B.U.I.L.D. Pathways is a structured, adult-led clinic-based ABA program designed for children who benefit from predictable routines, clear instruction, and intensive behavioral support. This program focuses on building foundational learning readiness, regulation, and instructional skills to help children successfully access learning and daily routines.
What Does B.U.I.L.D. Mean?
B - Behavior Regulation
U - Understanding Expectations
I - Instructional Readiness
L - Learning Foundations
D - Developmental Progress
Supporting emotional and behavioral control so learning can occur
Teaching children to understand routines, instructions, and structure
Building the skills needed to participate in adult-led learning
Establishing early learning, communication, and pre-academic skills
Supporting steady progress toward increased independence and flexibility

Who Is B.U.I.L.D. Pathways For?
B.U.I.L.D. Pathways may be a good fit for children who currently need higher levels of structure and adult guidance to access learning.
Children who benefit from B.U.I.L.D. Pathways may:
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Require consistent adult direction to remain engaged
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Experience behavioral challenges that interfere with learning
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Benefit from predictable routines and repetition
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Have difficulty transitioning between activities
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Be early in their readiness for play-based or peer-mediated learning
Placement is based on a child’s current learning needs, not diagnosis or age.
Areas of Focus
Behavioral regulation and emotional control
Learning readiness and attending skills
Following routines and instructions



Foundational communication skills

Tolerance for adult-led activities

Early academic and pre-learning skills

Teaching Approach
B.U.I.L.D. Pathways utilizes evidence-based Applied Behavior Analysis (ABA) strategies within a structured clinic environment. Teaching is adult-led and intentionally designed to provide clear expectations, repeated practice, and consistent feedback.
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Adult-directed instruction
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Structured learning environments
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Discrete trial teaching and structured ABA methodologies
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High levels of reinforcement and repetition
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Ongoing data collection to guide clinical decisions


A Developmental Pathway
B.U.I.L.D. Pathways is one of two clinic-based ABA programs offered at McRory Pediatric Services. Some children begin in B.U.I.L.D. Pathways to develop foundational readiness skills and later transition into P.L.A.Y. Pathways, our developmental, play-based clinic ABA program, as their engagement, regulation, and learning flexibility increase.
Program placement is dynamic and reviewed regularly based on progress.
Partnering With Families
Families are an essential part of the B.U.I.L.D. Pathways program. Our team works collaboratively with caregivers to:
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Share progress updates
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Align on goals and priorities
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Support skill carryover beyond the clinic
Family meetings are scheduled as needed to ensure communication remains strong and goals remain meaningful.


