June 12, 2025 • 31 mins
Revolutionizing behavioral health requires rethinking the entire system—not just focusing on individual behaviors. This fundamental principle drives Samantha Cliborne's innovative approach at Behavior Matters Consulting in South Carolina.
Drawing from over a decade of experience as a board-certified behaviour analyst, Samantha is transforming traditional models by putting families at the center of care. "You can't treat behaviour without treating the system around it," she explains, describing how her approach differs dramatically from the rigid, compliance-based methods of previous generations.
The spark for Behavior Matters came during Samantha's time teaching English in South Korea, where she witnessed children with special needs being isolated and hidden away. This profound experience shaped her commitment to creating spaces of trust where entire family systems can heal together.
For millennial and Gen Z parents seeking behavioural health services, Samantha's approach represents a welcome departure from traditional models. Rather than positioning herself as the authoritative expert, she builds genuine partnerships with families, respecting their input and adapting to their needs. When parents feel unheard or misaligned with a provider's values, they disengage—a reality Samantha addresses through comprehensive education, visual supports, and clear communication.
Beyond traditional behaviour analysis, Samantha integrates holistic elements like regulation strategies, mindfulness techniques, and nutritional considerations into her practice. Her team is trained to recognise nervous system states and help children transition from fight-or-flight responses to regulated states where meaningful learning can occur.
Looking ahead, Samantha envisions creating a more cohesive healthcare ecosystem by partnering with dentists, doctors, and other providers to make these experiences less traumatic for children with special needs. Through habituation and systematic desensitisation, she believes we can fundamentally change how healthcare is delivered to vulnerable populations.
Tune in to hear how one forward-thinking clinician is redefining what's possible in behavioural health by applying the same analytical lens to care models that she applies to behaviour itself. What could your practice learn from this revolutionary approach?
📱 Guest Contact Info
- Name: Samantha Cliborne, M.Ed., BCBA
- Title: Founder & Clinical Director
- Company: Behavior Matters Consulting
- Location: South Carolina, USA
- Website: https://www.bxmatters.com
- LinkedIn: https://www.linkedin.com/in/samantha-cliborne-a240582b6/
- Facebook: https://www.facebook.com/BxMattersSC
- Instagram: https://www.instagram.com/bxmatterssc/
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Dr Andrew Greenland (00:02):
Okay, so welcome back to Voices in Health
and Wellness.
This is the show where we sitdown with forward-thinking
leaders across clinical care,behavioral health and wellness
to talk about how the industryis evolving, especially as
younger generations likemillennials and Gen Z reshape
expectations around healthaccess, and engagement really
(00:25):
stands out in this space.
I'm thrilled to welcomeSamantha Clibourne, a
board-certified behaviouranalyst and founder of Behaviour
Matters Consulting, based inSouth Carolina.
Samantha brings over a decadeof experience in behavioural
health, with a deep focus oncreating family-centred models
of care that don't just targetindividual behavioural change
but transform the entireecosystem around the client.
So, samantha, thank you so muchfor your time this afternoon
coming on the show.
Are you actually calling fromSouth Carolina as we speak?
Samantha Cliborne (00:50):
Yes, I am Thank you for having me.
Dr Andrew Greenland (00:53):
You're very welcome.
Maybe we could start at the topand perhaps talk a little about
your role and how it fits intothe bigger picture of what you
do at Behavior Matters.
Samantha Cliborne (01:01):
Absolutely so .
My role as owner, clinicaldirector and behavior analyst is
really multifaceted, you know,but my training as a behavior
analyst is is really what hasgiven me the tools to break down
why people do what they do.
You know I've applied that samelens to really the care model
itself.
You know I asked questions likewhy do we approach therapy the
(01:25):
way we do, what behaviors areactually being really reinforced
and what outcomes actuallymatter to the families?
You know behavior matters, likeour mission is to create
meaningful and lasting behaviorchange.
In order to do that, like youknow, this is where this is
where millennials are different.
Right, we don't just focus onthe child.
(01:46):
You know we have to educate andempower the entire family
system.
You know you can't treatbehavior without treating the
system around it.
You know, and as I know and aspeople are slowly learning, as
technology and social media istaking over, is human behavior
is shaped by consequences.
(02:06):
You know, right now cliniciansare competing with social media,
short form content, 24-7,access to health care and health
information.
So really the approach matterswhen it comes to really just
wellness and behavior change ingeneral.
You know if a family doesn'tfeel heard, understood or
(02:27):
aligned with, you know theprovider's values, like they're
going to disengage, right, so orworse, like they're going to
mistrust the entire process.
And you know, I feel like ABAapplied behavior analysis like
10-15 years ago, like outside ofthat millennial generation.
It was very rigid, it was verylike you listen to me, this is
(02:52):
what I said.
It was very compliance basedand I am flipping the switch,
you know, because so manyfamilies are ready for that.
You know, they don't want to betold what to do, they want to
partner.
You know, and that's reallywhat we do at Behavior Matters
is we're that partner with thesefamilies.
And you know, we take it fromthem.
(03:13):
What do you want to see?
You know.
And then we do the absolutebest we can with staying within
our ethical guidelines andgiving that to them.
You know, if they say, you knowwhat I don't like, that we
don't, we don't stop, we lean in, you know, we say, okay, how
can we change that?
You know.
Dr Andrew Greenland (03:37):
So to me that's, that's really how, how
we're doing things differentlynowadays, as millennials Got it.
So what was the original sparkfor starting Behavior Matters?
Was there a gap in the caremodels that you were seeing at
the time, or was there somethingelse?
Samantha Cliborne (03:47):
You know what ?
It's kind of cool that you knowwe're talking in different
countries right now.
So this all started BehaviorMatters all started for me when
I was living in South Korea.
I was I just I lovedexperiencing different cultures,
different family systems.
Um, and I went to South Korea.
(04:09):
I taught English for a littlebit over there and what I saw
with the special needs communityreally changed me.
Um, I was in a classroom with akid just sitting there banging
his head up against the wall,banging his head up against the
wall, and I have no like mindyou like, I'm a army veteran,
right Like you know, I've neverseen these things before.
(04:31):
I have no idea what I'mexperiencing right now and I'm
like that's when I started theresearch, you know.
So it wasn't necessarily likewhere am I seeing?
You know the breakdowns and youknow wait times and care and
intakes and stuff.
It was more the family unit forme.
You know, it was over there inSouth Korea.
(04:55):
I was told that if these kidsdisplay behaviors like that,
they get sent away and theynever get seen again, and that
really resonated with me.
So what I did when I came backI was like, okay, you know,
we're changing this game.
You know we're not allowingthis to happen anymore, even
though this was in anothercountry, like you know, I feel
(05:16):
like parents still today.
You know they do somewhat thesame thing, you know, if we look
at learned helplessness andthings like that.
So, really, behavior mattersstarted in another country.
It started with a differentdream, you know, and it molded
into this amazing, amazing.
(05:37):
Honestly, these four walls thatI have is it's four walls of
trust and it's four walls oftrust within our family,
families that come in.
