Pewaukee
N 27 W 23953 Paul Road Suite 206
Pewaukee, WI 53072
(262) 347-0701











Getting Started:

Most children beginning services with WNCA have received a diagnosis of an Autism Spectrum Disorder through an independent evaluation from a professional outside of WNCA.  Others receive a diagnostic evaluation conducted by Dr. Wiebusch in our office.  Families interested in receiving in-home services through WNCA can call our office to set up an intake evaluation with Dr. Wiebusch.  The purposes of that evaluation are to establish diagnosis or confirm diagnostic agreement, to allow families an opportunity to learn more about the program in person, and to work with parents to determine whether WNCA services are an appropriate fit for a child.

Receiving Intensive Therapy:

After diagnosis, families pursuing therapy establish the funding source for services.  Most clients receive public funding through the Children's Long-Term Support (CLTS) waiver and/or through private mandated insurance. WNCA is in network with most insurance carriers and is generally available to start services quickly following an intake appointment and verifying staff availability. Clients who do not have private insurance can access services through the CLTS waiver and information about the waiver can be obtained through the Health and Family Services department of the county in which a child resides. Contact information for each county can be found on-line at: http://dhfs.wisconsin.gov/bdds/clts/autism/county.htm.  Private insurance coverage provides funding for up to four years of intensive intervention. The CLTS waiver provides funding for three years of intensive intervention.  Regulations vary slightly between private insurance and waiver funding but both typically require the diagnosis of an Autism Spectrum Disorder and that funding and/or services be accessed prior to a specific age. 

Private payment (or self payment) for in-home services is an option as well, and interested clients are encouraged to contact our office to discuss the details of this option.

The clinical approach WNCA utilizes in intensive in-home therapy is Applied Behavior Analysis with a heavy emphasis on Applied Verbal Behavior. Applied Behavior Analysis (ABA) employs methods based on scientific principles of behavior to build socially useful repertoires and reduce problematic ones (Cooper, Heron & Heward, 1989).  To put it more simply, ABA therapy focuses on teaching skills systematically by breaking those skills down into measurable parts.  Intensive therapy typically involves 25 to 35 hours per week of service. We incorporate ABA techniques individually chosen to best help our clients develop skills in a variety of domains including but not limited to:

v    Communication - to make desires known, share information, etc.

v    Attending, waiting, cooperation

v    Following directions

v    Socialization

v    Adaptive Skills

                  e.g., toilet-training, dressing

v    Academic skills when appropriate

                  e.g., reading, math, writing

v    Fundamentals such as imitation, matching, etc.

v    Behavioral control and adaptive coping

Each set of targeted skills is specifically chosen based on a client's areas of need.  In addition, teaching procedures to elicit those responses are individualized based on data collected and team (including parent) input.  WNCA emphasizes the pairing of therapists and therapy with positive reinforcement to make therapy enjoyable for clients while it is focused on achieving skills.  We also seek cohesion and coordination between our services and other valuable resources involved in a child's life including school and other therapies.

Assessment During Therapy:

At the onset of therapy services, the child's profile of skills and abilities across multiple domains is comprehensively assessed, typically using the Assessment of Basic Language and Learning Skills-Revised (ABLLS-R).  The ABLLS-R is then updated regularly to evaluate progress across skill areas. Throughout therapy, the collection and analysis of data are critical components for guiding programming to ensure effectiveness.

Supervision:

Oversight and supervision are high priorities at WNCA.  Board Certified Behavior Analysts oversee cases regularly. We also implement these through encouraging senior therapists to supplement five weekly hours of senior therapy with additional line therapy to best know their clients.  In addition, bi-monthly home visits are conducted with the lead therapist (psychologist) and associate director with additional supervision and staff training from the associate director and other BCBAs to meet client needs. 

Parent Participation:

Involvement of families of clients is required to maximize generalization of skills during therapy and in preparation for the end of intensive treatment.

At The End of Intensive Therapy:

As mentioned above, clients may have three or four years of intensive funding depending on the funding source. As the end of intensive services approaches, WNCA staff work with client families and service coordinators, offering preparation and recommendations for post-intensive services after clients leave WNCA.  Service coordinators then guide families through the transition to other individually-chosen services.