Frequently Asked Questions

Frequently Asked Questions

What is ABA therapy?

Applied Behavior Analysis (ABA) is a science, a way of thinking, and a holistic approach to problem solving and skill development. Consistent application of ABA therapy has helped our clients acquire a variety of new and essential developmental skills.

ABA therapy, when provided by a board-certified behavior analyst, is considered the single most effective way for individuals to overcome the challenges of an autism spectrum disorder and other developmental disabilities.

What does a typical session look like?

While therapy programs are highly individualized based on the needs of the client, all sessions share some similarities in basic structure and format. Therapy is always delivered in a one-on-one format to ensure that each of our clients receives the attention they require. Much of a typical session will be conducted in a private therapy room, though our clinics incorporate plenty of space for play and socialization as well. Services may also be provided in the comfort and convenience of a client’s home, or in the community.

How long is a typical session on average?

A typical session can last around 3 hours on average per day but may be shorter or longer depending on your family’s schedule and the needs of your child. This time is completely devoted to your child’s individual learning needs.

Skills are taught in a variety of ways, both through structured tasks and in natural social contexts. Frequent positive reinforcement is a key feature of a therapy session and how therapists help develop your child’s repertoire of functional and adaptive skills.

What is the role of the BCBA or BCaBA, and what is the role of the technician?

As a board-certified expert in the clinical application of behavioral principles, the BCBA or BCaBA is responsible for conducting assessments to identify deficits, designing programs that address your child’s individual needs, and providing ongoing supervision to your child’s primary therapists.

The role of the behavior technician is to provide direct, one-on-one therapy for your child under the supervision of a BCBA or BCaBA. Gateway employs only highly skilled technicians who undergo thorough training in the methods of ABA and work in close collaboration with their supervisors as a therapy team devoted solely to the needs of your child.

How many hours are recommended per week?

Research shows that children make the most progress when therapy is tailored, consistent, and responsive to their unique learning needs. For some children, that means a more intensive schedule, and for others, it may look different.

Our clinicians take time to understand your child’s strengths, goals, and daily routines, then partner with your family to design a therapy plan, including the number of hours, that truly fits your life and supports meaningful growth.

What is the best age to start?

Many children will benefit from early intervention. The earlier one begins therapy, the more opportunities there will be to address skill deficits and challenging behaviors. This is not to say that there is a limit to a child’s potential at any age.

Gateway’s clinicians possess the resources and expertise to teach essential skills to children and adults through age 26.

How are therapy goals chosen?

Therapy goals are chosen through a collaborative process that starts with a comprehensive behavior assessment. Your child’s BCBA spends time observing your child, learning about their strengths, challenges, personality, and daily routines, and reviewing any relevant school documents such as IEPs or previous evaluations.

Just as importantly, we talk with you about what matters most: the skills you want to see grow, the routines you want to feel easier, and the long-term goals you have for your child. We combine these insights to create a set of individualized, meaningful goals that support your child’s development and fit your family’s priorities.

How often will I meet with my BCBA?

You will meet with your BCBA regularly, but the exact frequency depends on your child’s needs and your family’s preferences. Some families meet weekly, others bi-weekly, and some shift the cadence over time as goals evolve. Your BCBA will recommend a schedule that supports meaningful progress while still fitting into your routine. Additionally, some insurance funders have specific requirements for meeting cadence.

These meetings typically include parent training as well: time set aside for you to learn strategies, ask questions, and practice skills that help your child succeed at home and in the community. Parent training is not a separate add-on; it is woven into your ongoing collaboration with your BCBA so you feel confident and supported throughout your child’s therapy journey.

What is your approach to challenging behaviors?

We approach challenging behaviors by understanding why they happen and teaching supportive, practical skills that help your child succeed. The BCBA first looks at what your child is trying to communicate when they engage in challenging behavior, before developing a plan to help support their communication and skill development.

Our focus is always on positive, proactive, and least-restrictive strategies. We teach new skills, adjust the environment, and use reinforcement to help your child learn safer, more effective ways to meet their needs. We do not use seclusion or restraint.

Our clinicians partner closely with families so you understand the strategies being used and feel confident supporting your child across home, school, and community settings.