It's it's within our my staffas well.
You know my staff, you knowthey also get training on
trauma-informed care.
You know we have a lot of kidsthat are.
(05:58):
You know the world is.
The world is the world at thiscurrent moment and kids are
going through trauma.
And you know the world at thiscurrent moment and kids are
going through trauma.
And you know we're finally, asmillennials, at a stage where we
can open up and we can askthose questions of like, what's
wrong?
Let's help you through this,let's get through emotional
intelligence.
We're finally there andBehavior Matters has just really
(06:19):
taken a hold onto that modeland I mean we're running with it
.
Hold on to that model and Imean we're running with it In
2026, we're going to be addinglike occupational therapy as
well.
So currently we have ABA andspeech therapy, but occupational
therapy next year, along withmental health counseling.
You know, we're going toregulate the body, we're going
(06:39):
to work on the mind and we'rereally going to treat the family
system as as a system.
This is what it is.
Dr Andrew Greenland (06:46):
Amazing.
So what does a typical day lookfor?
Um, look like for you at themoment.
I mean, I think you mentionedyou're wearing lots of hats in
what you do.
Um, maybe there isn't such athing as a typical day, but give
me some sense of things.
Samantha Cliborne (06:57):
Um, what I love about my job is you're
right there.
There is no typical day.
You know I come in as early aspossible I'm an early bird and
you know I sit and I set myschedule for the day you know
well, I look at my schedule.
My amazing I have amazing teamthat really works well together
to really set up the bestpossible things for my day, my
(07:21):
day.
So my day is going to end upbeing training RBTs registered
behavior technicians in programsand how to develop certain
skills out of the kids that wesee.
My day is going to includeconversing with parents.
You know, I do a lot of parenteducation, like a lot of parent
education, because if you thinkabout it as clinicians, we're
(07:42):
only with these kids for a shortamount of time.
You know the parents are theones that are with them the most
, and so I do a ton of training.
So while my RBTs are there andthey're working with the kids,
I'm working with the parents andwe're really attacking the
system from both ends.
So after parent education, if Iremember to eat, that will
(08:04):
happen.
If not, I also do in-home, so Iwill go into the home and work
through that as well.
So you know I balance payroll.
You know I balance schedules.
I balance everything, but itends up being no set schedule
but a beautiful dance all daylong and just an amazing
(08:28):
environment that I love to be in.
And I've been very thankfulthat my staff has also said the
same.
You know they feel heard here.
You know I ask my staffconstantly what can I do to help
you understand better?
What can I?
How do you learn?
You know I focus on the staffway more than than I focus on on
(08:50):
the kids in a certain degree,right, because I can tell you
about a kid very easily of like,hey, these are the goals we're
working on, this is this is theend goal.
Right, this is where we're at,this is the end goal.
And if I know my clinician well, I'm going to be able to say,
hey, right, this is where we'reat, this is the end goal.
And if I know my clinician well, I'm going to be able to say,
(09:11):
hey, this is how you learn, I'mgoing to give it to them just
like that, and it's going to cutmy time down tremendously.
So that's another kind oftactic that I use as well.
Like, if we get to know aperson, we know how they learn,
we know how they act and, as abehavior behavior analyst, the
big question I ask every day iswhy people do what they do you
know.
So I really focus in and I leanin on that and I really try to
(09:31):
make the best out of my day andhelp as many people as possible.
Dr Andrew Greenland (09:37):
That sounds like a very, very crammed day
on the matter of your team.
You mentioned your staff, sohow has your team evolved since
you launched?
Have there been any unexpectedshifts or lessons along the way
for them?
Samantha Cliborne (09:48):
You know there has been, because it is
when we get into the nittygritty.
Once kids start unmasking right, they really start showing
their true colors.
And you know a lot of mytechnicians.
They haven't seen trauma before.
You know they don't know whatit looks like, they don't know
(10:08):
how to navigate questions aroundthat to get to.
You know the belief system thatthese kids have and why they're
continuing to do what they do.
So my staff has learnedtremendous.
They've learned so much and I,literally, you know my staff
will tell me you know I've hadone therapist tell me like I
have learned more with you inthe first week than I have
(10:31):
learned in my entire life,because I sit down with them and
I talk to them about likeeveryone gets the same spiel
from me when they first gethired.
It's, this is what we do.
You know this is how we do it.
You know it's an extensivetraining process.
You know it's, you're going toget bad days.
But how do you get throughthose bad days?
You know I have somethingcalled a dopamine menu and my um
(10:55):
RBTs and, honestly, my speechtherapist, my front desk, you
know my billing manager they all, you know, have the same tools
at them, uh, in front of them aswell.
It's, they have a dopamine menu.
I've got 20 minutes.
What's going to give me themost dopamine that I can get
right now so that I can go backto my job and perform and,
honestly, still be happy?
Because that's what dopaminedoes you know.
(11:16):
So it's really about theapproach to things and you know
it's about we're never donelearning, so there are still
things that I have to learn andas soon as I learn them, they
learn them.
Dr Andrew Greenland (11:28):
So they are always evolving and always
changing them, they learn them,so they are always evolving and
always changing Amazing.
Before we set this up, we had abrief email exchange and I
think you mentioned in one ofyour replies that your holistic
family model really aligns withhow millennial families approach
wellness.
What kinds of shifts are youseeing in how families engage
with care today?
Samantha Cliborne (11:47):
So the major shift as far as you know
families that are seen is youknow they're really seeing that.
You know they want that quick,immediate fix and we have to
navigate them through that.
This isn't really a quick, easyfix.
(12:08):
You know they're used totechnology where everything's at
their fingertips.
Well, why can't this go faster?
You know, and and a major shiftthat we've made in my clinic is
how we define and support theregulation, not just from the
parents but with the kids.
You know, um, if a child'sdysregulated, no amount of
prompting that's really going toproduce that meaningful
(12:29):
engagement.
You know millennial parentsknow this.
You know they want us tosupport the whole child, not
just manage that behavior.
So, integrating those holisticstrategies into the sessions,
like, for example, you know,like I told you, we teach staff
how to recognize, like thechild's nervous system they're
stuck in fight or flight, thosemoments, you know it's
(12:50):
co-regulation.
You know we might use breathwork.
You know we might use rhythmictapping.
You know what we really utilizeis frequency-based sound, you
know, and we help shift thechild into a more regulated
state where learning is possible.
You know the big buzzwordeveryone's mindfulness.
Mindfulness.
(13:10):
You know it's not a buzzword tome.
It's a behavior, you know.
We model it, we shape it, wereinforce it.
For some kids that might meanstructured breathing routines.
You know kids that have ASD,autism spectrum disorder their
cerebellums, their wires are somixed up right, so that's where
(13:33):
these repetition comes in.
You know this is where we do.
We are going to have thatstructured practice of those
breathing works.
You know it might be walkingoutside.
You know we're going to takeyour shoes off.
We're going to connect with thebody.
You know these aren't breaksfrom therapy.
