Applied behavior analysis (ABA) is one of the most common treatments for autism, and as demand grows, we are seeing a big increase in private equity firms buying up ABA practices. While more clinics can mean shorter waitlists, some advocates and policymakers are raising concerns about how this shift might affect the quality of care.
According to a recent report from the Private Equity Stakeholder Project, some private equity backed ABA providers may pressure parents to agree to 30 or more hours a week of treatment, regardless of whether that is actually what is best for the child. There are also concerns about clinics reducing staff training or simplifying treatment plans to cut costs.
Because of this, states are starting to step in. For example, Colorado recently passed a law requiring ABA providers and facilities to be licensed, giving the state more power to address complaints about care quality and child safety. Pennsylvania also requires practitioners to apply to operate an Intensive Behavioral Health Services agency, which comes with strict rules around staff qualifications, training, and quality improvement.
What this means for you: If you are looking for an ABA provider, do not be afraid to ask questions. Ask about their staff turnover rates, how much supervision their technicians receive, and how they determine the number of hours your child needs. You should never feel pressured into a schedule that does not feel right for your family.
You can read more about how states are responding to these changes at the Private Equity Stakeholder Project.