ABA Therapy in Hyattsville, MD
Welcome to Hyattsville
Welcome, families, to the vibrant and diverse community of Hyattsville, Maryland! Nestled just northeast of Washington D.C., Hyattsville is a town rich in culture, history, and a strong sense of community. From our historic homes and burgeoning arts district to our family-friendly parks and diverse culinary scene, Hyattsville offers a unique blend of urban convenience and suburban charm. We understand that navigating the journey of raising a child with autism spectrum disorder (ASD) can bring unique challenges and require specific support. That’s why we’ve created this comprehensive guide, specifically for families like yours right here in Hyattsville, to illuminate the path towards Applied Behavior Analysis (ABA) therapy.
ABA therapy is widely recognized as the most scientifically validated and effective treatment for individuals with autism. It’s not just a therapy; it’s a pathway to unlocking potential, fostering independence, and enhancing the quality of life for children and their families. For many Hyattsville families, ABA can be a cornerstone in helping their child develop crucial communication skills, improve social interactions, manage challenging behaviors, and master essential daily living skills. Imagine your child confidently communicating their needs, engaging in play with peers at Magruder Park, or participating more fully in family outings to the Hyattsville Arts District. These are the kinds of meaningful outcomes ABA therapy strives to achieve. This guide is designed to empower you with knowledge, connect you with resources, and help you confidently take the first steps towards finding the right support for your child in our wonderful Hyattsville community. Your journey is important, and we are here to help light the way.
Understanding ABA Therapy
Applied Behavior Analysis (ABA) therapy is a highly structured, evidence-based approach to understanding and changing behavior. It’s a scientific discipline that applies principles of learning and motivation from behaviorism to improve socially significant behaviors. For individuals with autism spectrum disorder (ASD), ABA therapy is widely recognized as the most effective and extensively researched intervention, with decades of studies supporting its efficacy in helping children develop essential skills and reduce challenging behaviors.
At its core, ABA therapy operates on the premise that behaviors are learned and can be modified. It involves systematically observing behavior, identifying environmental factors that trigger or maintain those behaviors, and then designing interventions to promote desired behaviors and decrease undesirable ones. The focus is always on understanding why a behavior occurs, rather than simply suppressing it. This understanding allows therapists to teach alternative, more appropriate behaviors that serve the same function for the individual.
Key principles of ABA include:
- Individualized Treatment: ABA is not a one-size-fits-all approach. Every child’s program is tailored to their unique needs, strengths, challenges, and developmental level. A Board Certified Behavior Analyst (BCBA) conducts comprehensive assessments to create a personalized treatment plan.
- Positive Reinforcement: This is a cornerstone of ABA. When a desired behavior occurs, a positive consequence (a reinforcer) is provided immediately afterward, making it more likely that the behavior will occur again in the future. Reinforcers can be anything from praise and high-fives to preferred toys, activities, or edibles.
- Data Collection: ABA is highly data-driven. Therapists meticulously collect data on target behaviors, allowing them to track progress, identify patterns, and make informed decisions about the effectiveness of interventions. This objective measurement ensures accountability and allows for continuous adjustment of the treatment plan.
- Skill Acquisition: ABA targets a wide range of skills, including communication (expressive and receptive language), social skills (play, turn-taking, peer interaction), daily living skills (dressing, hygiene, feeding), academic skills, and adaptive behaviors.
- Reduction of Challenging Behaviors: ABA helps to identify the function of challenging behaviors (e.g., aggression, self-injury, tantrums) and teaches functional alternatives, leading to a decrease in these behaviors.
Common methods and techniques used within ABA therapy include:
- Discrete Trial Training (DTT): A structured instructional method where skills are broken down into small, teachable steps, and each step is taught individually through repeated trials, often in a highly controlled environment.
- Natural Environment Teaching (NET): An approach that teaches skills in the context of everyday routines and activities, making learning more naturalistic and motivating. For example, teaching "ball" while playing with a ball.
- Pivotal Response Treatment (PRT): Focuses on "pivotal" areas of development (e.g., motivation, self-initiation, self-management) that, once addressed, lead to widespread improvements in other areas.
- Functional Communication Training (FCT): Teaches individuals to use appropriate communication (e.g., words, signs, picture exchange) to replace challenging behaviors that serve a communicative function.
