Voices in Health and Wellness
Voices in Health and Wellness is a podcast spotlighting the founders, practitioners, and innovators redefining what care looks like today. Hosted by Andrew Greenland, each episode features honest conversations with leaders building purpose-driven wellness brands — from sauna studios and supplements to holistic clinics and digital health. Designed for entrepreneurs, clinic owners, and health professionals, this series cuts through the noise to explore what’s working, what’s changing, and what’s next in the world of wellness.
Voices in Health and Wellness
From Data To Dignity: Redefining Autism Support With Play, Parent Coaching, And Compassionate Care with Carolina Alay
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Care that starts with connection changes everything. We sit down with Carolina Alay, a board-certified behaviour analyst and coach, to explore how data, compassion, and play can coexist to help neurodivergent children communicate, self‑advocate, and thrive. From preschool observations to parent onboarding, she shows what intensive ABA looks like when it’s human-first and rigorously measured.
Carolina takes us inside her fieldwork—direct observations, daily data collection, and real-time coaching for technicians and families. She explains why ABA intensity matters for closing skill gaps and how pairing and play create the emotional safety learning needs. You’ll hear about a summer camp in an indoor playground that delivered real outcomes: toileting success, reduced food avoidance, independent utensil use, and spontaneous peer imitation, all within a structured, goal-driven routine.
We talk tools for parents—from understanding the function of behaviour to building communication and sustaining gains across home and school. We also face hard truths: insurance barriers often leave families without coverage unless there's an autism diagnosis, despite clear benefits for ADHD and other delays. Carolina shares workarounds through coaching, collaboration with speech and OT, and a focus on generalisation.
We dig into metrics that matter—mastery criteria, cross-setting progress, graduation rates—and challenge the myth that ABA is robotic. Carolina paints a wider vision of behavior analysis across classrooms, clinics, and even HR, always grounded in data and dignity.
Behind the scenes, we explore the systems that support compassionate care: rapid-response channels for field staff, open culture, and the power of delegation. Carolina previews two big initiatives: a tool to streamline intake/reporting, and an English programme to help skilled migrants become job-ready as RBTs.
If you care about autism support, coaching, compassionate ABA, or play-based therapy with real results, this episode delivers insight and next steps.
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👤 Guest Biography
Carolina Alay is a Board-Certified Behavior Analyst (BCABA) and the founder of Blue Minds and Perfectly Balanced Coaching, based in Southern Florida. Originally from Colombia, Carolina brings a unique, bilingual approach to behavior therapy that blends data-driven techniques with deep compassion and family involvement. She specializes in working with neurodivergent children and their families, combining ABA principles with emotional wellness and coaching to create long-term, meaningful change.
Contact Details
- Websites: https://perfectlybalancedcoaching.com and https://www.bluemindsllc.com/
- Instagram: https://www.instagram.com/bluemindsllc
- LinkedIn: https://www.linkedin.com/in/carolina-alay-bcaba-ab368435/
- Facebook: https://www.facebook.com/bluemindsautism
About Dr Andrew Greenland
Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing.
Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care.
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So, welcome back to Voices in Health and Wellness. This is the show where we explore how leading minds in care, coaching, and innovation are reshaping the future of health. Today I'm joined by Carolina Alay, a board certified behaviour analyst and the founder of Blue Minds and Perfectly Balanced Coaching. Based in Southern Florida, Carolina works closely with children, families, and neurodiverse individuals to foster emotional growth, self-regulation, and connection. Her practice spans both clinical behaviour analysis and holistic life coaching, putting her at a unique crossroads where data-driven care meets human-centered support. So, with that, Carolina, I'd like to welcome you to the show and thank you so much for joining me today.
Carolina Alay:Thank you so much, Dr. Grendan. It's a pleasure to be here today with you guys.
Dr Andrew Greenland:Thank you. So, could we maybe start at the top? Could you tell us a little bit about your background and how you ended up coming to Found Blue Minds and Perfectly Balanced Coaching?
Carolina Alay:Absolutely. So I I was raised and born and raised in Colombia, South America. And at the age of 18, I moved to the United States. I originally went to California, but then I moved to South Florida, and that's where I currently live and practice. It was a journey because I was there already at the university. I was doing my career in psychology, my bachelor's degree in psychology. So it was a big change transferring over to the United States. I kind of like to start not from scratch, but adjusting to a lot of changes, the language, the culture, and kind of like the application of psychology here was a little bit challenging. But I am very grateful that at the very beginning, while I was still in college, like finishing my career because I graduated from Florida International University. So while I was still in college, I had the opportunity to practice and to provide therapy to children diagnosed with autism. And that was kind of like it opened my eyes to a new reality. And you know, like how did it feel to be able to change somebody's life by you know doing uh your job and and something that you love? So um it was really nice. It was really nice, and and I've been doing it since then. I've I I couldn't stop working with the children and the families. It was just really rewarding. And then on the road, I I had the possibility to do other roles and to educate families and and other technicians and providers, and that's how we ended up here.
