TSS for autism questions.

How often should they rotate? My daughter has almost 40 hours a week during the school year with a TSS. She has all school hours and 5 home/community. And I am unsure how long the guidelines say one TSS should work with a child. The reason I ask if they are switching the TSS after one year this year prior we had the same one for 3 years. I am curious if this is a standard policy or a staffing issue with the company we are using. Thanks for any information!

Toxic Shock Syndrome?

Total Security Services?

Tideway Scullers School?

Turner Syndrome Support Society?

Traffic Safety Systems?

Those are the top few Google hits I get for TSS.

Is it really so hard to type out the words rather than forcing everyone to guess at the meaning of some obscure initials?

About as easy as adding autism to your google search to bring up Therapeutic Support Staff as the first hit.

Another option is this website: http://www.acronymfinder.com/TSS.html

If you select the “organizations and schools” tab, Therapeutic Support Staff is the first hit.

While I agree that the OP should have spelled out the acronym, njtt is being much too mean, I think. Consider this, njtt: when you live with something day in and day out, and everyone around you shares the same knowledge base, it’s easy to forget that the rest of the world may not instantly know what a “TSS”, or anything else, is. Heck, my mother once berated me for not spelling out DHL, back when overnight mailing services were a bit less well known than they are now. Who was being the irrational person, her or me?

Also, I suspect that the only people who can give meaningful answers to the OP are the ones who do already know what TSS stands for. It’s like someone asking “what’s this C-diff count mean?” If you have to look up what “C-diff” is, you aren’t going to be in a position to give an expert answer anyway.

And it seems that even those who already know what TSS means (or could easily deduce it from the context) don’t have much in the way of meaningful answers either …

My WAG would be, assuming a good TSS who is a good fit, that the fewer rotations the better for the kid. But I have no idea what is standard. Or if there even is a guideline.

I’d say it depends on the child and the TSS. 40 hours a week seems a lot with just one TSS (we call 'em Therapy Assistants and I didn’t know what a TSS was either). Both for the child and the TSS. Age too probably makes a difference with younger kids probably doing better with minimal change.

Part of ABA is getting the child to interact with more than just the immediate family. Working with a small number of TSS’ accomplishes that, and exposes your child to different styles.

In our case, school caregivers change with every grade. The about 20 hours of after school is split between 3 different TA’s. Works for my daughter.

I’m not sure if there is a “best practices” for length of time one-on-one aides spend on a case. On one hand, you don’t want aides changing so often that there is barely a settling-in period before the child has a new aide. I just came on as a supervisor for a case where the child had had four interventionists in the past six months. Frankly, I would consider that unacceptable.

On the other hand, being on a single case for so long can have disadvantages, too. The child and the aide may get tired of each other. The aide may become so accustomed to the child’s behavior that they stop seeing inappropriate behavior as a problem and start to let it slide. Also, there is the issue of generalization. If the child only works with one person full-time, for years as a time, they may never have the opportunity to generalize skills and compliance to other people.

I would consider a year a decent and acceptable length of time to for a one-on-one to work with a child, as long as there is overlap between the aides when transitioning and a supervisor who can manage the transition.

Thank you all for the information, it makes me feel a lot better about the changeover. The company we use had staffing issues and my daughter lost about 5 hours a week from her prescribed hours this summer and it was worrying me. We had a big changeover due to a very serious issue last year with some people at the company and I was also worried that may have played a part.

With my daughter unable to express her feelings in any way, I guess I get get scared when someone new is going to be spending so much time with her. She can use her sign language or Ipad to tell us her wants but emotions just escape her almost completely. :frowning:

This summer her hours where split between two, she also spent most of it in autism camp and/or ESY (Extended School Year) As far as I can tell all children in my daughters range have the same sort of hours with the same TSS through out the school year. It is every school hour covered, plus home and community.

This makes a lot of sense, but there will be no transition. I don’t know if my daughter is going to be hurt or not, she won’t tell us but it doesn’t make it not true. Jaelyn liked this TSS, would hug her when she seen her, would squeal when she seen her car pull in. And now she will never see her again, the company didn’t even think it was okay to send her one more week. We have the BSC Behavior Specialist Consultant doing her hours while the new TSS starts after we meet her sometime next week. Her replaced TSS has texted me about saying her goodbyes on the side, so I guess she will still have that.

All in all I understand a changeover. Especially after reading the above, I just think it could have been handled a lot better. If the TSS was burned out I would totally understand. But she said she had no say, and considering we just had our meeting 2 months ago and they said about her entering the school year with the same TSS it bugged me as well. Sudden changes suck :eek:

You have my sympathy. My son is 2 at the moment, and they were very clear with us up front that his current special instructor, speech therapist, and OT would only be with us until he turned 3. But six months before, we would start to work on a transition plan.

What state do you live in?

Good luck, and 40 hours per week must be fantastic.

I worked as a TSS for about three years. My agency didn’t have a policy of moving you off of a case after a set amount of time but if one did it seems reasonable for the reasons mentioned above.

That said, because you’re confused as to exactly why they’re changing your staff I assume that the agency hasn’t told you why they’re doing it. I could dream up reasons they’d have to hide the cause from you, but were I in your position it would make me dubious. Additionally, unless there’s something extraordinary going on I agree they’re handling the transition poorly. I am suspicious that there actually is something going on, though. If I have no information other than what you’d written and I had to put money somewhere I’d put it on your previous TSS having been fired.

The full time didn’t start until Jaelyn was 5. Which makes little to no sense to me since most books I have read says the best times are at the younger 2-3 years old range for intensive therapy. I live in Pennsylvania, and prior to that we had IIRC 10-15 hours a week.

The only really awesome thing is her autism teacher in school has been with her since kindergarten and will remain her teacher until sixth grade. So she will have that stable environment. Not to mention the classroom started with her kindergarten year and her teacher was first year so they bonded and have a nice bond. -