Telehealth ABA Therapy: What Parents Need to Know
Understand how telehealth ABA therapy works, when it's appropriate, and how to make the most of remote ABA services for your child.
Shamay Selim, M.Ed., BCBA
Clinical Director at Foundations Autism
Understanding Telehealth ABA Services
Telehealth has become an increasingly important part of ABA therapy delivery, particularly for parent training and consultation. While direct therapy is typically provided in-person, telehealth expands access and offers flexibility for many families.
What is Telehealth ABA?
Telehealth ABA refers to behavior analysis services delivered remotely through video conferencing technology. This can include:
- Parent training: Teaching parents strategies to support their child
- BCBA consultation: Behavior analyst meetings and treatment planning
- Supervision: BCBA oversight of in-person therapy via video
- Direct services: Some therapy delivered with parent support
Benefits of Telehealth ABA
- Increased access: Connect with specialists regardless of location
- Flexibility: Easier to schedule around work and other commitments
- Parent empowerment: Build skills to support your child every day
- Reduced travel: No commuting for consultations
- Continuity of care: Continue services during illness or travel
- Natural environment: Observation and coaching in your home
When Telehealth Works Best
Ideal Uses for Telehealth
- Parent training sessions
- BCBA-to-parent consultation
- Treatment planning meetings
- Progress review sessions
- Behavioral parent coaching
- Remote supervision of in-home RBTs
Situations Where In-Person is Preferred
- Initial comprehensive assessments
- Direct therapy with young children
- Intensive behavioral intervention
- Hands-on skill teaching
- Social skills practice with peers
Making Telehealth Successful
Technology Setup
- Reliable high-speed internet connection
- Computer, tablet, or phone with camera and microphone
- Quiet, well-lit space for sessions
- Video conferencing platform (Zoom, Teams, etc.)
- Backup plan if technology fails
Preparing for Sessions
- Have necessary materials ready
- Minimize distractions in the environment
- Ensure your child is comfortable and ready
- Test your technology before sessions
- Have the BCBA's contact information handy
Parent Role in Telehealth
During telehealth sessions, parents often take a more active role:
- Following BCBA coaching in real-time
- Implementing strategies with the child
- Positioning the camera to show interactions
- Providing feedback and asking questions
- Practicing techniques during and between sessions
Telehealth Parent Training
One of the most effective uses of telehealth in ABA is parent training. Benefits include:
- Learn strategies in your home environment
- Receive real-time coaching as you practice
- Build skills to support your child 24/7
- More convenient scheduling than in-person visits
- Record sessions (with permission) for review
Insurance Coverage for Telehealth
Most insurance plans now cover telehealth ABA services:
- Parent training sessions
- BCBA consultation and supervision
- Treatment planning meetings
- Some direct services (varies by plan)
Verify your specific coverage with your insurance company. Coverage policies expanded during COVID-19 and many changes have become permanent.
Combining Telehealth with In-Person Services
The most effective approach often combines both:
- In-person: Direct therapy with RBT, intensive skill building
- Telehealth: Parent training, BCBA meetings, remote supervision
This hybrid model offers the benefits of both while maximizing flexibility and access.
Frequently Asked Questions
Common questions about this topic.
Typically, telehealth is used as a supplement to in-person ABA therapy rather than a complete replacement. It's most effective for parent training, consultation, and supervision. Direct therapy with children is usually done in-person, though some goals can be addressed through telehealth with parent support.
Most insurance plans now cover telehealth ABA services, especially following expanded coverage during the COVID-19 pandemic. Coverage may include parent training, BCBA consultation, and some supervision hours. Verify your specific benefits with your insurance company.
You'll need a reliable internet connection, a device with a camera and microphone (computer, tablet, or smartphone), and a quiet space for sessions. Your provider will guide you on any specific platform requirements.
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