What Direct Therapy Looks Like
Direct treatment is delivered by an RBT who provides the majority of therapy hours and works directly with the child in real-life environments. Direct Treatment includes:
- Skill building throughout daily routines
- Teaching communication, social skills, and independence
- Supporting transitions, mealtime, play, and self-care
- Using structured teaching when appropriate (e.g., table-top
- learning)
- Prompting, modeling, and reinforcing positive behaviors


How Skills are Taught
Therapy includes teaching communication, social skills, independence, and daily living skills. If a child receives a high level of services (for example, up to 40 hours per week), the RBT typically provides 32–35 hours of direct support.
Techniques such as prompting, modeling, and reinforcing positive behaviors are used to help children learn.
Real Life Application
Therapy takes place during everyday routines such as transitions, play, meals, and self-care to support practical skill development. Therapy is not limited to sitting at a table — it happens where real life happens.
