Parent Participation Form

All parents complete the following participation form:

Dear Parents:

Your child’s success is contingent upon the family’s participation in the ABA program. All of StarBright ABA’s therapy programs have expirations; therefore, our objective is to work, hand in hand, in order to provide you with the tools in which to carry out your child’s goals. Each program will have required parent involvement goals. Parent participation is required in 100% of all provided sessions and locations (i.e., within the home and community settings) and throughout the entire duration of services. It is our expectation and StarBright Expectations that parents will take an active role and assist their child in generalizing and maintaining learned skills within the natural environment. Within the Behavior Intervention program, the parents are provided three notifications regarding lack of parent participation before services are terminated. The three notifications are as follows:

First Notification: Verbal and written warning from the clinical team.

Second Notification: Clinical meeting with your child’s clinical team (therapist and supervisor) and the parents/caregivers.

Third Notification: The funding source coordinator is contacted and informed about the lack of parent participation in the behavior intervention program.

If you have any questions or concerns regarding your child’s program please contact Alisa Lanzetta, Program Director. We look forward to working with your family.

Sincerely,

StarBright Staff

I agree to fulfill all parent participation requirements specified by my child’s program.
Name of Child:   First Name   Last Name
Service:
Name of Parent(s) or Legal Guardian:   First Name   Last Name,   First Name   Last Name

Parent/Legal Guardian Signature

Caregiver Involvement

Observations and participation by parents/caregivers are welcome! Your participation as partners in the education process is an important component of your child’s services. Your lead therapist and service coordinator will provide you with information so you can follow through in the absence of the therapist/therapist. Your therapist will take time during each session to coach you through techniques so that skills may be carried over throughout the day during daily routines when the therapists aren’t there. Questions and comments are encouraged and therapists will try to answer questions as much as possible during the session and when coaching. Specific questions/comments that may require more time to answer may be answered more thoroughly at the end of the ABA session.

Some other helpful tips:

1. Be ready and available when therapists arrive. Child is awake, diapered or toileted, and feeding has been completed (unless a part of the instruction.) Also, someone 18 years of age or older must be in the home while services are being given. There are no exceptions to this policy.

2. Communication is the key to a successful program: Communicate often with your team. There will be a communication notebook, review it after sessions. In addition, bring up your questions at team meetings. You can always call your therapists too! Speak with them about the best time and number to reach them.

3. Family involvement is a major factor in treatment success. We believe parent and family participation is an integral part of the assessment process and the basis for successful therapeutic intervention. Family members are essential in the learning and social/emotional growth of any child in a home-based program. Family members are an integral part of the planning, prioritizing, and the progress of every child.

What should you do when your child is sick?

1. If your child has a clear runny nose which needs to be wiped frequently or is incessantly coughing, please cancel the session.
2. If your child’s nose is not running clear, it is a sign of an infection and the session needs to be cancelled.
3. If your child is running a fever, or displays viral symptoms of diarrhea or vomiting, sessions need to be cancelled up until 24 hours after fever breaks or symptoms are relieved.
4. If your child has a rash, pink eye, chicken pox, lice or any other highly contagious condition, please cancel the session. Then obtain a doctor’s note stating that your child is no longer contagious in order for the clinician to return.
5. Please keep in mind that if your child did not go to school because he/she was sick, then home based services should be cancelled as well.