ABA Anecdote: A Unique Commitment to Care
It’s 2024. A new year….Let’s talk about quality ABA care.
In the vast sea of ABA companies, deciphering which one truly stands for quality and care can be pretty hard. I often get asked about the key factors to look for in a company. Sure, we've all heard the stories—the overwhelming caseloads, the frantic onboarding processes, and the relentless pursuit of billable hours at the cost of quality. These are red flags I've discussed previously. But then, what about the good companies? What are some of the things a good company does that makes them a good company?
I don’t have all the answers, but I can provide an anecdote.
Recently, something happened at my own company that perfectly encapsulates what I believe BCBAs should be looking for. We have one region in our company that's been experiencing rapid growth. It’s a cool thing. Word has gotten out about the quality of our services, and families are showing up. Naturally, there's a push to staff up and meet this growing demand. In many an ABA company, we know how the story goes from here. We’ve heard enough tales (or had enough direct experiences) from other companies where this scenario turns into a nightmare—BCBAs are pressured to swell their caseloads beyond manageable limits, quality care takes a back seat, and the essence of ABA therapy is lost in the chaos.
I braced myself, expecting the inevitable directive to our BCBAs: "I know we said you’d have a small caseload, but we’re going to have you start three kiddos next week." But then, something remarkable happened. Our CEO intervened, not with a command, but with a concern—a concern for the quality of care. He took a stand that many would shy away from. He instructed our directors and BCBAs to pause the onboarding process. "Quality over quantity, this is what we’re about” he emphasized, reaffirming our company's commitment to manageable caseloads that allow for effective, personalized care.
Wait, what?
This decision by our CEO is precisely what we’re talking about when we think “good company”. In a field where the temptation to prioritize expansion over efficacy is rampant, it's rare to find leadership that staunchly upholds the principles of quality care (let alone consider them). It's a testament to a company that doesn't just talk the talk but walks the walk—one that values quality care…and wants to give their staff the opportunity to provide quality care.
So, for those asking me what to look for in an ABA company, here's your answer. Look for a company that makes decisions like the one I just highlighted. Look for leadership that stands by its values, even when it's easier not to. Learn to recognize when a company is only paying lip service to quality care. Learn to recognize when a company is ensuring quality care is a reality—caring for its clients and staff alike. Find a company that allows you to sleep soundly at night knowing quality matters.
If you're fortunate enough to find such a company, squeeze it tight, and hold on to it.
In an industry often clouded by quantity-driven motives, you’ve found your sanctuary.