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Blog Series: From Great Clinician to Great Supervisor

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Part 4: Better Supervision Improves Services at Every Level

by: Cheryl Davis, PhD, BCBA-D, Dana Reinecke, PhD, BCBA-D

Investing in supervisors is not simply an investment in leadership development. Supervisory behavior affects the people being supervised, the organization’s culture, and ultimately the quality of services clients receive.

When supervisors establish clear expectations, teach effectively, recognize good performance, and provide useful corrective feedback, staff are more likely to know what successful performance looks like and how to achieve it.

Effective supervision can also create an environment in which staff feel comfortable asking questions, acknowledging uncertainty, practicing new skills, and responding constructively to feedback. Guidance on individual supervision likewise emphasizes providing feedback and evaluating the effects of supervision rather than assuming that supervision has been effective simply because it occurred.

Resources such as SupervisorABA were developed to help behavior analysts move beyond simply meeting supervision requirements and build the practical skills needed to supervise effectively. Tools, models, structured practice, and ongoing professional development can help bridge the gap between knowing ABA and supervising people who practice ABA.

Perhaps the most important shift is simply recognizing that becoming a supervisor should not be treated as something clinicians are expected to figure out by accident.

Throughout this series, one principle has remained clear: becoming a supervisor should not be treated as something clinicians are expected to figure out by accident. Organizations can begin improving supervision by asking one essential question: Are we training supervisors with the same care and precision we expect them to use when training others?

Summary of References

Behavior Analyst Certification Board. (2024). Supervisor training curriculum outline (2.0). Behavior Analyst Certification Board.

Behavior Analyst Certification Board. (2026). Supervision, assessment, training, and oversight. Behavior Analyst Certification Board.

Fraidlin, A., Van Stratton, J. E., McElroy, A., & Aljadeff, E. (2023). Peer feedback: Recommendations for behavior analysts’ training and supervision. Behavior Analysis in Practice, 16, 696–708. https://doi.org/10.1007/s40617-022-00761-1

LeBlanc, L. A., Sellers, T. P., & Ala’i, S. (2020). Building and sustaining meaningful and effective relationships as a supervisor and mentor. Sloan Publishing.

Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: A guide for practitioners. Behavior Analysis in Practice, 5(2), 2–11. https://doi.org/10.1007/BF03391819

Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2013). Teaching practitioners to conduct behavioral skills training: A pyramidal approach for training multiple human service staff. Behavior Analysis in Practice, 6(2), 4–16. https://doi.org/10.1007/BF03391798

Author Bios

Cheryl Davis, PhD, BCBA-D (Creator)

Cheryl Davis obtained her doctoral degree from Endicott College in Applied Behavior Analysis. She received a Masters of Science Degree in Intensive Special Education from Simmons College in Boston, MA after attending The University of Connecticut where she received a bachelor’s degree in Human Development. With over 25 years of experience working with children and families with autism, developmental disabilities, and related disorders, Cheryl specializes in working with individuals with ASD and developmental disabilities, online teaching, active responding and skill acquisition. She has had experience as a teacher, job coach, home therapist, residential supervisor, public school consultant, staff trainer and professor. Cheryl has extensive experience in developing training topics for both parents and teaching staff. She has provided professional development trainings to over two thousand teaching staff and enjoys providing services internationally. 

Dana Reinecke, PhD, BCBA-D (Creator)

Dana Reinecke is a doctoral level Board-Certified Behavior Analyst (BCBA-D) and a New York State Licensed Behavior Analyst (LBA) and New York State Licensed Psychologist.  Dana has worked extensively in higher education in faculty and leadership roles and as a consultant, trainer, and clinician in various settings.  She has presented original research and workshops on the treatment of autism and applications of ABA at regional, national, and international conferences. She has published her research in peer-reviewed journals, written chapters in published books, and co-edited books on ABA and autism. Dana has been actively involved in the New York State Association for Behavior Analysis (NYSABA), previously serving on the Board of Directors as Secretary, President, and conference chair.

More in this Series:

Part 1: Why Great Clinicians Can Struggle as Supervisors

Part 2: Supervisors Need Training Too

Part 3: A Six-Step Framework for Developing Supervisors

Blog Series: From Great Clinician to Great Supervisor

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Part 3: A Six-Step Framework for Developing Supervisors

by: Cheryl Davis, PhD, BCBA-D, Dana Reinecke, PhD, BCBA-D

Organizations can improve supervision by treating supervisor development as an intentional, competency-based process rather than assuming that experience alone will produce expertise. 

