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More RBTs, More Progress: How ABA Therapist Variety Builds Stronger Skills
In the world of ABA therapy, success truly takes a team. It’s part of why we at FOCUS Therapy prioritize a multidisciplinary approach, facilitating collaboration with therapists in other practice areas, such as speech and occupational therapy. But it’s also why we structure our Fort Myers ABA therapy sessions a bit differently than some other clinics.
Our approach to ABA involves assigning multiple, rotating behavior therapists to work with each patient, rather than assigning them one person with whom they’re always paired.
Many ABA clinics will assign a single Registered Behavior Technician (RBT) to each child. This one-to-one matching is often done for scheduling convenience. There’s no doubt it’s beneficial for administrative simplicity, and it also has the upside of creating a measure of consistency – which is important with any kind of therapy.
That said, we’ve found that this 1:1 approach can actually limit a child’s potential for developing truly functional skills. At FOCUS, we’ve intentionally designed our program to incorporate variety. Our Fort Myers ABA therapy clients work with 2-3 different behavior therapists throughout the day, and they may interact with 10-12 different professionals total (RBTs, occupational therapists, speech-language pathologists, etc.) throughout the week.
The advantage here stems from the fact that not every therapist is going to take the exact same approach. The slight variations that inevitably result with a variety of providers – each bringing their own unique experience and perspectives – means the child gets the chance to learn and practice these critical skills even when not all circumstances are exactly the same from day-to-day. This is a key part of something called “generalization.”
The Science of Skill Generalization
The cornerstone of effective ABA therapy isn’t just teaching skills. It’s teaching skills that can be applied across different environments, with different people, and in varying situations. This is what behavior analysts call “generalization,” and it’s absolutely essential for the real-world success of our patients.
When a child learns a new skill with only one therapist, they may become dependent on that specific person’s prompting style, voice, or even appearance. This can create what we call “therapist dependence,” where skills only emerge in the presence of that particular adult.
Research consistently shows that children who learn to perform skills with multiple adults are more likely to:
- Transfer those skills to new environments
- Maintain skills over time
- Apply learned techniques in natural settings like home and school
- Adapt their communication to different social partners
How Multiple Therapists Enhance Learning
Consider this common scenario: A child is working on identifying objects (known as “tacting” in ABA terminology). At FOCUS, one therapist might use a dollhouse to practice naming rooms, while another might take the child around the actual clinic to identify the real kitchen, bathroom, and front door.
This variety provides several distinct advantages:
- Multiple Learning Contexts. The child learns that “kitchen” means both the miniature room in the dollhouse and the full-sized room where people prepare food, strengthening their conceptual understanding.
- Varied Teaching Styles. Each therapist brings their unique approach, voice, and interaction style. This diversity helps the child adapt to different communication partners.
- Generalized Responding. When a child can demonstrate a skill with multiple people in various settings, we gain confidence that they truly understand the concept rather than just responding to specific environmental cues.
- Increased Engagement. Different therapists introduce novel energy and teaching approaches, preventing the monotony that can develop in long-term, one-on-one relationships.
Benefits Beyond the Client
Our multiple-therapist approach doesn’t just benefit the children we serve—it creates a more engaging and sustainable environment for our professional team as well.
For RBTs and other therapy providers, working with multiple children throughout the day provides:
- Professional variety that prevents burnout.
- Exposure to different skill levels and teaching challenges.
- Opportunities to learn from colleagues’ approaches.
- A more dynamic workday with natural breaks in intensity.
- Greater job satisfaction and professional growth.
This approach makes FOCUS an attractive workplace for talented professionals seeking meaningful variety in their clinical practice. The fresh energy and engagement our therapists bring to each session directly benefits the children they work with.
A Day at FOCUS: Consistency Without Uniformity
While children at FOCUS interact with multiple therapists, their treatment remains coordinated and consistent. Each child has a single treatment plan that all team members follow, with skills and objectives that remain consistent regardless of which professional is providing the session.
The difference lies in implementation. One therapist might practice following directions during an art activity, while another addresses the same skill during outdoor play. The objective remains consistent, but the multiple contexts significantly enhance the child’s ability to generalize.
