Tag Archives: applied behavior analysis noncompete

Key Points to Look for When Selecting an Early Intervention Program

Early detection of autism is essential.  As soon as a diagnosis is made, families should be provided with accurate, up to date information about science-based intervention options.  Often, once a diagnosis is obtained, precious months are wasted as families negotiate the maze of intervention alternatives.  It is important for doctors to direct families to services that are research-based and proven to be effective. Unfortunately, there are many fad treatments, which are also available and claim to be beneficial to children with autism, but have no research to actually support their effectiveness.  In fact, some of these therapies can actually cause more harm than good.

Here are some key things to look for when choosing an appropriate program.

  • There should be plenty of research supporting the effectiveness of the intervention.  Claims and parent testimonials alone does not qualify as research.
  • Therapy should be “data driven” in order to monitor progress and see if an intervention is working.
  • The National Research Council (2001) published recommendations for educating children with autism. They recommend that a child receive intensive behavioral intervention for a minimum of 25 hours per week in a low student-teacher ratio, focusing on a variety of functional skills as well as targeting decreasing challenging behaviors.
  • Parents should be heavily involved in their child’s treatment and receive appropriate parent training.
  • Staff should be well trained and the intervention is directed by a qualified and experienced professional.
  • Pick a provider who has a good reputation within your community

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Early intervention services are available for children under the age of 3 and  research indicates that the earlier the child gains access to quality behavioral treatment, the more likely they are to have a better long term outcome.  Check out the latest findings and summaries from the National Autism Center for comparing the effectiveness of different treatments for autism.

http://www.nationalautismcenter.org/pdf/NAC%20Standards%20Report.pdf

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What do Non-Competes have to do with Autism and ABA

This blog post is different from our typical writings about Autism and Behavior.  I guess it is about “Behavior” – but a somewhat different angle… 

We feel extremely strongly against non-competes in general.  However, specifically, in our field of working with individuals with autism, a noncompete is downright unethical and abhorrent.  It is akin to preventing a medical practitioner from treating patients (interestingly the American Medical Association has long held that restrictive non-compete covenants are unethical; Opinion 9.021).  Unfortunately several other “large clinics” feel otherwise.  

Our business was established several years ago when a large ABA (Applied Behavior Analysis) therapy clinic in town (they often boast in the media about being “100% Not for Profit”) threatened our founder with legal consequences if she didn’t sign a sweeping non-compete for the entire state of Indiana.  They wanted her (back then an employee at that clinic) to sign her life away at the age of 24 and make her an indentured servant.  She decided to call their bluff, and establish her own business.  Her business was founded on the principles of serving children and providing a great, stimulating and fear-free environment for employees.  

From those founding principles, we derive our employment philosophy to NEVER have any non-competes.  In our simple minds, loyalty is not a signature on a legal document.  That is the despicable exploitation of fear, need and naiveté.  We believe, we can inspire and motivate people to be part of and to excel on our team.  

Non-competes are for C-level executives and high level sales individuals carrying a company’s rolodex of contacts.   Employees in our field are typically recently out of school and have a desire to make an impact working with individuals with autism.  Handcuffing them and preventing them from earning a livelihood and helping people, is unconscionable.  Especially when they are typically not versed in the corporate/ legal world nor have the money to defend themselves in legal battles.  In the corporate world, people typically have more business savvy to assess one-sided contractual obligations.  Does the same apply to a twenty-something year old therapist taking their first steps in the world of ABA in an entry-level position?? 

Our simple minds believe that our employees will stay with us because they love working here.  Not because of petty, exploitative legal threats.  If we cannot provide an environment that best fulfills an employee’s aspirations and potential, we’d be happy to see them go establish their careers elsewhere.   

Our beliefs are also shaped by the fact that we are entrepreneurs.  And non-competes are a tax on entrepreneurship and progress.  True entrepreneurship believes in making a dent in the universe… not in profiteering from fear mongering (that’s the domain of smugglers, pirates, mobs etc).  What makes our country great, is the spirit of entrepreneurship.  We believe in fostering that spirit, not stifling it.. especially when it is in a field that is a force for good.  Interestingly, it is states such as California where non-competes are essentially illegal that are thriving hotbeds for entrepereneurship (http://hbswk.hbs.edu/item/6759.html).

Finally, the biggest question… ethics.  We are in this field because we love working with children and we believe we can make an impact in the lives of children with autism.  And because we are not one of those places that simply pay false lip service to feel-good messages in apocryphal media ads, we believe that preventing any human being from helping a child with special needs is plain unethical.  Our field has more demand for practitioners than available supply.  Legal handcuffs on the precious few is morally bankrupt and an obvious symbol of naked greed and power.  

In summary – here are a few thoughts for the various stakeholders in this field:

  • For Parents:  If your provider has non-competes on their employees, how happy are they?  And if they aren’t happy, how effective are they?   Figure out for yourself what the fundamental motivation for your provider is. Use your own moral compass to judge the owners’ ethics and morality.  
  • For Providers/ Clinics who slap non-competes on young unsuspecting individuals looking to change lives through their work:  What’s truly the mission of your business?  Are you really working to help individuals with autism?  Reassess your purpose and raison d’être.  This is what gives our entire field a bad name.  If you’ve been fortunate to make something out of opportunities provided to you, why do you want to prevent others from doing so?  In Eisenhower’s words, “you don’t lead people by hitting them over the head – that’s assault, not leadership”.
  • For Employees under non-competes as well as potential employees looking for employment in the field of ABA (or elsewhere):  

◦           If you’re already employed by a clinic with a non-compete, do your research about state law.  Seek out your own legal advice… understand the “blue-pencil” test, other relevant scope issues and what that means for your contract and your home state. Ask your employer why its ok to prevent you from earning a livelihood in a field where you’re helping others. 

◦           If you’re a potential employee, a recent graduate or new to the workforce in general, ask why your prospective employer has a practice of non-competes?  Do they own your productive existence?  What trade secrets or patents are you expected to garner providing therapy to children with autism?  

Above all, there are providers out there who do good work and treat their employees well, fairly and without legal entrapments.  Seek them out – and if you can’t find them, do yourself the biggest favor and strike out on your own.  Start your  own practice, become unstoppable and know you’re doing the greatest thing ever.  We encourage and salute you…

PS: We’ve been thinking about this post for a while, but were tipped over the edge when one of the largest ABA clinics in town threatened us with legal action because we hired a brave young employee who stood up, made a choice and refused to be cowered down.  To that clinic we say (you know who you are very well), you’re welcome to contact any/ all of our employees (you know our number, you made several sneak calls already to figure out the employment status of your departed employee).  We believe our employees will independently choose what’s best for them… stay or leave.  And we are confident our leadership, people skills and business ethics trump your “familial legal” connections.  Anyday.