CHILD / CLIENT:

SCORER:

TODAY’S DATE:
Behavioral Health Index
This document helps parents, clinicians, insurers, and other partners track a child’s progress with Applied Behavior Analysis (ABA) therapy for autism INITIAL AST. DATE:

BEHAVIORAL HEALTH INDEX 1 2 3 4

INT. AST.
Critical Skills AST. TODAY

Parallel play with others and Interactive and extended play with
Play / Leisure No play skills Isolate play with objects & electronics
engagement when alone others and engagement when alone

Engages in intractable stereotypy & Engages in stereotypy that interferes Engages in stereotypy that No stigmatizing or interfering
Stereotypic Behavior
redirection occasions SPB with learning and socializing sometimes requires redirection stereotypy

Functional Communication: Via simple response occurring in Via a complex response occurring in Independent, omnibus mands
No independent omnibus mands
Omnibus Mands one context with only a few people one context & with various people across various people & contexts

Functional Communication: Via simple responses occurring in Via a complex response occurring in Multiple specific mands across
No independent specific mands
Specific Mands one context with only a few people one context with various people various people & contexts

SPB ocurs when delays or denials Mild PB is usually occasioned by No PB during delays or denials No PB during delays or denials
Delay Tolerance are presented denials across a few contexts across people & all contexts

Contextually Appropriate Doesn’t engage in any CAB when Reliably relinquishes, transitions, Reliably completes a few instructed Reliably engages in varied and
reinforcers are unavailable; instead completes a few instructed responses responses in multiple activities extended CABs across various
Behavior (CAB) SPB is occasioned by denials in single activity/context within single context people & contexts

Behavior Management
Two or more medications being One medication being used to No medications being used to
Behavior Medication used to manage SPB manage SPB manage SPB

Rich schedules of tokens exchangeable Lean schedule of tokens exchangeable No programmatic use of arbitrary
Behavior Modification Rich schedules of edible rewards
for edible & tangible rewards for tangibles & activities rewards or punishers

Strong programmatic focus on Programmatic use of mollification Infrequent use of mollification for No programmatic use of
Behavior Mollification mollification / avoidance tactics for safety while skills are developed safety while skills are developed mollification / avoidance tactics

Regular & noncontingent use of Regular & contingent use of Rare use of protective equipment, No use of protective equipment,
Restraint & Seclusion protective equipment, holds, or TO protective equipment, holds, or TO holds, or TO holds, or TO

More than one staff / client injury One staff or client injury in last 3 No staff or client injuries in last 3
Injuries to Self or Others in last 3 months months months

Almost always seperate from peers Usually in separate room with staff Usually grouped with peers but Grouped with peers and accesses
Location & Social Restriction
with staff hovering at distance in close proximity restricted to certain contexts most contexts with and without staff

Health Repertoires
Resists going to bed; long time to 2 or 3 (of 4) sleep indicators Goes to bed easily, falls asleep
Sleeping fall asleep, regularly wakes at night, 1 sleep indicator showing risk quickly; sleeps through night; gets
showing risk
gets little sleep enough sleep

Multi-faceted treatment; eats alone; Some mealtime intervention; may No mealtime intervention; may eat No intervention; eats with others; is
Eating is highly selective; weight is poor eat with others; is selective with others; is selective not overly selective, weight good

More than 10 min of moderate or More than 30 min of vigorous exercise 45 min or more of vigorous activity
Exercising No excerise experienced daily at least 3 times per week at least 4 times per week
vigorous exercise daily

© 2020 In partnership, Acorn Health, LLC and FTF Behavioral Consulting, Inc. All rights reserved. May only be distributed for its intended use.
www.ftfbc.com | (508) 926-8910 | info@ftfbc.com | www.acornhealth.com | (844) 244-1818 | info@acornhealth.com
Tracking Progress and Transformation
The Behavioral Health Index is how we measure specific, tangible progress.
If you have questions about the report card, please contact your clinician.

Commonly Used Terms Behavioral Health Index

CAB 1 2 3 4
Contextually Appropriate Behavior 1
1 Highly restricted lifestyle; at high risk for severe problem behavior
Mands
Requests
2 Restricted lifestyle; at moderate risk for severe problem behavior

Omnibus
3 Somewhat restricted lifestyle; at mild risk for severe problem behavior
One response yields multiple outcomes
4 Unrestricted lifestyle; low risk for severe problem behavior
PB
Problem Behavior

SPB
Progress Chart
Severe Problem Behavior

60
Stereotypy
A repetitive or ritualistic movement, posture, or utterance
Behavioral Health Score
50

40
TO
30
Time Out
20

10

Quarterly Progress Dates

© 2020 In partnership, Acorn Health, LLC and FTF Behavioral Consulting, Inc. All rights reserved. May only be distributed for its intended use.
www.ftfbc.com | (508) 926-8910 | info@ftfbc.com | www.acornhealth.com | (844) 244-1818 | info@acornhealth.com