Making the Shift to Multiple Therapists
For families considering ABA therapy, the multiple-therapist model initially raises concerns about consistency and relationship-building. However, we’ve found that children quickly adapt to working with different adults and often thrive with the variety.
The key lies in our coordinated approach: all therapists access the same treatment plan, data collection systems, and regular team meetings ensure everyone remains aligned on each child’s progress and needs.
Preparing for Real-World Success
At FOCUS, our multiple-therapist approach reflects our core philosophy: Therapy isn’t about teaching children to perform in clinical settings. It’s about preparing them for success in the diverse, unpredictable real world.
By learning to apply skills with different people and in various contexts, children develop greater flexibility, adaptability, and independence. These are precisely the qualities that will serve them well beyond the therapy setting, in classrooms, playgrounds, family gatherings, and eventually, workplaces and independent living.
The path to genuine skill mastery doesn’t run through a single relationship. It winds through many different interactions, environments, and challenges. At FOCUS Therapy, we’re committed to providing the diverse therapeutic experiences children need to truly thrive in all aspects of life.
FOCUS offers ABA therapy in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
Additional Resources:
ABA – The Strengths of Having a Collaborative, Multi-Disciplinary Team, Chicago Pediatric Therapy & Wellness Center
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Tummy Time Fun – Fort Myers Occupational Therapist Tips
FOCUS offers pediatric occupational therapy in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
RBTs & BCBAs – Why Both Matter in Fort Myers ABA Therapy
When beginning the journey of Applied Behavior Analysis (ABA) therapy for your child, you’ll quickly encounter various professionals with different credentials. Two key roles you’ll hear about in Fort Myers ABA therapy are Registered Behavior Technicians (RBTs) and Board Certified Behavior Analysts (BCBAs). Understanding the difference between these professionals and how they work together is crucial for parents navigating ABA therapy services here in Southwest Florida.
RBTs: The Front-Line Implementers
Registered Behavior Technicians (RBTs) are paraprofessionals who work directly with your child during most therapy sessions. They are the hands-on team members who build relationships with your child and implement the treatment plans day-to-day.
RBT Training Requirements in Florida
To become an RBT in Florida, professionals must:
- Complete a 40-hour training program based on the RBT Task List
- Pass the RBT competency assessment
- Pass the RBT certification exam
- Maintain certification through ongoing supervision and recertification
This standardized training ensures that RBTs have fundamental knowledge in behavior analysis principles and intervention techniques. A study published in Behavior Analysis Practice found that the implementation of the RBT credential has significantly improved the quality and consistency of front-line ABA services across various settings.
What RBTs Do
Your child will likely spend most of their therapy hours with an RBT. These professionals:
- Directly implement behavior intervention plans
- Collect data on your child’s progress
- Build rapport and relationships with your child
- Use play-based and naturalistic teaching strategies
- Help generalize skills across different environments
BCBAs: The Clinical Leaders
Board Certified Behavior Analysts (BCBAs) are master’s or doctoral-level professionals who oversee the clinical aspects of ABA therapy. They design and monitor treatment programs based on each child’s unique needs.
BCBA Training Requirements in Florida
The path to becoming a BCBA in Florida is rigorous:
- Completion of a master’s degree or higher in behavior analysis or related field
- Completion of verified coursework in behavior analysis
- Accumulation of 1,500-2,000 supervised fieldwork hours
- Passing the BCBA certification exam
- Maintaining certification through continuing education
Florida has additional requirements for BCBAs, including state licensure for those practicing independently. This extensive training prepares BCBAs to make complex clinical decisions. Research has demonstrated that BCBA supervision significantly improves treatment outcomes compared to programs without this level of oversight.
What BCBAs Do
While you may not see them as frequently as RBTs, BCBAs are critical to your child’s progress:
- Conduct comprehensive assessments and functional behavior analyses
- Design individualized treatment plans
- Train and supervise RBTs
- Analyze data to evaluate treatment effectiveness
- Make adjustments to intervention strategies
- Consult with families and other professionals
- Ensure ethical compliance of all interventions
The Collaborative Partnership
At FOCUS Therapy in Fort Myers, we emphasize the importance of both roles working together. BCBAs provide the clinical expertise and oversight, while RBTs deliver consistent, high-quality direct therapy. This tiered service model has been proven effective in numerous studies.