Dr Andrew Greenland:Perfect. So, what does a typical day or week look like at the moment for you between both sides of the work? And I appreciate that no week is the same, no day is the same. I'm trying to get a sense of how things pan out for you.
Carolina Alay:Yeah, so my days could be very different one from another. So sometimes I am in the field. So I go, for example, this morning, I went to a preschool, I conducted a supervision to one of the technicians that are in the field. Um, so that implies to do direct observation of the client, to do a visual analysis of the data, because we do the daily data collection. So I have to see all the graphs, make sure that the programs have been implemented as written in the behavior plan, and make sure that there is significant progress. And if that is not occurring, then I have to make modifications. And that also includes um educating and training the practitioners right there and then on the things that they need to correct or modify in order to get to the point that we want. Um, so we work very closely with like teachers and um school administratives and uh parents too. So after that, for example, I I had a conference with one of my clients because I also helped in the onboarding of new clients. So it was a patient that was recently um diagnosed and evaluated. So I had to, you know, kind of like talk to the mom about what to do after, like the next steps. So that's also part of my job to explain to people that have no experience with ABA or has no experience on the world of ASD, what are the next steps, what to expect, what is coming up, and how to organize that so it's not so overwhelming because it could be very overwhelming. Um yeah. And I'm sorry, and the the other the other part of the job, which is the coaching, um, it is more like uh I do it online sometimes, so it's connecting with people. Uh, I did a lot during the pandemic because uh health healthcare practitioners were very overwhelmed. Um, and it was a good outlet to kind of like put things in perspective and see what is really important and how to it was the the work is more like how to prioritize and how not forget about yourself. Like you're also a human being and you have things that you care about, so how to put those uh limits and those priorities in order so that you're successful and you can uh efficiently help others because you are okay yourself.
Dr Andrew Greenland:Absolutely, you can't help other people unless you can help yourself. So that's really important self-care, really important message. So, who are the types of clients you are tend to working with most? I'm guessing mainly children, or you I know you mentioned parents in your conversation just there, or mix, and also what sort of typically brings them to your services?
Carolina Alay:Yeah, so um our population is children from 0 to 12. So we we work with these kids that are um neurodivergent, meaning that they come with a diagnosis of autism, ADHD, or other syndromes and developmental conditions. Um, and they come to us because they have been referred by the pediatricians or the teachers sometimes. They talk to the parents and they're like, you might benefit from applied behavior analysis. So then the parents call us and we have to guide them in the process. And it is, you know, like one of the first things that I tell to my friends that it is different from any other approach, like uh psychotherapy or speech pathology or occupational therapy. Usually those types of treatments you seek like once, twice a week, and you know, like kind of like an hour a day, two hours a day maximum. ABA is an intensive program. So sometimes we have kids that we see 20 hours a week, 30 hours a week, right? Because we have to not only shape their behaviors uh so they are more uh adaptable for them, uh, but we also have to fill in the gaps of the skills that they're missing in their development. Um we teach them functional communication, we teach them social skills, we teach them to make friends, um, to advocate for themselves, you know, like instead of throwing a tantrum, you can say, no, I don't want that, please. Um, things like that. And um not only, you know, like vocal communication, but we use other types of devices and things. So whatever works for the kids, if if if they can point to a board, we can use that, or if it's uh a device where they can type their answers or they can uh select icons and communicate, then we implement that as well. So it's a very comprehensive uh approach. And at the same time, they receive the direct therapy, but we also provide coaching to the parents. So we are integrated. We we need to make sure that everybody that's involved in the life of the child knows, you know, where he's going and that we all work as a team.
Dr Andrew Greenland:Thank you. What are you seeing change in terms of what clients and families are expecting from care and support in 2026? I mean, have things shifted and what are you seeing?
Carolina Alay:Yes, I think there is a shift in terms of compassionate care. Um, families before they were more oriented towards, I think, a medical model where it was like, this is my kid, he has a problem, fix it, and then you let me know how that goes, right? Kind of like a drop-off situation. Um, right now, families are more integrated in the process and understanding that uh compassionate care has to come from everybody and that they also need to be involved in the process. And the more people it's involved, the better, because we don't see autism as a disease that you have to cure. It's just another way of interpreting information. So if we can understand how these children learn, they can learn a lot of stuff and they can be very successful, they can be very independent. So that's kind of like the goal, you know, like to do it with love, with compassion, to and also understand their parents, you know, like it's not just do this, do this, do this, do that, because they also have to balance a lot of stuff. They have a household, they have jobs. Um, so I think that is the the big switch that we are that we are seeing in the field of ABA too. It's not just uh kind of like a medical uh approach, it's more like a sensitive approach where we see people as a whole and we have to check all those angles.
