Clinical

Learn / Clinical Branch Types

There are several branch types in learning trees. The cumulative and data collection branches are used most frequently to build programming and analyze progress.

The different branch types are:

  • Cumulative
    • Displays graph of goals mastered over time (Automatic-Indirect Data Collection).
    • Most commonly used for long term and short term goals.
    • Resources (e.g. videos, tests, forms, files, etc.) can also be added to this branch.
  • Data Collection
    • Displays the standard data graph (Manual-Direct Data Collection).
    • Most commonly used for targets.
  • Library
    • Ports programming from an existing learning tree library template into a new template.
  • Resource
    • Typically only used with LMS.
    • The different types of resources include:
      • Pages: Additional placeholders 
      • Videos: Display of pre-recorded videos
      • Files: Document storage 
      • Q&A Test: Quizzes
      • Forms: Checklists 
    • Please note, Resource branches only show the branch description and comments in the session. Attaching a second-tier, short term goal will display the targets ordered below it in the session. However, adding any information to the “Branch Description” will show on the Resource page.

Learn / Clinical Combined Graphs

Combined graphs are “session types” used for data collection and are listed under the “data type” in the Learn module.

To use “combined graph:”

  1. Set up other target branches and take data on the other data collection branches first
  2. Use “combined graph” to select the other data collection branches, and compare multiple data paths on one graph
    • This is an additional target to set up for a combined graph

Learn / Clinical Edit an Active Session Date and/or Time

The following users can edit active session date/times:

  • Org accounts
    • Can edit session times of a session another user started
  • Anyone with access that has collected time
    • For example, if user A collects time and user B opens the session without collecting data, user B cannot edit the session time

Click here to learn how to edit an active session date and/or time.

Learn / Clinical Goals List

The Goals List is a premium feature that can be accessed by navigating to the Clinical module and then selecting Goals List. View a snapshot of how all of your clients’ goals and targets are progressing, by filtering the list using the search bar, or clicking the funnel icon to the right of the Clients and Goal columns.

The Goals list includes the following columns:

  • Type: long term, short term, or target level
  • Status: on hold, not active, in progress, met, or discontinued
  • Domain: chosen domain from that branches goals details menu
  • Phase: current phase for all data collection branches. This column will be empty for all levels designated as cumulative goals
  • Date Initiated: date goals were put into progress
  • Progress: number of sub branches that are mastered
    • For example, “9 of 11” means that 9 out of 11 goals are marked “mastered” in the client book
  • % Completion: equals the number of mastered targets/total targets X 100
  • Graph: view target goals
    • Method: data collection type for each target
      • Baseline: average score for target
      • Intervention: average intervention score for target
        • Count: number of data points graphed in intervention
    • Trend: mathematical trend of graphed data
      • Green: a desired trend (E.g. increasing skill acquisition and decreasing behavior reduction)
      • Red: an undesired trend (E.g. decreasing skill acquisition and increasing behavior reduction)
      • Yellow: not an increasing or decreasing trend
    • Score: last graphed entry for target

Click here to learn how to view the Goals List.

Click here to learn how to download the Goals List report.

Learn / Clinical Group Sessions

Group Sessions is a premium feature that allows you to create single-use sessions for individual clients or Classrooms for continuous sessions with 2-6 clients. Classrooms are created and saved over time under group sessions for students who are continuously paired together and allow quick access to start a social skills group, a lunch bunch, or other paired situations.

Click here to learn how to create a group session classroom.

Click here to learn how to create a one time group session.

Learn / Clinical Learning Tree Labels

Organizations use Learning Tree labels to label branches with keywords or phrases, making it easier to search and filter through the Goals List. Also, labels help organizations effectively conduct quality control reports on programming.

  • Examples of Learning Tree labels are:
    • High Intensity Aggression
    • Core Skills
    • Toileting

Learning Tree labels carry over when:

  • Copying a branch in a client’s learning tree
  • Pulling over branches from library templates that have Learning Tree labels
    • Labels will carry over into your client’s personal learning tree

Click here to learn how to add labels to a learning tree.

