Intensive (EIBI) programs start with Dr. Gifford's in-person assessment of your child's skill levels and in depth interviews with parents to determine your priorities. Assessments typically also involve an RBT to assist (at no extra cost to the parent).  Dr. Gifford also reviews any available relevant information (school and medical files, etc.). Standardized skill assessment tools such as the VB-MAPP, ABLLS-R, AFLS, and Vineland may be included in these assessments. The entire assessment usually takes 12-15 hours spread out over 3-4 visits. The data and other information collected from those visits are used to design a one-of-a-kind program that addresses the child's needs globally. Skill deficits in language, play, daily living activities, social, community and others are assessed.  Objectives are generated for each of the domains,  including baselines and suggested goal levels. Typically, intensive programs address 20-50 skill deficit areas at any given time, as well as reducing behavior challenges. These findings are presented in an assessment report, which is reviewed with the family along with recommendations for intensity of treatment (number of hours per week). At that point, any additional parent input is requested and changes are made as needed. If the family decides to proceed with a program, the team is provided with additional training for the specific procedures recommended for your child. (Parents are welcome to attend these trainings). Behavior technicians/RBTs can be contracted directly with Utrecht Autism Services (UAS) or the family. A technician contracted directly with the family will need to complete and pass a specialized training program from us before they can be considered qualified to implement the program. UAS will provide basic teaching and data collection materials.  Sessions usually involve the behavior technician/RBT working directly with the child. Dr. Gifford will provide supervision by watching the session, and going over the data from the previous week, as well as celebrating successes and trouble shooting any problem areas that many arise for at least 10% of the total session hours provided. Sessions are continued until the child meets all of their goals (goals are typically added and/or revised throughout the program) or the parents decide to end the program. These programs usually last about 2-3  years. All intensive programs also include parent coaching and collaboration with other professionals on your child's team such as speech, and occupational therapists.