River City Therapy Center

River City Therapy Center River City Therapy Center (RCTC) is a developmental and behavioral health care provider in Red Wing, MN.

05/10/2026

⭐External Reinforcement Isn’t the Enemy: A SMART Perspective on Behavior Change⭐

Over the past 5–10 years, there has been a growing trend in behavior analysis to move away from external reinforcement systems. Some critics label them as bribery, argue that they reduce natural motivation, or claim they are ineffective or lead to unnecessary complications.

And to be clear, when reinforcement is implemented incorrectly, those concerns can absolutely be valid.

But dismissing external reinforcement altogether is a mistake.

At Advancing Behavioral Solutions, we take a SMART approach to behavior change, one that is Safe, Meaningful, Achievable, Responsive, and Therapeutic. When viewed through this lens, the value of well‑designed reinforcement systems becomes not only clear, but essential.

⭐Why Reinforcement Matters
External reinforcement teaches individuals to value things outside of themselves. That may sound counterintuitive in a world that prizes intrinsic motivation, but from a behavioral science perspective, it’s foundational.

If we look at the philosophical roots of behavior analysis, particularly selectionism and determinism, we gain clarity on how behavior develops and why it persists.
· Selectionism refers to how behaviors are acquired and maintained over time.
· Determinism means that behavior happens for a reason; it is not random.

In simpler terms: we learn how to behave from our environments and the people in them. When behaviors don’t emerge naturally through biology or observation, they develop through repeated, direct, and contingent experiences that shape future behavior.

For the sake of this discussion, we’ll focus on two of the three core contingencies that shape behavior:
· Reinforcement: consequences that increase the likelihood of a behavior happening again (keep in mind personally desirable)
· Punishment: consequences that decrease the likelihood of a behavior happening again (keep in mind personally undesirable)

⭐Internal Experiences Aren’t Universal
No one learns exclusively by observation, and no one behaves exactly as their biology “intended.” Each person has internal processes that filter experiences through their own lens, producing feelings and emotions that ultimately shape values, preferences, likes, and dislikes.

The differences in internal experiences matter.

⭐A Cultural Example: Small Talk
In the United States, particularly in the Midwest, greeting strangers and engaging in small talk is culturally expected and learned through observation. For many people, this behavior is maintained by intrinsic reinforcement: it feels good.

But not everyone has that experience.

· Some people feel neutral about small talk and simply don’t seek it out.
· Others feel genuine discomfort, or “bad” feelings, when engaging in it.

Neither experience is wrong. They’re just different.
Problems arise when cultural expectations collide with internal realities.

⭐When Punishment Enters the Picture
Imagine someone who dislikes small talk and is scolded for being “rude.” Depending on the interaction between internal discomfort and external consequences, one of several things might happen:

📌Scenario 1: Compliance Through Distress
The scolding feels worse than small talk, so the person engages in small talk to avoid punishment. This may please others, but at the cost of ongoing personal distress, often leading to larger issues over time.

📌Scenario 2: Persistent Avoidance
The scolding feels less distressing than small talk (or not punishing at all), so the person continues avoiding small talk despite social consequences.

📌Scenario 3: Nervous System Overload
Both the scolding and the small talk feel equally distressing, triggering fight, flight, or freeze responses and placing the nervous system under significant strain.

📌Scenario 4: Reinforced Avoidance
The scolding itself is rewarding, perhaps because it brings attention. Avoidance of small talk increases, even though the response looks “negative” from the outside.

This is why punishment‑based approaches are risky, particularly when internal experiences are ignored.

⭐When Is External Reinforcement Helpful?
Small talk isn’t usually worth sustained intervention unless it aligns with someone’s personal values. But many avoided behaviors do matter to individuals when they correlate with their own long-term goals or values.

So how do we support behavior change when internal motivation isn’t there?

⭐The Answer: External Reinforcement
📌General Criteria
External reinforcement is appropriate when:
· The behavior relates to the person’s values or long‑term goals (family, health, independence, aspirations, etc.).

📌Therapeutic Criteria
In addition to the general criteria, external reinforcement is critical when:
· The behavior directly impacts the person’s independence and quality of life within their environment.

⭐A More Meaningful Example: Exercise
Exercise is a near‑perfect illustration.

Many people dislike exercising at first but value being healthy. To bridge that gap, they create their own reinforcement systems:
· Days off from training
· “Cheat” meals
· A favorite drink or shake after consistent workouts

Over time, the external reinforcement fades because the outcomes (such as feeling stronger, healthier, more capable) become reinforcing on their own. This is a self-management strategy, and it works.

⭐When Reinforcement Is Essential
Now consider someone who:
· Has no internal desire to exercise
· Experiences significant discomfort when trying
· Is told by a doctor they are at serious medical risk

The threat of long‑term consequences (like a heart attack) can feel too abstract to drive change. In those situations, external reinforcement may be the only way to initiate behavior change, at least at first.