New supervisors benefit from seeing effective supervisory behavior modeled. They need structured tools to observe staff performance and deliver feedback. They need opportunities to rehearse difficult conversations before having those conversations with employees. They also need someone to observe their supervisory behavior and provide feedback about what they are doing well and what they can improve.

Effective competency-based training identifies the target behaviors, provides clear descriptions and models, creates opportunities for active practice, and uses observational data and feedback to determine whether mastery has occurred (Parsons et al., 2012). Research has also demonstrated that practitioners themselves can be successfully taught to conduct BST with other staff, illustrating that effective training and supervisory repertoires can be deliberately developed rather than simply acquired through seniority or experience. 

Supervisors can apply the same framework to their own professional development: 

  1. Define the behavior. What does “giving effective feedback” or “having a difficult conversation” actually look like? 
  2. Learn and observe it. Review examples, models, checklists, and evidence-based practices.
  3. Practice it. Rehearse supervisory interactions rather than waiting for a high-stakes situation to practice for the first time. 
  4. Measure the outcome. Did staff performance improve? Did the supervisee demonstrate the targeted skill? Did the supervisor’s intervention produce the intended result?
  5. Refine the approach. If the desired behavior did not change, examine the variables affecting performance and adjust accordingly. 

This approach also changes the way we think about struggling supervisors. Instead of immediately concluding that someone is “bad at managing people,” organizations can conduct a performance assessment: Is this a skill deficit? Is the expected behavior clearly defined? Has it been adequately trained? Is effective supervisory behavior being reinforced? Are competing contingencies within the organization making good supervision difficult? Behavior analysts are uniquely prepared to ask those questions. 
 
Developing supervisors in this way does more than improve individual management skills. In the final installment of this series, we’ll examine how effective supervision influences staff performance, organizational culture, and ultimately the quality of services clients receive. 

Part 3 References 

Behavior Analyst Certification Board. (2024). Supervisor training curriculum outline (2.0). 

Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: A guide for practitioners. Behavior Analysis in Practice, 5(2), 2–11. https://doi.org/10.1007/BF03391819 

Author Bios

Cheryl Davis, PhD, BCBA-D (Creator)

Cheryl Davis obtained her doctoral degree from Endicott College in Applied Behavior Analysis. She received a Masters of Science Degree in Intensive Special Education from Simmons College in Boston, MA after attending The University of Connecticut where she received a bachelor’s degree in Human Development. With over 25 years of experience working with children and families with autism, developmental disabilities, and related disorders, Cheryl specializes in working with individuals with ASD and developmental disabilities, online teaching, active responding and skill acquisition. She has had experience as a teacher, job coach, home therapist, residential supervisor, public school consultant, staff trainer and professor. Cheryl has extensive experience in developing training topics for both parents and teaching staff. She has provided professional development trainings to over two thousand teaching staff and enjoys providing services internationally. 

Dana Reinecke, PhD, BCBA-D (Creator)

Dana Reinecke is a doctoral level Board-Certified Behavior Analyst (BCBA-D) and a New York State Licensed Behavior Analyst (LBA) and New York State Licensed Psychologist.  Dana has worked extensively in higher education in faculty and leadership roles and as a consultant, trainer, and clinician in various settings.  She has presented original research and workshops on the treatment of autism and applications of ABA at regional, national, and international conferences. She has published her research in peer-reviewed journals, written chapters in published books, and co-edited books on ABA and autism. Dana has been actively involved in the New York State Association for Behavior Analysis (NYSABA), previously serving on the Board of Directors as Secretary, President, and conference chair.

More in this Series:

Part 1: Why Great Clinicians Can Struggle as Supervisors

Part 2: Supervisors Need Training Too

Blog Series: From Great Clinician to Great Supervisor

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Part 2: Supervisors Need Training Too 

by: Cheryl Davis, PhD, BCBA-D, Dana Reinecke, PhD, BCBA-D

Behavior analysts already have a well-established technology for teaching complex skills. Behavioral Skills Training (BST), typically involving instruction, modeling, rehearsal, and feedback, has considerable empirical support for teaching staff to perform important clinical skills. Effective training requires opportunities to perform the behavior and receive feedback until competency is demonstrated (Parsons, 2012). 

Yet organizations do not always apply this same logic to supervisors. 

A new supervisor may receive a job description, policies and procedures, a caseload, and perhaps some administrative orientation before being expected to supervise effectively. They may know that they should “give feedback,” “support their staff,” or “address performance concerns,” but knowing the rule is different from having the behavioral repertoire necessary to implement it. 