The effectiveness of ABA therapy is well-documented. Numerous studies have shown that intensive, early intervention using ABA principles can lead to significant improvements in intellectual functioning, language development, social skills, and adaptive behavior in children with ASD. It helps individuals learn how to learn, generalize skills across different settings and people, and achieve greater independence. It is important to dispel misconceptions that ABA is "robot training" or aims to make children "indistinguishable" from their peers. Modern ABA focuses on fostering meaningful, functional skills, respecting neurodiversity, and enhancing the individual’s quality of life and autonomy, always with a compassionate and person-centered approach.
Insurance & Coverage in MD
Navigating the complexities of insurance coverage for ABA therapy can feel daunting, but thankfully, Maryland has made significant strides in ensuring access to these vital services. Understanding the state mandates, coverage options, and potential costs is crucial for families in Hyattsville.
Maryland's ABA Mandate for Private Insurance: Maryland is one of the states with a strong insurance mandate for autism treatment, including ABA therapy. As of January 1, 2012, Maryland law (HB 636) requires most state-regulated private health insurance plans to cover the diagnosis and treatment of autism spectrum disorder, including ABA therapy. Key aspects of this mandate include:
- Age Limits: The mandate typically covers individuals up to the age of 19. However, some plans may extend coverage beyond this age, or for specific conditions, so it's essential to verify your specific policy details.
- Diagnosis Requirement: Coverage is contingent upon a formal diagnosis of autism spectrum disorder by a qualified professional (e.g., developmental pediatrician, neurologist, psychologist).
- Medically Necessary Treatment: ABA therapy must be deemed "medically necessary" by your child’s physician and the insurance provider. This usually means a prescription for ABA therapy is required, along with a treatment plan developed by a Board Certified Behavior Analyst (BCBA).
- No Lifetime or Annual Limits: The law prohibits insurers from imposing annual or lifetime dollar limits on coverage for autism treatment that are less favorable than limits imposed on other medical conditions. This means ABA therapy should be covered similar to other medical benefits.
- Exclusions: It’s important to note that the mandate generally applies to fully insured plans regulated by the State of Maryland. Self-funded plans, which are often offered by large employers and regulated by federal ERISA law, may not be subject to state mandates. Always check with your employer's HR department or your insurance company to determine if your plan is fully insured or self-funded.
Medicaid (Maryland Healthy Smiles Program and Other State Programs): For families who qualify for Medicaid, ABA therapy is also covered in Maryland. Maryland’s Medicaid program, known as the Maryland Healthy Smiles Program, provides comprehensive health services, including behavioral health care. If your child is enrolled in Maryland Medicaid, you should have access to ABA therapy services, often with minimal to no out-of-pocket costs. It’s important to find ABA providers who are credentialed with Maryland Medicaid.
TRICARE for Military Families: Given Hyattsville's proximity to various military installations in the D.C. Metro area, many military families reside here. TRICARE, the healthcare program for uniformed service members, retirees, and their families, offers comprehensive coverage for ABA therapy through its Autism Care Demonstration (ACD). The ACD provides extensive ABA services for TRICARE-eligible beneficiaries diagnosed with ASD, with specific requirements for referrals, assessments, and treatment plans. Military families should contact TRICARE directly or visit their website for the most up-to-date information on eligibility and coverage specifics.
Navigating Coverage and Costs: Even with mandates, understanding your out-of-pocket expenses is critical:
- Deductibles: This is the amount you must pay out of pocket before your insurance plan starts to pay.
- Co-pays: A fixed amount you pay for a covered service after you've met your deductible.
- Co-insurance: A percentage of the cost of a covered service you pay after you've met your deductible.
- Out-of-Pocket Maximums: The most you have to pay for covered services in a plan year. Once you reach this amount, your plan pays 100% of the cost of covered benefits.
Steps to Confirm Coverage:
- Contact Your Insurance Provider: Call the member services number on your insurance card. Ask specifically about coverage for "Applied Behavior Analysis (ABA) therapy" for a child with an autism diagnosis.
- Ask Key Questions:
- Is ABA therapy a covered benefit under my plan for ASD?
- Are there any age limits for coverage?
- What is my deductible, and how much of it have I met?
- What are my co-pay or co-insurance responsibilities for ABA services?
- Is prior authorization required for ABA therapy? If so, what is the process?
- Are there any network restrictions? Do I need to use an in-network provider, or does my plan offer out-of-network benefits?
- What CPT codes (e.g., 97153, 97155, 97151) are covered for ABA services?
