| Abstract: While applied behavior analysis is widely accepted as an effective treatment to reduce challenging behavior, access to services is often limited by insurance mandates, long wait lists, and limited providers in rural areas. Unfortunately, these barriers to access have detrimental effects on the individual and their families. Caregivers of individuals who exhibit challenging behavior experience high rates of stress, placing them at a higher risk for depression, social isolation, and other mental health disorders. As the gap in service accessibility widens, it is imperative to explore ways to evolve service delivery to reduce barriers and Telehealth may be an effective facilitator. As challenging behavior is often a critical issue due to family concerns over safety of the individual and others, it is a primary target in seeking to aid families in distress. Skill-Based Treatment is an intervention package grounded in the principles of trauma-informed care, which focuses on the reduction of challenging behavior while teaching the essential skills of communication, toleration, and cooperation. By using a web-based behavior skills training system that integrates both synchronous and asynchronous modes to teach skill-based treatment to caregivers, it may reduce cost and broaden access to those who are in most need in their most critical time of need. |