Imagine, for example, telling a new supervisor: 

You need to address this technician’s performance. 

That instruction leaves a tremendous amount unspecified.  

  • How should the supervisor begin the conversation?
  • What behavior should they describe? 
  • How can they distinguish observable performance from assumptions about attitude or motivation?  
  • How should they respond if the employee becomes defensive? 
  • How much corrective versus supportive feedback should they provide?  
  • What happens after the conversation?  
  • How will they know whether the intervention worked? 

These are behaviors that can, and should, be taught. 

The Behavior Analyst Certification Board (BACB, 2026) recognizes supervision as an area requiring specific preparation. BCBAs providing certain forms of supervision must complete supervision-specific training, and the BACB’s Supervisor Training Curriculum Outline (BACB, 2024) includes competencies intended to support effective supervisory relationships. Meeting formal supervision requirements, however, should be viewed as the beginning of supervisor development rather than its endpoint. 
 
If supervision is a skill, organizations need a deliberate way to help clinicians develop it. In the next installment, we’ll introduce a six-step, competency-based framework supervisors and organizations can use to turn supervisory expectations into observable, teachable behaviors. 

Part 2 References 

Behavior Analyst Certification Board. (2024). Supervisor training curriculum outline (2.0). Behavior Analyst Certification Board. 

Behavior Analyst Certification Board. (2026). Supervision, assessment, training, and oversight. Behavior Analyst Certification Board. 

Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: A guide for practitioners. Behavior Analysis in Practice, 5(2), 2–11. https://doi.org/10.1007/BF03391819 

Author Bios

Cheryl Davis, PhD, BCBA-D (Creator)

Cheryl Davis obtained her doctoral degree from Endicott College in Applied Behavior Analysis. She received a Masters of Science Degree in Intensive Special Education from Simmons College in Boston, MA after attending The University of Connecticut where she received a bachelor’s degree in Human Development. With over 25 years of experience working with children and families with autism, developmental disabilities, and related disorders, Cheryl specializes in working with individuals with ASD and developmental disabilities, online teaching, active responding and skill acquisition. She has had experience as a teacher, job coach, home therapist, residential supervisor, public school consultant, staff trainer and professor. Cheryl has extensive experience in developing training topics for both parents and teaching staff. She has provided professional development trainings to over two thousand teaching staff and enjoys providing services internationally. 

Dana Reinecke, PhD, BCBA-D (Creator)

Dana Reinecke is a doctoral level Board-Certified Behavior Analyst (BCBA-D) and a New York State Licensed Behavior Analyst (LBA) and New York State Licensed Psychologist.  Dana has worked extensively in higher education in faculty and leadership roles and as a consultant, trainer, and clinician in various settings.  She has presented original research and workshops on the treatment of autism and applications of ABA at regional, national, and international conferences. She has published her research in peer-reviewed journals, written chapters in published books, and co-edited books on ABA and autism. Dana has been actively involved in the New York State Association for Behavior Analysis (NYSABA), previously serving on the Board of Directors as Secretary, President, and conference chair.

Back to School: Disseminating the Science for Teachers and BCBAs

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By Alicia Marshall, MAT, BCBA LBS

The transition back to school and back to a new routine is always an exciting, yet bittersweet time for students and educators. Carefree summer days are in the past, and getting back into a structured daily routine can be an overwhelming process. However, new teachers, new friends, and new settings provide the opportunity to make progress with academic, behavior, and social goals. Even while students and their families should enjoy every precious moment of summer fun, it is also important to set aside some time to prepare for the transition in the new school year.

Getting Proactive

Most school-based BCBAs can attest that the most important aspect of school consultation is assisting educators and other stakeholders to be proactive about behavior instead of reactive. This advice is especially valuable while preparing for a new school year. Teachers and families can begin to discuss and implement proactive strategies in the days prior to the first day of school.

For teachers and school based BCBAs, summer preparation days can be used to discuss simple environmental manipulations that can be made within the classroom. For instance, before students even step foot in the classroom, the teacher and other support staff can arrange seating that is limited from distraction and enhances engagement. A common suggestion from BCBAs is usually to seat students with a history of elopement behavior far away from the exit doors. Some consultants may even suggest preparing some visual supports and schedules ahead of time in order to prepare staff and students. Students thrive with structure and organization, so if the classroom has established expectations the students will find it easier to decide which behaviors lead to rewards and desired activities.

