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How To Identify Treatment Goals For Your Child

6 blog avatar 1 How To Identify Treatment Goals For Your Child by Michele LaMarche, BCBA
Expert Name:  Michele LaMarche, BCBA
Expert Title: BCBA
Company Name:  Founder, Step by Step Academy
Company URL: http://stepbystepacademy.org/
Short Bio: Michele received her BCBA certification from the University of North Texas and is currently working on her Doctorate in Clinical Psychology at Walden University. She is also the co-founder of Special Learning, Inc.
How To Identify Treatment Goals For Your Child
One of the first steps in obtaining needed services for your child is meeting with a service provider to develop a treatment plan or an Individual Service Plan (ISP). Often in these meetings, parents are faced with the challenge of trying to summarize their child’s needs. The service provider asks the parent, “What would you like us to work on with your child?” or “What does your child need?” Parents are often unprepared to answer these questions because their minds race through several different areas of needs at the same time. Often, the parent simply answers, “I’m not sure,” or something very vague such as “I want him to be able to talk.” While this statement is a valuable piece of information, it does not help the service provider fully understand what your child needs in order to be successful.

Below are some general treatment areas that may aid your service provider in developing treatment goals for your child:

● Communication skills
● Daily Living Skills
● Socialization or Social Skills
● Academic Readiness or Academic Skill Building
● Behaviors (Maladaptive, Oppositional and/or Adaptive)
● Behaviors (Hyperactive and/or Self-Stimulatory)

Each treatment area has a main goal and at least one objective or focus under that goal. For example, Mary’s main goal is to increase socialization and age appropriate social skills. Her focus for that goal is to be able to engage in interactive play, initiate greetings and begin to develop understanding of personal space. No goal should be so specific that it doesn’t allow room for expansion or growth. However, if there are specific targets that need to be addressed, those targets should be added. For example, John’s mom knows that he needs to develop daily living skills and she realizes that he desperately needs his service provider to work on potty training or increasing his food repertoire. Those specifics should be added to the goal statement to make sure that they are addressed.

The following steps can guide you in developing specific goals for each general treatment area:

Step 1

What to ask yourself when thinking about your child’s communication needs:

● Is your child able to gesture for what he/she wants? How does your child go about getting
your attention? Does he/she pull you, grab you, point or guide you to what he/she wants?
● Does your child have any language skills? If so, does he/she seem to understand the
meaning of the words he/she uses?
● Does your child have the ability to understand questions in context, respond to others,
ask appropriate questions or show interest in others through conversation? In other
words, does your child have conversational skills?
● Is your child able to describe or name an item and so on?

Step 2
Daily Living Skills

What to ask yourself when thinking about your child’s daily living needs:

● What type of things is your child capable of performing on his/her own? Can your child
dress/undress, groom and feed himself?
● Is your child toilet trained? Does your child have additional bathroom skills such as
washing hands, face and keeping proper hygiene after using the toilet?
● Is your child aware of safety measures such as not touching hot items or not talking to
● Can your child tolerate grooming?

Step 3
Socialization or Social Skills

What to ask yourself when thinking about your child’s socialization needs:

● How does your child react to unfamiliar people? Does your child approach strangers by
touching them or staying close to them?
● Is your child able to play with another child not just side by side? Does your child
share toys or attention with others?
● Can your child tolerate loud noises or busy environments? Can your child tolerate
physical contact? Does your child become agitated when other children cry?

Step 4
Academic Readiness or Academic Skill Building

What to ask yourself when thinking about your child’s academic readiness needs:

● What academic skills does your child already possess? Does your child have math,
reading, writing skills? If so, what is his/her level or abilities in these areas?
● Does your child have difficulty with attentiveness, ability to focus and sit still? Is
your child easily distracted?

Step 5

What to ask yourself when thinking about your child’s behavioral needs:

● What type of behaviors does your child engage in; for example, is your child ggressive
towards others and/or himself?
● Does your child hit, bite, kick or scratch other often?
● How does does your child respond when he/she is asked to do a non-preferred task? Does
your child protest, become verbally aggressive, simply ignore you or attempt to walk away?
● Does your child engage in repetitive behaviors or self-stimulatory behaviors such as hand
flapping, rocking or repeating noises or words?
● Is your child constantly moving, engage in pacing, etc.?
● Does your child throw items or destroy property?

These are just some of the questions that can help you identify specific goals for your child’s treatment plan. There are more behaviors that can be included, some of which may be unique to your child. The most important thing to remember is to be as clear and concise as possible when discussing your child’s abilities, needs and behaviors. The more information you are able to provide, the better. The more your service provider understands your child’s behaviors and specific needs, the better he/she will be able to develop an individualized service plan to help your child attain and maximize his/her full potential.

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Being an RBT for me was extremely fun because where were you going to find a place where you can be completely silly without having to worry what people thought about you? This was the only job that made me feel like I could make a dramatic difference while being myself.

I also liked to be surrounded by people that had the same goals of wanting to help kids and the teamwork made the job much easier and more enjoyable.

Change and progress was the ultimate goal for our kiddos. The early intervention program was seriously only a miracle because I saw changes in the kiddos that from day one, you wouldn’t even recognize who they were.

Changes from being able to utter 3-4 words where they can only make a syllable from when they started, the behavior decreases in which kiddo that used to engage in 30-40 0 self-harm to only half, learning how to wait during games, table work where they use to swipe and drop to the floor if they had to.

My favorite was when the parents would tell us what amazing progress they were making at home. I used to tear up and felt for these parents so much because it was already difficult for them and now, they can trust and rely on ABA and the therapists knowing their goal was ours.

By Emma Rogers, BA, RBT

Mother Child
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