01/21/2026
🎯💯 Yes! And the same goes for schools - a child’s time is best spent in meaningful & purposeful activities; not mindless or frustrating busywork 🫶
Let’s talk about goal selection.
Puzzles can be a completely appropriate skill for some learners. But goals should always be selected based on meaningful outcomes, not just on whether a skill is listed on an assessment.
When a 10-year-old with a Level 3 autism diagnosis who is non-speaking is spending therapy time learning to complete a 3-piece puzzle, even when they still need significant support with hygiene tasks or engaging in self-injurious behavior (SIB), it is worth pausing to ask an important question: How does this goal meaningfully improve this child’s life?
Early in my career, I didn’t think to question this approach. I would take a learner’s assessment and build programs directly from it without fully considering the child’s context, family priorities, or values. I now see how easy it is to end up teaching skills that are measurable but not meaningful. This happens when assessments become the curriculum instead of the tool they are meant to be.
And, honestly, this happens because we are tired. We are overworked and, when insurance pushes back on goals, it is easier to pick skills that are easy to measure or check off the sheet. But measurable does not always equal meaningful.
Values-based, socially significant goals prioritize skills that increase independence, safety, dignity, communication, and access to joy. Teaching hygiene routines, supporting tolerance for daily care tasks, establishing functional replacement behaviors for SIB, and expanding ways to experience preferred activities directly impact a learner’s quality of life. Teaching a simple puzzle often does not.
Assessments are meant to inform our clinical decision-making, not replace it. When assessments are treated as the curriculum, we risk prioritizing easy-to-measure skills over skills that are truly meaningful to the learner and their family.
Our role as BCBAs is to each the skills that matter most: skills that support dignity, safety, communication, and joy.