Building Rapport

Antecedent interventions do not only apply to teacher prep days. Chances are, not all students will engage in challenging behaviors on the first day of school. Hence, those first days of school are crucial because they are the opportune times for pairing. Classroom staff should prioritize gaining trust and rapport with students. This process can begin the moment the students arrive at school on the first day. Teachers and staff can begin pairing with students simply by greeting students with a smile and limiting demands. Students should be given the chance to feel happy and relaxed while adjusting to a new environment.

The more the students feel comfortable in the environment, the more likely they are to view the adults in the environment as a reinforcer, or a signal for access to preferred items and activities. When trust and rapport is established, it will also be easier for teachers and staff to engage in activities that may not be highly preferred. Of course the primary focus of the teachers should not be to place increasingly difficult demands on the students. However, establishing themselves as a person that will provide rewards and other motivators, allows the adults in the classroom to assist the students in developing pivotal behaviors that will provide access to a whole world full of reinforcing items and activities.

While students are adapting to the new enrichment, teachers and staff can use the opportunity to informally assess the students’ preferences. Enriching the enrichment with items high on the students’ preference list will not only assist in the pairing process, but can also be used as potential motivators for instances of positive reinforcement scenarios.

Embracing Collaboration

Lastly, the most important aspect of the transition back to school and adjustment to a new environment and routine is collaboration with all key stakeholders. Parents and caretakers, as well as teachers, should be involved and have input on any strategies and goals put in place. The more the students’ parents and caretakers feel involved in the decisions being made for their children, the more likely they are to carry out plans with fidelity. Also, establishing effective collaboration and communication assists with overhaul generalization of behaviors and makes the students’ support system stronger and more successful.

About the Author

Alicia Marshall, MAT, BCBA LBS, started out as a Special Education teacher and made the switch over to full-time BCBA 5 years ago. Alicia received her BCBA coursework at Rutgers and currently works as a Director of Behavioral Health in the Greater Philadelphia area. Alicia is passionate about making learning fun for all stakeholders and to encourage educators to focus on socially significant goals and compassionate care. 

When Alicia is not disseminating the science of ABA, she can be found on the beaches of the Jersey Shore (and occasionally Hawaii) with her husband and two dogs.

The Importance of Teaching WH Questions

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By Ashleigh Evans, MS, BCBA

WH questions are essential building blocks of communication. Understanding and responding to questions about who, what, when, where, and why is vital for a child’s language development. BCBAs and educators commonly focus on teaching these pivotal skills for many reasons. Let’s explore why teaching WH questions is important and how it can help shape a child’s language and communication skills.

What are WH Questions?

Before we dive into why WH questions are important, let’s consider what WH questions are. WH questions encompass many different questions that start with the words “who,” “what,” “when,” “where,” and “why. While it doesn’t start with WH, some people also group “how” questions under this umbrella. WH questions include the following.

Who Questions–Questions about people, such as “Who is coming over today?”

What Questions–Questions about things, thoughts, actions, or ideas, such as “What did you think about that movie?”

When Questions–Questions about times, days, or dates, such as, “When is your birthday?”

Where Questions–Questions about places, such as, “Where did you go last night?”

Why Questions–Questions about the reasons or causes for things, such as, “Why do I have to cut the grass?”

It’s important to teach kids to both ask and answer who, what, when, where, and why questions as they navigate their home, social, and academic environments. 

Why is it Important to Teach Kids to Answer WH Questions?

There are many reasons why children should be taught to answer WH questions, including the following.

  • Safety–If a child is ever lost or in another unsafe situation, they may need to communicate critical information, such as, “What’s your name?” “Where do you live?” “Who are your parents?”, etc. It can also provide parents peace of mind when their child can answer key questions about their day.
  • Building friendships and social engagement–Answering WH questions allows a child to engage socially with peers and build meaningful relationships.
  • Academic success–Understanding how to answer WH questions is vital in educational settings, where children are expected to communicate their knowledge through reading comprehension, math equations, and many other subjects.
  • Reciprocating conversations–Answering WH questions helps learners develop conversational skills, including answering and reciprocating questions. This is necessary in many settings, including social, educational, vocational, and at home.
  • Memory and recall–Teaching children to answer WH questions is a pivotal skill that leads to additional skills, such as recalling events.

Why is it important to Teach Kids to Ask WH Questions?

Learning to ask WH questions is equally important as answering them. Let’s explore some pivotal reasons that underscore the significant benefits of teaching children to ask WH questions.