This is therapy, you know,because all of these things they
build the foundation for thesustained engagement and, as we
(13:56):
know, learning is not going tohappen if we cannot sustain
engagement.
So we found that, you know whenwe meet kids where they are,
you know neurologically, likewhat they can handle, things
like that, we reduce the numberof behaviors maintained by
escape and by avoidance.
You know there's only fourreasons really why we do what we
do.
You know, once we figure outwhat that is, we just shape our
(14:20):
consequences, you know.
So we are going to use theholistic viewpoint.
You know we're not going to,you know, promote medication.
We're going to promote whetherit be natural substances, herbs,
things like that.
Magnesium, my goodness, we'reall deficient in magnesium, you
(14:40):
know.
So that's the first thing I'mgoing to tell you to do.
What do you?
Do you take magnesium, right?
You?
know all these parents are likeI want melatonin to get my kids
to sleep.
Why don't we absolutely go forit?
Do the melatonin?
Make sure it's in the darkthough, because that's how our
brain operates with melatoninright, but you know, try a
bedtime routine before you know.
(15:01):
Try to set up the behavior ofsleep beforehand.
So that's just kind of how welook at things differently and
we kind of set the expectationup a little bit differently for
our parents.
Dr Andrew Greenland (15:14):
Thank you.
Do you see the shift towardsfamily centered care as part of
a broader trend, or is itsomething that you've been
personally championingindependently?
Samantha Cliborne (15:23):
Honestly, I personally feel like at least in
my area, I feel like it's notvery common.
You know, I see a lot of waittimes.
I see a lot of boring waitingrooms.
I see a lot of just nocallbacks.
You know, any person that putsin on our website hey, you know
(15:45):
I'm interested in this.
They're going to get a call.
You know they're going to get afollow-up, they're going to get
something.
You know, and I do feel likeyou know it's it needs to shift.
You know, because the world isshifting.
You know, as generations getolder, you know, or new
generations come out, like whatare we going to do with the you
(16:05):
know the generation beta and thegeneration alpha?
Like what is care going to looklike?
Then?
You know it might all be remote, you know, I don't know, but I
know what we do know is we haveto shift with the generations or
we're not going to be able totap in to, to help them got it?
Dr Andrew Greenland (16:25):
have the um , the millennials and the gen z
parents pushed you to changeanything that you didn't expect
to revisit?
I know you talked about themwanting the kind of quick fix,
but is there anything thatyou've kind of caved into doing
on the basis of theirexpectations?
Samantha Cliborne (16:41):
I would say no, because I set the
expectations for them.
I'm a very much like we'regoing to be in this together.
I want you to tell me what youdon't like.
I want you to tell me what youdo like.
I want to tell me what youdon't feel comfortable with
doing, because I'm going to finda way around it.
I'm literally going to setthese parents up, for this is
what it's going to look like,right?
(17:03):
This is when training is goingto start with the whole family.
This is when the training isgoing to start with the kid.
You know, I set them up of.
This is how we communicate.
You know, I try to answer asmany questions up front, so that
way, parents are in the middleof the night wondering or waking
up oh, do I need to do that?
Oh wait, do I have this thatday?
No, they get a big visual,visual support aid person.
(17:26):
They're going to get a list ofeverything that they need to do.
Maybe too much.
I've had a lot of parents like,okay, I got it, we've got the
handout.
But I like to really just havethem be informed.
And there's no questions, right, there's no like.
Well, what ifs?
You know what it is.
And if you don't know what itis, you are more than welcome to
(17:48):
reach out.
We're going to answer thatquestion for you.
But they, you are more thanwelcome to reach out and we're
going to answer that questionfor you, you know, but they're
not going to be up in the middleof the night thinking and
wondering like what if they'regoing to know?
So that's that's really how Ikind of set things up a little
differently.
That's why I feel like, youknow, I am very different than
most ABA clinicians because ofthe way that I see the world.
(18:10):
You know, I have applied thesame things of my training as a
behavior analyst to the caremodel.
You know, that's why weapproach things the way that we
do.
Dr Andrew Greenland (18:21):
Amazing.
So what's working well for yourteam right now and I obviously
apart from your leadership andthe attention that you give your
staff- is there anything elsethat kind of makes this whole
thing a great success for you.
Samantha Cliborne (18:32):
Training is huge, getting together with them
in my office and in our in ourclinic.
You know, in our front officethere is a kitchen table, andrew
(18:52):
, there is a kitchen table inthere and we will sit down at
the kitchen table and we willtalk and I will get to know
about them.
I will get to know about, um,their stressors, you know, and
it's just it brings theenvironment, you know.
Dr Andrew Greenland (19:00):
So, um, that's really kind of, uh, kind
of the big kicker there, youknow nice and, on the other end,
is there been any particularsticking points, frustrations or
challenges that you have intrying to do what you do?
Samantha Cliborne (19:17):
Oh, there are always sticky situations, there
are always challenges.
Not every parent is going to beas willing to open up, you know
.
You know, if you think aboutthe kids that we serve and you
know the diagnoses and thedisorders that they have, you
know those came from somewhere,and a lot of times our parents
(19:39):
are struggling with the samethings as the kids are, you know
.
So it's about really monitoringthe parents care as well, and
I've had some parents that arereally they can't do it, you
know, they can't stick to thestructure, they can't follow the
methodology, so to say, and sothat right there it gets sticky.
(20:03):
Because it's like I can helpyou, I know that I can help you,
but at a certain point, like Ican't do more than you, you know
you're going to have to.
You know, if we're going to be ateam, you know I show up to the
line and and you know you'vegot to show up to the line, you
know I can cross over a littlebit and I can help you and I
will and I have, but at acertain point, you know, at a
(20:26):
certain point it's we're at thatpoint where it is time to, you
know, go different ways and andmaybe there's a, there's another
clinician out there that isgoing that flows and meshes
better with them.
So you know, that's really theonly sticky situation that that
I feel like I have encounteredis being able to cause.
I mean, you got to think, likeI'm in the care of these kids
(20:48):
I've had some kids for four orfive years, you know and so if
you can't stick that long withreally meaningful behavior
change, then you know there issomeone out there that's going
to help you a little bitdifferently than I am.
Dr Andrew Greenland (21:03):
Thank you, as a business owner, any
particular outcomes or metricsthat you particularly focus on
in your business?
Samantha Cliborne (21:10):
Absolutely.
We are absolutely focusing onefficiency here.
So it's about how well that weset up our clinicians to do
their data taking, take theirnotes, that kind of stuff.
So it's really efficiency asbest as we can in any form that
(21:32):
we can.
Efficiency is key.
Dr Andrew Greenland (21:35):
All right and any particular client
feedback that you pay mostattention to, to get the kind of
the signals that what you do isworking for people.
Samantha Cliborne (21:44):
Yes, signals.
So a lot of times our signalsare going to be within our body.
They're not going to be withinour words.
You know I work with a, with apopulation that you know that
are learning to use their words,and so, yeah, it's, it's about
reading the body language,because they're not always going
to tell you what, if they'regoing to do something or not.
