97154 Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes

Name of the Procedure:

Group Adaptive Behavior Treatment by Protocol, Administered by Technician
(Also known as Applied Behavior Analysis Group Therapy, ABA Group Therapy)

Summary

Group adaptive behavior treatment by protocol is a therapy session where a trained technician works face-to-face with two or more patients, helping them develop social and adaptive skills. This therapy is conducted under the supervision of a physician or other qualified healthcare professional and is typically organized in 15-minute intervals.

Purpose

The procedure aims to address developmental disorders, such as autism spectrum disorder (ASD), by helping patients learn and improve adaptive behaviors and social skills. The expected outcome is enhanced social interaction, better emotional regulation, and improved daily living skills.

Indications

• Autism Spectrum Disorder (ASD)
• Developmental delays
• Behavioral issues
• Social interaction difficulties

Patients appropriate for this procedure generally include:

• Individuals with a diagnosis of ASD or other developmental disorders
• Patients who benefit from social and behavioral skill development
• Those able to participate in a group setting

Preparation

• No special preparation is typically required.
• It's advisable for patients to wear comfortable clothing.
• A preliminary assessment by a healthcare provider to tailor the treatment protocol to the patients' needs.

Procedure Description

1. The session begins with a brief introduction and review of the day's objectives.
2. Patients participate in structured activities designed to promote social interaction and adaptive behaviors.
3. The technician uses specific prompts, reinforcement strategies, and protocols developed by a supervising healthcare professional.
4. Activities may include group games, role-playing, and social stories.

Tools and Equipment:

• Flashcards, visual aids, and communication devices
• Toys and play equipment for interactive activities

Anesthesia or Sedation:

• Not applicable

Duration

Each session lasts 15 minutes, but multiple sessions may be scheduled consecutively.

Setting

The procedure is typically performed in:

• Outpatient clinic settings
• Therapy centers
• Schools or educational institutions

Personnel

• Trained Behavior Technician
• Supervising Physician or Qualified Healthcare Professional (Board Certified Behavior Analyst, Psychologist)

Risks and Complications

Common risks:

• Minor frustration or fatigue due to challenging tasks

Rare risks:

• Emotional distress if group dynamics are not well managed

Complications management:

• Immediate attention and support by trained technicians and supervisors

Benefits

Expected benefits include:

• Improved social and communication skills
• Enhanced ability to perform daily living activities
• Reduction in problematic behaviors

Benefits may be realized gradually over weeks or months of consistent therapy.

Recovery

• No physical recovery is required.
• Post-session activities might include relaxation or light recreational activities.
• Regular follow-up sessions may be scheduled based on individual progress.

Alternatives

• Individual Applied Behavior Analysis (ABA) therapy
• Speech and language therapy
• Occupational therapy
• Social skills groups led by a therapist

Each alternative has its own pros and cons depending on the individual needs of the patient.

Patient Experience

During the procedure:

• Patients may feel engaged and sometimes challenged.
• Positive reinforcement is commonly used to ensure comfort and motivation.

After the procedure:

• Patients might feel a sense of accomplishment or mild fatigue.
• Parents or caregivers will receive feedback and, if necessary, tips for reinforcing skills at home.