Learn / Clinical Learning Tree Options: Access and Sharing

When creating or editing a learning tree, the following access and sharing options are available to control who can view or edit the learning tree:

  • Can Edit: allows the user to view and modify anything within the tree
  • Read Only: grants the user access to the tree, but will not allow them to make any modifications
  • Remove Access: click the trash can  icon next to any contact to remove them from the tree

Click here for a list of permissions in the Clinical module.

Learn / Clinical Learning Trees

Learning Trees are clients’ program books or binders and can be accessed and built by navigating to the Clinical module and selecting Learning Trees.

  1. Learning trees allow clinicians to:
    • Develop custom programming
    • Modify existing curriculum templates
    • Automate graphing and adjustment of visual displays
    • Entry of Phase Changes, Event, & Goal Lines

2. The learning tree structure serves three different functions:

  • Clinical
    • Learning trees in the clinical section are used as program books for specific clients. They become part of a client’s personal medical records and cannot be shared or reproduced
  • Courses
    • Learning trees in the Courses & Trainings section are used to create CEU courses, or staff training for employees of an agency. Employee progress can be tracked, and certificates of completion can be generated
  • Library Templates
    • Learning trees in the library section are generic program templates that can be used repeatedly and either assigned to a client, or imported into a client learning tree, and then modified to meet individual needs. These are most often used to create goal banks in an agency

Sessions

Information about electronic data sheets in Sessions

Learn / Clinical Sessions

Sessions are CentralReach’s electronic Data Sheets and can be accessed by navigating to the Clinical module and selecting Sessions.

Here, therapists can:

  • Access a session timer and see all of the targets a client is currently working on
  • Take data on the targets, according to the prompting and data collection types you establish
  • See instructional notes on each target
  • Write comments about each target
  • Graph and see graphed data on the most recent data points and prompts used
  • Pin targets (like ABC data collection targets) to one location for easy access

Learn / Clinical Understanding Data Collection Types

The following data collection types are available within the Data Collection Details section.

To configure learning tree targets data collection types:

  • Percent Correct: scores a plus for correct responses and a minus for incorrect responses. Add prompt strategies and record if the student was correct or incorrect while using a given prompt. The total percentage will be calculated as the plus quantity divided by the total opportunities
    • or x and Independent Coding of an entire Prompting Hierarchy (+ or x)
    • Calculated as Number correct/total trials
    • 0-100 Y-axis
    • Uses: Skill Acquisition (Discrete skills)

  • Percent Independent: scores either independent, no response, or error, with the option to add prompt strategies. Set up prompts to track. “Independent” and any clicked prompts, score a plus, while “NR” and “ERR” score a minus. The total percentage will be calculated as the plus quantity divided by the total opportunities
    • Independent, Error, No Response, or single Prompt
    • Calculated as Number independent/Total opportunities
    • 0-100 Y-axis
    • Optional: count prompts as negative (E.g. Failed trial if prompt used) and ability to set up a default on the user’s device to always count prompts as negative
    • Uses: Skill Acquisition (Requesting & Activities of Daily Living)

    • Duration: duration will calculate the length of a specific behavior. You will be prompted to either enter the length of a behavior or use a timer while in “session”
      • Start/Stop
      • Calculated as Total Time
      • Y-axis adjusts based on bounce envelope
      • Can graph by duration of episode or total duration
      • Uses: Activities/Behavior (Total time)
  • Task Analysis: set up a number of trials and the steps to follow. As defaults, “independent” and any clicked prompts score a plus, while “NR” and “ERR” score a minus. Options include Whole Chain where each step is scored, and Forward/Backward Chaining where only the current step is scored. The graphed value will reflect the percent of all correct steps divided by all total steps scored
    • Independent, Error, No Response, or Single Prompt
      • Calculated as number independent steps/total number of steps
      • 0-100 Y-axis
      • Optional: “Count prompts as negative” (E.g. Failed step if prompt used) and ability to set up a default on the user’s device to always count prompts as negative
      • Auto Generated Systematic Prompt Fading (E.g. Criterion moves from most to least for each step)
    • Uses: skill acquisition (Sequence Programs, Echoic Breakdowns, and Activities of Daily Living)

