2. Verify Credentials and Experience

Not all behavior services are created equal. It is vital to ensure the professionals leading the clinical team are properly credentialed and experienced in working specifically with adults.

• BCBA/BCBA-D Certification: Ensure the program is overseen by a Board Certified Behavior Analyst (BCBA). You can verify certifications through the Behavior Analyst Certification Board (BACB).
• Adult-Specific Experience: Behavior patterns in adults are often different from those in children. Ask how many years the provider has spent working with the adult population and how they handle age-appropriate skill acquisition.
• State Licensing: Check if the provider is licensed or authorized by your state’s Department of Developmental Disabilities or Department of Health.

3. Evaluate the Assessment Process

A quality behavior service never uses a “one-size-fits-all” plan. The process must begin with a comprehensive Functional Behavior Assessment (FBA).

• Data-Driven Decisions: Ask how they collect data and how that data informs the behavior support plan (BSP).
• Medical Screening: A reputable provider will ensure that any challenging behaviors are not actually stemming from undiagnosed medical issues or pain.
• Involvement of the Support Team: The assessment should include input from the individual, family members, and any residential or vocational staff.

4. Safety and Crisis Management Protocols

Safety is a primary concern, especially for adults who may have significant physical strength.

• Non-Violent Crisis Intervention: Ask what specific crisis management system they use (e.g., CPI, Safety-Care). These should prioritize de-escalation over physical intervention.
• Human Rights Committee (HRC): Inquire if the provider has an oversight committee to review any restrictive procedures to ensure the individual’s rights are protected.
• Staff Training: How often is the staff trained on the specific needs and triggers of the individuals they serve?

5. Integration and Generalization

The ultimate goal of behavior services is for the individual to thrive in their community.

• Community-Based Supports: Does the provider offer services in the home, workplace, or community settings where the behaviors actually occur?
• Caregiver Training: A behavior plan is only as good as the people implementing it. Look for services that prioritize training family members and direct support professionals (DSPs).
• Collaboration: Ensure the provider is willing to collaborate with other professionals, such as speech therapists, neurologists, and case managers.

Resources for Families and Caregivers

To help you make an informed decision, refer to these reputable organizations and government resources:

• The Arc of the United States: Provides advocacy and resources for people with intellectual and developmental disabilities.
• Association for Positive Behavior Support (APBS): Offers insights into the best practices for behavior interventions.
• Medicaid.gov – Home and Community-Based Services: Information on federal and state funding for adult disability services.