The Way We Work
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Clinical Corner
Portal Power
100

You join a scheduled session, but the client hasn't logged on yet. Give the steps you would take during that first 15 minutes while waiting.

What is: Text the parent at the 4 minute mark, call them at the 7-8 minute mark, then mark as a no show at the 15 minute mark if you haven't heard anything yet

100

true or false: a domain must be assigned to the target level


What is: True

100

How should a CCP respond when their partner urgently knocks on their office door during a session

What is: Tell your client one second, Put yourself on mute and turn your camera off, step out of the room, when you return thank your client for their flexibility


100

What is missing here in this goal statement?

"Josh will independently tact his own emotions, tact when he needs a coping skill and what coping skill he could use, and independently engage in the corresponding coping skill in 80% opportunities across 5 sessions"


What is:  a meaningful generalization component

100

If the clinician cancels the session due to the client being unable to maintain internet connection, the option to select in the portal would be?

What is: "client tech issues"

200

Oh no! A family sends you a message like this " We are sick tonight and need to cancel". How should a CCP respond?

 What is: I'm sorry to hear you are sick tonight. See you at our makeup time on Friday at 4pm! Please reply to confirm that this works with your schedule!

200

This must be created on Central Reach for all of your clients in order to collect and graph data during your direct sessions

What is:  " sessions"  (You should be creating sessions for all of your clients)

200

Uh oh, I'm a CCP and I woke up sick today.  What do I do?  - Name 3 things

What is: Submit PTO/rippling request, tell my CTL, inform my families, try to reschedule, submit for coverage sessions

200

Improve the below prompting procedures to include in an instructional note. 

Example: Use most to least prompting


What is: Add procedures with sufficient detail that another clinician could implement the program without observing (i.e., technological)

Example below:

Step 1: immediate full verbal model, Step 2: 2-second delay then full verbal model, Step 3: 4-second delay then full verbal model, Step 4: no verbal model

criteria to increase step: 3 consecutive correct trials (prompted or independent) at the current step

criteria to decrease step: 2 consecutive incorrect trials (prompted or independent) at the current step


200

How long should sessions be scheduled out on the portal calendar ?

What is: "6 months"

300

A client NCNS your scheduled session. They do not respond to you after 4 hours. What do you do next?

What is: notify your CTL immediately and move to step 1 of this remediation plan outlined in the Remediation for Family Commitment SOP".  If it was not emergency or illness. If after 4 hours and family notifies you that explains it was an emergency, discuss next steps with your CTL 

300

What type of goal should have data collected on every session, regardless of if they engaged in the behavior? 

AND-  How can we make sure that the data is automatically graphing for a score of 0 ?

What is "behavior reduction goals" and " by selecting 


Select Edit on the target graph, and Mark "Graph this branch automatically for score of Zero in Sessions"

300

You are in the process of completing an initial assessment. You spend two hours from 2:00-4:00pm on 3/10/25 writing the treatment plan. When is your session note due?

What is: Within 24 hours  ( before 4:00pm on 3/11/25)

300

Improve the below programming for generalization that is included in an instructional note. 

Example: probe across settings

What is: "revise the procedures to address how to promote generalization and maintenance rather than simply how to assess (i.e., measure) whether generalization and maintenance have occurred"

Example: See here from the previous roundtable

 https://docs.google.com/presentation/d/1Efb3rGEi-OKCPpNT564aBTI-ztisUYf6084j5Y5Vts0/edit#slide=id.g2d41e1f07aa_2_496

300

When your client is up for reauthorization, what task do you need to complete first in the portal?

What is "Hit the  acknowledge button  for Step 1: Re-Auth Process Initiated in the portal "

400

Uh oh!! I can't remember how to run the AFLS?!?! I also don't know where to find it?! What's the first thing I should do?

What is: Check intercom, type AFLS into intercom, how do I run assessment in intercom, where do I find assessments in intercom

400

The standard AnswersNow Learning Tree Template is periodically being updated to reflect important clinical changes. How would you pull in any new branches to the learning tree for your clients? 

What is " Click on the domain, select add branch, select library, then check if branches need to be added. Then hit add selected" 

400

I think my client needs a tablet, what do I do? 

AND For extra points, name two things you SHOULD NOT do

What is: follow the escalated tech request SOP, complete an escalated tech form

What is: slack Hylary, fill out the tablet request form myself, slack my lead, conduct all future sessions on google meet, slack Nicolas 

400

The below goal statement does not meet medical necessity. How can we improve it?

Josh will answer 50 "wh" questions  in 80% of opportunities across 3 consecutive sessions and 2 caregivers (e.g., parent, clinician).

What is: revise the goal and targets to address areas of medical necessity and to be socially meaningful and individualized to the client and family

Example: 

Josh will answer 10 intraverbal questions related to personal and family information (e.g., What is your phone number? What is your dad's name?) in 80% of opportunities across 3 consecutive sessions and 2 caregivers (e.g., parent, clinician) 



400

A family asks for Dad's email address and phone number to be added to the portal. How would you do this?

What is: "go to the client's portal profile, select edit, then input their email address and send"

500

It's time for you to begin working on your client's reassessment. Name 3 things you must complete

What is: CFQL, Vineland, Client Outcomes Survey

500

I am having a big CR issue that I haven't seen before. I have searched intercom, referenced trainings, and cannot figure it out. What can I do?

What is: ask my CTL or Jen

500

Name 3 examples of criteria that warrant an escalated tech support request

What is: The CCP has utilized at least 3 potential solutions to technology barrier AND the issue has been escalated to Intercom support staff (humans via the “Talk to a Person” option) at least 1 time AND  2 sessions have been severely impacted in a 2-week span (severely = 75% of session is non-billable due to tech issues)  

OR Upload or Download Speed are 10mbps or below across 2 calls in a 2 week period with severe impact due to tech issues


OR family does not have a suitable device for therapy (ex. Family only has a phone for services)


500

These procedures can be problematic. How so? And how should they be revised?

Example: When Josh begins to engage in tantrum behavior, prompt the parent to divert attention and respond neutrally only until Joshua has calmed.

What is: "procedures should be reinforcement-based and should generally avoid use of punishment or extinction"?

Example: Prompt the parent to reinforce Joshua's precursor behavior to decrease the probability of increasing the intensity or duration of challenging behavior. Once Joshua is present as relaxed and engaged, arrange a teaching opportunity by presenting the EO / SD again, immediately prompting an FCR, and immediately reinforcing the FCR.

500

Where would you look up details on a client's authorization? Give me two ways

What is: going to their client's profile in the portal under providers and insurance and you can look at the docs uploaded in the portal from insurance, or scroll down and look at "ongoing authorization" to see the dates and units

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