- Document Everything: Keep a detailed record of all calls, including dates, times, names of representatives, and summaries of discussions. Request written confirmation of benefits whenever possible.
Understanding your insurance benefits upfront will help you plan financially and ensure a smoother start to your child's ABA therapy journey in Hyattsville. Many ABA providers also have dedicated billing specialists who can help you verify your benefits.
Finding the Right Provider
Selecting the right ABA therapy provider for your child is one of the most crucial decisions you’ll make on this journey. A good provider will not only deliver effective therapy but also become a supportive partner for your family. Here’s a guide for Hyattsville families on what to look for and questions to ask:
Understanding the Professionals:
- Board Certified Behavior Analyst (BCBA): This is the clinical leader of your child’s ABA program. BCBAs hold a master's or doctoral degree, have completed supervised fieldwork, and passed a rigorous certification exam. They are responsible for conducting assessments, developing individualized treatment plans, supervising RBTs, and overseeing progress.
- Registered Behavior Technician (RBT): RBTs are direct implementers of ABA therapy plans. They work one-on-one with your child under the direct supervision of a BCBA. RBTs complete a 40-hour training, pass a competency assessment, and take an RBT exam.
What to Look for in a Provider/Clinic:
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Qualifications and Experience:
- BCBA Credentials: Ensure the supervising BCBA is properly certified and licensed (Maryland requires BCBAs to be licensed). Ask about their experience working with children of your child’s age and developmental profile.
- RBT Training: Inquire about the training and ongoing supervision provided to the RBTs who will be working directly with your child. High-quality programs invest heavily in their RBTs.
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Individualized Treatment Approach:
- Comprehensive Assessment: A good provider will conduct thorough assessments (e.g., VB-MAPP, ABLLS-R, AFLLS) to understand your child's unique strengths and needs before developing a treatment plan.
- Personalized Treatment Plan: The plan should be highly individualized, data-driven, and regularly updated based on your child's progress. It should clearly outline specific, measurable goals.
- Focus on Functional Skills: The therapy should target skills that are meaningful and functional for your child’s daily life, promoting independence and reducing challenging behaviors.
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Parent Training and Involvement:
- Mandatory Component: Parent training is a critical component of effective ABA therapy. Ask about the structure and frequency of parent training sessions. You should be actively involved in understanding and implementing strategies at home to generalize skills.
- Collaboration: A good provider will value your input, listen to your concerns, and actively involve you in the treatment planning process.
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Therapy Setting Options:
- Center-Based: Many clinics in the broader Hyattsville/Prince George’s County area offer center-based therapy, providing a structured environment with opportunities for peer interaction and access to a variety of therapeutic materials.
- In-Home: In-home therapy allows for skill acquisition in the natural environment and addresses behaviors directly where they occur. This can be particularly beneficial for generalizing skills and addressing specific home routines.
- School-Based: Some providers offer consultation or direct services within school settings, helping to bridge the gap between home and school and support your child’s academic and social success in Prince George’s County Public Schools (PGCPS).
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Data Collection and Progress Monitoring:
- Transparent Reporting: Ask how data is collected, reviewed, and shared with parents. You should receive regular, clear progress reports that show your child's advancements and highlight areas for continued focus.
- Regular BCBA Oversight: Ensure the BCBA consistently supervises the RBTs and reviews your child's program, making adjustments as needed.
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Clinic Culture and Rapport:
- Compassionate and Ethical: Observe the interactions between staff and children. The environment should feel warm, respectful, and positive. Ethical practice is paramount.
- Good Fit: Your child will be spending a significant amount of time with their therapists. It's crucial that there's a good rapport between your child, the RBTs, and the supervising BCBA.
Questions to Ask During Consultations:
- What are your BCBAs' qualifications and how long have they been practicing?
- What is your approach to parent training and how often is it provided?
- How do you ensure the generalization of skills across different settings and people?
- What are your policies on cancellations and scheduling?
- Can you provide references from other families?
- What is your philosophy regarding challenging behaviors?
- How do you incorporate play and naturalistic teaching into therapy?
- What is your staff-to-client ratio for center-based services?
By thoroughly researching and asking these critical questions, Hyattsville families can confidently choose an ABA provider that aligns with their child's needs and their family's values, setting the stage for successful and meaningful progress.