  • Rate: calculates the frequency of instances a behavior has over a time interval. CentralReach calculates rate as a per minute sample. The graphed value is the rate of behavior per minute
    • Timer and + or –
    • The user can adjust axis (E.g. Same visual display – dynamic Y-axis)
    • Identical Raw data vs Graphed Display
      • Minute Display: 1-hour timing with 60 instances = 1/min
      • Hour Display: 1-hour timing with 60 instances = 60/hour
      • Entire Day Display equal to 1-hour timing with 60 instances equal to 1440/day
    • Caution: entire day display (assumes learner engages in behavior continuously) Calculated as behavior/minute (Default)
    • Uses: Skill Acquisition/Behavior (Tracking how often behavior is occurring)

  • Rating Scale: rates a behavior or skill from 1 to 5. If running multiple trials, the final score will be the average rating of all trials
    • 0-5 Slider Bar (Liker Scale)
    • 0-5 Y-axis
    • Uses: Behavior (Magnitude)

  • Score: calculates a final number for behavior tracking. In a session, the “score” method of input is a keypad
    • Keypad
    • Calculated as total number
    • Y-axis adjusts based on bounce envelope
    • Uses: Skill Acquisition (Total Values of worksheets)
      • Frequency is advised as an alternative to this data type

  • Time Sampling: used for partial or whole interval recording, as well as momentary time sampling. An audio alert will tell you when to enter data. The graphed calculation will be a percent of the intervals with a score divided by total intervals
      • Timer and or x calculated as number of intervals with/total intervals
      • 0-100 Y-axis
      • Set interval length and number of intervals (beep at end)
      • Timer start may be tied to data sheet timer
    • Uses: Skill Acquisition/Behavior (Tracking if behavior occurred in set intervals)

  • Frequency: calculates the number of instances of a behavior or skill
    • + or – and/or numbers may be typed in
    • Calculated as total number (+ increases the total count, – decreases the total count)
    • Y-axis adjusts based on bounce envelope
    • Uses: behavior (Total Count)

Learn / Clinical VB-MAPP

CentralReach offers an electronic version of the Verbal Behavior Milestones Assessment and Placement Program (VB-MAPP), a commonly used language assessment tool for individuals with autism or other developmental disabilities. This scoring protocol is the same version of B.F. Skinner’s behavioral analysis of language, verbal behavior, and establishment of developmental milestones and includes all of the features that many BCBAs are already familiar with. These components include the Milestones Assessment, Barriers Assessment, Transition Assessment, and Early Echoic Skills Assessment (EESA).

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  • The colorful scoring grids allow users to view the scores of each component, broken down by each level.
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  • Therapists can also auto-generate reports based on the child’s performance.
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  • Users can compare up to 4 assessments for an easier, at-a-glance view of each performance!
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To have this feature enabled in your account, or to inquire about pricing, please open a support ticket and one of our representatives will provide more information.

Learn / Clinical Video Resource IDs

When adding a video resource branch type to a Learning Tree, there are four options to choose from:

  • Upload: upload a file from your computer. The maximum size is 1GB
  • YouTube: you will be prompted to enter a YouTube ID. The YouTube ID is included within the URL of the YouTube video you are adding to the branch, and is the value of the last section of the URL after the equal (=) sign
    • https://www.youtube.com/watch?v=7K5d5C_xvro
      • YouTube ID: 7K5d5C_xvro
  • Vimeo: similar to YouTube, you will be prompted to enter a Vimeo ID. The ID is included within the URL of the Vimeo video you are adding to the branch, and is the value of the last section of the URL after the (/) sign
    • https://www.vimeo.com/VIMEO-ID
  • Existing Resource: an item from the Resources module