(22:06):
I can, I will look at the waythat the eye contact that I get
from parents, you know, I'lllook honestly.
I look at their feet, I look atwhere their, their hips are
positioned.
You know I look at things verydifferently.
I want to see, you know, ifyou're tired today, because then
I'm going to slow down the waythat I talk.
You know what I mean.
So I really look at the bodylanguage.
(22:28):
You know what I mean.
So I really look at the bodylanguage.
What is, what is the bodytelling me and how I can react
to that and and really get themto um, boost the mood.
You know how can I give themthe dopamine that I?
I know that they need.
So, yeah, so I'm going to readtheir body language, I'm going
to um, I'm going to kind of seewhat, what I can do to help them
in that area, and then that'show I'm going to make my
(22:51):
judgments of where we're goingto move next thank you.
Dr Andrew Greenland (22:55):
Are there any parts of your operation that
you wish could run smoother?
I mean, it sounds like you'vegot a very tight ship, you've
got a very good engaged team,but is there anything that you
think there's some bottleneckshere, things I'd like to smooth
out?
Samantha Cliborne (23:06):
yeah, I, there's always improvements that
can be made.
The biggest thing right now is,you know, we're going to need a
bigger space.
With adding in occupationaltherapy and mental health
counseling, we're going todefinitely need a bigger space.
So smoothing out the ins andouts of who's in treatment space
one, who's in treatment spacetwo you know just the logistics
(23:30):
of the work, so to say caneasily be smoothed out.
There's always ways to smoothout scheduling things like that.
But other than that, I mean, Itry to keep this as well-oiled
as possible and the oil is thehappiness right.
Dr Andrew Greenland (23:49):
Brilliant.
And how do you balancepersonalization with scalability
in your programs?
Because there's only one of you, um, and you know you're
talking about growing.
Samantha Cliborne (23:58):
I just wonder how you manage to kind of
strike that balance so the waythat I do it is, I give
everything all of me, all daylong, you know.
You know I am this job.
You know it is not the onlything that I care about by any
means.
But you know, when I wake up inthe morning and it's time to go
to work, like they're going toget Samantha Clyburn basic
(24:21):
Samantha Clyburn, but they'realso going to get Samantha
Clyburn BCBA you know they'regoing to get this, they're going
to get that.
You know, and it's yeah, I meanit's it's hard sometimes, but I
just you just show up, you do behappy, you exude, you put out
(24:44):
into the world which you want,you know, your, your staff to to
exude.
And that's really what I try todo and it's what I've been
fairly successful at so far.
So I just I show up every dayand I try to do the absolute
best I can.
And you know what?
That's all we all are doing.
We are all just doing theabsolute best we can.
So it's about being aware.
It's about not just being awareof yourself, but it's about
being aware of everyone elsearound you too.
(25:06):
So keeping that mindfulness aswell.
Dr Andrew Greenland (25:09):
Amazing and sort of six to 12 months down
the line.
What would success look likefor you at your work at Behavior
Matters?
Where do you want to be?
A little bit further down theline.
You talked about taking on morepeople, hopefully finding your
larger space, but is thereanything else?
Samantha Cliborne (25:29):
Yes, it is going to be integrating other
healthcare providers and systemsinto our treatment.
So, where we're looking at goinglike as far as moving to a
different location, we're goingto look to go around dentist's
office, doctor's office.
You know so much of our kids arescared of these places, you
know, and if we can bridge that,that fear between other
(25:52):
clinicians and them doing theirjob and treating these kids that
you know have genuine fears ofthe tools, the basic tools that
a dentist use every day, if Ican get them just through
habituation, if I can just getthem to see those tools, to walk
in those doors, to sit in theirwaiting rooms, then we're going
(26:14):
to, we're really going tochange the face of healthcare,
you know, because you're notgoing to have screaming kids.
You know, I can, you know I'vegone into daycares, I've gone
into doctor's offices, I've goneinto homes and you know, and
I've taught the clinicians whatto look for, how to go a little
slower, you know.
So, honestly, down the road,six, you know six months a year
(26:37):
down the road it's going to bepartnering with other clinicians
and it's going to be.
How can we, as a field, changethe, you know, our environment,
society?
That's where I want behaviormatters to go amazing.
Dr Andrew Greenland (26:55):
And if you could change, if you could wave
a magic wand and solve one bigoperational care challenge, what
would that be?
One operation of what a bigoperational or care challenge.
What would that be an?
Samantha Cliborne (27:07):
operation all care challenge operational or
care challenge.
Dr Andrew Greenland (27:11):
So something about the kind of the
operations of your business orabout the whole care business
that you're in.
What would it be?
Uh, one more time sorry so ifyou could wave a magic wand and
solve one big bottleneck,whether it's an operational
thing, about the way that thebusiness runs, or about the
whole care sector.
Samantha Cliborne (27:32):
What would that be?
it would be cohesion, to becompletely honest, um, it would
be yes, we do have to followHIPAA and we have to make sure
we're maintaining client umdignity and records and all of
that.
But it would be cohesion.
It would be getting togetherand you know understanding, not
just knowing.
(27:52):
You know a little pamphlet oflike what OT does right and how
they help regulate you knowsensory overloads and sensory
issues.
It's about well, I want to knowhow to do that too.
I don't want to just know aboutit, I want to know it.
So it would be the cohesionbetween all the different
therapy models.
You know there's there's somuch in mental health counseling
(28:14):
that that I take on.
You know my master's was incounseling and you know I use
those tools every single day andwhat's crazy is they call it
one thing in mental healthcounseling and behavior analysis
.
They call it another and it'sthe exact same thing, right?
And so I feel like that a lotof clinicians are kind of this
(28:36):
is my realm and this is mymodality and I'm stuck here.
No we're not stuck.
Be unstuck, be flexible, youknow, be curious, you know and I
think that's what's taken me sofar is I'm curious, I want to
know what they're doing in PT.
I have, I have watched PTsessions and I've said, oh, I
can do that.
(28:56):
And so obviously I don't do thetechnical things, because that
is their education and theirknowledge, but I'll take some of
their, their exercises.
I'm like, huh, I can do that.
Let's add that in.
And so not only are we lookingat shaping behavior, but we're
working on the correct musclesin order to get up to do potty
(29:17):
training right.
It's about where you hold yourhands, it's about building the
correct muscles.
There's so much that we canutilize from other therapy
modalities.
So to answer that questioncohesion.
Dr Andrew Greenland (29:31):
Thank you.
Final question If time andbudget weren't an issue, what's
a service or innovation you'dlove to implement tomorrow?
Samantha Cliborne (29:42):
A service implementation I would want to
implement tomorrow.
That is a very good question,one tomorrow.
That is a very good questionand that's a tough one.
I you know, I don't actuallyknow what.
What can we do, what would youdo?
Dr Andrew Greenland (30:04):
Well, I mean, I guess, I mean you may be
very happy with everythingyou're doing.
You may be doing everythingthat you think is possible.
I just sort of put it out there.
