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Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)

CPT4 code

Name of the Procedure:

Family Adaptive Behavior Treatment Guidance (FABTG)

Summary

Family Adaptive Behavior Treatment Guidance is a therapeutic session conducted by a physician or another qualified healthcare professional to provide family members with strategies and techniques to support a patient’s adaptive behavior. Notably, the patient is not present during these sessions.

Purpose

FABTG is designed to help families understand and implement behavior modification techniques that can support the patient in their daily activities. The goal is to enhance the patient's quality of life and functional skills through informed and coordinated support from the family.

Indications

  • Autism Spectrum Disorder (ASD)
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Developmental delays or disabilities
  • Behavioral issues that impact daily functioning

Preparation

There are typically no specific pre-procedure instructions for the family. However, bringing any relevant medical records, previous assessments, and a list of behavioral concerns can be helpful.

Procedure Description

  1. The healthcare professional conducts an initial assessment to understand the family dynamics and the patient's needs.
  2. The family learns various behavior management techniques tailored to support the patient.
  3. Discussion of daily routines, triggers, and effective responses to behavioral issues.
  4. Families are provided with educational materials and resources.
  5. Follow-up sessions may be scheduled to assess progress and adjust strategies as needed.

There is no need for anesthesia or sedation since the family members are the participants of the session.

Duration

A typical session lasts between 60 to 90 minutes.

Setting

FABTG is usually conducted in an outpatient clinic, physician's office, or virtually through telemedicine platforms.

Personnel

  • Physician or other qualified healthcare professional with expertise in behavior modification and family counseling.

Risks and Complications

Risks are minimal but may include:

  • Misunderstanding or misapplying behavioral strategies.
  • Emotional strain on family members requiring additional support.
  • No significant medical complications.

Benefits

  • Improved behavior and adaptive skills in the patient.
  • Enhanced family cohesion and understanding of effective behavior management.
  • Better overall quality of life for both the patient and family members. Benefits may be realized gradually as the strategies are implemented and practiced.

Recovery

There is no physical recovery needed as this is a guidance session. However, families should follow the practitioner’s recommendations and schedule follow-up appointments as needed to monitor progress and make necessary adjustments.

Alternatives

  • Individual therapy or counseling sessions for the patient with direct therapeutic interventions.
  • Educational workshops and support groups for families.
  • Medication management for specific behavioral issues.

Each alternative comes with its pros and cons, such as the need for active patient participation or the potential for medication side effects.

Patient Experience

Since the patient is not present, the experience is centered around the family members. It may involve active participation in discussions, learning new techniques, and emotional discussions about challenges and progress. Comfort measures include a supportive and respectful environment provided by the healthcare professional.

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