ABA Therapy Schedule: What to Expect Week by Week
Understand what a typical ABA therapy schedule looks like. Learn about therapy hours, session structure, and how to balance ABA with family life.
Shamay Selim, M.Ed., BCBA
Clinical Director at Foundations Autism
Understanding ABA Therapy Scheduling
One of the first questions families ask about ABA therapy is about the schedule—how many hours, how long are sessions, and how does it fit into daily life? This guide explains what to expect and how to make ABA work with your family's routine.
Recommended Therapy Hours
Treatment intensity is based on your child's needs:
Intensive Early Intervention (25-40 hours/week)
- Typically for younger children (2-6 years)
- Research shows best outcomes with intensive hours
- Structured like a school schedule
- May be center-based or in-home
- Often for children with significant needs
Moderate Intervention (15-25 hours/week)
- Common for school-age children
- Can work around school schedules
- Appropriate for moderate support needs
- Allows time for other activities
Focused Intervention (10-15 hours/week)
- For children with specific skill gaps
- Maintenance after intensive treatment
- When other activities take priority
- For children with milder support needs
Consultation/Parent Training (1-5 hours/week)
- Focus on parent coaching
- For children making good progress
- When direct therapy isn't accessible
- Often includes telehealth
Typical Session Structure
While sessions are individualized, here's a general structure:
Beginning of Session
- Greeting and transition activities
- Check-in with parents (home-based)
- Review of goals for the session
- Pairing activities to build motivation
Active Learning Time
- Structured teaching (discrete trials)
- Natural environment teaching
- Play-based skill building
- Work on specific goal areas
- Data collection on targets
Breaks
- Regular breaks based on child's needs
- Snack time (also a teaching opportunity)
- Free play or preferred activities
- Movement and sensory breaks
End of Session
- Transition activities
- Clean-up (teaching opportunity)
- Session summary for parents
- Preview of next session
Sample Weekly Schedules
Intensive Center-Based (35 hours/week)
| Day | Time | Activity |
|---|---|---|
| Monday-Friday | 8:30am - 3:30pm | Center-based ABA |
| Weekly | Varies | Parent training session |
| Bi-weekly | Varies | BCBA supervision/meeting |
Moderate In-Home (20 hours/week)
| Day | Time | Activity |
|---|---|---|
| Monday, Wednesday, Friday | 3:30pm - 7:00pm | In-home therapy after school |
| Saturday | 9:00am - 1:30pm | In-home therapy |
| Weekly | During session | Parent training |
School + ABA Combination (15 hours/week)
| Day | Time | Activity |
|---|---|---|
| Monday-Friday | 8:00am - 3:00pm | School |
| Monday, Wednesday, Thursday | 4:00pm - 7:00pm | In-home ABA |
| Saturday | 10:00am - 4:00pm | Center-based group + individual |
Making the Schedule Work
Discuss Constraints Upfront
- Tell providers your scheduling limitations
- Share work schedules and childcare needs
- Discuss school hours and activities
- Be honest about what's realistic
Build in Flexibility
- Identify which days have more flexibility
- Have backup plans for scheduling conflicts
- Understand the cancellation policy
- Know how make-up sessions work
Protect Family Time
- Therapy is important, but so is family time
- Build in unstructured time for your child
- Maintain sibling activities
- Take vacations—therapy can pause
What Affects Your Schedule
Insurance Authorization
- Authorized hours determine your schedule
- May be less than recommended
- Can be appealed if insufficient
- Re-evaluated periodically
Therapist Availability
- Popular times fill quickly
- After-school and weekends are high demand
- Morning availability may be easier to find
- Be flexible to get better therapist fit
Your Child's Needs
- Younger children may need shorter sessions
- Energy levels affect scheduling
- School and therapy fatigue is real
- Breaks and variety help sustain attention
Adjusting Over Time
Your schedule will likely change:
As Your Child Progresses
- Hours may decrease as skills develop
- Focus may shift to new areas
- More independence requires less support
- Transition to consultation model
As Life Changes
- School transitions affect availability
- Work changes may require adjustments
- Adding activities means balancing time
- Communicate changes to your team
During Reauthorization
- Hours can be increased or decreased
- Advocate for appropriate hours
- Provide input on schedule needs
- Plan ahead for transitions
Tips for Schedule Success
- Consistency is key: Same times each week help children adjust
- Prepare transitions: Give warnings before therapy starts and ends
- Plan around energy: Schedule demanding sessions when your child is alert
- Coordinate providers: If you have multiple therapies, spread them out
- Build in recovery: Some days should be therapy-free
- Communicate changes: Tell your team about disruptions early
Frequently Asked Questions
Common questions about this topic.
Recommended hours vary based on your child's needs. Intensive early intervention typically involves 25-40 hours per week. Moderate programs may include 15-25 hours. Focused intervention might be 10-15 hours. Your BCBA will recommend hours based on assessment results, and insurance authorization determines what's approved.
Session length varies by setting and child needs. In-home sessions are typically 2-4 hours. Center-based programs may run 4-8 hours (like a school day). Younger children may have shorter sessions. Your BCBA will recommend appropriate session lengths for your child's age and attention span.
Yes, hours can and should be adjusted as your child progresses. Children often start with more intensive hours and gradually reduce as they develop skills and need less support. Your BCBA will recommend changes during reauthorization periods, and you can discuss adjustments anytime.
Work with your BCBA to create a schedule that fits your family. Many children do ABA before/after school, some do school-based ABA, and others do home-based therapy around school hours. Discuss your schedule constraints during intake so the provider can work with your needs.
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