  • Understanding the world around them–Asking WH questions encourages curiosity, fostering an understanding of the world around the child.
  • Academic success–An ability to ask questions aids in academic success, as the child takes an active role in their education by questioning things that expand their knowledge. 
  • Initiating conversations–Teaching children to ask WH questions helps them develop conversational skills, including initiating conversations. This can foster meaningful connections with peers and others in their lives.
  • Problem-solving–Children who can ask WH questions can build upon their knowledge, asking questions that promote critical problem-solving skills.

Resources for Teaching WH Questions

Teaching children with autism and other neurodevelopmental differences to ask and answer WH questions is a complex process with many layers. Many WH questions are abstract, involving time (when questions) or cause and effect (why or how). These can be challenging concepts for neurodivergent children to grasp.

The first step is to teach simple labeling (referred to as tacts in verbal behavior language). Labeling items and activities is a necessary prerequisite skill. For example, before a child can answer the question, “Where is your cup?”, they need to know how to label items, such as “couch,” so they can answer by saying “on the couch.” You can use flashcards to teach your learner to label various objects, including common objects around the home and school, food, clothing, body parts, and more.

As children develop the basic prerequisite WH skills, you can make learning fun and engaging by expanding upon their knowledge through games and activities. The Ask & Answer Social Skills Game is one such engaging game that you can play to help your learners develop skills related to answering WH questions.

For additional considerations on teaching these vital life skills, check out the blog, What Goes Into Teaching Children to Answer WH Questions?

About the Author

Ashleigh Evans, MS, is a Board Certified Behavior Analyst. She has been practicing in the behavior analysis field for over 13 years and opened her own independent practice in early 2022. Her experience has been vast across different age groups, diagnoses, and needs. She is passionate about improving the field through education, reformative action, and better supervisory practices, leading her to create content and resources for families and ABA professionals which can be found on her website, www.abaresourcecenter.com

Focus on Generalization and Maintenance

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On more than one occasion, I’ve been in the situation that a student will only demonstrate a skill in my presence. And I’ve heard from other colleagues that they have had similar experiences. This is highly problematic. When it happens with one of my students, there is only one person I can blame: myself.  A skill that a student can only demonstrate in my presence is a pretty useless skill and does nothing to promote independence.

So what do you do when you find yourself in this situation? You reteach, with a focus on generalization. This means that, from the very beginning, you are teaching with a wide variety of materials, varying your instructions, asking other adults to help teach the skill, and demonstrating its use in a variety of environments. Preparing activities takes more time on the front-end for the teacher, but saves a ton of time later because your student is more likely to actually master the skill. (Generalization, after all, does show true mastery.)

Hopefully, you don’t have to do this, though. Hopefully, you’ve focused on generalization from the first time you taught the skill. You may see generalization built into materials you already use.

Another commonly cited issue teachers of children with autism encounter is failure to maintain a skill. In my mind, generalization and maintenance go hand-in-hand, in that they require you to plan ahead and consider how, when, and where you will practice acquired skills. Here are a few tips that may help you with maintenance of skills:

  1. Create notecards of all mastered skills. During the course of a session, go through the notecards and set aside any missed questions or activities. You might need to do booster sessions on these. (This can also be an opportunity for extending generalization by presenting the questions with different materials, phrases, environments, or people.)
  2. Set an alert on your phone to remind you to do a maintenance test two weeks, four weeks, and eight weeks after the student has mastered the skill.
  3. Create a space on your data sheets for maintenance tasks to help you remember not only to build maintenance into your programs, but also to take data on maintenance.

Considering generalization and maintenance from the outset of any teaching procedure is incredibly important. Often, when working with students with special needs, we are working with students who are already one or more grade levels behind their typically developing peers. Failing to teach generalization and maintenance, then having to reteach, is a waste of your students’ time.

Sam Blanco, PhD, LBA, BCBA is an ABA provider for students ages 3-15 in NYC. Working in education for sixteen years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. She is also an assistant professor in the ABA program at The Sage Colleges, and she is the Senior Clinical Strategist at Chorus Software Solutions.

A Better Way to Say “No”

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By Morgan van Diepen, M.Ed., BCBA, Co-owner of ABA Visualized

Hearing “no” or “wait” can be challenging for kids of all ages! In fact, as a BCBA, this is one of the most common requests for support that I hear from families. Luckily, researchers have tested out three ways to say “no” when something is unavailable, and the results show how slightly changing our response can actually prevent challenging behaviors! Let’s look at the scenario of a child asking to play a computer game, but the parent is currently using it for work. Which of the three methods do you think was the most effective? 

