Our Services

Here at River City Behavioral Health LLC, our network of clinicians develop and implement individualized treatment strategies based on the foundations of Applied Behavior Analysis (ABA) therapy.

Initial Assessment

An initial ABA assessment is the first and one of the most important steps in developing a personalized treatment plan for a child receiving ABA services. The purpose of the assessment is to gather detailed information about the individual’s strengths, challenges, and overall needs in order to guide the creation of effective, evidence-based goals and interventions.

What to Expect During the Initial ABA Assessment

1. Intake & Parent Interview

The process typically begins with a comprehensive interview with the child’s caregivers. During this discussion, the Behavior Analyst (BCBA / LBA) will gather:

  • Developmental history

  • Medical background

  • Educational history

  • Family goals and concerns

  • Behavior patterns or challenges

  • Daily routines and environments

2. Direct Observation

The BCBA / LBA will observe the child in natural settings (e.g., home, school, clinic) to:

  • Understand how the child interacts with their environment

  • Identify behavior patterns, triggers, and functions of behavior

  • Assess communication, play, social, and adaptive skills

3. Skill-Based Assessments

Standardized tools will be used to assess current skill levels in various areas such as:

  • Communication (verbal and non-verbal)

  • Social interactions

  • Daily living/self-care skills

  • Fine and gross motor skills

  • Cognitive functioning

    Examples of commonly used tools include:

  • VB-MAPP (Verbal Behavior Milestones Assessment and Placement Program)

  • ABLLS-R (Assessment of Basic Language and Learning Skills – Revised)

  • AFLS (Assessment of Functional Living Skills)

4. Behavior Assessments (If Applicable)

If the child engages in challenging behaviors, a Functional Behavior Assessment (FBA) may be conducted to determine the reason (or function) behind the behavior. This helps in designing effective strategies to reduce or replace it.

5. Collaboration

Input from other professionals (e.g., Speech Therapists, Occupational Therapists, Physicians) may be considered to ensure a comprehensive understanding of the child’s needs.

6. Treatment Plan Development

Based on all the data collected, the BCBA / LBA will create an individualized treatment plan. This plan will include:

  • Target goals across developmental domains

  • Specific behavior reduction strategies (if applicable)

  • Teaching procedures and interventions

  • Proposed service hours and setting(s)

Evidence-Based ABA Therapy

Applied Behavior Analysis (ABA) is a scientific approach to understanding and improving behavior. Evidence-based ABA services are interventions and strategies that have been rigorously researched and proven effective in helping individuals, especially those with developmental disabilities develop meaningful, functional skills and reduce challenging behaviors.

Key Features of Evidence-Based ABA Services

Research-Backed Strategies

ABA interventions are based on decades of peer-reviewed research and clinical studies demonstrating their effectiveness. These strategies are data-driven and consistently evaluated to ensure progress.

Individualized Programming

No two individuals are the same. Evidence-based ABA tailors treatment plans to each person’s:

  • Strengths and needs

  • Developmental level

  • Family and cultural context

  • Long-term goals

Focus on Functional Skills

ABA services target meaningful skills that improve quality of life, including:

  • Communication (verbal and non-verbal)

  • Social skills

  • Self-help and daily living tasks

  • Emotional regulation and coping skills

  • Academic and pre-academic skills

  • Safety and community navigation

Behavior Reduction When Needed

For individuals with challenging behaviors (e.g., aggression, self-injury, tantrums), ABA identifies the function of the behavior and uses positive, proactive strategies to teach appropriate alternatives.

Ongoing Data Collection

Therapists continuously collect and analyze data during sessions to monitor progress, adjust teaching methods, and ensure the interventions are working effectively.

Generalization Across Settings

ABA ensures that skills learned in therapy transfer to real-life settings—home, school, and the community—so individuals can apply what they've learned in everyday situations.

Caregiver Involvement

Parents and caregivers are essential members of the treatment team. Evidence-based ABA includes:

  • Parent training and coaching

  • Consistent communication

  • Collaboration on goals and strategies

Social Skills Training

Social Skills Training (SST) in Applied Behavior Analysis (ABA) focuses on helping individuals with Autism Spectrum Disorder and other developmental disabilities learn and use the social behaviors necessary for successful interactions with others.

These skills are essential for forming relationships, navigating everyday environments, and achieving greater independence.

Common Social Skills Targeted in ABA:

  • Initiating and maintaining conversations

  • Understanding and using nonverbal cues (eye contact, facial expressions, body language)

  • Taking turns and sharing

  • Playing cooperatively with peers

  • Asking for help or offering help

  • Expressing emotions appropriately

  • Managing conflicts or disagreements

  • Perspective-taking and understanding others’ thoughts and feelings

  • Responding to greetings, invitations, or feedback

How Social Skills Are Taught in ABA:

ABA therapists use a variety of proven strategies to teach social behaviors, such as:

Modeling

Demonstrating the correct social behavior before the learner practices it.

Role-Playing

Giving the individual opportunities to practice skills in pretend or structured situations.

Prompting and Fading

Providing support or cues when needed, and gradually reducing them as the learner becomes more independent.

Reinforcement

Rewarding the successful use of a skill to increase the likelihood of it happening again.

Social Stories and Visual Supports

Using short, personalized stories or visuals to explain social situations and expectations.

Peer-Mediated Instruction

Using typically developing peers (or trained peers) to model and reinforce appropriate social behaviors.

Generalization

Practicing skills across settings (home, school, community) and with various people to ensure the skills are functional and lasting.

Parent and Family Education

What Is Parent/Family Education in ABA?

This process involves teaching parents, siblings, and other family members about the principles of ABA and specific strategies tailored to their child’s needs. The goal is to create a consistent, supportive environment that maximizes the child’s success both during therapy sessions and at home, school, and in the community.

Key Elements of Parent and Family Education

Understanding ABA Principles

Families learn the basics of behavior analysis, including how behavior works, the importance of reinforcement, and how to recognize and respond to their child’s behaviors effectively.

Skill Building and Coaching

Therapists provide hands-on training to teach caregivers how to implement strategies such as prompting, reinforcement, and data collection, so they can support skill acquisition and behavior management throughout daily routines.

Behavior Management Support

Families receive guidance on addressing challenging behaviors by understanding their functions and applying positive strategies to reduce them.

Communication and Collaboration

Ongoing communication between therapists and families ensures that everyone is aligned on goals, progress, and strategies, creating a strong team approach.

Resources and Tools

Families are equipped with practical resources, such as visual supports, social stories, and home program guides to reinforce learning outside of therapy sessions.