Supervising with Compassion: ABA Research to Practice
Jun 22, 2025
Episode 23: A Multi-Level Framework for Compassionate Care in ABA
A Multi-Level Framework for Compassionate Care in ABA
1. Introduction
00:00 – 02:00 — Welcome and overview of our supervision series
This episode concludes a 12-part series on ABA supervision, focusing on D'Nri et al. (2023) 's multi-level compassionate care framework: business/organizational, supervisor/clinician, and direct-service technician.
2. Why Compassionate Care Matters in ABA
02:00 – 05:00 — Current scrutiny of ABA and the need for new frameworks
ABA's history with coercive procedures calls for a shift. Compassionate care provides an evidence-based, client-centered approach that minimizes side effects and promotes improved outcomes.
3. Business-Level Perspective: OBM + Systems
05:00 – 08:30 — Organizational Behavior Management strategies
- Drives consumer satisfaction and long-term staff retention
- Example: Comparing extinction-heavy vs. caregiver-preferred reinforcement-based interventions
- Embed systems for training, feedback, and performance monitoring
References:
- Rummler & Brache (1995)
- D'Nri et al. (2023)
4. Supervisor/Clinician Level: Contextual Behavior Science & ACT
08:30 – 12:00 — Using ACT with supervisees
- Support supervisees through rule-governed private events
- Apply ACT: acceptance, defusion, values, committed action
- Improves psychological flexibility and reduces burnout
References: Hayes et al. (2012), Levin et al. (2012)
5. Prosocial Design at the "Cultural Technician" Level
12:00 – 15:00 — Building cooperative, equitable team cultures
Using Ostrom's core design principles, ABA clinics can foster team ownership, shared responsibility, and transparency.
- Define group boundaries, monitor behavior, resolve conflict, and more
References: Ostrom (1990), Stoffer & Mitek (2021), Stoffer CEU Module
6. Putting the Framework Into Practice
15:00 – 18:30
- Leadership: Systems analysis, ACT check-ins, feedback loops
- Supervision: Model compassion, use ACT warm-ups, and coach soft skills
- Technicians: Real-time coaching, video feedback, role-play practice
7. Research Highlights & Future Directions
18:30 – 20:30
- Compare rapid vs. compassionate outcomes in trials
- Test ACT micro-interventions (5–10 min)
- Scale prosocial design to telehealth and multi-site orgs
8. Practical Takeaways for Supervisors
20:30 – 22:00
- Compassion is evidence-based, not optional
- Integrate ACT, huddles, and skills coaching into the weekly rhythm
- Link assessments to policy changes to retain trust
- Track downstream metrics to see long-term value
9. Resources & Recommended Reading
- D'Nri et al. (2023)
- Hayes et al. (2012)
- Ostrom (1990)
- Stoffer & Mitek (2021)
- Rummler & Brache (1995)
- Luciano et al. (2014)
- Levin et al. (2012)
- Matt's CEU Streamlined Portal
10. Closing Thoughts
22:00 – 23:00
Compassionate care is a multi-level strategy that strengthens teams and improves client outcomes. Start small—ACT warm-ups, team feedback loops, prosocial pilots—and the momentum will build.
Thanks for listening! If this episode helped, please share, rate, and take action. See you for more ABA breakdowns every Monday, Wednesday, and Friday!
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