Dr Andrew Greenland:Are there any expectations you're seeing from younger generations that surprise you or feel especially encouraging?
Carolina Alay:I think they they have a voice, they are expected to be heard, they are expected to to advocate for themselves. It's not just like I'll do everything I've been told, and I'm a good kid as a result of that. It's I also have an opinion, I also have something meaningful to say. Um, and I think that's one of the biggest skills that we can teach our kids is self-advocacy, because in a way it protects them from a lot of dangers that are in the world. So, especially the population that we work with that are kids that sometimes don't have vocal communication, sometimes they can't speak, or they don't have emotional regulation. Um, so it is important that they know that they are heard and that they, you know, they're important.
Dr Andrew Greenland:Do you think things like emotional alignment and accessibility or reducing stigma are now must-haves for families when they're choosing a provider?
Carolina Alay:I think it is important for them to check different providers before they go for one. Um, because you you need to um like find a good fit, right? Not not every provider, it's like a doctor. If you go to a doctor, you're not gonna feel comfortable with all of the doctors or their approaches. It doesn't mean that they're good or bad, it just means that you have to click and have some connection with them. Um so I think it is important for the families to to search a provider that they feel aligned with their core values, um, and also to know their level of expertise because not everybody is going to be an expert in every area. So there are people that come to us, for example, um, that they have issues with feeding. So we have treated a lot of patients that have food avoidance and we have been successful, so we can probably support them with that. Um, but if they called us and the child is already 12, um, I wouldn't suggest bringing it in because that's the age that we got up our services. We either graduate from our program or we transfer them to a provider that is more specialized in teenagers. Um, so I think there is a lot of pieces, but also making sure that the family is also included. I unfortunately have seen a lot of places where uh the children are treated, but the family is not involved in the process. So it takes a lot of years because obviously the child is doing amazing at the center or with that provider, but the minute the parent has it, they have no idea what to do. Um, so it is really important that that piece of communication and that they know exactly how to address things.
Dr Andrew Greenland:I hear you. So behavioral analysis is often viewed through a clinical lens, but I know your work includes emotional coaching and wellness. How do you see those worlds connecting in practice?
Carolina Alay:I think it's every day that the emotional connection has to be there from the moment that you start a therapy. Um, when you see a child, and if you start presenting demands from the from the first time, you're gonna create avoidance. Like if this kid doesn't know you and you start, okay, is it here, do this, put you know, your hand here, do that, uh, and you don't have that relationship built with that kid, it's gonna be really, really difficult to teach them something that he's gonna be interested in. So building those emotional relationships from the ground are very, very important. Um, so uh we utilize pairing techniques. We go, we play, we see what are the interests of that child. We try to bring things that light up is that, you know, like he likes bubbles, let's bring bubbles. He likes um, I don't know, jumping and singing. So we ask our technicians to be ready for that, to have fun. And once we have established that connection, that emotional connection, it's a lot easier to present a task or to ask the child to do something because they're gonna be willing to do it. It's rewarding for them. They they are happy they're playing. And sometimes I think we forget about the importance of playing in therapeutic settings. Uh people sometimes, especially parents, they're like, oh, but they're not doing anything, they're just playing. I'm like, hold on. We're working on social skills, we're working on cooperation, we're working on language and communication, we're working on sharing, we're working there's so many skills that you can target through playing, right? Just have to be focused and understand that it has a meaning and a purpose. And the emotional connection is is right there. Even if the kids are in distress, they will be more willing to come to you if they have that foundation, and then you can help them overcome the the difficulties, the tantrums, the crying, and all of that.
Dr Andrew Greenland:And are you finding that families are more open these days to blending these structured sort of science-based care with a more humanistic-centered holistic approach?
