What Happens During an ABA Assessment? 

An Applied Behavior Analysis (ABA) assessment is a comprehensive evaluation conducted by a Board-Certified Behavior Analyst (BCBA) to understand a child’s unique needs, strengths, and challenges. This assessment lays the groundwork for determining whether ABA therapy would benefit the child and, if so, how best to tailor it to their individual needs. 

Every ABA assessment includes: 

  • Standardized Assessments: These tools are often required to meet insurance eligibility criteria and provide a structured evaluation of developmental and behavioral milestones. 

  • Direct Observations: The BCBA observes the child’s behaviors, communication methods, and social interactions across natural settings or structured environments. 

  • Caregiver Interviews: Caregivers provide essential insights into the child’s daily routines, preferences, strengths, and areas of difficulty. This helps the BCBA form a holistic picture of the child’s needs. 

A BCBA conducting an ABA assessment.

Assessment Tools 

At Cortica, we utilize well-established tools to evaluate developmental milestones, language skills, and behavior patterns. These tools include: 

  • VB-MAPP (Verbal Behavior Milestones Assessment and Placement Program): This tool focuses on evaluating a child’s language and social development. For example, it assesses a child’s ability to request items, respond to simple questions, and sustain attention during social interactions. 

  • ABLLS-R (Assessment of Basic Language and Learning Skills - Revised): This tool measures foundational skills across a variety of developmental areas, such as motor imitation, following instructions, and problem-solving. 

  • Functional Behavior Assessments (FBAs): FBAs help identify the triggers and functions of challenging behaviors. For instance, an FBA might reveal that a child’s tantrums occur during transitions, suggesting they are avoiding an undesired activity. 

The insights gained through these tools allow our ABA teams to develop therapy plans that are uniquely tailored to each child’s strengths and goals. 

Why ABA Assessments Matter 

A comprehensive ABA assessment is essential for creating a targeted and effective therapy plan. At Cortica, each assessment determines: 

  • Whether services are best delivered in a 1:1 setting (in-home or in-center) or through group therapy 

  • Key therapy goals tailored to the child’s developmental priorities 

The resulting therapy plan focuses on: 

  • Communication Skills: Teaching children to express their wants and needs using speech, gestures, or alternative communication methods. 

  • Social Skills: Building meaningful connections through play, turn-taking, and cooperative activities. 

  • Adaptive Skills: Strengthening everyday routines, such as dressing, eating, and personal hygiene. 

  • Behavioral Strategies: Reducing challenging behaviors by identifying their triggers and teaching positive alternatives. 

When a child receives a detailed ABA assessment, their therapy becomes more focused, efficient, and effective, ensuring meaningful progress toward their goals. 

Caregiver’s Role in the Assessment 

Caregivers play an integral role in the ABA assessment process. To prepare for the assessment: 

  • Document Patterns: Note any recurring behaviors, triggers, or routines that the BCBA should be aware of. 

  • Share Insights: Highlight the child’s interests, motivators, and preferred activities, as well as areas of difficulty. 

  • Ask Questions: This is an opportunity to discuss your goals and expectations for therapy, ensuring alignment between your family’s needs and the therapy plan. 

After the Assessment 

Once the ABA assessment is completed, the BCBA will: 

  1. Review the findings with the caregiver, explaining the child’s strengths, areas of need, and suggested therapy goals. 

  2. Develop a personalized therapy plan that outlines specific objectives, the format of therapy (e.g., 1:1 or group), and measurable benchmarks for success. 

  3. Begin the process of implementing therapy services, collaborating closely with caregivers and other providers to ensure continuity of care. 

By emphasizing a thorough and collaborative approach, ABA assessments serve as the cornerstone for effective therapy. At Cortica, we are committed to guiding families through this journey with expertise and care, ensuring that every child’s potential is nurtured in a supportive and personalized way. 

Meaghan O'Dea Johnson
Author: Meaghan O'Dea Johnson, MS, CPNP-PC