{"id":47347,"date":"2023-04-03T15:15:23","date_gmt":"2023-04-03T19:15:23","guid":{"rendered":"https:\/\/behavioralobservations.com\/?p=47347"},"modified":"2023-04-03T15:19:07","modified_gmt":"2023-04-03T19:19:07","slug":"how-many-hours-of-aba-are-actually-necessary-session-221-with-melissa-willa-and-colin-davitan","status":"publish","type":"post","link":"https:\/\/behavioralobservations.com\/be_obs\/how-many-hours-of-aba-are-actually-necessary-session-221-with-melissa-willa-and-colin-davitan","title":{"rendered":"How Many Hours of ABA are Actually Necessary?"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Session 221 with Melissa Willa and Colin Davitian<\/h2>\n\n\n\n<p>Listen on: <a href=\"https:\/\/podcasts.apple.com\/us\/podcast\/how-many-hours-of-aba-are-actually-necessary-session\/id1086413253?i=1000607212305\" data-type=\"URL\" data-id=\"https:\/\/podcasts.apple.com\/us\/podcast\/how-many-hours-of-aba-are-actually-necessary-session\/id1086413253?i=1000607212305\">Apple Podcasts<\/a> | <a href=\"https:\/\/open.spotify.com\/episode\/4fkqmZV37WLxVOEHRhzhWj?si=Q07jjG9RSxCwxRDIWnw5TQ\" data-type=\"URL\" data-id=\"https:\/\/open.spotify.com\/episode\/4fkqmZV37WLxVOEHRhzhWj?si=Q07jjG9RSxCwxRDIWnw5TQ\">Spotify<\/a> | <a href=\"https:\/\/podcasts.google.com\/feed\/aHR0cHM6Ly9iZWhhdmlvcmFsb2JzZXJ2YXRpb25zLmxpYnN5bi5jb20vcnNz\/episode\/NzhjZTZhYTMtN2ZiNC00ZWExLWEwNmEtOGNhNTIyMjVlNmY1?sa=X&amp;ved=0CAQQ8qgGahcKEwjQ14mStI7-AhUAAAAAHQAAAAAQLA\" data-type=\"URL\" data-id=\"https:\/\/podcasts.google.com\/feed\/aHR0cHM6Ly9iZWhhdmlvcmFsb2JzZXJ2YXRpb25zLmxpYnN5bi5jb20vcnNz\/episode\/NzhjZTZhYTMtN2ZiNC00ZWExLWEwNmEtOGNhNTIyMjVlNmY1?sa=X&amp;ved=0CAQQ8qgGahcKEwjQ14mStI7-AhUAAAAAHQAAAAAQLA\">Google Podcasts<\/a> | <a href=\"https:\/\/www.youtube.com\/watch?v=5w-NXFNhF-8\" data-type=\"URL\" data-id=\"https:\/\/www.youtube.com\/watch?v=5w-NXFNhF-8\">YouTube<\/a><\/p>\n\n\n<p><iframe loading=\"lazy\" title=\"Embed Player\" src=\"https:\/\/play.libsyn.com\/embed\/episode\/id\/26430438\/height\/128\/theme\/modern\/size\/standard\/thumbnail\/yes\/custom-color\/334054\/time-start\/00:00:00\/playlist-height\/200\/direction\/backward\/download\/yes\" height=\"128\" width=\"100%\" scrolling=\"no\" allowfullscreen=\"\" webkitallowfullscreen=\"true\" mozallowfullscreen=\"true\" oallowfullscreen=\"true\" msallowfullscreen=\"true\" style=\"border: none;\"><\/iframe><\/p>\n\n\n<p>In Session 221, I had the opportunity to talk with Melissa Willa and Colin Davitian. These guys are a husband and wife team who founded the ABA provider,&nbsp;<a href=\"https:\/\/kyocare.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kyo<\/a>, formerly known as the Gateway Learning Group.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large\"><a href=\"http:\/\/behavioralobservations.com\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art.png\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/behavioralobservations.com\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-1024x1024.png\" alt=\"\" class=\"wp-image-47348\" srcset=\"https:\/\/behavioralobservations.com\/be_obs\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-1024x1024.png 1024w, https:\/\/behavioralobservations.com\/be_obs\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-300x300.png 300w, https:\/\/behavioralobservations.com\/be_obs\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-150x150.png 150w, https:\/\/behavioralobservations.com\/be_obs\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-768x768.png 768w, https:\/\/behavioralobservations.com\/be_obs\/wp-content\/uploads\/2023\/04\/Kyo-Cover-art-1536x1536.png 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p>Our conversation focused on two hot-button topics when it comes to providing services to individuals with Autism: Treatment Dosage and Value Based Care.<\/p>\n\n\n\n<p>With regard to the former, Melissa and Colin, along with their colleagues, conducted a&nbsp;<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12519-022-00643-0?R6wF9AvbqY=CF3C9447DE0B621F462A8FC466AB7D8F\" target=\"_blank\" rel=\"noreferrer noopener\">retrospective analysis of treatment outcomes<\/a>&nbsp;for learners in under their care. In doing so, they looked at the role that treatment dosage had on their overall progress, as measured by standardized assessments.<\/p>\n\n\n\n<p>You may already be wondering what they found, so don\u2019t worry, we get into that and lots more in this episode. We also try to place their findings in the context of existing studies that examined the relationship between treatment dosage and treatment outcomes.