If there's one thing that therewas you know it was a money
thing that you couldn't dotomorrow, or something else that
would take a little bit ofthinking, is there something
that you would like go forstraight away?
Samantha Cliborne (30:20):
It's I.
I just I love the path thatwe're on.
I think that I think that we'reon that path and and we are
honestly like we're doingeverything that we're doing,
that we need to be doing, andwe're going in the right path.
And as long as we stick withthe cohesion, as long as we
stick with you know the level ofpartnership between our clients
(30:42):
and our staff, then you knowthere's there's nothing, there's
no, there's nothing else thatneeds to happen, just cohesion.
You know familiness,togetherness, but also some hard
work and some dedication.
You know it takes discipline.
Dr Andrew Greenland (31:00):
Samantha, thank you so much for your time
this afternoon.
It's been really interestinghearing about what you do in
Behavior Matters, the passionand drive that you have and your
approach for caring for yourteam and making sure that you
give your patients really thebest possible outcomes.
Really, I'm really reallygrateful.
Thank you so much for your time, Really appreciate it.
Samantha Cliborne (31:19):
Absolutely appreciate it, thank you.
Dr Andrew Greenland (31:22):
Thank you.
Okay, so welcome back to Voices in Health
and Wellness.
This is the show where we sitdown with forward-thinking
leaders across clinical care,behavioral health and wellness
to talk about how the industryis evolving, especially as
younger generations likemillennials and Gen Z reshape
expectations around healthaccess, and engagement really
(00:25):
stands out in this space.
I'm thrilled to welcomeSamantha Clibourne, a
board-certified behaviouranalyst and founder of Behaviour
Matters Consulting, based inSouth Carolina.
Samantha brings over a decadeof experience in behavioural
health, with a deep focus oncreating family-centred models
of care that don't just targetindividual behavioural change
but transform the entireecosystem around the client.
So, samantha, thank you so muchfor your time this afternoon
coming on the show.
Are you actually calling fromSouth Carolina as we speak?
Samantha Cliborne (00:50):
Yes, I am Thank you for having me.
Dr Andrew Greenland (00:53):
You're very welcome.
Maybe we could start at the topand perhaps talk a little about
your role and how it fits intothe bigger picture of what you
do at Behavior Matters.
Samantha Cliborne (01:01):
Absolutely so .
My role as owner, clinicaldirector and behavior analyst is
really multifaceted, you know,but my training as a behavior
analyst is is really what hasgiven me the tools to break down
why people do what they do.
You know I've applied that samelens to really the care model
itself.
You know I asked questions likewhy do we approach therapy the
(01:25):
way we do, what behaviors areactually being really reinforced
and what outcomes actuallymatter to the families?
You know behavior matters, likeour mission is to create
meaningful and lasting behaviorchange.
In order to do that, like youknow, this is where this is
where millennials are different.
Right, we don't just focus onthe child.
(01:46):
You know we have to educate andempower the entire family
system.
You know you can't treatbehavior without treating the
system around it.
You know, and as I know and aspeople are slowly learning, as
technology and social media istaking over, is human behavior
is shaped by consequences.
(02:06):
You know, right now cliniciansare competing with social media,
short form content, 24-7,access to health care and health
information.
So really the approach matterswhen it comes to really just
wellness and behavior change ingeneral.
You know if a family doesn'tfeel heard, understood or
(02:27):
aligned with, you know theprovider's values, like they're
going to disengage, right, so orworse, like they're going to
mistrust the entire process.
And you know, I feel like ABAapplied behavior analysis like
10-15 years ago, like outside ofthat millennial generation.
It was very rigid, it was verylike you listen to me, this is
(02:52):
what I said.
It was very compliance basedand I am flipping the switch,
you know, because so manyfamilies are ready for that.
You know, they don't want to betold what to do, they want to
partner.
You know, and that's reallywhat we do at Behavior Matters
is we're that partner with thesefamilies.
And you know, we take it fromthem.
(03:13):
What do you want to see?
You know.
And then we do the absolutebest we can with staying within
our ethical guidelines andgiving that to them.
You know, if they say, you knowwhat I don't like, that we
don't, we don't stop, we lean in, you know, we say, okay, how
can we change that?
You know.
Dr Andrew Greenland (03:37):
So to me that's, that's really how, how
we're doing things differentlynowadays, as millennials Got it.
So what was the original sparkfor starting Behavior Matters?
Was there a gap in the caremodels that you were seeing at
the time, or was there somethingelse?
Samantha Cliborne (03:47):
You know what ?
It's kind of cool that you knowwe're talking in different
countries right now.
So this all started BehaviorMatters all started for me when
I was living in South Korea.
I was I just I lovedexperiencing different cultures,
different family systems.
Um, and I went to South Korea.
(04:09):
I taught English for a littlebit over there and what I saw
with the special needs communityreally changed me.
Um, I was in a classroom with akid just sitting there banging
his head up against the wall,banging his head up against the
wall, and I have no like mindyou like, I'm a army veteran,
right Like you know, I've neverseen these things before.
(04:31):
I have no idea what I'mexperiencing right now and I'm
like that's when I started theresearch, you know.
So it wasn't necessarily likewhere am I seeing?
You know the breakdowns and youknow wait times and care and
intakes and stuff.
It was more the family unit forme.
You know, it was over there inSouth Korea.
(04:55):
I was told that if these kidsdisplay behaviors like that,
they get sent away and theynever get seen again, and that
really resonated with me.
So what I did when I came backI was like, okay, you know,
we're changing this game.
You know we're not allowingthis to happen anymore, even
though this was in anothercountry, like you know, I feel
(05:16):
like parents still today.
You know they do somewhat thesame thing, you know, if we look
at learned helplessness andthings like that.
So, really, behavior mattersstarted in another country.
It started with a differentdream, you know, and it molded
into this amazing, amazing.
(05:37):
Honestly, these four walls thatI have is it's four walls of
trust and it's four walls oftrust within our family,
families that come in.
It's it's within our my staffas well.
You know my staff, you knowthey also get training on
trauma-informed care.
You know we have a lot of kidsthat are.
(05:58):
You know the world is.
The world is the world at thiscurrent moment and kids are
going through trauma.
And you know the world at thiscurrent moment and kids are
going through trauma.
And you know we're finally, asmillennials, at a stage where we
can open up and we can askthose questions of like, what's
wrong?
Let's help you through this,let's get through emotional
intelligence.
We're finally there andBehavior Matters has just really
(06:19):
taken a hold onto that modeland I mean we're running with it
.
Hold on to that model and Imean we're running with it In
2026, we're going to be addinglike occupational therapy as
well.
So currently we have ABA andspeech therapy, but occupational
therapy next year, along withmental health counseling.
You know, we're going toregulate the body, we're going
(06:39):
to work on the mind and we'rereally going to treat the family
system as as a system.
This is what it is.
Dr Andrew Greenland (06:46):
Amazing.
So what does a typical day lookfor?
Um, look like for you at themoment.
I mean, I think you mentionedyou're wearing lots of hats in
what you do.
