Case supervision may need to be temporarily increased to meet the needs of individual clients at specific time periods in treatment (for example, initial assessment, significant change in response to treatment). When direct treatment is 10 hours per week or less, a minimum of 2 hours per week of case supervision is generally required. Some indirect case supervision activities are more effectively carried out outside of the treatment setting.Īlthough the amount of supervision for each case must be responsive to individual client needs, 2 hours for every 10 hours of direct treatment is the general standard of care. In addition, some case supervision activities are appropriate for small groups. However, telemedicine should be combined with in vivo supervision. Some case supervision activities occur in vivo others can occur remotely (for example, via secure telemedicine or virtual technologies). On average, direct supervision time accounts for 50% or more of case supervision. It should be noted that direct case supervision occurs concurrently with the delivery of direct treatment to the client. Both direct and indirect case supervision activities are critical to producing good treatment outcomes and should be included in service authorizations. Case supervision activities can be described as those that involve contact with the client or caregivers (direct supervision, also known as clinical direction) and those that do not (indirect supervision).
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