The Behavioral Observations Podcast with Matt Cicoria

• Client Assent in Behavior Analysis: Balancing Autonomy & Clinical Progress, Session 313 with Cody Morris

  In Session 313, Dr. Cody Morris from Salve Regina University, and the newly re-launched All Things Behavior podcast (please also see The BAPcast Podcast), joins me to dive into a topic that has merited quite a bit of discussion in Applied Behavior Analysis. These days, you pretty much have to be living under a rock in ABA circles to not have noticed the increased focus on assent practices in treatment programming. Cody is one of the preeminent authorities on this topic, and in this episode, we talk about the definitions of assent, how assent has been conceptualized in other fields, and how it applies to the work we do as Behavior Analysts. In doing so, we review Cody's article, Toward a Further Understanding of Assent, which was published in the winter 2024 issue. Long story short, if you're looking for a nuanced discussion on this topic that avoids binary, black and white conceptualizations, you've come to the right place. Here's a deeper dive into what we discussed: Assent in Behavior Analysis: Cody's research on assent—a concept similar to consent but applicable to individuals without legal authorization to consent for themselves. Assent involves four critical features: legal status, giving permission, adequate information, and the ability to withdraw permission. This concept is essential for involving clients in therapeutic decisions, particularly those with communication differences or developmental disabilities. Client Assent in Therapeutic Settings: The discussion covers the historical roots and practical applications of assent in behavior analysis. Cody clarifies that assent is a specific strategy for involving clients in treatment decisions, not an all-or-nothing requirement. He addresses the challenges of obtaining accurate verbal assent from clients with complex communication needs and recommends using multiple sources of information when assessing client preferences. Assent Procedures in Research: An examination of assent procedures in behavior analytic research, including the distinction between free choice and fair choice. The episode explores how researchers and clinicians can minimize undue influence and coercive contingencies while arranging fair choices and creating socially acceptable outcomes. Balancing Clinical Progress and Client Autonomy: Cody discusses the critical balance between making clinical progress and giving clients independence and autonomy. He explains that while some procedures are necessary and non-negotiable, there are often opportunities to involve clients in decisions about their treatment, such as choosing the time of day or setting for therapeutic activities or medication management. Implementing Assent in Practice: The episode addresses nuances and limitations of implementing client assent in behavioral therapy, emphasizing that assent should be balanced with clinical progress. Cody highlights the dangers of overgeneralizing procedures without individualizing treatment and encourages a broader approach to maximizing client involvement in therapeutic decisions. Challenges in Assent Assessment: A discussion on the challenges and limitations of developing simplified decision-making tools (like checklists) for assessing client assent. Cody emphasizes the need for nuanced clinical judgment due to insufficient research and recommends that researchers take small, focused steps in studying specific aspects of assent. Resources & References Morris, Dietrich, and Peterson. (2021). Participant assent in behavior analytic research: Considerations for participants with autism and developmental disabilities. Bannerman, et al., (1990). Balancing the right to habilitation with the right to personal liberties: The rights of people with developmental disabilities to eat too many doughnuts and take a nap. Inside JABA 24: Improving Health Routines for Adults with Disabilities Using Synchronous Reinforcement Strategies (CEU available!). Inside JABA 23: ABA Strategies for Safer Playground Behavior (CEU available!). Inside JABA 22: Response to Name Interventions for Staff and Caregivers (CEU available!). Skinner (1999). Cumulative Record. Northup (2000). Further evaluation of the accuracy of reinforcer surveys: A systematic replication. Good Will Hunting. Takeaways for Practitioners Assent is one tool within a larger framework of client-centered services, not the sole focus of treatment Incorporate clients in as many meaningful decisions as possible throughout treatment, distinguishing between necessary procedures and flexible choices Use multiple sources of information when assessing client preferences, especially for individuals with complex communication needs Balance clinical progress with client autonomy and independence Avoid overgeneralizing or rigidly following assent procedures without individualizing treatment Take a nuanced, clinically-informed approach to client involvement in therapeutic decisions This episode is brought to you by the following sponsors: •    Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you use code BOP25 you’ll get an additional five assessments for just $100. So head to fronterahealth.com to check it out! •    MindBodyBehavior’s Certified Health Coach Program. If you’re a BCBA looking to use your ABA skills to help people live healthier lifestyles, learn how to do it the right way, with expert instruction, mentoring, and guidance from Sarah Burby. Better still, podcast listeners can save $$$ by using the code BOP10 at check out. Click here to learn more! •    HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years. •    Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. Don't forget to use the coupon code, PODCAST to save at checkout! •    The 2026 Verbal Behavior Conference! Taking place March 26–27, 2026, in Austin, Texas, or livestream and on-demand on BehaviorLive. Presenters will include Drs. Mark Sundberg, Patrick McGreevy, Caio Miguel, Alice Shillingsburg, Sarah Frampton, Andresa De Souza, and Danielle LaFrance will share how Skinner’s analysis of verbal behavior can guide the assessment and treatment of generative learning challenges in children with autism and other developmental disabilities. And don’t miss the special pre-conference workshop on Wednesday, March 25, led by Dr. Emily Kerwin and Gina Zecchin-Tirri from All Points Behavior (formerly The Carbone Clinic). The discounted early-bird registration price is only available for a limited time, so get your ticket right away!

