Can Rbts Deliver Functional Communication Training at Home?

Yes, Registered Behavior Technicians (RBTs) can deliver Functional Communication Training (FCT) as part of an in-home therapy team. While the program is designed and overseen by a Board Certified Behavior Analyst (BCBA), the implementation is a collaborative effort involving both BCBAs and RBTs.

In a typical in-home setting, the delivery of FCT involves several key components:

• Clinical Team Roles: The BCBA leads the functional behavior assessment to identify the child’s communicative intent and designs the individualized plan. The RBT then works directly with the child to implement these strategies during daily routines.
• Data Collection: The RBT and BCBA team tracks the child’s progress by collecting data on frequency, duration, or latency. This information allows the team to adjust the communication plan as needed.
• Implementation of Modalities: RBTs assist in teaching various replacement behaviors, which may include vocal speech, Sign Language, Picture Exchange Communication System (PECS), or Speech-Generating Devices (SGD).
• Natural Environment Teaching: Because the therapy is delivered at home, RBTs can weave communication training into real-life settings like mealtime or play, ensuring the child can use their new skills in the environment where they are needed most.

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