Getting Started with ABA Therapy
Embarking on the ABA therapy journey for your child can feel like a significant undertaking, but breaking it down into manageable steps can make the process clearer and less overwhelming. Here's a practical guide for Hyattsville families on how to begin.
Step 1: Obtain a Formal Diagnosis Before you can access ABA therapy, your child will need a formal diagnosis of Autism Spectrum Disorder (ASD). This diagnosis must come from a qualified professional, such as a developmental pediatrician, a child neurologist, or a licensed psychologist specializing in autism. If your child has already received a diagnosis, ensure you have the official documentation readily available. If not, start by consulting your child’s pediatrician for a referral to a diagnostic specialist in the greater Maryland area. Waitlists for these specialists can be long, so it's advisable to get on a list as soon as concerns arise.
Step 2: Get a Prescription for ABA Therapy Once your child has an ASD diagnosis, you'll need a prescription or referral for ABA therapy from your child's primary care physician or the diagnosing specialist. This prescription typically states "ABA therapy" and may specify a recommended number of hours per week. This document is essential for insurance authorization.
Step 3: Verify Your Insurance Benefits As discussed, Maryland has an ABA mandate, but it's crucial to understand your specific plan. Call your insurance provider (the member services number on your insurance card) and ask detailed questions about your ABA coverage. Confirm:
- If ABA therapy is a covered benefit for ASD.
- Any age limits or hour restrictions.
- Your deductible, co-pays, and co-insurance for ABA services.
- Whether prior authorization is required and the process for obtaining it.
- If you need to use in-network providers or if out-of-network benefits are available. Keep meticulous records of these conversations.
Step 4: Research and Select an ABA Provider Based on your insurance information and the guidance in the "Finding the Right Provider" section, begin researching ABA providers in Hyattsville and the surrounding Prince George's County area.
- Ask for Referrals: Your pediatrician, diagnostician, or local parent support groups can be excellent sources of recommendations.
- Check Provider Networks: Use your insurance company's website to find in-network ABA providers.
- Initial Consultations: Schedule initial consultations or phone screenings with a few prospective providers. Prepare a list of questions (see "Finding the Right Provider" section) to ask about their approach, staff qualifications, parent involvement, and clinic culture.
Step 5: Intake and Assessment Once you've chosen a provider, they will typically guide you through their intake process. This usually involves:
- Paperwork: Completing necessary forms, sharing diagnostic reports and the ABA prescription.
- Initial Parent Interview: The BCBA will meet with you to gather detailed information about your child's development, behaviors, strengths, and challenges.
- Child Assessment: A BCBA will conduct comprehensive assessments with your child (e.g., VB-MAPP, ABLLS-R, AFLLS). These assessments are play-based and designed to identify your child's current skill levels across various domains (communication, social, adaptive, academic) and pinpoint areas for intervention.
Step 6: Treatment Plan Development and Insurance Authorization Following the assessment, the BCBA will develop an individualized treatment plan (ITP). This plan will outline specific, measurable goals and the strategies to achieve them. The provider will then submit this ITP, along with the prescription and assessment results, to your insurance company for authorization of services. This step can sometimes take several weeks, as insurance companies review the plan for medical necessity.
Step 7: Beginning Therapy and Ongoing Parent Involvement Once authorization is received, therapy sessions can begin! Your child will typically work with a Registered Behavior Technician (RBT) under the direct supervision of the BCBA. From day one, your active involvement is paramount. You'll participate in parent training sessions to learn strategies to support your child's learning and generalize skills into the home and community, reinforcing the progress made in therapy. Regular communication with your BCBA and RBTs will ensure a collaborative and effective journey for your child in Hyattsville.
Local Resources & Support
Navigating the world of autism support can be made significantly easier with access to local and state-specific resources. For Hyattsville families, several organizations and programs offer invaluable information, advocacy, and community connections within Maryland and Prince George's County.
Maryland State Department of Health (MSDH) - Public Health Services: The MSDH website is a foundational resource for understanding state-level programs related to developmental disabilities and autism. They often provide information on early intervention services, diagnostic centers, and state-funded programs. While they don't directly provide ABA, they can guide you to programs that do or support related services.
Maryland Infants and Toddlers Program (MITP): For children from birth to age three who have developmental delays or disabilities, the MITP offers early intervention services. If your child is diagnosed with ASD at a young age, this program can provide crucial support, including developmental evaluations, service coordination, and various therapies (though not typically direct ABA, it can work in conjunction). You can contact your local Prince George's County Infants and Toddlers Program for specific information.