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• From Amazon to Autism Care: AI Powered Tools for ABA and Diagnostics: Frontera Series on AI with Grant Sickle

  In this episode of The Behavioral Observations Podcast, I talk with Grant Sickle, former Amazon product leader and current head of product at Frontera, a company building AI-powered platforms to improve autism care. Grant shares how his team is developing assessment and diagnostic tools to shorten waitlists, streamline reporting, and support clinicians in delivering more efficient ABA therapy. We also discuss how Frontera’s digital phenotyping app enables HIPAA-compliant behavior tracking, parent engagement, and asynchronous supervision — while addressing the issue of fraud prevention. This conversation highlights both the promise and the challenges of using AI in clinical settings, emphasizing the importance of clinician oversight, robust validation, and feedback loops. Grant also shares insights from Frontera’s home-based pilot program, which helps parents capture real-world behavior data to support better generalization and treatment planning. Whether you’re a BCBA, RBT, parent, or researcher, this episode offers a fascinating look at the intersection of technology, autism care, and ethical ABA practice. What You’ll Learn in This Episode How Frontera is building AI-driven assessment and diagnostic tools for autism care Why clinician oversight remains critical in AI-powered healthcare solutions Insights into fraud prevention in ABA therapy using videographic evidence and facial recognition How home-based video tracking is supporting behavior generalization and parent engagement The challenges of adoption among BCBAs versus RBTs and parents Future directions for AI in ABA, including outcome measurement and identifying autism subpopulations The technique Amazon's founder used to find and correct problems Links to Related Resources The inaugural Frontera Series interview with Founder, Amol Deshpande AI, and the Future of Clinical Tools with Sydney Holmes Follow Frontera on LinkedIn and Instagram An overview of fraudulent billing practices in ABA Why Jeff Bezos' email address is publicly available

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• Culturally Sensitive Approaches to ABA Treatment: Session 311

  In Session 311, I sit down with Christina Nylander and Leah Hussain from Apollo Behavior to talk about culturally sensitive approaches to Autism intervention. We dive into three case studies that show how flexible, individualized care can make a huge difference in building the rapport that's so important in our clinical work. Along the way, we share strategies for gaining parent buy-in, supporting bilingual language development, and using AAC devices to help children communicate more effectively with their families. Here’s what we cover: The parent training shift when cultural sensitivity and rapport-building are prioritized. Christina and Leah’s bilingual language development success stories, including Spanish- and Russian-speaking families. The role of AAC devices in improving communication, and one of these case studies progressed to no longer needing this technology. My random thoughts on video documentation and other creative methods to communicate client progress to stakeholders. Throughout the discussion, we reflect on the importance of balancing clinical recommendations with cultural and educational values. It’s not just about treatment plans—it’s about building trust, respecting families’ perspectives, and helping kids thrive in ways that feel authentic to them. Sidenote: If you want to learn about what it's like to work at Apollo, or check out their open positions, click here. Key Takeaways Cultural sensitivity builds stronger collaboration with families. Bilingual and AAC strategies can unlock communication progress. Showing progress through videos and creative methods strengthens parent engagement. Individualized parent training, including in multiple languages, increases accessibility. If you’re a BCBA, ABA therapist, or behavioral health professional, I think you’ll find this conversation full of practical ideas for making your work more effective—and more meaningful. Bilingual & Dual‑Language Interventions Neely et al. (2020) – Impact of language on behavior treatment outcomes. Banerjee et al. (2021) – Extending Functional Communication Training to Multiple Language Contexts in Bilingual Learners with Challenging Behavior. Cengher (2024). On Bilingualism: Why and How to Teach Two Languages to Children with Autism Spectrum Disorder. Cultural Responsiveness, Humility & Systemic Equity in ABA Deochand, Neil & Costello, Mack S. (2022). Building a Social Justice Framework for Cultural and Linguistic Diversity in  ABA. Jimenez-Gomez, Corina & Beaulieu, L. (2022). Cultural responsiveness in applied behavior analysis: Research and practice. ABA Effectiveness & Need for Cultural Inclusion Yu, Qian; Li, Enyao; Li, Liguo; Liang, Weiyi (2020). Efficacy of Interventions Based on Applied Behavior Analysis for Autism Spectrum Disorder: A Meta‑Analysis. Spreckley, Michele & Boyd, Roslyn (2009). Efficacy of Applied Behavioural Intervention in Preschool Children with Autism for Improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-Analysis. Bonus resources Clinical Interviewing, by Sommers-Flanagan and Sommers-Flanagan (note 1: I know it's expensive, but older versions may be cheaper; note 2: this is an Amazon Associates link). Tobii Dynavox (the AAC tech that was discussed in the show). Looking for a pod-based CEU on this topic? Check out: Session 194, Inside JABA 12: Cultural Responsiveness in Applied Behavior Analysis. Sponsor Shoutouts! Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you use code BOP25 you’ll get an additional five assessments for just $100. So head to fronterahealth.com to check it out! Our newest sponsor: MindBodyBehavior’s Certified Health Coach Program. If you’re a BCBA looking to use your ABA skills to help people live healthier lifestyles, learn how to do it the right way, with expert instruction, mentoring, and guidance from Sarah Burby. Click here to learn more! HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years. Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. Don't forget to use the coupon code, PODCAST to save at checkout!  

