Washington Administrative Code › Title 182 - Health Care Authority › WASHINGTON APPLE HEALTH › Chapter 182-531A - Applied behavior analysis › Section 182-531A-0200 - Applied behavior analysis (ABA)-Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions and those found in chapter 182-500
				  WAC, medical definitions, and chapter 182-531 WAC, physician-related services,
				  apply throughout this chapter.
Applied behavior analysis
or
ABA
-
				  Applied behavior analysis (ABA) is an empirically validated approach to improve
				  behavior and skills related to core impairments associated with autism and a
				  number of other developmental disabilities. ABA involves the systematic
				  application of scientifically validated principles of human behavior to change
				  inappropriate behaviors. ABA uses scientific methods to reliably demonstrate
				  that behavioral improvements are caused by the prescribed interventions. ABA's
				  focus on social significance promotes a family-centered and whole-life approach
				  to intervention. Common methods used include: Assessment of behavior, caregiver
				  interviews, direct observation, and collection of data on targeted behaviors. A
				  single-case design is used to demonstrate the relationship between the
				  environment and behavior as a means to implement client-specific ABA therapy
				  treatment plans with specific goals and promote lasting change. ABA also
				  includes the implementation of a functional behavior assessment to identify
				  environmental variables that maintain challenging behavior and allow for more
				  effective interventions to be developed that reduce challenging behaviors and
				  teach appropriate replacement behaviors.
Autism spectrum disorder (ASD)
- A condition, as
				  defined by
Diagnostic and Statistical Manual of Mental
				  Disorders
(DSM) or
Diagnostic Classification of Mental Health
				  and Developmental Disorders of Infancy and Early Childhood
(DC 0-5)
				  criteria.
Autism spectrum disorder (ASD) diagnostic tool
-
				  A validated tool used to establish the presence (or absence) of autism and to
				  make a definitive diagnosis which will be the basis for treatment decisions and
				  assist in the development of a multidisciplinary clinical treatment plan.
				  Examples of autism diagnostic tools include:
(a) Autism Diagnosis Interview (ADI);
				and
(b) Autism Diagnostic
				Observation Schedule (ADOS).
Autism spectrum disorder (ASD) screening tool
-
				  A tool used to detect ASD indicators or risk factors which then require
				  confirmation. Examples of screening tools include, but are not limited
				  to:
(a) Ages and Stages Questionnaire
				(ASQ);
(b) Communication and
				Symbolic Behavior Scales (CSBS);
(c) Parent's Evaluation and Developmental
				Status (PEDS);
(d) Modified
				Checklist for Autism in Toddlers (MCHAT); and
(e) Screening Tools for Autism in Toddlers
				and young children (STAT).
Centers of excellence (COE)
- An individual
				  provider who has been trained, as listed in WAC
				  182-531A-0800, to establish or
				  confirm the diagnosis of autism spectrum disorder and that has been designated
				  by the agency as a center of excellence provider. For the purposes of this
				  chapter, center of excellence (COE) refers to an individual provider, not a
				  facility.
Client
- For the purposes of this chapter,
				  client means a person enrolled in Washington apple health (WAH).
Family member
- A client's parent, guardian,
				  caregiver, or other support person.
Qualifying diagnosis
- A diagnosis of an ASD, as
				  defined by the DSM or DC 0-5, or other intellectual or developmental disability
				  for which there is evidence ABA is effective.