Understanding In-clinic vs. Parent-mediated ABA: Key Similarities and Differences

When it comes to autism therapy, choosing the right approach can have a significant impact on a child’s progress. Two prominent models—In-clinic and Parent-mediated ABA (Applied Behavior Analysis)—offer distinct pathways to support children with autism. While both models share fundamental goals, they differ in delivery and the role parents play throughout the process. Let’s explore the similarities and differences to help families make the best decision for their unique needs.

Key Similarities

Despite their differences, In-clinic and Parent-mediated ABA share essential components that make them both effective and research-backed:

1. Supported by Behavior Team: 
An assigned Board Certified Behavior Analyst (BCBA) will conduct clinical assessments and create a treatment plan; An assigned behavior technician (BT) or registered behavior technician (RBT) will facilitate the session and implement direct treatment; and Supervision requirements are met in accordance with the BACB

2. Evidence-based and Research-supported:
Both In-clinic and Parent-mediated ABA are rooted in decades of evidence-based practices that drive meaningful improvements in a child’s development. Importantly, data is collected during each session to track client progress.

3. Focus on Parent Involvement:
While the degree of involvement varies, both models emphasize the importance of parent engagement in supporting therapy goals and reinforcing skills at home.

4. Skill Building for the Future:
Both approaches aim to equip children with lifelong skills, helping them develop independence, increase skills, reduce problem behaviors and succeed across different environments.

Key Differences

While the core principles align, In-clinic and Parent-mediated ABA differ in their structure and execution:

1. Therapy Location and Delivery:

• In-clinic ABA: Sessions take place at a specialized clinic with direct, in-person interaction between the child and a trained Behavior Technician (BT) under the supervision of a Board Certified Behavior Analyst (BCBA). Parents may receive periodic training and updates but are not actively present during each session.
• Parent-mediated ABA: Sessions are conducted at home via telehealth, involving the parent, child, and a virtual BT or BCBA. The parent plays a more hands-on role, guided in real-time by professionals.

2. Professional Oversight:

• In-clinic ABA: The BT leads therapy sessions with close on-site supervision by the BCBA, ensuring direct implementation of behavior plans.
• Parent-mediated ABA: Parents facilitate therapy under the continuous guidance of a virtual BT/BCBA, allowing for flexible and accessible support.

3. Accessibility and Scheduling:

• In-clinic ABA: Availability may be limited by clinic location and scheduling constraints. Travel time and waitlists can also impact access to care.
• Parent-mediated ABA: Telehealth sessions reduce geographical, scheduling, and availability barriers, offering more consistent and accessible therapy options for families.

4. Parent’s Role and Training:

• In-clinic ABA: Parents primarily engage through periodic consultations and parent training sessions.
• Parent-mediated ABA: Parents receive extensive training and participate actively in every session, empowering them to reinforce strategies outside of scheduled therapy times.

Which Model is Right for Your Family?

Choosing between In-clinic and Parent-mediated ABA depends on your family’s preferences, availability, and comfort level with direct involvement in therapy. In-clinic ABA may appeal to families seeking structured, professional environments, while Parent-mediated ABA offers greater flexibility and empowers parents as primary facilitators in their child’s growth.

At Forta, we are proud to offer Parent-mediated ABA, ensuring families have the resources and support they need to help their children thrive. For more information or to see if Parent-mediated ABA is the right fit for your family, visit www.fortahealth.com.