Now imagine a young adult with severe intellectual disabilities whose mobility and health are compromised by weight. In this case, a therapeutic level of reinforcement may be necessary:
· Higher levels of reinforcement initially
· Gradual fading toward more natural contingencies
· Ongoing responsiveness to the individual’s needs

This approach isn’t coercive, it’s compassionate, ethical, and aligned with long‑term independence.

⭐A SMART Takeaway
External reinforcement isn’t a failure of motivation. It isn’t bribery. And it isn’t inherently harmful.

When used thoughtfully, it is:
· Safe: avoids coercion and emotional harm
· Meaningful: connected to personal values and goals
· Achievable: supports behavior before intrinsic motivation exists
· Responsive: adapts to the individual’s internal experience
· Therapeutic: builds independence and quality of life
External reinforcement may not originate from within us, but it can help us become who we want to be.

And that makes it invaluable.

Advancing Behavioral Solutions, also known as River City Therapy Center, is committed to practical, ethical, and compassionate behavior change rooted in evidence‑based practice and respect for individual experience.

Send a message to learn more

We are hosting Achieve Health & Wellness, LLC for Adaptive Bike Day, featuring Freedom Concepts - an adaptive equipment ...
05/04/2026

We are hosting Achieve Health & Wellness, LLC for Adaptive Bike Day, featuring Freedom Concepts - an adaptive equipment provider that specializes in designing and building bikes and other resources for individuals with reduced mobility.

Come check it out from 1-6pm on Tuesday, May 5th!

To help bridge the gap between temporary payment delays, we have launched a T‑shirt fundraiser, and this is where you ca...
04/17/2026

To help bridge the gap between temporary payment delays, we have launched a T‑shirt fundraiser, and this is where you can make a real difference. We are kindly asking you to share the fundraiser with:
⭐️Family and friends
⭐️Coworkers
⭐️Neighbors
⭐️Faith, school, or community groups
⭐️Anyone who believes in supporting rural communities and local care for individuals with disabilities

Every share helps reach new people, and every shirt purchased directly supports:
💙Continued access to developmental and behavioral health services
💙Local, rural employment for those who provide those services
💙The wellbeing of families who rely on care within 30 minutes of their home.

Our message is simple and sincere:
❣️Rural care. Real people. Real jobs.
❣️Supporting rural services means protecting rural communities.
❣️And strong local care means strong rural communities.

Every dollar counts! Thanks for your support!

We are starting another fundraising campaign - Support a Rural Developmental & Behavioral Health Provider (that's us!) b...
04/16/2026

We are starting another fundraising campaign - Support a Rural Developmental & Behavioral Health Provider (that's us!) because Protecting Rural Services Means Supporting Rural Communities.

We have two new T-Shirt designs specifically for this campaign. Here's the link to the River City Therapy Center one: https://www.bonfire.com/rural-care-real-people-real-jobs/

General rural community one (with our logo!): https://www.bonfire.com/strong-local-care-strong-rural-community/

Individual links also in the picture captions!

04/16/2026

Our website received a Glow Up! As a part of our rebranding to encompass more of what we offer to the community, we updated our website to our DBA name Advancing Behavioral Solutions. Check it out here:

We have officially been impacted by payment delays. Please, consider donating today.
12/29/2025

We have officially been impacted by payment delays. Please, consider donating today.

DHS Payment Pause Threatens Critical Developmental & Behavioral Health ServicesGoodhue County, Red Wing, MN, 11/1/2025Dear Community & Additional Supporters,We, River City Therapy Center, are reaching out to share an urgent situation impacting our organization and many others across Minnesot...

We just launched a new T-Shirt Design "I Teach Kids ... to talk back" to promote awareness on what we do, have a little ...
11/06/2025

We just launched a new T-Shirt Design "I Teach Kids ... to talk back" to promote awareness on what we do, have a little giggle, and continue to raise funds during the DHS payment pause!

Check it out here and feel free to check out the rest of our merchandise store:

Functional Communication includes self advocation, no matter the form!. We are an ABA center that prioritizes functional communication, no matter the form! We serve individuals...

https://campaigns.donately.com/t005/landing?account_subdomain=rivercitytherapycenter&campaign_id=cmp_d5826721e6dbUrgent ...
11/01/2025

https://campaigns.donately.com/t005/landing?account_subdomain=rivercitytherapycenter&campaign_id=cmp_d5826721e6db

