Pricing and Payment

Pricing and Payment

Call us and ask how your therapy may be covered entirely using government subsidies!

As of Januray 1st, 2014, our rates have increased from $41/hr to $45/hr. Sessions are available in 3 hour blocks. As we offer focused-ABA treatment, it is not necessary to do intensive hours with us (25-40 hours a week) as it is with other centers or organizations, but instead a minimum of 6 hours a week is required. Although most people know what the research says about intensive behavioural services (or IBI*), many people are unaware that ABA at any intensity is superior to other treatments for children with autism to improve global functioning1 2.

We understand that parents want the best treatment for their child, and that often the best comes at a higher cost, especially in models where there are credentialed individuals overseeing the practice. This is why we offer flexible hours for clients, and include everything in that price so that parents may supplement their hours through other means that we can help manage (parent training, home-based instructor training). Below is a list of all of the services that are included when a parent signs up their child at our clinic.

Center-based program:

When a client pays our hourly rate, they are receiving both direct and indirect services. The direct services are the 1:1 instruction, and the indirect services covered by our clinic are:
  • Supervision of the instruction by a certified behaviour analyst (BCBA and BCaBA), which comes to hundreds of hours over a year in this model
  • Data collection, graphing, maintenance and upkeep of binders
  • The making of any program materials (picture cards, cue cards, token boards etc…)
  • Reinforcers, toys, and all academic material required
  • Evaluations that need to be done to guide curriculum and track progress
  • The writing of program recommendations, behaviour protocols, and parent-objectives, and modifications to any of these things when necessary
  • Meetings of the clinic staff to discuss your child’s progress regularly, and to make changes as needed if no progress is made (these occur on a daily basis after clinic hours)
  • The parent meetings during which observations, training in basic procedures, and progress is discussed
  • Off-site consultations by our staff to other environments as much as required (daycares, schools, homes)
  • Any communications and the writing of all reports or recommendations for other organizations regarding your child
  • Training and ongoing supervision of a home-based ABA instructor/therapist to continue center-based objectives in the home
  • Training and ongoing supervision of a shadow or support worker in daycares or schools
  • Home-based programs

    In contrast, home-based based programs almost always require parents to pay for all of the additional, indirect service costs. Thus, although parents are initially drawn by the lower per hour price paid to instructors (anywhere from $12-$30/hr), they find themselves paying for a supervisor to oversee each element of the program (who usually charge anywhere between $40-$120/hr), and who, because of these higher costs of supervision, often come much less frequently (anywhere from 1-4 hours every 2 weeks). Additionally, parents will be required to pay for travel, materials, binder upkeep, and any reports or communications required at the very least. After adding up all of these ‘extras’ the center-based option is comparable in price.

    Lastly, when supervisors are only seen periodically, this can reduce the effectiveness of a program as more supervision hours are linked to better outcomes3. This is because it is the supervisor who must make decisions on when to change elements of program design, procedures, and behaviour targets and this is only done once every few weeks with a home-based model. Therefore, with a small difference in cost after all is accounted for, the superior quality of the center-based program is often preferred by parents and service providers alike.

    Finally, parents should always be wary of organizations that charge a high price per hour (i.e. over $30) for direct service only. This means, if an organization is charging you a price over $30/hour for home-based services, and that money is not going directly to your instructor, it should include the supervision and basic management of the program. Please feel free to contact us if you have any questions about the prices you are currently paying for your ABA services.

    Payment

    One major criticism of ABA services is the prohibitive costs of this intervention. As explained, the costs are high because it is 1:1 by nature, and a good quality program is supervised by credentialed individuals. Although Quebec is quite far behind in terms of having qualified practitioners (see http://www.bacb.com/index.php?page=100155 to search for certified individuals in Montreal), individuals living in Quebec can benefit from a specific medical expense program means that parents who pay income tax may receive some of the cost of ABA therapy back as a refund on these taxes (certain paperwork required). Please see http://www.revenuquebec.ca/en/citoyen/credits/credits/credits_reduisant/frais_med/ for more information on this, or contact us if you would like the contact info of an accountant who can help you access this program.

    Foundations

    There are also some foundations that have helped pay for ABA therapy for many of our clients. Although these are usually short term solutions, they do allow for the initiation of a behavioural program to be implemented and the staff to train the parents and other caregivers as much as possible in basic principles and procedures. Often, parents can use a grant from a foundation to pay for therapy while they are waiting to be picked up by the CRDI’s (government funded programs), and this can make a big difference in regards to the early onset of intervention, which is known to be a significant variable for best outcomes.

    * for an explanation of the difference between ABA and IBI, read Myra’s article for QcABA here http://www.qcaba.org/QCABA/Newsletter_files/InfoQcABAV1N2EN.pdf

    1 Eldevik, S., Eikeseth, S., Jahr, E., & Smith, T. (2006). Effects of low-intensity behavioral treatment for children with autism and mental retardation. Journal of Autism and Developmental Disorders, 36(2), 211-224. doi: 10.1007/s10803-005-0058-x

    2 Peters-Scheffer, N., Didden, R., Mulders, M., KorziliusLow, H. (2010). Low intensity behavioral treatment supplementing preschool services for young children with autism spectrum disorders and severe to mild intellectual disability. Research in Developmental Disabilities, 31, 1678–1684. doi:10.1016/j.ridd.2010.04.008

    3 Eikeseth, S., Hayward, D., Gale, C., Gitlesen, J-P., Eldevik, S., (2009). Intensity of supervision and outcome for preschool aged children receiving early and intensive behavioural interventions: A preliminary study. Research in Autism Spectrum Disorders, 3 (2009) 67–73


    Psychological diagnostic evaluations for autism, developmental delays


    OPQ Psychologists

    Anne-Marie Ghosn* & Sabrina Rangel* ‎514-441-9099
    English – Français – Español
    Snowdon metro (CDN)

    *Independent