Supervision Activities for Clients 

Case Supervision
ABA treatment is often characterized by the number of direct treatment hours per week. However, it is also critical to consider the required levels of additional case supervision (aka clinical direction) hours by the Behavior Analyst. Case supervision begins with assessment and continues through client discharge. ABA treatment requires comparatively high levels of case supervision to ensure effective outcomes because of (a) the individualized nature of treatment, (b) the use of a tiered service-delivery model, (c) the reliance on frequent collection and analysis of client data, and (d) the need for adjustments to the treatment plan.

Case supervision activities are individualized for the client and medically necessary to achieve treatment goals. Routine organizational activities (for example, timekeeping, employee evaluations, among others) that are not involved in individualized clinical treatment  are not included  here.

Case supervision activities can be described as those that involve contact with the client or caregivers (direct supervision, also known as clinical direction) and those that do not (indirect supervision). Both direct and indirect case supervision activities are critical to producing good treatment outcomes and should be included in service authorizations. It should be noted that direct case supervision occurs concurrently with the delivery of direct treatment to the client. On average, direct supervision time accounts for 50% or more of case supervision.