Urgent Community Update: DHS Payment Pause Threatens Critical Services
Goodhue County, Red Wing, MN, 11/1/2025
Dear Community Members,
We are reaching out to share an urgent situation impacting our organization and many others across Minnesota.
On October 29, 2025, Governor Tim Walz announced a pause on payments for 14 Medicaid services for up to 90 days while a third-party audit reviews claims for potential fraud. This action, outlined in the Governor’s press release, aims to restore public trust after widespread fraud concerns:
“We cannot effectively deliver programs and services if they don’t have the backing of the public’s trust. In order to restore that trust we are pumping the brakes on 14 programs that were created to help the most disadvantaged among us, yet have become the target of criminal activity.” – Governor Tim Walz
While we support efforts to protect taxpayer dollars and to ensure the integrity of healthcare service delivery, this pause poses a serious threat to ethical providers like us. In fact, our organization was fully audited by DHS in October 2024, among all other EIDBI providers in the state, and found to be compliant. We have consistently demonstrated integrity in billing and service delivery.
Why This Matters
• Payments may be delayed up to 90 days, leaving providers without reimbursement for services already delivered.
• For us, this means risk of service termination, staff layoffs, and even closure if we cannot cover payroll and operating costs.
• In 2024, we paid $1.1 million in payroll, supporting over two dozen jobs and providing essential care to families.
Our Proven Impact
• MN Early Intensive Developmental and Behavioral Intervention (EIDBI) Average Program Length: 3 years
• River City Therapy Center (RCTC) Applied Behavior Analysis (ABA) Program: 1.71 years (42% faster) with 80% success rate (graduated versus referred for higher levels of care)
• RCTC Multi-Systemic Therapy (MST) Program: 0.49 years (600% faster) with 75% success rate (graduated versus referred for higher levels of care)
• Combined Programs: Average 1.21 years (321% faster) with 78% success rate
We are a community staple, delivering outcomes faster and more effectively than statewide averages, while maintaining high success rates.
How You Can Help
We are working to secure lines of credit to keep our doors open, but we need your help to bridge this gap. We are asking for donations to support payroll during this 90-day period so we can:
• Continue serving vulnerable families
• Preserve local jobs
• Ensure ethical providers remain strong
Please donate today: https://campaigns.donately.com/t005/landing?account_subdomain=rivercitytherapycenter&campaign_id=cmp_d5826721e6db

Your support ensures that our staff can keep working and our clients can keep receiving the care they need. Help us bridge the gap and continue the work that matters most.

Thank you for standing with us during this challenging time. Together, we can ensure that our community continues to thrive.
With Gratitude,

Kylie Balaun, M.S., LBA, BCBA
Executive Director
River City Therapy Center

Happy Halloween, from our amazing team to you!
10/31/2025

Happy Halloween, from our amazing team to you!

https://www.facebook.com/share/14HCCHLY2w6/?mibextid=wwXIfr
08/29/2025

https://www.facebook.com/share/14HCCHLY2w6/?mibextid=wwXIfr

Let’s get one thing straight, when we say “autistic people have a strong sense of justice,”
it means sticking to firm beliefs about what is right and wrong, no matter the situation. That’s it. That’s all it means.

The scene in the photo depicts what most of us would call “vindictive” behavior.
But from the perspective of the autistic character I’m playing…
intentionally dumping my classmate’s markers onto the floor is justice being served.

As the story goes, my “classmate” left his toys out, causing me to trip…which messed up the jumping jacks that I was actively attempting to demonstrate.
So naturally, since HE left out the toys,
(which messed me up)…I have to do something to mess him up in return.

In terms of autistic people having a “strong sense of justice”, for many, there’s almost no room for flexibility, nuance, or context — it’s about following the rule exactly as it is understood, even if it causes problems.

So here’s a general framework for how to help folks in these types of scenarios:

▪️Both/And Thinking
Example: “Yes, cleaning up is important and sometimes people make mistakes when they don’t mean to.”

▪️Perspective taking
Instead of “he left his toys out on purpose”…maybe, “he meant to clean up, but got distracted by something else and then forgot”

▪️Model Flexible Language
There are “must/always/never” rules
and there are also “sometimes/often/usually.” rules.
SOMETIMES, mistakes happen.

In conclusion, rules matter deeply to many autistic people.

For those in a support role, show how rules can bend, shift, or make room for compassion.

If we can build skills like perspective-taking, and flexible language,
we can learn to navigate rules in ways that work better for everyone.

08/22/2025

📢 Operational Update – Monday, August 25th

River City Therapy Center's facility will remain closed on Monday, August 25th as we continue working with authorities and specialists to complete additional testing. Our hope is to resume operations on Tuesday, August 26th, pending clearance and confirmation that it is safe to do so.

In the meantime, we are offering in-home services on Monday for clients who wish to receive them. Your Clinical Supervisor will be in touch to coordinate scheduling and support.

Thank you for your continued patience and understanding as we prioritize the health and safety of our clients and staff.

Send a message to learn more

Address

4911 Learning Lane
Red Wing, MN
55066

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 4pm

Telephone

+16513603202

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