What to Expect in Your Child's First ABA Session
In short: Your child's first ABA session is a low-pressure, observational visit where the BCBA (Board Certified Behavior Analyst) gets to know your child, builds rapport, and begins a skills assessment. No heavy therapy happens yet. You'll discuss goals, ask questions, and learn how ABA works. Our free service can match you with a vetted provider who accepts your insurance, including Medicaid.
Key takeaways
- The first session is mostly observation and rapport-building, not intensive therapy.
- A BCBA will conduct a skills assessment to identify strengths and areas for growth.
- You'll discuss your child's daily routines, challenges, and family goals.
- Parent involvement is key-you'll learn strategies to use at home.
Understanding the First ABA Session
The first ABA (Applied Behavior Analysis) session is designed to be a gentle, welcoming introduction. It's not about jumping into intensive therapy right away. Instead, the BCBA (Board Certified Behavior Analyst) will focus on building a positive relationship with your child and gathering information to create a personalized treatment plan. This session typically lasts 1-2 hours and may take place in your home, a clinic, or a community setting, depending on the provider.
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Before the Session: How to Prepare
Gather Important Documents
Bring any previous evaluations, diagnoses, IEPs (Individualized Education Programs), or medical records. This helps the BCBA understand your child's history and current needs. Also, have your insurance card handy-ABA is often covered by commercial insurance and Medicaid, but the provider will need to verify benefits.
Talk to Your Child (If Appropriate)
For verbal children, you can say something like, 'A new friend is coming to play and learn with you today.' For non-verbal or minimally verbal children, simply maintain a calm, positive demeanor. Avoid over-explaining, as this can create anxiety.
Prepare the Environment
If the session is at home, tidy up the main play area but keep it natural. Have your child's favorite toys, snacks, and comfort items accessible. The BCBA will want to see what naturally motivates your child.
What Happens During the First Session
Rapport Building
The BCBA will spend the first part of the session simply playing with your child. They might follow your child's lead, imitate their actions, or engage in preferred activities. This builds trust and shows your child that this new person is safe and fun.
Parent Interview
While your child plays, the BCBA will ask you questions about your child's daily routines, communication style, strengths, challenges, and what you hope to achieve through therapy. Be honest and detailed-this information is crucial for creating an effective plan.
Informal Skills Assessment
The BCBA will observe your child's behavior in natural situations. They may present simple tasks or toys to see how your child responds, communicates, and problem-solves. This is not a test; it's a way to identify your child's current skill level and areas where they might need support.
Discussing Goals and Next Steps
At the end of the session, the BCBA will share initial impressions and discuss potential goals. They'll explain how often sessions will occur (typically 10-40 hours per week, depending on need) and what the therapy schedule might look like. You'll also have time to ask any questions.
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What to Expect from the BCBA and Therapists
The BCBA is the lead clinician who designs and oversees the treatment plan. They may be present for the first session, but future sessions might be conducted by a Registered Behavior Technician (RBT) under the BCBA's supervision. The BCBA will regularly check in with you and the RBT to ensure progress. Our free service can match you with a vetted BCBA-led provider who meets your family's needs.
Costs and Insurance Coverage
ABA therapy is widely covered by insurance, including many Medicaid plans. The first session is typically billed as an assessment or evaluation. Your out-of-pocket costs depend on your plan's deductible, copay, or coinsurance. Our free matching service can help you find providers who accept your specific insurance, including Medicaid, and can even verify benefits on your behalf.
Common Mistakes to Avoid
- Expecting immediate results: The first session is about gathering information, not making progress. Be patient.
- Staying too involved: Let the BCBA interact with your child naturally. You can observe, but avoid directing the session.
- Not asking questions: This is your chance to clarify anything about ABA, the provider's approach, or your role.
- Forgetting comfort items: A familiar toy or blanket can help your child feel secure.
After the Session: What Comes Next
The BCBA will write a detailed assessment report and treatment plan, which may take a few days to a week. They'll schedule a follow-up meeting to review the plan with you and get your input. Regular therapy sessions will then begin, with ongoing parent training and progress updates. Remember, you are an essential part of the team.
How Our Free Service Can Help
Finding the right ABA provider can be overwhelming. Our free matching service connects you with vetted, BCBA-led providers in your area who accept your insurance, including Medicaid. We handle the research so you can focus on your child. Simply fill out a short form, and we'll match you with providers who fit your needs and schedule.