What I actually observed
Described behaviorally and without interpretation layered on top — what happened, in what order, how often, and under what conditions.
Quick Review
The Quick Review Consult
Sometimes a case is stuck and what the team needs is not a new provider — it is one more set of trained eyes on the room. I come out, watch, and hand your consulting team a written observation they can use.
The idea
Every clinical team eventually hits a case where everyone is competent, everyone is trying, and the behavior is not moving. Usually the sticking point is something nobody in the room can see any more, because they have been in the room for eight months.
A Quick Review Consult is deliberately small. I observe, I write up what I saw, and I give that write-up to the people who own the case. They decide what to do with it. Nothing about it displaces the clinicians already on the case — they keep the case, the plan, and the call.
What it is not
I do not take over the case. I am not becoming the client's provider, and I am not stepping into anyone's clinical role.
I do not write the behavior plan. Your consulting team writes it. My observation is an input to their plan development, not a plan and not a prescription.
I do not supervise your staff or sign anything. No supervision hours, no countersignatures, no assessment of record.
I am not a second opinion to win an argument with. If a team is divided, I will tell you what I saw and what I would want to measure. I will not adjudicate.
How it runs
Five steps, start to finish
Deliberately small. Most engagements are done inside a fortnight.
A short intake call
Twenty minutes with whoever owns the case. What is happening, what has been tried, what the team already suspects, and what a useful answer would look like. I read whatever you want to send me beforehand.
The observation
On site where possible — clinic, home, school, wherever the behavior actually happens — or by video when travel does not make sense. Typically one to three hours. I watch the environment and the interactions, not just the learner.
A same-day debrief
Before I leave, I talk it through with the team while it is fresh. This is often the part people say was worth the visit on its own.
The written observation
A structured document, delivered to the consulting team, written so it can be picked up directly in plan development. Usually within a few business days.
One follow-up, if you want it
A call after the team has had time to sit with it and start drafting. No charge, and no obligation to have taken any of my suggestions.
The deliverable
What lands on your team's desk
One document, written for the clinicians who will build the plan — organized the way they will need to use it.
Antecedent and consequence patterns worth testing
The contingencies I think may be operating, stated as hypotheses your team can confirm or rule out — not as conclusions.
Environmental and staffing variables
Density of instruction, pacing, transitions, physical setup, who is in the room and what they are doing. The variables that get overlooked because they are not on the data sheet.
What I would measure next
Concrete measurement suggestions the team can put in place this week, so the next decision is made on data rather than impression.
Open questions for the team
The things I could not answer in a few hours and that the people who know this learner should weigh in on.
When it fits
The cases people call me about
Typical
- A case has plateaued and the team has run out of new ideas.
- A plan works in one setting and falls apart in another.
- A family, school, or funder is losing confidence and the team needs a clear-eyed read.
- The team is considering a more restrictive procedure and wants another look first.
- A new clinician has inherited a complicated case and wants a second read on the environment.
- Something feels off and nobody can name it.
Practicalities
I travel from Colorado and regularly work in Oklahoma; further afield is a scheduling and travel-cost conversation, not a problem. Remote observation by video works well for some cases and badly for others, and I will tell you honestly which one yours looks like.
Scope and fee are set per case on the intake call, because a three-hour clinic observation and a two-day multi-site review are not the same engagement. There is no retainer and no minimum. If I do not think a visit would earn its cost, I will say so on the call.