Autism Society of Maryland (ASM): The Autism Society of Maryland is a fantastic resource for all families across the state. They offer:
- Information and Referral: A wealth of information on autism, treatments, and services, along with referrals to local providers and support groups.
- Advocacy: They advocate for the rights and needs of individuals with autism and their families at the state level.
- Support Groups and Community Events: Connect with other families, share experiences, and gain support. They often host events and workshops throughout Maryland, some of which may be accessible from Hyattsville.
Pathfinders for Autism (PFA): Pathfinders for Autism is another leading Maryland-based non-profit dedicated to improving the lives of individuals with autism and their families. Their website features an extensive online resource center that is easy to navigate and contains:
- Searchable Database: A comprehensive database of service providers, including ABA therapy providers, support groups, recreational activities, and educational resources specifically within Maryland.
- Workshops and Events: PFA regularly hosts educational workshops, webinars, and family-friendly events across the state, offering opportunities for learning and connection.
- Information Guides: They publish helpful guides on various topics, from understanding diagnosis to navigating school services.
Prince George's County Public Schools (PGCPS) - Special Education Department: For school-aged children, the PGCPS Special Education Department is a vital resource. Once your child is school-aged, they are entitled to a Free Appropriate Public Education (FAPE) under the Individuals with Disabilities Education Act (IDEA).
- Individualized Education Programs (IEPs): PGCPS will work with you to develop an IEP, outlining special education services, accommodations, and goals tailored to your child's needs. ABA principles can often be integrated into school-based interventions and goals.
- Parent Support: The special education department can provide information on parent rights, advocacy, and how to navigate school services. It's crucial to collaborate with the school to ensure consistency between home-based ABA and school supports.
Local Parent Support Groups: While specific group names can change, look for autism parent support groups in Hyattsville, College Park, or the wider Prince George's County area. These groups offer invaluable peer support, shared experiences, and local recommendations. Websites like Meetup.com or local community centers and libraries (like the Hyattsville Branch Library) might list such groups. Connecting with other families who understand your journey can be incredibly empowering.
These resources provide a strong foundation for Hyattsville families seeking to understand, access, and benefit from ABA therapy and broader autism support services in Maryland. Don't hesitate to reach out to these organizations for guidance and connection.
Frequently Asked Questions
For Hyattsville families starting their ABA therapy journey, many questions naturally arise. Here are five detailed FAQs to help clarify common concerns:
Q1: How long will my child need ABA therapy, and what does "graduation" from ABA look like? A1: The duration of ABA therapy is highly individualized and depends on many factors, including your child's age, the severity of their symptoms, the intensity of the therapy, and their specific goals. There's no fixed timeline. For many children, especially those diagnosed early, intensive ABA therapy (20-40 hours per week) is recommended initially to build foundational skills. As your child progresses, the intensity and focus of therapy may shift. "Graduation" from ABA doesn't necessarily mean a complete cessation of services, but rather a transition to less intensive support as your child achieves functional independence and their skill deficits significantly diminish. It means they've acquired critical skills to learn effectively in their natural environment, such as school or social settings. The BCBA continuously monitors progress through data collection and will work with your family to make data-driven decisions about gradually fading services, transitioning to school-based support, or focusing on maintenance and generalization of skills. The goal is always to equip your child with the tools they need to thrive independently, not to keep them in therapy indefinitely.
Q2: What is my role as a parent in my child's ABA therapy, especially if sessions are mainly with a therapist? A2: Your role as a parent is absolutely critical and goes far beyond simply dropping off and picking up your child. Parent involvement is one of the most significant predictors of successful ABA outcomes. You are the expert on your child, and your input is invaluable in setting meaningful goals and identifying what truly motivates them. ABA programs typically include mandatory parent training sessions where you learn the strategies and techniques used by the therapists. This empowers you to: * Generalize Skills: Practice newly acquired skills with your child in various natural settings (at home, at Magruder Park, during a visit to the Hyattsville Arts District) to ensure they can apply what they've learned beyond the therapy environment. * Maintain Progress: Consistently reinforce desired behaviors and strategies, preventing regression. * Address Challenging Behaviors: Learn proactive and reactive strategies to manage challenging behaviors effectively in your daily routines. * Collaborate: Provide crucial feedback to the BCBA about your child's progress, challenges, and new behaviors observed at home, allowing for continuous adjustment of the treatment plan. Your active participation ensures that the therapy is truly integrated into your child's life and maximizes their potential for long-term success.