  1. “No” + Explanation. In this common approach, the parent says it’s not available and gives the honest reasoning: “Not right now. I’m working on the computer.” 
  2. “No” + Explanation + Alternative. Now, we’ve added an extra suggestion of something that is available: “Not right now. I’m working on the computer, but you can play basketball outside with your brother.” 
  3. “Yes” + Contingency. Here, even though our answer is “no,” we’re actually saying “yes!” This can be described as a “yes, when…” statement, where you are describing when the requested item or activity will be available: “Yes, you can use the computer when I’m finished with this meeting at 2:00.” It can also be used to set expectations of what they need to accomplish before the request is available: “Yes, you can use the computer when you finish your homework.” 

So, which do you think resulted in the fewest challenging behaviors?

In this research study, the 2nd and 3rd approaches were equally successful at almost completely preventing vocal protests, aggression, and threats! By just changing the way we say “no,” we can help our learners accept this answer more easily. Little changes that create big results! Strategies like these are perfect for parent training sessions during ABA. Here’s a template parent training goal you could use with families who would like more support in this area:

When (client name) requests for something that is unavailable (provide examples specific to the client), parents will either respond with “No” + Explanation + Alternative (provide example specific to the client) or with “Yes” + Contingency (provide example specific to the client) in attempts to prevent challenging behaviors relating to tolerating “no,” in at least 80% of opportunities across 2 consecutive weeks. 

Looking for a more engaging way to lead parent training sessions and teach effective strategies like this one? Check out our 2nd edition ABA Visualized Guidebook, where we’ve visualized 27 evidence-based strategies (including this one!) as step-by-step illustrations, making behavior strategies easy! 

Article reference: Mace, F. C., Pratt, J. L., Prager, K. L., & Pritchard, D. (2011). An evaluation of three methods of saying “no” to avoid an escalating response class hierarchy. Journal of applied behavior analysis, 44(1), 83–94.

ASD Learners and Sexuality

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By: Randy Horowitz, M.S. Ed., S.A.S. and Joanne Capuano Sgambati, Ph.D., BCBA-D, LBA

Sexuality is part of normal human development for every man, woman and child. It is a basic need and an integral part of life. Sexuality is not just physical maturity and sexual intercourse; it is diverse and personal. It’s about relationships, intimacy, and thoughts and feelings about other people. Individuals with ASD follow the same physiological sexual development and interests as their typically developing peers; About 75% of individuals on the spectrum desire and engage in some form of sexual behavior. (A comparable percentage to the neuro-typical population). Behaviors range from masturbation to intercourse and many steps along the way. Individuals with ASD have the same sexual interests, needs, and rights as anyone else, they just may not have the same ways to express themselves and share their feelings.

So what else is unique about individuals with ASD in relation to sex education?

  • Poor social competence and limited peer relationships lead to few opportunities to obtain sexual information, have sexual relationships, and fulfill their desire to have a healthy romantic and sexual life.
  • Cognitive differences (difficulty with inferencing, perspective taking, and theory of mind) can impact their understanding, generalization, and application of sexual information.
  • Language and communication challenges as well as social skills deficits can get in the way of initiating and maintaining relationships.
  • Societal barriers which interfere with learning necessary sexual information that can prevent intimate relationships from taking place. 

It is a natural instinct for parents and teachers to want to protect their children; however, by avoiding speaking about sexuality and sex education, they may be suggesting that sexuality is unimportant or shameful and they may be leaving their children even more vulnerable to frustration, problematic behaviors, social isolation, anxiety, depression, low self-esteem and even victimization.

So, how can we best educate learners with ASD about sexuality?

Start early: Children with ASD may have a hard time with change and take longer to learn concepts. Start very early; and present positively in a calm and clear manner:

  • Body part ID
  • Using appropriate words and language to identify genitals.
  • Private vs. public (e.g., places, behaviors, hygiene, and eventually conversations and on-line activities etc.)

Remember what is cute as a child (like hugging teachers), may be inappropriate in middle school. So, teach appropriate social boundaries early on. Do not wait until puberty to discuss body changes as it can be alarming to teens with ASD who resist change (pubic hair, private time for masturbation, shaving, bras, maxi pads, etc.).

Use appropriate teaching strategies: You can teach sexuality skills the same way you teach other skills to those with ASD. Some ideas are use of visuals, schedules, task analysis, functional communication training, and video modeling. Remember that sexual behavior is still behavior and adheres to the laws of applied behavior analysis. If there is a behavior to increase, decrease, or maintain it is important to know the function of that behavior in order to modify it.