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• Improving Health Routines for Adults with Disabilities Using Synchronous Reinforcement Strategies: Inside JABA 24

  In this episode of the Inside JABA Series podcast, we dive into a fascinating discussion on health-related routines for adults with intellectual and developmental disabilities (IDD). Dr. Katie McHugh, Dr. Claudia Dozier, and Editor-in-Chief Dr. John Borrero share insights from their recent study, Synchronous Reinforcement Schedules Promote Tolerance of Health-Related Routines for Adults with Disabilities. The conversation explores how synchronous reinforcement schedules—where reinforcement occurs in real time alongside behavior—can improve tolerance for essential routines like toothbrushing, bathing, wearing medical devices, and more. The research team highlights case studies, methodological considerations, and the broader implications for clinical practice. Key Topics Covered ✅ Synchronous reinforcement schedules and why they may be more effective (and preferred) than delayed reinforcement. ✅ Applications for health routines such as toothbrushing, bathing, mask-wearing, GPS bracelets, helmets, and pulse oximeters. ✅ Collaborative service delivery with nursing and medical professionals. ✅ Challenges in participant consent and maintaining experimental control. ✅ Importance of measuring both behavioral outcomes and affective states. ✅ Future research directions, including reinforcer assessments, continuous vs. discontinuous schedules, and maintaining treatment effects. Next Steps and Future Directions Editorial updates for broader keyword usage to increase accessibility outside of behavior analysis. Comparing graduated exposure with contingent vs. synchronous reinforcement interventions. Implementing more systematic preference and reinforcer assessments in future studies. Exploring hybrid approaches (e.g., combining graduated exposure with synchronous reinforcement). Collecting more comprehensive data on participant affect and treatment integrity. Resources & References Dr. Dozier's lab website. Dr. Dozier's KU faculty page. KU ABS online and on-campus graduate programs. DeLeon, I. G., Hagopian, L. P., Rodriguez-Catter, V., Bowman, L. G., Long, E. S., & Boelter, E. W. (2008). Increasing wearing of prescription glasses in individuals with mental retardation. Journal of Applied Behavior Analysis, 41(1), 137–142. Diaz de Villegas, S. C., Dozier, C. L., Jess, R. L., & Foley, E. A. (2020). An evaluation of synchronous reinforcement for increasing on-task behavior in preschool children. Journal of Applied Behavior Analysis, 53(3), 1660–1673. Hardesty, E. M., Lerman, D. C., & Hardee, J. L. (2023). A comparison of synchronous and noncontingent stimulus delivery on task engagement. Journal of Applied Behavior Analysis, 56(3), 664–673. Leslie, S. C., Dozier, C. L., Kamlowsky, M. E., McHugh, C. L., Diaz de Villegas, S. C., & Kanaman, K. C. (2024). Using synchronous reinforcement to increase mask wearing in young children. Behavioral Interventions, 39(1), 1–29. McHugh, C. L., Dozier, C. L., Diaz de Villegas, S. C., & Kanaman, N. A. (2022). Using synchronous reinforcement to increase mask wearing in adults with developmental disabilities. Journal of Applied Behavior Analysis, 55(4), 1157–1171. Williams, D. C., & Johnston, J. M. (1992). Continuous versus discrete dimensions of reinforcement schedules: An integrative analysis. Journal of the Experimental Analysis of Behavior, 58(1), 205–228. Ellis, E. M., Ala’i-Rosales, S. S., Glenn, S. S., Rosales-Ruiz, J., & Greenspoon, J. (2006). The effects of graduated exposure, modeling, and contingent social attention on tolerance to skin care products with two children with autism. Research in Developmental Disabilities, 27(6), 585–598. Halbur, M., Kodak, T., McKee, M., Carroll, R., Preas, E., Reidy, J., & Cordeiro, M. C. (2021). Tolerance of face coverings for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 54(2), 600-617. Richling, S. M., Rapp, J. T., Carroll, R. A., Smith, J. N., Nystedt, A., & Siewert, B. (2011). Using noncontingent reinforcement to increase compliance with wearing prescription prostheses. Journal of Applied Behavior Analysis, 44(2), 375-379. Stark, L. J., Allen, K. D., Hurst, M., Nash, D. A., Rigney, B., & Stokes, T. F. (1989). Distraction: Its utilization and efficacy with children undergoing dental treatment. Journal of Applied Behavior Analysis, 22(3), 297-307. About the Guests Dr. Catherine (Katie) McHugh – Researcher focused on health-related routines and intervention strategies for adults with disabilities. Dr. Claudia Dozier – Expert in reinforcement schedules and their applications across populations. Dr. John Barrero – Current JABA Editor-in-Chief and behavior analyst contributing to dissemination and accessibility of applied research.