This collaborative model has been proven to maximize treatment efficacy while making services more accessible and affordable than if all services were provided solely by BCBAs.
Why This Matters for Your Child
The RBT-BCBA collaboration directly benefits your child in several ways:
Consistent implementation: Your child works regularly with RBTs who become familiar with their preferences, strengths, and challenges, building strong therapeutic relationships.
Clinical excellence: The BCBA ensures that all interventions are evidence-based and tailored specifically to your child’s unique needs, maximizing progress.
Cost-effectiveness: This model allows for intensive therapy hours without the prohibitive cost of having doctoral-level professionals deliver all services.
Comprehensive support: Parents receive guidance from both perspectives—practical day-to-day strategies from RBTs and big-picture clinical insight from BCBAs.
As noted in a study published in the journal Research in Autism Spectrum Disorders, the intensity and quality of ABA intervention significantly impacts outcomes. The RBT-BCBA model allows for both high-intensity intervention and high-quality clinical oversight.
What to Expect at FOCUS
At our Fort Myers clinic, we maintain low RBT-to-BCBA ratios to ensure your child receives personalized attention. Your BCBA will develop your child’s treatment plan, regularly analyze progress data, and adjust interventions as needed. Your child’s RBTs will work directly with them, building skills through engaging activities tailored to their interests.
You’ll have regular meetings with both your BCBA and RBTs. BCBAs typically conduct monthly parent meetings to discuss progress and program adjustments, while RBTs provide daily session updates and practical strategies you can implement at home.
The FOCUS Difference
What sets FOCUS apart is our commitment to team collaboration. Our BCBAs and RBTs work closely together, with frequent communication and ongoing training. We believe this integrated approach leads to better outcomes for the children we serve in Southwest Florida.
Understanding these different roles helps parents become more effective advocates for their children. By appreciating the value that both RBTs and BCBAs bring to Fort Myers ABA therapy, you can better participate in your child’s treatment journey and maximize their potential for growth and development.
FOCUS offers pediatric ABA therapy in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
Additional Resources:
An Evaluation of the Impact of Supervision Intensity, Supervisor Qualifications, and Caseload on Outcomes in the Treatment of Autism Spectrum Disorder, 2016, Behavior Analysis Practice
More Blog Entries:
IEP Terms Every Parent Should Know
If you are interested in FOCUS Therapy’s Fort Myers IEP Planning & IEP Assistance services, Contact Us for more information to discuss how we can help!
Bridges of Communication: How ABA & AAC Work Together at FOCUS Therapy
At FOCUS Therapy in Fort Myers, our approach to pediatric intervention is built on a foundation of collaboration and evidence-based practices. Among our most powerful therapeutic combinations is the integration of Applied Behavior Analysis (ABA) and Augmentative and Alternative Communication (AAC). This dynamic duo creates opportunities for children facing communication challenges to thrive in ways that might not be possible with either approach alone.
Understanding the Basics
Applied Behavior Analysis (ABA) is a scientific approach that uses principles of learning and motivation to develop socially significant behaviors. At FOCUS, our ABA therapists systematically analyze behaviors, identify triggers and reinforcers, and implement structured interventions to help children develop skills across domains—from social interaction to daily living activities.
Augmentative and Alternative Communication (AAC) encompasses various methods that supplement or replace speech for those who struggle with verbal communication. AAC options range from low-tech picture boards to high-tech speech-generating devices. Our speech-language pathologists at FOCUS Therapy carefully match AAC systems to each child’s unique abilities and needs.
When Both Approaches Are Needed
Several developmental conditions often benefit from this combined approach:
Autism Spectrum Disorder (ASD). According to the CDC, approximately 1 in 36 children is diagnosed with ASD, with about 30% of these children having minimal or no functional speech. For these children, AAC provides a communication bridge while ABA helps develop the skills needed to use these tools effectively.
Global Developmental Delay. Children with global delays may face challenges across multiple developmental domains, including communication, cognition, and social skills—making both AAC and ABA valuable components of their treatment.
Apraxia of Speech. Childhood apraxia of speech is a motor speech disorder often requires AAC support while speech develops, and ABA principles can help maintain motivation during the challenging process of learning new motor patterns.