<\/p>\n\n\n\n<p>As I mention during the interview, there\u2019s lots of discussion of this topic that\u2019s happening, particularly in the various ABA social media groups, and as is true with so many other things, it\u2019s refreshing to elevate the discourse by looking at empirical analyses as opposed to anecdotal observations and hunches.<\/p>\n\n\n\n<p>If you\u2019re a clinical director or practice owner who\u2019s also interested in this topic, Melissa and Colin suggest strategies for mining the data you probably already have access to via client electronic health records.<\/p>\n\n\n\n<p>Towards the end of the podcast, we turned our attention to Value Based Care. Colin and Melissa define what that is, and contrast it with the more traditional fee-for-service approach for health care reimbursement. Not to spoil the punchline here, but these guys seemed pretty bullish on the potential for shifting Autism services to a Value Based Care model.<\/p>\n\n\n\n<p>As a sidetone, for a longer discussion on the topic of VBC, check out&nbsp;<a href=\"https:\/\/behavioralobservations.com\/value-based-care-in-aba-session-196-with-amanda-ralston\/\" target=\"_blank\" rel=\"noreferrer noopener\">Session 194<\/a>&nbsp;with Amanda Ralston. I have other guests that I\u2019ve been meaning to bring on to talk about this as well.<\/p>\n\n\n\n<p>Lastly, I want to thank Melissa and Colin for patiently responding to all of my \u201c<em>yeah, but\u2026<\/em>\u201d questions. Even though I don\u2019t personally provide services in an insurance funded model, I am old enough to remember the days when accessing ABA services was next to impossible due to the lack of both funding and providers, so I\u2019m fairly reluctant to cede ground as it relates to how many hours individuals can receive authorization for, and my line of questioning most likely revealed this.<\/p>\n\n\n\n<p>I\u2019ve also seen cases where learners have received very intensive early intervention, and made so much progress that they entered kindergarten with little to no supports. As such, I think it\u2019s fair to say that I had some level of bias heading into this conversation.<\/p>\n\n\n\n<p>Long story short, these are complicated topics, and whether you agree or disagree with the findings we discuss in this episode, I think you\u2019ll find the conversation thought provoking. Lastly, if you want to read up on this topic in more detail, I have several of the articles we referenced in this episode\u2019s show notes. I also have Melissa and Colin\u2019s LinkedIn profiles, so I\u2019d encourage you to connect with them if you have questions or thoughts about these topics.<\/p>\n\n\n\n<p>To learn more about Kyo or to connect with Colin and Melissa:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.kyocare.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.kyocare.com<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.linkedin.com\/in\/melissa-willa-3206244\/\" target=\"_blank\" rel=\"noreferrer noopener\">Melissa Willa - LinkedIn<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.linkedin.com\/search\/results\/all\/?fetchDeterministicClustersOnly=true&amp;heroEntityKey=urn%3Ali%3Afsd_profile%3AACoAAAB2MXUBdtcgkr8UlYUoHQK48h7pJMXS5bs&amp;keywords=colin%20davitian&amp;origin=RICH_QUERY_SUGGESTION&amp;position=0&amp;searchId=8e2b4b5b-ecfe-43cf-b16d-563f30fe4fc1&amp;sid=BAp\" target=\"_blank\" rel=\"noreferrer noopener\">Colin Davitian - LinkedIn<\/a><\/li>\n<\/ul>\n\n\n\n<p>Here are some links to studies we directly or indirectly referred to in this episode:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12519-022-00643-0?R6wF9AvbqY=CF3C9447DE0B621F462A8FC466AB7D8F\" target=\"_blank\" rel=\"noreferrer noopener\">Ostrovsky, A., Willa, M., Cho, T.&nbsp;<em>et al.<\/em>&nbsp;Data-driven, client-centric applied behavior analysis treatment-dose optimization improves functional outcomes.&nbsp;<em>World J Pediatr<\/em>&nbsp;(2022).<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8057785\/\" target=\"_blank\" rel=\"noreferrer noopener\">Rogers SJ, Yoder P, Estes A, Warren Z, McEachin J, Munson J, et al. A Multisite Randomized&nbsp;Controlled Trial Comparing the Effects of Intervention Intensity and Intervention Style on Outcomes for Young Children With Autism. J Am Acad Child Adolesc Psychiatry. 2021;60(6):710-22.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.researchgate.net\/publication\/41909906_Applied_behavior_analytic_intervention_for_autism_in_early_childhood_Meta-analysis_meta-regression_and_dose-response_meta-analysis_of_multiple_outcomes\" target=\"_blank\" rel=\"noreferrer noopener\">Viru\u00e9s-Ortega, J. (2010).