What is ABA therapy for autism?

ABA therapyor applied behaviour analysis is one of a number of therapies available for children withautism.

Programs are typically drawn up accordingto the child's needs and involve intense one-on-one therapy, designed to teach language, communication and interpersonal skills to help children integrate into school.

• CBC INVESTIGATES:'It was the ultimate betrayal': Mom reacts to video discovery of therapist's 'rough' handling of autistic son
• Why is it so hard for Quebec families to get the help they need for their autistic children?

Autistic children don't learn in the same way as other children, so therapy sessions have to be fast-paced and as fun as possible to hold their attention, so they can absorb what they are learning.

Tasks are often broken down into small steps.Sessions are usually jam-packed with games, imitation and matching exercises that are rewarded with a goody anything from a musical bear that the child can squeeze, to a ball that lights up or a food treat.

''You want every moment to be a teachable moment,'' said Marc Lanovaz, an autism expert at the University of Montreal.

''It seems like a lot for a young child, but if it's done right, it doesn't seem like work for the child. It seems like we're playing around, we're just having fun while encouraging a lot of learning.''

There can be some downtime to give therapists a chance to organize the next activity or record data, but it shouldn't be long.

Finding an ABA therapist

For parents who turn to the private sector for ABA therapy, a recommendation from a professional is important.

They should also check to make sure the person is certified by the U.S.-based Behavior Analyst Certification Boardand check on the therapist'sreputation.

• 'Huge gaps' remain says advocate after $3.6M boost to autism program

''Does anyone know this organization?'' Lisa Reisinger, a psychologist with the West Montreal Readaptation Centre, said she would ask.''Does anyone know this therapist? Do they do good work?"

"Because once you're in the private sector, it's a little more tricky, and there's a certain amount of work that needs to be done to make sure your child is going to be in good hands.''

Although being board-certified is not required in Quebec, Reisinger saidparents should expect it.

Supervisors should be working closely with the ABA therapists or technicians they hire to carry out their programs.

Board-certified behaviour analysts who are supervising therapists are supposed to drop in and watch their technicians work regularly.

Parents should be at those sessionsso they can understand what's going on, raise concerns and see what changes are made to their child's program.

''Parents should be able to describe what their child is working on,'' said Reisinger. ''They should know what level of success their child is at. And it should be clear to them what is being used as a reinforcer, so, for example, they aren't using the same reinforcer at home and then it's not as effective.''

Reisinger says there should not be any negative reinforcement or rough behaviour between the therapist and the child.

• 'We want to keep our kids at home': Parents of kids with disabilities plead for more help from Quebec
• Parents of children affected by Ontario autism therapy changes may take legal action

If the therapy is being done in an office, parents can often watch the session through a double-sided mirror. But if it's done at home, parents should not be shy about asking for a videotaped session.

Myra-Jade Lui,the vice-president of the Quebec ABA Association, saidthere are some red flags that parents should look out for, including a technician that doesn't want to be observed.

If the therapy is being offered in the home, parents should ask for a video from time to time to see what the therapist is doing.

Also, if the child is non-verbal, but they really don't seem to gel with their instructor, parents should take note.

''We need to pair ourselves really well with these kids,'' said Lui. ''So if you get a kid who, when the instructor walks in the house, turns and screams, it either means we're not doing enough work on the side of making sure we have a good enough relationship with them. Orsomething may be going on there, and we need to investigate that.''

• READ MORE:'It was the ultimate betrayal': Mom reacts to video discovery of therapist's 'rough' handling of autistic son
• Why is it so hard for Quebec families to get the help they need for their autistic children?

Share your story with CBC Montreal's investigative team. Leave a message on our confidential tipline(514-597-5155), send us anemailor send us a message onTwitterorFacebook.