Down Syndrome. Many children with Down syndrome benefit from visual supports provided through AAC, while ABA techniques help address behavioral challenges and build consistent communication habits.
The Synergy in Action
At FOCUS Therapy, we’ve witnessed remarkable progress when ABA and AAC are thoughtfully integrated. A study published in the Journal of Developmental and Physical Disabilities found that when ABA principles were used to teach AAC skills, children demonstrated a 64% increase in functional communication compared to traditional speech therapy alone.
Here’s how this integration works in our clinic:
AAC Enhancing ABA Therapy
- Reducing Challenging Behaviors: Research published in the Journal of Speech, Language, and Hearing Research demonstrated that providing reliable communication tools through AAC led to a 70% reduction in behavioral challenges. When children can effectively express their needs, frustration-based behaviors often diminish.
- Expanding Reinforcement Options: Our ABA therapists incorporate AAC devices into reward systems, allowing children to request preferred activities or items, thereby strengthening the connection between communication and positive outcomes.
- Building Independence: AAC systems offer children a way to initiate interactions without prompting, which aligns perfectly with ABA’s goal of fostering independent functioning.
ABA Strengthening AAC Implementation
- Systematic Skill Building: ABA’s structured teaching methods help break down the complex process of learning to use AAC tools into manageable steps. A 2020 review in the American Journal of Speech-Language Pathology found that systematic instruction based on ABA principles resulted in faster acquisition of AAC skills.
- Consistent Practice Opportunities: Our Fort Myers ABA therapists create numerous, natural opportunities throughout sessions for children to practice using their AAC systems, following the principle that skills develop through repeated, reinforced practice.
- Data-Driven Adjustments: ABA’s emphasis on precise data collection allows our team to track progress with AAC systems and make evidence-based modifications when needed.
Collaboration in Action
The true magic happens in how our team collaborates. At FOCUS Therapy, we hold regular meetings that include:
- Shared Goal Setting. Our speech pathologists and ABA therapists jointly establish communication goals that span both disciplines.
- Consistent Implementation. We ensure that AAC systems travel between therapy rooms, with all clinicians trained in supporting each child’s unique communication method.
- Family Training. Parents receive unified guidance on supporting both behavioral and communication goals at home, creating a seamless experience for the child.
Research-Backed Results
The effectiveness of this integrated approach is well-documented. A longitudinal study published in Autism Research found that children receiving coordinated AAC and ABA interventions demonstrated a 45% greater improvement in social communication skills compared to those receiving either therapy in isolation.
Furthermore, the American Speech-Language-Hearing Association reports that children who receive well-coordinated, multidisciplinary therapy show faster generalization of skills across settings—a critical factor in long-term success.
Moving Forward Together
At FOCUS Therapy in Fort Myers, FL, we’re committed to breaking down silos between therapeutic approaches. By weaving together the structured methodology of ABA with the communicative power of AAC, we create a foundation upon which children can build meaningful connections with their world.
For children facing complex communication challenges, this integrated approach doesn’t just offer hope—it offers a clear path forward, supported by science, compassion, and the collaborative expertise of our dedicated team.
If you’re interested in learning more about how our integrated ABA and AAC services might benefit your child, we invite you to reach out to our team at FOCUS, where building bridges between therapeutic approaches leads to building bridges of communication for the children we serve.
FOCUS offers pediatric speech therapy (with AAC when appropriate) and ABA therapy in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
Additional Resources:
Applied Behavior Analysis and Communication Services, ASHA
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My Child Was Referred for a Fort Myers Autism Evaluation – What Happens Next?
When your pediatrician suggests an autism evaluation for your child, it can trigger a range of emotions—concern, confusion, and questions about the future. At FOCUS Therapy, we understand this journey intimately and have guided countless Fort Myers families through the autism diagnosis process and into effective therapy programs. In addition to providing early intervention therapy for children with autism in Southwest Florida (speech therapy, occupational therapy and ABA therapy), we also have therapists train to conduct ADOS testing – the standard Fort Myers autism evaluation on which many doctors rely heavily when deciding whether to issue an autism diagnosis.
Understanding the Referral Process in Florida
Typically, the path to a Fort Myers autism evaluation begins with developmental concerns noticed by parents, caregivers, teachers, or pediatricians. In Florida, referrals for autism evaluations can come through several channels:
- Your child’s pediatrician may notice developmental differences during routine check-ups.
