Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutes
CPT4 code
Name of the Procedure:
Family Adaptive Behavior Treatment Guidance
Common name(s): Behavioral Guidance, Family CBT Session
Technical/Medical terms: Adaptive Behavioral Therapy (ABT), Applied Behavior Analysis (ABA)
Summary
Family Adaptive Behavior Treatment Guidance involves a healthcare professional providing face-to-face behavioral guidance to guardians or caregivers of a patient. The patient can be present but it is not necessary. Each session is structured in 15-minute intervals.
Purpose
The procedure addresses behavioral and developmental issues, particularly in children with conditions such as autism or other developmental disorders. The goal is to equip families with strategies to manage and improve the patient's adaptive behaviors effectively.
Indications
- Behavioral issues in children or adolescents
- Autism Spectrum Disorder (ASD)
- Developmental or learning disorders
- Difficulties in social interaction, communication, or self-care skills
Preparation
No special preparation is typically needed for this procedure. It may involve:
- Prior completion of behavioral or psychological assessments
- Caregiver's review of any previous treatment plans or records
Procedure Description
- The healthcare professional meets with the guardian(s) or caregiver(s) face-to-face.
- Discussion on the patient’s current behavioral issues, background, and any recent changes.
- The professional provides guidance and strategies tailored to the patient’s needs.
- Techniques such as positive reinforcement, structured routines, and communication strategies are discussed.
- Interactive role-playing or demonstration of techniques may be employed. Tools: Session may involve printed materials, visual aids, or digital resources. Anesthesia: None required.
Duration
Each session is 15 minutes, but multiple sessions can be combined as needed.
Setting
The procedure is usually performed in an outpatient clinic, therapist's office, or through a home visit.
Personnel
- Physician
- Qualified health care professional such as a psychologist or licensed behavioral therapist
Risks and Complications
There are minimal physical risks involved. Psychological risks may include:
- Initial increase in caregiver stress
- Misapplication of behavioral strategies These are managed through continuous professional support and follow-up.
Benefits
Expected benefits include:
- Improved behavioral outcomes for the patient
- Enhanced caregiver ability to manage and support the patient’s needs Improvements may be noticed within a few weeks to months of consistent application.
Recovery
No physical recovery is needed. Emotional and psychological adjustment to new strategies may require a short adaptation period. Follow-up appointments to review progress and make adjustments are recommended.
Alternatives
- Individual therapy sessions for the patient
- Group therapy with other families facing similar issues
- Online or teletherapy sessions Pros and cons revolve around the level of direct guidance versus convenience and accessibility.
Patient Experience
During the sessions, caregivers may feel a mixture of relief and challenge as they learn and practice new strategies. Emotional ups and downs are normal as they adjust. Pain management is not relevant, but providing emotional support and encouragement is crucial.