Um, maybe there isn't such athing as a typical day, but give
me some sense of things.
Samantha Cliborne (06:57):
Um, what I love about my job is you're
right there.
There is no typical day.
You know I come in as early aspossible I'm an early bird and
you know I sit and I set myschedule for the day you know
well, I look at my schedule.
My amazing I have amazing teamthat really works well together
to really set up the bestpossible things for my day, my
(07:21):
day.
So my day is going to end upbeing training RBTs registered
behavior technicians in programsand how to develop certain
skills out of the kids that wesee.
My day is going to includeconversing with parents.
You know, I do a lot of parenteducation, like a lot of parent
education, because if you thinkabout it as clinicians, we're
(07:42):
only with these kids for a shortamount of time.
You know the parents are theones that are with them the most
, and so I do a ton of training.
So while my RBTs are there andthey're working with the kids,
I'm working with the parents andwe're really attacking the
system from both ends.
So after parent education, if Iremember to eat, that will
(08:04):
happen.
If not, I also do in-home, so Iwill go into the home and work
through that as well.
So you know I balance payroll.
You know I balance schedules.
I balance everything, but itends up being no set schedule
but a beautiful dance all daylong and just an amazing
(08:28):
environment that I love to be in.
And I've been very thankfulthat my staff has also said the
same.
You know they feel heard here.
You know I ask my staffconstantly what can I do to help
you understand better?
What can I?
How do you learn?
You know I focus on the staffway more than than I focus on on
(08:50):
the kids in a certain degree,right, because I can tell you
about a kid very easily of like,hey, these are the goals we're
working on, this is this is theend goal.
Right, this is where we're at,this is the end goal.
And if I know my clinician well, I'm going to be able to say,
hey, right, this is where we'reat, this is the end goal.
And if I know my clinician well, I'm going to be able to say,
(09:11):
hey, this is how you learn, I'mgoing to give it to them just
like that, and it's going to cutmy time down tremendously.
So that's another kind oftactic that I use as well.
Like, if we get to know aperson, we know how they learn,
we know how they act and, as abehavior behavior analyst, the
big question I ask every day iswhy people do what they do you
know.
So I really focus in and I leanin on that and I really try to
(09:31):
make the best out of my day andhelp as many people as possible.
Dr Andrew Greenland (09:37):
That sounds like a very, very crammed day
on the matter of your team.
You mentioned your staff, sohow has your team evolved since
you launched?
Have there been any unexpectedshifts or lessons along the way
for them?
Samantha Cliborne (09:48):
You know there has been, because it is
when we get into the nittygritty.
Once kids start unmasking right, they really start showing
their true colors.
And you know a lot of mytechnicians.
They haven't seen trauma before.
You know they don't know whatit looks like, they don't know
(10:08):
how to navigate questions aroundthat to get to.
You know the belief system thatthese kids have and why they're
continuing to do what they do.
So my staff has learnedtremendous.
They've learned so much and I,literally, you know my staff
will tell me you know I've hadone therapist tell me like I
have learned more with you inthe first week than I have
(10:31):
learned in my entire life,because I sit down with them and
I talk to them about likeeveryone gets the same spiel
from me when they first gethired.
It's, this is what we do.
You know this is how we do it.
You know it's an extensivetraining process.
You know it's, you're going toget bad days.
But how do you get throughthose bad days?
You know I have somethingcalled a dopamine menu and my um
(10:55):
RBTs and, honestly, my speechtherapist, my front desk, you
know my billing manager they all, you know, have the same tools
at them, uh, in front of them aswell.
It's, they have a dopamine menu.
I've got 20 minutes.
What's going to give me themost dopamine that I can get
right now so that I can go backto my job and perform and,
honestly, still be happy?
Because that's what dopaminedoes you know.
(11:16):
So it's really about theapproach to things and you know
it's about we're never donelearning, so there are still
things that I have to learn andas soon as I learn them, they
learn them.
Dr Andrew Greenland (11:28):
So they are always evolving and always
changing them, they learn them,so they are always evolving and
always changing Amazing.
Before we set this up, we had abrief email exchange and I
think you mentioned in one ofyour replies that your holistic
family model really aligns withhow millennial families approach
wellness.
What kinds of shifts are youseeing in how families engage
with care today?
Samantha Cliborne (11:47):
So the major shift as far as you know
families that are seen is youknow they're really seeing that.
You know they want that quick,immediate fix and we have to
navigate them through that.
This isn't really a quick, easyfix.
(12:08):
You know they're used totechnology where everything's at
their fingertips.
Well, why can't this go faster?
You know, and and a major shiftthat we've made in my clinic is
how we define and support theregulation, not just from the
parents but with the kids.
You know, um, if a child'sdysregulated, no amount of
prompting that's really going toproduce that meaningful
(12:29):
engagement.
You know millennial parentsknow this.
You know they want us tosupport the whole child, not
just manage that behavior.
So, integrating those holisticstrategies into the sessions,
like, for example, you know,like I told you, we teach staff
how to recognize, like thechild's nervous system they're
stuck in fight or flight, thosemoments, you know it's
(12:50):
co-regulation.
You know we might use breathwork.
You know we might use rhythmictapping.
You know what we really utilizeis frequency-based sound, you
know, and we help shift thechild into a more regulated
state where learning is possible.
You know the big buzzwordeveryone's mindfulness.
Mindfulness.
(13:10):
You know it's not a buzzword tome.
It's a behavior, you know.
We model it, we shape it, wereinforce it.
For some kids that might meanstructured breathing routines.
You know kids that have ASD,autism spectrum disorder their
cerebellums, their wires are somixed up right, so that's where
(13:33):
these repetition comes in.
You know this is where we do.
We are going to have thatstructured practice of those
breathing works.
You know it might be walkingoutside.
You know we're going to takeyour shoes off.
We're going to connect with thebody.
You know these aren't breaksfrom therapy.
This is therapy, you know,because all of these things they
build the foundation for thesustained engagement and, as we
(13:56):
know, learning is not going tohappen if we cannot sustain
engagement.
So we found that, you know whenwe meet kids where they are,
you know neurologically, likewhat they can handle, things
like that, we reduce the numberof behaviors maintained by
escape and by avoidance.
You know there's only fourreasons really why we do what we
do.
You know, once we figure outwhat that is, we just shape our
(14:20):
consequences, you know.
So we are going to use theholistic viewpoint.
You know we're not going to,you know, promote medication.
We're going to promote whetherit be natural substances, herbs,
things like that.
Magnesium, my goodness, we'reall deficient in magnesium, you
(14:40):
know.
So that's the first thing I'mgoing to tell you to do.
What do you?
Do you take magnesium, right?
You?
know all these parents are likeI want melatonin to get my kids
to sleep.
Why don't we absolutely go forit?
Do the melatonin?
Make sure it's in the darkthough, because that's how our
brain operates with melatoninright, but you know, try a
bedtime routine before you know.
(15:01):
Try to set up the behavior ofsleep beforehand.
So that's just kind of how welook at things differently and
we kind of set the expectationup a little bit differently for
our parents.