Q3: What's the difference between in-home and center-based ABA therapy, and which is better for my child in Hyattsville? A3: Both in-home and center-based ABA therapy have distinct advantages, and the "better" option depends on your child's individual needs, your family's circumstances, and the specific goals of therapy. * In-Home ABA: Therapy is conducted in your home environment. This setting is excellent for: * Generalization: Directly addressing behaviors and teaching skills within the natural contexts where they occur (e.g., mealtime routines, bedtime routines, sibling interactions). * Convenience: Eliminates travel time for parents. * Comfort: Some children thrive in the familiarity of their own home. * Parent Training: Facilitates immediate application of parent training strategies in real-time situations. * Center-Based ABA: Therapy takes place at a dedicated clinic or facility. This setting often provides: * Structured Environment: A controlled environment with minimal distractions, ideal for intensive skill acquisition, especially for children who struggle with focus. * Peer Socialization: Opportunities for structured social interaction with other children, crucial for developing social skills. * Variety of Resources: Access to a wide range of therapeutic materials, toys, and equipment. * Team Collaboration: Facilitates seamless communication and collaboration among a team of RBTs and BCBAs. Many children benefit from a combination of both, starting with center-based for foundational skills and then transitioning to or incorporating in-home therapy for generalization. Discuss with your BCBA which setting, or combination, would best suit your child’s current needs and learning style.
Q4: How do I know if the ABA therapy my child is receiving is effective and of high quality? A4: Ensuring high-quality and effective ABA therapy involves several key indicators: * Data-Driven Progress: High-quality ABA is inherently data-driven. Your BCBA should regularly collect and analyze data on your child’s target behaviors and goals. You should receive consistent, clear progress reports showing measurable improvements. If you're not seeing data or clear explanations of progress, that's a red flag. * Individualized Treatment Plan (ITP): The ITP should be highly personalized, based on comprehensive assessments, and regularly updated as your child achieves goals or new challenges arise. It should clearly outline specific, functional goals relevant to your child's needs. * Regular BCBA Supervision: The supervising BCBA should be actively involved, regularly observing sessions, providing feedback to RBTs, and making program adjustments. Ask about the frequency and nature of BCBA supervision. * Parent Training and Involvement: As mentioned, robust parent training is a hallmark of good ABA. You should feel empowered and informed, not excluded. * Ethical and Compassionate Approach: The therapy should always be respectful, positive, and focus on teaching new skills rather than simply suppressing behaviors. The environment should feel nurturing and motivating for your child. * Generalization of Skills: Your child should be able to use the skills they learn in therapy across different people, places, and situations (e.g., using communication skills at home, school, and in the community). If you have concerns about any of these areas, communicate openly with your BCBA. A good provider will welcome your questions and provide transparent answers and evidence of progress.
Q5: Are there any local special education resources in Hyattsville or Prince George's County that can help coordinate ABA with school services? A5: Absolutely. Coordinating your child’s ABA therapy with their school services within Prince George's County Public Schools (PGCPS) is vital for consistent support and skill generalization. Here’s how local resources can help: * PGCPS Special Education Department: This is your primary point of contact for school-based services. Once your child is school-aged, they are entitled to an Individualized Education Program (IEP) if they qualify for special education. Your IEP team (which includes you, a special education teacher, a general education teacher, and other relevant school personnel) can discuss how ABA principles can be incorporated into your child's school day. * Advocacy Groups: Organizations like the Autism Society of Maryland and Pathfinders for Autism (mentioned in the "Local Resources" section) offer resources and guidance on navigating the special education system in Maryland, including parent rights and how to advocate for appropriate services within an IEP. * Private Educational Advocates: Some families choose to hire a private educational advocate who specializes in special education law and can help you understand your rights, prepare for IEP meetings, and ensure your child receives appropriate services from PGCPS. While these are often paid services, they can be invaluable. * ABA Provider Collaboration: Many ABA providers are accustomed to collaborating with school teams. Ask your BCBA if they can attend IEP meetings (with your permission) or provide training to school staff to ensure consistency between home/clinic and school environments. This collaboration helps bridge the gap, ensuring that skills learned in therapy are reinforced and utilized in the academic and social settings of PGCPS.