&nbsp;Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose\u2013response meta-analysis of multiple outcomes. Clinical Psychology Review, 30, 387-399.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16685181\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cohen, H., Amerine-Dickens, M., &amp; Smith, T. (2006).&nbsp;Early intensive behavioral treatment:&nbsp;Replication&nbsp;of the UCLA model in a community setting. Developmental and Behavioral Pediatrics, 27, S145-S155.&nbsp;<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11799654\/\" target=\"_blank\" rel=\"noreferrer noopener\">Eikeseth, S., Smith, T., Jahr, E., &amp; Eldevik, S. (2002).&nbsp;Intensive behavioral treatment at school for 4- to 7-year-old children with autism: A 1-year comparison controlled study. Behavior Modification, 26, 46-68.&nbsp;<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15766629\/\" target=\"_blank\" rel=\"noreferrer noopener\">Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., &amp; Stanislaw, H. (2005).&nbsp;A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359-383&nbsp;<\/a><\/li>\n<\/ul>\n\n\n\n<p>This podcast is brought to you by the following sponsors:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/members.howtoaba.com\/join\">How to ABA<\/a>&nbsp;- their goal is to make you feel supported and confident while helping your clients make real progress! In their membership community, you will find all the assessments, programs, data sheets, and materials you need so that your job is just a little easier. To learn more about their thriving and supportive online community, CEU events, support materials, and more, go to&nbsp;<a href=\"http:\/\/howtoaba.com\/join\">howtoaba.com\/join<\/a>, and use code BOP at checkout to get 10% off a yearly subscription.<\/li>\n\n\n\n<li><a href=\"https:\/\/behavioralobservations.com\/get-ceus\/\">ACE Approved CEUs<\/a>&nbsp;from ....&nbsp;Behavioral Observations. That's right, get your CEUs while driving, walking your dog, doing the dishes, or whatever else you might have going on, all while learning from your favorite podcast guests!<\/li>\n\n\n\n<li><a href=\"https:\/\/www.hricolorado.com\/contact\">HRIC Recruiting<\/a>. Barb Voss has been placing BCBAs in permanent positions throughout the US for just about a decade, and has been in the business more generally for 30 years. When you work with HRIC, you work directly with Barb, thereby accessing highly personalized service. So if you're about to graduate, you're looking for a change of pace, or you just want to know if the grass really is greener on the other side, head over to&nbsp;<a href=\"http:\/\/hricolorado.com\/\">HRIColorado.com<\/a>&nbsp;to schedule a confidential chat right away.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Session 221 with Melissa Willa and Colin Davitian Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube In Session 221, I had the opportunity to talk with Melissa Willa and Colin Davitian. These guys are a husband and wife team who founded the ABA provider,&nbsp;Kyo, formerly known as the Gateway Learning Group. Our&#8230;  <a class=\"excerpt-read-more\" href=\"https:\/\/behavioralobservations.com\/be_obs\/how-many-hours-of-aba-are-actually-necessary-session-221-with-melissa-willa-and-colin-davitan\" title=\"Read How Many Hours of ABA are Actually Necessary?\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"nf_dc_page":"","ghostkit_customizer_options":"","ghostkit_custom_css":"","ghostkit_custom_js_head":"","ghostkit_custom_js_foot":"","ghostkit_typography":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[384,383,385,326],"class_list":["post-47347","post","type-post","status-publish","format-standard","hentry","category-podcasts","tag-aba-treatment-dosage","tag-aba-treatment-hours","tag-kyo","tag-value-based-care","page-entry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How Many Hours of ABA are Actually Necessary? - The Behavioral Observations Podcast<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/behavioralobservations.com\/be_obs\/how-many-hours-of-aba-are-actually-necessary-session-221-with-melissa-willa-and-colin-davitan\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How Many Hours of ABA are Actually Necessary? - The Behavioral Observations Podcast\" \/>\n<meta property=\"og:description\" content=\"Session 221 with Melissa Willa and Colin Davitian Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube In Session 221, I had the opportunity to talk with Melissa Willa and Colin Davitian. These guys are a husband and wife team who founded the ABA provider,&nbsp;Kyo, formerly known as the Gateway Learning Group. Our... 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