These questions are often asked by people trying to find a behavioral consultant for a family member, a friend, or someone else with mental retardation or another developmental disability for whom they provide support. They sometimes come up because many people are not aware that the majority of psychologists are not qualified to serve as behavioral consultants. This is because many do not have the specialized training and experience in applied behavior analysis or behavioral psychology and mental retardation/developmental disabilities (MR/DD) needed to provide appropriate and effective behavioral treatment for people with MR/DD. On the other hand, some people who do have the appropriate training and experience have graduate degrees in areas other than psychology, such as special education or human development. Unfortunately, in most states at present, almost anyone can legally call him or herself a “behavioral consultant.”
These issues have been a source of confusion and frustration for many consumers. This flyer was prepared to help you make an informed choice of a behavioral consultant for a person with MR/DD or yourself. It was developed by representatives of three major professional organizations. They are the Psychology Division of the American Association on Mental Retardation, the MR/DD Division (Division 33) of the American Psychological Association, and the Association for Behavior Analysis. Each of these organizations has a primary focus on the issues presented here.
No. Just like medical doctors (MD's), many psychologists have specialized training, but some do not. For example, all cardiologists (heart specialists) are medical doctors, but most medical doctors are not cardiologists. In the same way, all psychologists have graduate training in psychology, but many do not have training and supervised experience in applied behavior analysis, which is the specialization needed to be an effective behavioral consultant. Put another way, some psychologists are qualified to provide behavior analytic assessment and treatment services, but many are not. And as mentioned above, some people who are qualified to provide these services are not psychologists.
Although that may be helpful for a variety of practical reasons, a licensed psychologist is not always well qualified to provide behavioral consultation services for a person with mental retardation or a developmental disability. Most licensed psychologists have completed rigorous graduate training. The American Board of Professional Psychology, which is recognized by many state boards of psychology as a formal sign of psychological specialty expertise, also recognizes the specialty board of behavioral psychology. Psychologists who have this kind of psychological board certification are called "diplomates" and indicate this with the letters "abpp" after their name and highest degree. An even older form of external recognition for behavioral expertise is the status of "clinical fellow" by the behavior therapy and research society, a list of which is provided annually in the Journal of Behavior Therapy and Experimental Psychiatry. But even these qualifications may not have included any specific training and supervised experience in behavioral analytic assessment and treatment methods for people with MR/DD. The same is true of many people with advanced degrees and superb qualifications in areas like school psychology and special education.
There is also great variability from state to state in the areas of competence required to practice psychology independently. Most often, the doctoral degree is the entry level for the independent practice of psychology, with legal supervision by licensed doctoral level psychologists required for those with lesser degrees to engage in psychological work. Further, some states ask or permit psychologists to specify their exact areas of competence (or specialization) when they are licensed, while other states require psychologists to choose from only a few broad categories. There may also be more opportunities for masters and doctoral students to acquire skills in behavior analysis in some states than in others, due to what is provided in university training programs.
This is a professional who has documented graduate training and supervised, hands-on experience in applied behavior analysis, and has passed a special examination in this area. This voluntary certification assures you that the professional has basic, general competence in applied behavior analysis. Right now, however, a national certification program has just begun. The national program is managed by the Behavior Analyst Certification Board, Inc. (see "www.bacb.com" on the internet for more information about this organization). Professionals with master’s or doctoral degrees who are certified under this program are called Board Certified Behavior Analysts (BCBA). Over time, the number of board certified behavior analysts is expected to increase, and it should become easier for consumers to find qualified behavioral consultants. But for now, some consumers may have difficulty locating board certified behavior analysts in their local area (however, the BACB Certificant Registry is available at www.bacb.com). One more caution is that many board certified behavior analysts, like psychologists and other practitioners, are specialists. Some do not have expertise in working with people with MR/DD. People seeking services from consultants who are board certified behavior analysts should ask the consultant if they have specific training and experience in the area of MR/DD.
Here are some things you should expect from a behavioral consultant working in MR/DD:
When looking for a qualified behavioral consultant for a person with mental retardation or other developmental disability, you should feel comfortable asking for specific evidence of the consultant’s qualifications, and should expect to get a complete answer that makes sense to you.
You should feel free to ask the consultant how they will help and what processes they will use. If the consultant does not say they will use the methods listed above, ask them why not. If they do not have the training to use the procedures, that means you should find a different consultant who has this training, experience and skills (even if they have a license to practice psychology or an impressive title).
We suggest that you do not use a consultant who focuses mainly on reacting to “problem behavior,” unless a crisis or other particular circumstances warrant this focus. Focusing mainly on reacting to “problem behavior” will not help prevent it from happening in the future and does not represent current best practice. In crisis situations or in the case of an escalating behavior problem that requires immediate action, treatment should address both immediate concerns and preventive strategies, such as changing environments and teaching appropriate alternative skills. In most other cases, the main focus of the behavioral consultation should be on skill development.
We hope that that the information here is helpful to you. If you have comments or suggestions regarding this brochure, please send them to Dr. David Rotholz.