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• Improving Autism and Law Enforcement Interactions through ABA: Session 309 with Lyndsy Coffield

  In Session 309, I welcome Dr. Lyndsy Coffield, Director of Client Success at Apollo Behavior, to share her unique journey in the field of Applied Behavior Analysis (ABA) and her groundbreaking work training law enforcement officers on autism awareness. Dr. Coffield’s path into ABA began with an undergraduate degree in speech pathology, later becoming an RBT and eventually a BCBA. Today, she oversees intake and marketing at a growing clinic network in Georgia while also dedicating her research to improving police interactions with individuals on the autism spectrum. This episode explores the intersection of ABA careers, autism, and law enforcement training, highlighting the challenges and opportunities that come with bridging these worlds. What You’ll Learn in This Episode Entering the ABA Field Dr. Coffield’s journey from speech pathology to becoming a BCBA. Her leadership role at Apollo and overseeing client success in a multi-clinic system. Understanding Law Enforcement Culture Why credibility matters when teaching law enforcement officers about autism. Parallels between gaining parents’ trust in ABA and gaining officers’ trust in training. Police Academy Experiences Dr. Coffield’s firsthand experiences at a Citizens Police Academy: ride-alongs, call centers, and unit training. Surprising insights into the hidden volume of crime and emergencies in her community. Autism and Law Enforcement Training Common challenges officers face when interacting with individuals on the spectrum. Misinterpretations—such as stimming being mistaken for drug use—and how they can escalate situations. Practical strategies: slowing down, assessing intent, and waiting for backup when needed. Applying Behavior Analysis to Autism Training How ABA principles help officers understand and support autistic individuals. Tips for officers: allowing response time, keeping safe distances, and recognizing autism traits. The Blue Envelope Project and other community initiatives improving interactions. De-Escalation Training in Action A success story from Salem, NH, where effective autism training helped officers de-escalate high-risk encounters. Why calm, compassionate approaches make a lasting impact in policing. Body Camera Footage as a Training Tool Dr. Coffield’s dissertation analysis of 10 body cam videos involving autistic individuals. Key officer behaviors that worked: patience, spacing, and communication. Why both lecture-based training and Behavioral Skills Training (BST) are equally effective. Ongoing Autism and Law Enforcement Research Insights from Dr. Cofield’s dissertation (available on PubQuest). The need for additional studies and real-world ride-along experiences. Encouragement for ABA professionals to get involved in police training efforts. Why This Conversation Matters The intersection of autism, ABA, and law enforcement is a critical area where misunderstandings can have serious consequences. Dr. Cofield’s research and practical training insights provide a roadmap for safer, more empathetic, and more effective police interactions with autistic individuals. Whether you’re an ABA professional, law enforcement officer, or advocate for the autism community, this episode offers practical takeaways and inspiration to make a difference. Resources & Links Mentioned Lyndsy's Dissertation The Blue Envelope Project Careers at Apollo Behavior Lyndsy's appearance on The Beyond the Science Podcast This episode is brought to you by the following sponsors: Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you use code BOP25 you’ll get an additional five assessments for just $100. So head to fronterahealth.com to check it out! HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years. CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here. The Behavioral Toolbox. Check out our courses for school-based and other behavioral professionals, including our newest one, Motivational Interviewing: Getting Educator Buy-In. The inaugural ABA CON CEU cruise, which launches on Royal Caribbean’s Wonder of the Seas from February 16–20, 2026. Learn more about this cruise here

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