- Early intervention programs like Florida’s Early Steps may identify potential signs.
- School systems may recommend evaluations through Child Find obligations.
- Parents can also self-refer if they observe concerning developmental patterns.
Once referred, the gold standard for autism assessment is the Autism Diagnostic Observation Schedule (ADOS-2), which our clinic offers to Fort Myers families.
What is the ADOS-2 Evaluation?
The ADOS-2 is a semi-structured assessment that allows clinicians to observe social and communication behaviors related to autism spectrum disorder (ASD). According to the Centers for Disease Control and Prevention (CDC), this standardized tool is considered highly reliable in identifying autism characteristics across different ages and developmental levels.
At our clinic, the ADOS evaluation involves:
- Pre-assessment consultation. We gather developmental history and specific concerns.
- Structured observation. A trained clinician engages your child in activities designed to elicit social, communication, and play behaviors.
- Parent/caregiver interview. We conduct the Autism Diagnostic Interview-Revised (ADI-R), which provides essential historical information.
- Multidisciplinary team review. Our team of specialists analyzes all data to determine if your child meets diagnostic criteria. Our reports are forwarded to the specialist(s) making the final diagnostic determination.
Who Makes the Diagnosis?
In Florida, autism diagnoses can be made by:
- Developmental pediatricians
- Child neurologists
- Child psychiatrists
- Licensed psychologists with specialized training
Research published by the American Psychological Association emphasizes that multidisciplinary evaluations provide the most comprehensive assessment. Our team approach brings together speech-language pathologists, occupational therapists, and behavior analysts to provide a thorough understanding of your child’s strengths and challenges.
What Happens After a Diagnosis?
If your child receives an autism diagnosis, we recommend developing an intervention plan promptly. The American Academy of Pediatrics emphasizes that early intervention is crucial and should begin as soon as ASD is seriously suspected, even before a formal diagnosis.
Your intervention plan may include:
Speech Therapy
Addressing communication challenges is often a primary concern. Speech therapy can help with language development, pragmatic skills, and alternative communication methods when needed.
Occupational Therapy
Our occupational therapists help children develop functional skills for daily living, address sensory processing differences, and improve fine motor coordination.
Applied Behavior Analysis (ABA)
ABA therapy is evidence-based and highly effective for teaching adaptive behaviors and reducing challenging behaviors. A landmark study published in Pediatrics demonstrated that children receiving early intensive behavioral interventions showed significant improvements in cognitive abilities, language skills, and adaptive behavior.
Social Skills Training
Structured opportunities to learn and practice social interactions are vital for children with autism to develop meaningful relationships.
Don’t Delay: The Importance of Early Intervention
Research consistently shows that earlier intervention leads to better outcomes. According to Autism Speaks, children who receive autism-appropriate education and support at early ages are more likely to gain essential social skills and communication abilities .
A study in the Journal of the American Academy of Child & Adolescent Psychiatry found that children who began therapy before age 3 showed greater improvement than those who started after age 5.
Where to Receive Services
It’s important to note that where you receive the ADOS evaluation doesn’t necessarily need to be where your child receives therapy. However, having all services under one roof, as we offer at FOCUS Therapy, provides significant advantages:
- Seamless coordination between diagnostic and therapeutic teams
- Consistent approaches across different therapy types
- Reduced travel burden for families
- Integrated treatment planning
Navigating Waitlists
Unfortunately, many families face waitlists for autism services. In Florida, wait times for private therapy services can range from a few weeks to several months. This reality underscores why timely evaluation is so important—the sooner you begin the process, the sooner your child can receive support.
While waiting for services, ask about:
- Parent training opportunities
- Home strategy recommendations
- Interim support services
- Cancelation lists
Fortunately, FOCUS Therapy also offers behavior consulting, for parents who need immediate supports at home while their child is on a waitlist for early intervention services, such as speech therapy, ABA therapy, and occupational therapy.
Moving Forward with Hope
An autism diagnosis opens doors to understanding and support. At FOCUS Therapy, we believe in focusing on your child’s unique strengths while addressing areas of difficulty. Our team is committed to partnering with your family throughout this journey.
