Applied behavior analysis (ABA) therapy is the leading approach for treating individuals with autism spectrum disorder and other neurodevelopmental differences. While ABA therapy can take place in a variety of settings, including schools and specialized centers like Cortica, in-home ABA provides a unique opportunity for personalized treatment within the comforts of a child’s own environment. 

A therapist and young child in an ABA therapy session.

Differences Between In-Center and In-Home ABA 

 In-Center ABA  

  • Typically takes place in a controlled, consistent, and structured clinical setting 

  • Allows for interaction with peers and others, providing opportunities for social learning, practicing transitions, and generalizing skills to different settings 

  • Includes enhanced opportunities for clinicians to consult with one another in real-time, if beneficial for a child’s treatment plan Includes a wide variety of materials and trained professionals to enhance the treatment plan 

  • Provides opportunities to practice following classroom routines, if appropriate for a child’s treatment plan 

 In-Home ABA 

  • Provides a familiar environment that does not require a child to adapt to a new setting  

  • Helps to reinforce desired behaviors using items and activities that a child already enjoys at home  

  • Allows a child to practice everyday skills (including those related to daily routines and habits) in the same place where they need to use many of those skills 

  • Ensures that family members can participate in sessions 

  • Can be tailored around family routines 

Why In-Home ABA Might be Recommended for Your Child  

Clinicians may recommend in-home ABA services in instances where:  

  • The child needs more individualized attention and support around specific needs and daily routines 

  • The home setting provides better learning opportunities to advance a child’s treatment goals or caregiver coaching goals 

  • The child struggles with transitions or unfamiliar environments 

  • The family prefers or requires a more flexible schedule 

Advantages and Disadvantages of In-Home ABA  

Advantages of in-home ABA include: 

  • Convenience: There is no need to travel for appointments 

  • Customization: The home environment makes it easier to focus on daily living skills that are relevant to the child's routine 

  • Family involvement: Families can be more actively engaged in treatment and learn how to better support the child in the home environment 

 Disadvantages of in-home ABA include:  

  • Limited social interaction: There are fewer opportunities for social engagement with peers and others outside the family 

  • Potential distractions: Home environments may have more distractions 

  • Space constraints: Limited space may restrict certain types of activities or interventions 

A therapist and a young girl during an in-home ABA therapy session.

What Does In-Home ABA Look Like?  

An in-home ABA session might include one or all of the following elements: 

  • A brief assessment to determine the focus of that particular session 

  • Skill- Time will be spent on specific exercises designed to improve language, social skills, or other areas of need. 

  • Data collection on the child’s behavior will be collected for future analysis and treatment modification. 

  • Caregiver coaching on implementing ABA techniques 

While ABA may not be the best option for all children, it can provide a range of advantages for children with specific treatment needs. Qualified healthcare professionals, including those at Cortica, can help determine if in-home ABA is the right decision for your family.   

Insurance Coverage for In-Home ABA 

While insurance coverage can vary, many insurance plans do cover ABA services, including in-home ABA. At Cortica, we work with a wide range of health insurance plans. We can provide you with a benefits check and cost estimate before beginning services with Cortica. Please reach out to us for information about your specific insurance coverage.