Dr Andrew Greenland (15:14):
Thank you.
Do you see the shift towardsfamily centered care as part of
a broader trend, or is itsomething that you've been
personally championingindependently?
Samantha Cliborne (15:23):
Honestly, I personally feel like at least in
my area, I feel like it's notvery common.
You know, I see a lot of waittimes.
I see a lot of boring waitingrooms.
I see a lot of just nocallbacks.
You know, any person that putsin on our website hey, you know
(15:45):
I'm interested in this.
They're going to get a call.
You know they're going to get afollow-up, they're going to get
something.
You know, and I do feel likeyou know it's it needs to shift.
You know, because the world isshifting.
You know, as generations getolder, you know, or new
generations come out, like whatare we going to do with the you
(16:05):
know the generation beta and thegeneration alpha?
Like what is care going to looklike?
Then?
You know it might all be remote, you know, I don't know, but I
know what we do know is we haveto shift with the generations or
we're not going to be able totap in to, to help them got it?
Dr Andrew Greenland (16:25):
have the um , the millennials and the gen z
parents pushed you to changeanything that you didn't expect
to revisit?
I know you talked about themwanting the kind of quick fix,
but is there anything thatyou've kind of caved into doing
on the basis of theirexpectations?
Samantha Cliborne (16:41):
I would say no, because I set the
expectations for them.
I'm a very much like we'regoing to be in this together.
I want you to tell me what youdon't like.
I want you to tell me what youdo like.
I want to tell me what youdon't feel comfortable with
doing, because I'm going to finda way around it.
I'm literally going to setthese parents up, for this is
what it's going to look like,right?
(17:03):
This is when training is goingto start with the whole family.
This is when the training isgoing to start with the kid.
You know, I set them up of.
This is how we communicate.
You know, I try to answer asmany questions up front, so that
way, parents are in the middleof the night wondering or waking
up oh, do I need to do that?
Oh wait, do I have this thatday?
No, they get a big visual,visual support aid person.
(17:26):
They're going to get a list ofeverything that they need to do.
Maybe too much.
I've had a lot of parents like,okay, I got it, we've got the
handout.
But I like to really just havethem be informed.
And there's no questions, right, there's no like.
Well, what ifs?
You know what it is.
And if you don't know what itis, you are more than welcome to
(17:48):
reach out.
We're going to answer thatquestion for you.
But they, you are more thanwelcome to reach out and we're
going to answer that questionfor you, you know, but they're
not going to be up in the middleof the night thinking and
wondering like what if they'regoing to know?
So that's that's really how Ikind of set things up a little
differently.
That's why I feel like, youknow, I am very different than
most ABA clinicians because ofthe way that I see the world.
(18:10):
You know, I have applied thesame things of my training as a
behavior analyst to the caremodel.
You know, that's why weapproach things the way that we
do.
Dr Andrew Greenland (18:21):
Amazing.
So what's working well for yourteam right now and I obviously
apart from your leadership andthe attention that you give your
staff- is there anything elsethat kind of makes this whole
thing a great success for you.
Samantha Cliborne (18:32):
Training is huge, getting together with them
in my office and in our in ourclinic.
You know, in our front officethere is a kitchen table, andrew
(18:52):
, there is a kitchen table inthere and we will sit down at
the kitchen table and we willtalk and I will get to know
about them.
I will get to know about, um,their stressors, you know, and
it's just it brings theenvironment, you know.
Dr Andrew Greenland (19:00):
So, um, that's really kind of, uh, kind
of the big kicker there, youknow nice and, on the other end,
is there been any particularsticking points, frustrations or
challenges that you have intrying to do what you do?
Samantha Cliborne (19:17):
Oh, there are always sticky situations, there
are always challenges.
Not every parent is going to beas willing to open up, you know
.
You know, if you think aboutthe kids that we serve and you
know the diagnoses and thedisorders that they have, you
know those came from somewhere,and a lot of times our parents
(19:39):
are struggling with the samethings as the kids are, you know
.
So it's about really monitoringthe parents care as well, and
I've had some parents that arereally they can't do it, you
know, they can't stick to thestructure, they can't follow the
methodology, so to say, and sothat right there it gets sticky.
(20:03):
Because it's like I can helpyou, I know that I can help you,
but at a certain point, like Ican't do more than you, you know
you're going to have to.
You know, if we're going to be ateam, you know I show up to the
line and and you know you'vegot to show up to the line, you
know I can cross over a littlebit and I can help you and I
will and I have, but at acertain point, you know, at a
(20:26):
certain point it's we're at thatpoint where it is time to, you
know, go different ways and andmaybe there's a, there's another
clinician out there that isgoing that flows and meshes
better with them.
So you know, that's really theonly sticky situation that that
I feel like I have encounteredis being able to cause.
I mean, you got to think, likeI'm in the care of these kids
(20:48):
I've had some kids for four orfive years, you know and so if
you can't stick that long withreally meaningful behavior
change, then you know there issomeone out there that's going
to help you a little bitdifferently than I am.
Dr Andrew Greenland (21:03):
Thank you, as a business owner, any
particular outcomes or metricsthat you particularly focus on
in your business?
Samantha Cliborne (21:10):
Absolutely.
We are absolutely focusing onefficiency here.
So it's about how well that weset up our clinicians to do
their data taking, take theirnotes, that kind of stuff.
So it's really efficiency asbest as we can in any form that
(21:32):
we can.
Efficiency is key.
Dr Andrew Greenland (21:35):
All right and any particular client
feedback that you pay mostattention to, to get the kind of
the signals that what you do isworking for people.
Samantha Cliborne (21:44):
Yes, signals.
So a lot of times our signalsare going to be within our body.
They're not going to be withinour words.
You know I work with a, with apopulation that you know that
are learning to use their words,and so, yeah, it's, it's about
reading the body language,because they're not always going
to tell you what, if they'regoing to do something or not.
(22:06):
I can, I will look at the waythat the eye contact that I get
from parents, you know, I'lllook honestly.
I look at their feet, I look atwhere their, their hips are
positioned.
You know I look at things verydifferently.
I want to see, you know, ifyou're tired today, because then
I'm going to slow down the waythat I talk.
You know what I mean.
So I really look at the bodylanguage.
(22:28):
You know what I mean.
So I really look at the bodylanguage.
What is, what is the bodytelling me and how I can react
to that and and really get themto um, boost the mood.
You know how can I give themthe dopamine that I?
I know that they need.
So, yeah, so I'm going to readtheir body language, I'm going
to um, I'm going to kind of seewhat, what I can do to help them
in that area, and then that'show I'm going to make my
(22:51):
judgments of where we're goingto move next thank you.
Dr Andrew Greenland (22:55):
Are there any parts of your operation that
you wish could run smoother?
I mean, it sounds like you'vegot a very tight ship, you've
got a very good engaged team,but is there anything that you
think there's some bottleneckshere, things I'd like to smooth
out?
Samantha Cliborne (23:06):
yeah, I, there's always improvements that
can be made.