Remember while teaching make sure you are aware of issues regarding consent, legalities in your state, wishes of the parents, policies of your agencies and how your intervention will look to others.

Teach independence: It is natural for parents to want to protect their child with ASD but to avoid sex education and relationship development may actually make the individual vulnerable to dependency. Teach independence on skills that are transferable to sex education:

  • personal hygiene
  • dressing
  • toileting
  • use of a cell phone
  • who and how to call in an emergency

Don’t do anything for them that they can do for themselves. This will help the child be less dependent on others for “help” and able to make their own decisions.

Teach safety skills: . Children with ASD are typically taught compliance, They may not know how to self-advocate and say “No” because they have been rewarded for compliance and listening to people who are “in charge”.

  • Teach them to say “NO” when asked to do something they do not want to do (i.e. “No thank you, I do not want a hug”).
  • Teach them that “Your body belongs to you” and rules for touching (appropriate vs inappropriate touches). They need to know they have rights over their bodies and how to “report” any inappropriate sexual behaviors or abuse.

Teach the obvious: Most children learn from a variety of sources: family, peers, TV, movies, internet etc. Those on the spectrum may not pick up on all this information. They may need things spelled out for them in a concrete literal fashion. “You cannot date women younger than 18”. Avoid or explain confusing language. “A “hook-up” is slang for meeting someone for sex and not a relationship.”

Teach about relationships: Explain the variety of relationships that people have (friendship vs love vs intimacy) and (close family and friends vs professionals, acquaintances, and strangers). Help them be social, learn social communication skills, and make friendships. Best friendships form from common interests (e.g., video games, “Anime”, trains etc.). The internet can help you find special interest groups and meet ups. There are also speed dating and singles groups for those with ASD.

Teach them about themselves: They need to develop self-esteem and a healthy self-concept. Understanding their diagnosis, strengths and weaknesses will help them be better advocates for themselves. Being a better self-advocate will also help protect their sexual well-being.

Randy Horowitz, M.S. Ed., S.A.S.

Randy has a Master of Science in Education from Queens College and a Certificate of School Administration and Supervision from the College of New Rochelle. Randy is currently a doctoral candidate in the educational leadership program at Concordia University. Randy started her career as a special education teacher in public school in Nassau County and then spent close to 30 years in senior leadership positions at nonprofit organizations serving children and adults with autism in NYC and Long Island. Randy has presented at local, national and international conferences on topics relating to educating individuals with autism. Her particular areas of interest include preparing and supporting individuals with autism for integration into community activities.

In addition to her many work responsibilities, Randy is also a seasoned runner and has participated in countless road races and marathons, including our Blazing Trails Run/Walk, raising well over $65,000 in the past 15 years to benefit the autism community.

Joanne Capuano Sgambati, Ph.D., BCBA-D, LBA

Dr. Sgambati serves as the Director of Psychological Services for Eden II’s Genesis Programs on LI.  She specializes in consulting, counseling, evaluations, and behavior management of individuals with autism spectrum disorder (ASD).  For the past 30 years, she has been dedicated to using positive behavior approaches, applied behavior analysis (ABA), for enhancing the lives of students in special education and adults on the autism spectrum.  Dr. Sgambati is an active participant in Eden II’s Genesis Outreach Department conducting live presentations and webinars on a variety of topics at organizations, conferences, schools, and universities. She also conducts training seminars for local schools and various parent organizations.  Dr. Sgambati specializes in ABA interventions for families of children and adults with special needs who demonstrate challenging behaviors. She is also the proud parent of two young adults on the Autism Spectrum.

Resources:

https://researchautism.org/sex-ed-guide/

https://www.autismspeaks.org/sites/default/files/2018-08/Puberty%20and%20Adolescence%20Resource.pdf

https://www.autismspeaks.org/recognizing-and-preventing-sexual-abuse

Ames, H. & Samowitz, P. (1995). Inclusionary standards for determining sexual consent for individuals with developmental disabilities. Mental Retardation, 4, 264-268.

Davies, C., Dubie, M. (2012). Intimate Relationships  & and Sexual Health: A Curriculum for Teaching Adolescents/Adults with High Functioning Autism Spectrum Disorders and Other Social Challenges.

Griffiths, D. (1999) Sexuality and developmental disabilities: Mythconceptions and facts. In I. Brown and M. Percy, (Eds.). Developmental Disabilities in Ontario (pp. 443-451). Toronto: Front Porch Publishing.

