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Melanie Thurston
Understanding the Journey: Improving Caregiver Relationships in ABA
When it comes to ABA therapy, success isn’t just about the intervention itself—it’s about building strong, trusting relationships with caregivers . In this episode of 3 Pie Squared - ABA Business Leaders , we sat down with Melanie Thurston , a critical care nurse, author, and mother to a child with autism, to discuss the realities parents face when navigating the world of special needs services.
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The Parent Perspective: More Than Just Paperwork
For many ABA providers, intake paperwork is just the start of the process. But for parents, it’s an overwhelming step in an already emotional journey. Melanie shared how difficult it was—even with her medical background—to manage the sheer volume of forms, assessments, and insurance requirements.
So, what can ABA businesses do to make this easier?
- Offer options – Some parents prefer digital paperwork, others need hard copies. Give them choices.
- Walk them through the process – Have someone available to answer questions and break down the essentials.
- Create an intake “bundle” – Streamline paperwork into a clear, organized packet with everything they need.
Transitioning from Diagnosis to Services
Melanie also highlighted the emotional weight of transitioning from diagnosis to ABA services. Many parents experience a grief process as they adjust to their child's new reality, and providers need to be sensitive to this.
ABA professionals can support families by:
- Explaining therapy recommendations in a clear and compassionate way.
- Offering flexibility when setting up in-home or clinic-based sessions.
- Encouraging open conversations about parents’ concerns and expectations.
The Challenges of In-Home ABA & Parent Buy-In
One of the biggest hurdles for parents is adjusting to ABA in their home . Many struggle with the idea of therapists observing their daily lives, feeling pressure to maintain a “perfect” household while also juggling therapy schedules.
Tips for providers working in-home:
- Set expectations early – Let parents know what sessions will look like.
- Respect their space – Reinforce that you’re there to help, not judge.
- Encourage small breaks – Sometimes, parents just need 15 minutes to breathe while their child is engaged in therapy.
The Role of Parent Training in ABA Success
Melanie emphasized that not every parent will be immediately engaged in training , but that doesn’t mean they aren’t invested in their child’s progress. ABA providers need to meet parents where they are and provide support based on their unique circumstances.
Some ways to boost parent engagement:
- Create a clear training plan with realistic goals over 6-month periods.
- Ask parents what goals matter most for their child’s independence.
- Offer flexible training sessions that fit into parents’ busy lives.
Siblings & Family Dynamics in ABA
An often-overlooked aspect of ABA therapy is the impact on siblings . Melanie shared that her younger daughter often felt left out because so much attention was on her autistic sister. A simple yet powerful solution? Include siblings in some activities when appropriate.
ABA providers can:
- Encourage peer play opportunities between siblings.
- Provide guidance to parents on how to help children interact.
- Open a discussion with families about how therapy impacts everyone in the home .
Planning for the Future: Beyond Early Intervention
As children in ABA therapy grow older, many parents face uncertainty about what comes next . Melanie discussed how many parents feel lost when services end, wishing they had more guidance on transitioning to adulthood.
Key takeaways for ABA providers:
- Discuss long-term goals early – Even with young children, start conversations about future skills.
- Help families understand transition options – From job placement to adult programs , help guide them through available services.
- Acknowledge every child’s unique path – Not every child will be able to work or live independently, and that’s okay. The goal is personal success, not a one-size-fits-all model .
Final Thoughts: How ABA Providers Can Strengthen Caregiver Relationships
Melanie’s insights remind us that parents are the most important partners in a child’s ABA journey . By fostering trust, communication, and flexibility , ABA professionals can provide not just therapy—but true support .
Additional Resources:
- 📘 Check out Melanie’s book, Mom, I'm Mater: My Life as an Autism Mom – Visit www.mommater.com
- 📋 Starting an ABA practice? Get our free ABA start-up checklist here.
- 👥 Join the ABA Business Leaders Membership for exclusive resources, strategies, and business support – Learn more here.