The biggest thing right now is,you know, we're going to need a
bigger space.
With adding in occupationaltherapy and mental health
counseling, we're going todefinitely need a bigger space.
So smoothing out the ins andouts of who's in treatment space
one, who's in treatment spacetwo you know just the logistics
(23:30):
of the work, so to say caneasily be smoothed out.
There's always ways to smoothout scheduling things like that.
But other than that, I mean, Itry to keep this as well-oiled
as possible and the oil is thehappiness right.
Dr Andrew Greenland (23:49):
Brilliant.
And how do you balancepersonalization with scalability
in your programs?
Because there's only one of you, um, and you know you're
talking about growing.
Samantha Cliborne (23:58):
I just wonder how you manage to kind of
strike that balance so the waythat I do it is, I give
everything all of me, all daylong, you know.
You know I am this job.
You know it is not the onlything that I care about by any
means.
But you know, when I wake up inthe morning and it's time to go
to work, like they're going toget Samantha Clyburn basic
(24:21):
Samantha Clyburn, but they'realso going to get Samantha
Clyburn BCBA you know they'regoing to get this, they're going
to get that.
You know, and it's yeah, I meanit's it's hard sometimes, but I
just you just show up, you do behappy, you exude, you put out
(24:44):
into the world which you want,you know, your, your staff to to
exude.
And that's really what I try todo and it's what I've been
fairly successful at so far.
So I just I show up every dayand I try to do the absolute
best I can.
And you know what?
That's all we all are doing.
We are all just doing theabsolute best we can.
So it's about being aware.
It's about not just being awareof yourself, but it's about
being aware of everyone elsearound you too.
(25:06):
So keeping that mindfulness aswell.
Dr Andrew Greenland (25:09):
Amazing and sort of six to 12 months down
the line.
What would success look likefor you at your work at Behavior
Matters?
Where do you want to be?
A little bit further down theline.
You talked about taking on morepeople, hopefully finding your
larger space, but is thereanything else?
Samantha Cliborne (25:29):
Yes, it is going to be integrating other
healthcare providers and systemsinto our treatment.
So, where we're looking at goinglike as far as moving to a
different location, we're goingto look to go around dentist's
office, doctor's office.
You know so much of our kids arescared of these places, you
know, and if we can bridge that,that fear between other
(25:52):
clinicians and them doing theirjob and treating these kids that
you know have genuine fears ofthe tools, the basic tools that
a dentist use every day, if Ican get them just through
habituation, if I can just getthem to see those tools, to walk
in those doors, to sit in theirwaiting rooms, then we're going
(26:14):
to, we're really going tochange the face of healthcare,
you know, because you're notgoing to have screaming kids.
You know, I can, you know I'vegone into daycares, I've gone
into doctor's offices, I've goneinto homes and you know, and
I've taught the clinicians whatto look for, how to go a little
slower, you know.
So, honestly, down the road,six, you know six months a year
(26:37):
down the road it's going to bepartnering with other clinicians
and it's going to be.
How can we, as a field, changethe, you know, our environment,
society?
That's where I want behaviormatters to go amazing.
Dr Andrew Greenland (26:55):
And if you could change, if you could wave
a magic wand and solve one bigoperational care challenge, what
would that be?
One operation of what a bigoperational or care challenge.
What would that be an?
Samantha Cliborne (27:07):
operation all care challenge operational or
care challenge.
Dr Andrew Greenland (27:11):
So something about the kind of the
operations of your business orabout the whole care business
that you're in.
What would it be?
Uh, one more time sorry so ifyou could wave a magic wand and
solve one big bottleneck,whether it's an operational
thing, about the way that thebusiness runs, or about the
whole care sector.
Samantha Cliborne (27:32):
What would that be?
it would be cohesion, to becompletely honest, um, it would
be yes, we do have to followHIPAA and we have to make sure
we're maintaining client umdignity and records and all of
that.
But it would be cohesion.
It would be getting togetherand you know understanding, not
just knowing.
(27:52):
You know a little pamphlet oflike what OT does right and how
they help regulate you knowsensory overloads and sensory
issues.
It's about well, I want to knowhow to do that too.
I don't want to just know aboutit, I want to know it.
So it would be the cohesionbetween all the different
therapy models.
You know there's there's somuch in mental health counseling
(28:14):
that that I take on.
You know my master's was incounseling and you know I use
those tools every single day andwhat's crazy is they call it
one thing in mental healthcounseling and behavior analysis
.
They call it another and it'sthe exact same thing, right?
And so I feel like that a lotof clinicians are kind of this
(28:36):
is my realm and this is mymodality and I'm stuck here.
No we're not stuck.
Be unstuck, be flexible, youknow, be curious, you know and I
think that's what's taken me sofar is I'm curious, I want to
know what they're doing in PT.
I have, I have watched PTsessions and I've said, oh, I
can do that.
(28:56):
And so obviously I don't do thetechnical things, because that
is their education and theirknowledge, but I'll take some of
their, their exercises.
I'm like, huh, I can do that.
Let's add that in.
And so not only are we lookingat shaping behavior, but we're
working on the correct musclesin order to get up to do potty
(29:17):
training right.
It's about where you hold yourhands, it's about building the
correct muscles.
There's so much that we canutilize from other therapy
modalities.
So to answer that questioncohesion.
Dr Andrew Greenland (29:31):
Thank you.
Final question If time andbudget weren't an issue, what's
a service or innovation you'dlove to implement tomorrow?
Samantha Cliborne (29:42):
A service implementation I would want to
implement tomorrow.
That is a very good question,one tomorrow.
That is a very good questionand that's a tough one.
I you know, I don't actuallyknow what.
What can we do, what would youdo?
Dr Andrew Greenland (30:04):
Well, I mean, I guess, I mean you may be
very happy with everythingyou're doing.
You may be doing everythingthat you think is possible.
I just sort of put it out there.
If there's one thing that therewas you know it was a money
thing that you couldn't dotomorrow, or something else that
would take a little bit ofthinking, is there something
that you would like go forstraight away?
Samantha Cliborne (30:20):
It's I.
I just I love the path thatwe're on.
I think that I think that we'reon that path and and we are
honestly like we're doingeverything that we're doing,
that we need to be doing, andwe're going in the right path.
And as long as we stick withthe cohesion, as long as we
stick with you know the level ofpartnership between our clients
(30:42):
and our staff, then you knowthere's there's nothing, there's
no, there's nothing else thatneeds to happen, just cohesion.
You know familiness,togetherness, but also some hard
work and some dedication.
You know it takes discipline.
Dr Andrew Greenland (31:00):
Samantha, thank you so much for your time
this afternoon.
It's been really interestinghearing about what you do in
Behavior Matters, the passionand drive that you have and your
approach for caring for yourteam and making sure that you
give your patients really thebest possible outcomes.
Really, I'm really reallygrateful.
Thank you so much for your time, Really appreciate it.
Samantha Cliborne (31:19):
Absolutely appreciate it, thank you.
Dr Andrew Greenland (31:22):
Thank you.
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