Griffiths, D.M., Richards, D. , Fedoroff, P., & Watson, S.L. (Eds.) 2002. Ethical dilemmas: Sexuality and developmental disabilities.  NADD Press: Kingston, NY

Hanault, I. (2006). Asperger’s Syndrome and Sexuality: from Adolescence through Adulthood. (information and lessons for students on the less cognitively impaired end of the spectrum)

McLaughlin, K., Topper, K., & Lindert, J. (2010). Sexuality Education for Adults with Developmental Disabilities, Second Edition. (structured group model) Schwier, K.M., & Hingsberger, D. (2000). Sexuality: Your sons and daughters with intellectual disabilities. Baltimore: Paul H. Brookes Publishing

Simplifying the Science: Using SAFMEDS in Applied Behavior Analysis

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When I first heard about SAFMEDS, I wondered how they were different from standard use of flashcards. What I learned, in fact, is that the process is quite different, and it’s evidence-based! SAFMEDS is actually an acronym that means “Say All Fast Minute Each Day Shuffled.” (I know, I know…it doesn’t exactly roll off the tongue.) Created by Ogden Lindsley, SAFMEDS are focused specifically on fluency, or, in other words, speed and accuracy.

While there are some things that don’t require fluency, there are many things that do: such as simple multiplication or letter recognition. This means that some tasks I teach my students will require the use of fluency training, which is often completed through the use of SAFMEDS. Lindsley outlined results of his experiments using SAFMEDS with students and demonstrated that this process of instruction resulted in faster acquisition of fluency than other, similar flashcard procedures (Lindsley, 1996) with his work having been replicated many times over.

So, how do you implement SAFMEDS?

First, get your materials together. Create your flashcards. (I typically use index cards where I’ve written the problem on one side and the correct response on the back.) Be sure to get a timer.

From there, the procedure is pretty straight forward:

  • You will have ALL the flashcards available and the student will respond to as many as he/she can in one minute.
  • The student can run the activity on their own, and will likely go much faster if they are the one turning the cards (Lindsley, 1996). The student looks at the card, provides the response, then puts the card in the correct or incorrect pile.
  • The cards should be shuffled between each fluency drill so that the student won’t learn the answers in order.

I’ve used actual flashcards, but also created SAFMEDS sets using different apps and websites. If you’re interested in learning more about implementing this simple strategy for building fluency, you should take a look here for more information.

REFERENCES

Lindsley, O. R. (1996). The four free-operant freedoms. The Behavior Analyst, 19(2), 199.

WRITTEN BY SAM BLANCO, MSED, BCBA

Sam is an ABA provider for students ages 3-15 in NYC. Working in education for twelve years with students with Autism Spectrum Disorders and other developmental delays, Sam utilizes strategies for achieving a multitude of academic, behavior, and social goals. Sam is currently a PhD candidate in Applied Behavior Analysis at Endicott College. She is also a lecturer in the ABA program at The Sage Colleges.

Pick of the Week: Self Management Planners – 20% OFF!

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Find a better way to manage your time and check more things off your to-do list this school year!  Created with ABA principles by Dan Sundberg, PhD, the Self Management Planner is perfect for those who have busy and frequently changing schedules and want something that will do more than schedule time in the day. This week, you can save 20%* on the Self Management Planners and get a head start on organizing your schedule for the school year! (Use promo code MANAGE at check-out!)

Self Management Planners

Not only is this planner perfect for effective time management and organizing your activities, but it also allows to set and track your goals (it even includes graph paper so you can watch your progress!).

The Self Management Planner includes:

  • Full 18.5-hour days and 7-day weeks
  • Tutorial on using the planner, appointment book, and measuring your success
  • Guide to setting long term goals and figuring out ways to accomplish those goals
  • System of selecting and tracking daily activities. (People have used this section to track a huge variety of important things like spending, hours billed, driving mileage, activity goals, and more.)
  • Graphs for visualizing and tracking progress on goal
  • Lined note paper
  • Blank date periods
  • Weekly and daily to-do lists
  • Space to make note of all day events

Available in two sizes: Full (11.5″ x 8.5″) and Compact (8.5″ x 5.5″).

*Promotion is valid for one-time use through September 6, 2016. Offer cannot be applied to previous purchases, combined with any other offers, transferred, refunded, or redeemed and/or exchanged for cash or credit. Different Roads to Learning reserves the right to change or cancel this promotion at any time. To redeem offer at differentroads.com, enter promo code MANAGE at checkout.