Remember, each child with autism is unique, with their own pattern of strengths and challenges. With the right supports in place, children with autism can develop skills, build connections, and achieve meaningful goals.
If you have concerns about your child’s development or have received a referral for autism evaluation, contact our Fort Myers clinic today to learn how we can help your family take the next steps with confidence.
FOCUS offers pediatric speech therapy, occupational therapy, ABA therapy and ADOS testing in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
Additional Resources:
Autism Spectrum Disorder Screening, November 2024, CDC
More Blog Entries:
How Our Fort Myers ABA Therapy Supports School-Readiness & Self-Regulation
FOCUS offers pediatric ABA therapy in Fort Myers and throughout Southwest Florida. Call (239) 313.5049 or Contact Us online.
What is a Multidisciplinary Pediatric Therapy Clinic – And Why it Works
By Jennifer Voltz-Ronco, Owner/Founder of FOCUS Therapy
If you’ve just started your journey into the world of pediatric therapy—or if you’re looking for a more coordinated and effective way to support your child’s development—you’ve probably come across the term “multidisciplinary therapy clinic.”
But what does that really mean? And more importantly, why does it work so well for so many children?
As the owner/founder of FOCUS Therapy, a pediatric therapy clinic that offers speech therapy, occupational therapy (OT), Applied Behavior Analysis (ABA), ADOS testing and behavior consulting, I’m here to walk you through what makes the multidisciplinary model so powerful—and why it could be the key to unlocking your child’s full potential.
What is a Multidisciplinary Pediatric Therapy Clinic?
A multidisciplinary pediatric therapy clinic is a place where professionals from multiple specialties—like speech-language pathology, occupational therapy and behavior analysis—work collaboratively under one roof to provide comprehensive, individualized care for children.
Instead of families needing to coordinate separate appointments across different providers and locations, a multidisciplinary clinic brings everything together in one cohesive team. Each specialist focuses on their area of expertise, while also working closely with the other providers to ensure that care is consistent, well-rounded, and child-centered.
Think of it as a whole-child approach to developmental care, where communication between professionals is built into the system—not an afterthought.
Why the Multidisciplinary Model Works So Well
Multidisciplinary care isn’t just convenient—it’s backed by science.
Studies have consistently shown that integrated therapy approaches improve outcomes for children with developmental delays, autism spectrum disorder (ASD), sensory processing differences, speech and language challenges, and more. According to the American Academy of Pediatrics, multidisciplinary models are particularly effective in early intervention services, where developmental progress is most rapid and most critical.
A study published in Infants & Young Children (Case-Smith, 2013) found that when pediatric therapies are coordinated and goal-aligned across disciplines, children demonstrate higher engagement levels, stronger skill acquisition, and better generalization of skills into everyday settings like home and school.
That’s because each therapy doesn’t happen in isolation. Instead, one therapist’s goals support and reinforce the others’—and that helps your child move forward more efficiently and confidently.
What Kinds of Therapies Are Offered?
Here’s a quick look at the core services typically provided in a multidisciplinary pediatric clinic like FOCUS:
Speech Therapy
Speech-language pathologists (SLPs) help children with:
- Articulation and sound production
- Receptive and expressive language
- Social communication and pragmatic skills
- Feeding and swallowing
- Augmentative and alternative communication (AAC)
Occupational Therapy
OTs support children in developing the skills needed for daily life, including:
- Fine motor skills (e.g., handwriting, grasping objects)
- Sensory integration and regulation
- Self-care tasks like dressing and feeding
- Play and social participation
- Attention, organization, and executive functioning
Applied Behavior Analysis (ABA)
ABA therapists and BCBAs (Board Certified Behavior Analysts) focus on:
- Reducing challenging behaviors
- Increasing positive, functional behaviors
- Building communication, social, and life skills
- Teaching self-help and academic readiness skills
- Developing customized behavior intervention plans
Behavior Consulting
Behavior consultants are BCBAs who closely with families and caregivers to:
- Provide insight into behavioral patterns
- Develop practical, home-based behavior strategies
- Support emotional regulation and coping skills
- Guide positive discipline and parenting approaches
The Power of a Collaborative Team
One of the biggest benefits of multidisciplinary therapy like FOCUS is how all the pieces fit together. Here’s an example of how collaboration might look: