Title Page
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Document No.
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Assessment Title
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Staff Assessed
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Client Initials / Site
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Assessed On
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Prepared by (Name & Title)
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Location
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Disclaimer: Competencies assessing skills based on the principles of ABA should be conducted by BCBAs and BCaBAs.
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Being Prepared for Session. Check all items that were observed. If did not observe mandatory checklist items, STOP assessing, provide feedback & training.
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Has materials ready
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Has reinforcers available
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Has data collection materials
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Is prepared for session? (Must have all 3 checkboxes checked)
Reinforcement
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Follows child's motivation?
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Provides contingent reinforcement
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Conducts (informal) preference assessment?
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Appropriate schedule of reinforcement?
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Reinforcement schedule used:
- FR1
- VR2
- VR3
- VR4
- inconsistent
Instruction
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NET & DTT Ratio
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All components of 3-term contingency are present in DTT? (Observe at least 3 trials)
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All components of 3-term contingency are present in NET (Observe at least 3 trials)
Data Collection
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Records data in the moment
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Records correct data
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Check all observed client responses
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Correct (+)
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Incorrect (-)
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Prompted (P)
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No Response
Acknowledgement
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We have reviewed the results of the assessment.
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Assessor:
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Assessed Staff: