Consulting Services

Jennifer Fitzpatrick consults in the following states: Oregon, Southwest Idaho and Eastern/ Southern Washington.  She travels extensively throughout these areas consulting on cases due to her expertise with challenging behaviors, Autsim, EIBI, and SIB.  

Challenging behaviors are some of the most difficult problems facing many families, schools, residential facilities and professional service organizations. Challenging and/or dangerous behaviors occur for a variety of reasons and need immediate treatment, however, many families and other professionals do not have access to experience behaviorist to provide this essential treatment.  For the families and individuals, this can alter or limited their living options and choices and their quality of life.  Often clients will receive emergence services or last-resort treatment options such as medication for sedation and residential placement

Jennifer Fitzpatrick can provide a developmentally  appropriate  ABA  assessment  that identifies the  strengths  and weaknesses  across domains  and  potential  barriers  to  progress for clients along with training and supervision for clients. 

Plan Supervision for ClientsHours of Supervision By BCBA based on Client HoursRBT  Hours Per Week of ABA ServicesCost Per Hour Cost Per WeekApproximate Monthly Cost
Monthly Plan8 hours per week40 hours per week$75.00 per hour$600.00$2,400.00
Monthly Plan2 hours per week10 hours per week $75.00 per hour$150.00$600.00
Assessments and Treatment PlanHours  for AssessmentHours for Research and Writing AssessmentsCost Per Hour Estimated Cost  for  Assessment and TreatmentTraining Cost for Implementation of Treatment Plan
Autism Full Comprehensive Assessment and Treatment Plan 8 hours over two to three days10 hours of file review and research matching client to program$75.00 per hour$1,350Estimate 10 hours of support
$750
Challenging Behavior: Focused Treatment Plan8 hours over two to three days10 or more hours depending on behavior and available research $75.00 per hour$1,350Estimate 20 hours of support
$750

How does Case Consulting Wok?
Consultations for severe and challenging behavior problems can be difficult. Consulting can be wrought with many layers of complexity – there are issues around history of client, interpersonal relations, competing interests, divergent values, treatment models… The list goes on and on!

Jennifer Fitzpatrick uses a researched model of consulting in order to avoid complication and ensure the complexity of behavioral consulting is simple and user friendly for families and other professionals. 

Jennifer's model of consulting was developed by Chad Kessler, Associate Professor at Duke University’s School of Medicine.  He suggested that using the 5 C’s model of consulting produced the best results. 

The components of the 5C’s are:

  1. Contact:  Identification of who is involved, families and other professionals
  2. Communication:  Urgency and Core Concerns
  3. Core Question:  How can I help?
  4. Collaboration:  Everyone's role involved with this client
  5. Closing the loop:  End goals or objectives

Assessments and Treatment Plans:
(An ABA assessment typically  utilizes  information obtained  from  multiple methods and multiple informants, including  the  following)

File Review
Information about medical status, prior assessment results, response to prior treatment and other relevant information may be obtained via file review and incorporated into the development of treatment goals and intervention. Examples of assessments that should be reviewed  include  intellectual  and  achievement  tests, developmental  assessments, assessments of comorbid mental health conditions, and evaluations of family functioning and needs. In some cases, if assessment information is incomplete, the Behavior Analyst should refer the client to other professionals for needed  assessments.

Interviews and Rating Scales
Clients, caregivers, and other stakeholders, as appropriate, are included when selecting treatment goals, developing protocols, and evaluating progress. Behavior Analysts use interviews, rating scales, and social validity measures to assess perceptions of the client’s skill deficits and behavioral excesses, and the extent to which these deficits and excesses impede the life of the individual and the family. Examples of rating scales include adaptive-behavior assessments, functional assessments, among others.

Direct Assessment and Observation
Direct observation and data collection and analysis are defining characteristics of ABA. The analysis of such data serves as the primary basis for identifying pretreatment levels of functioning, developing  and adapting treatment protocols on an ongoing basis, and evaluating response to treatment and progress toward goals. Behavior should be directly observed in a variety of relevant naturally occurring settings and structured interactions. Examples of structured direct assessments include curricular  assessment, structured observations of social interactions, among others.

Assessment from Other Professionals
Periodic assessments from other professionals may be helpful in guiding treatment or assessing progress. Examples might include assessment of general intellectual functioning, medical status, academic performance, among others.

Goals
Goals are prioritized based on their implications for the client’s health and well-being, the impact on client, family and community safety, and contribution to functional independence. ABA treatment goals are identified based on the previously described assessment process. Each goal should be defined in a specific, measurable way to allow frequent evaluation of progress toward a specific mastery criterion.

The number and complexity of goals should be consistent with the intensity and setting of service provision. The appropriateness of existing and new goals should be considered on a periodic basis.

The measurement system for tracking progress toward goals should be individualized to the client, the treatment context, the critical features of the behavior, and the available resources of the treatment environment. Specific, observable and quantifiable measures should be collected for each goal and should be sensitive enough to capture meaningful behavior change relative to ultimate treatment goals.

The results of standardized assessments may be used to monitor progress toward long-term treatment goals. However, IQ scores and other global assessments are not appropriate as sole determiners of an individual’s response or nonresponse to ABA treatment.  Many  individuals  may  show  substantial progress in important characteristics of the disorder (for example,  language  functioning,  social functioning,  repetitive  behavior,  adaptive  behavior, safety and wellness,  and co-morbid mental health  conditions) without a substantial change in measures of intellectual functioning. Thus, scores on such assessments  should  not  be used  to  deny  or discontinue ABA treatment.

Copyright © 2014 by the Behavior Analyst Certification Board, Inc. (“BACB”). Ver. 2.0 Electronic and/or paper copies of part or all of this work may be made for personal, educational, or policymaking purposes, provided such copies are not made or distributed for profit or commercial advantage. All copies, regardless of medium, must include this notice on the first page. Abstracting with proper credit is permitted, so long as the credit reads “Copyright © 2014 by the Behavior Analyst Certification Board, Inc. (“BACB”), all rights reserved.” All other uses and/or distributions in any medium require advance written permission of the BACB, available from info@bacb.com.