Carolina Alay:I think so. I think they were more open because they seen the results. Um, for example, during summer, I had the opportunity to do a little experiment with my company, and it was to rent out an indoor playground to have our summer camp there. So the facility was nothing like a center, like an ABA or a clinic, because it looked medical at all. It looked like fun, right? So we have bouncy houses, we had seized, we had uh pre-tend play areas, we had Lego tables. Um, let me tell you, the results were amazing because the children, they just they were so happy to just arrive. Like they they didn't want to leave the place, but we have a structure. We had routines, we had circle time, we had independent work, we had um, you know, like snack time, and everything was directed towards the goals of each of the kids, each individual had their own programming and their own goals, and we were working on that. But what surprised me the most is that when we had like okay, free play time, we play music, and these children started to imitate each other, started like building relationships, trying to hold hands with one another without any adult intervention. So it was really impressive. During that time, we got uh we were successful at training children to use the bathroom, uh, train children to eat, kids avoiding food and eating independently using utensils, um, work on functional communication, work on social skills, and it was just really successful. So I do believe that play and ABA can uh coexist, and that uh the parents uh seeing the results and seeing their kids when they were picking them up and noticing how happy they were, they were hugging you know their peers before leaving. I mean, that's that's amazing. That's what we want.
Dr Andrew Greenland:These sound like real breakthroughs and transformations, pretty amazing, really. I'm very impressed. So um obviously you're running a clinic and a coaching business. What's working really well for you in those um arenas at the moment?
Carolina Alay:Um I think the the ABA side of it, it's kind of like the one that is uh more needed right now. There has been a lot of children diagnosed recently and needing the services. I can say that unfortunately, not a lot of insurance companies cover ABA because it's an intensive program. Uh, like I was mentioning at the beginning of the interview, uh, speech, OT, they get two hours a week. So it's I guess it's easier for the companies, search insurance companies to pay for those services, but we require 20 hours, 30 hours of treatment. So um sometimes if they're not diagnosed by with autism, they don't uh approve services. So there's a lot of families that are struggling that come to us, and we have to present with alternatives. So one of the alternatives that we present to people that need the services but they can't afford it, or the insurance has no coverage is we we offer coaching services. So we are kind of like integrating the two by providing the teachers, the other providers that see in the child, like speech pathologists, occupational therapists, with coaching on applied behavior analysis. Um, and telling and explaining the parents uh what are the functions of the behaviors that they are seeing in their children? In other words, what is the root cause of the problem so that they can find practical solutions that they can apply in their natural environment and still see results and success without a direct intervention? Um so I think it's it's a combination, you know.
Dr Andrew Greenland:And on the flip side, is there anything that's particularly frustrating or a bottleneck or something that you feel like a challenge in either of the um practice or the uh coaching business?
Carolina Alay:Yes. Um again, you know, like the insurance coverage. I think it's it's difficult. Sometimes the rates are not enough to cover for all of the expenses. You know, as a business owner, I also have to look into the other side, you know, the business side, and making sure that we can offer uh good compensation to our employees, that we are training them and educating them so they are, you know, top of the line. Um, and that takes resources. We have to have softwares and other systems to make sure that everything flows. Um, so the lack of funding, I think it's a big one. Um, and also the fact that not a lot of insurance, like ABA could be applied to so many things, not only autism. Um, we work with children that have other diagnoses, that sometimes they have oppositional defined disorders, sometimes they have uh ADHD, sometimes they have, you know, like developmental delays and things that they can benefit greatly from this approach, but the insurance companies don't accept it. And the parents sometimes can't afford direct services. So I think that's a big, big challenge that we have. Um, also to show that we can do so much more than only autism. We we can educate clinicians, we can educate uh medical doctors, you know, like how to treat patients when they that that are autistic or they have, you know, their other neurodevelopmental conditions when they come into practice, how to address them when they are distressed. Um, there's so many areas we can jump in and help. So I think the recognition of our profession in other areas other than autism, it's also a challenge.
Dr Andrew Greenland:So this is basically about raising awareness and education, or is there anything else that you see that needs to be done in order to raise the profile of what you do?
Carolina Alay:Um I think we we are a scientific-based community, and we and everything that we do is supported by evidence and data. And unfortunately, that the results that we provide, which are very successful, and there is a whole body of research behind every approach and every technique that we utilize, it hasn't been enough to convince uh other payers or other funders that this could be applied successfully to other pieces of education. You know, like if we have a BCBA or BCABA in a school, how much they can improve the education system, not only for kids with special needs, but for kids, you know, like typically developing kids that are going through struggles in in their school setting. Um if we apply the the teaching and learning principles to university college students, how much they can improve, you know, like their attention spam, their uh adaptation to different environments, their flexibility in in centers, in in offices, in the you know, like different industries. I know there is um behavior analysts that that work in companies, you know, improving the way that that they function in the HR department. And you know, like there is a lot of different applications. I just think that a lot of people don't know that or that they are afraid that we're going to transform people into robots. Um and and it's definitely not that. We we want people to, our clients to feel like independent, that they are valued, that they have something to say to the world, and help them just to get to that position.
Dr Andrew Greenland:Thank you. Um you've mentioned data a couple of times, and I just wondered if there are any specific metrics or outcomes or client feedback that you pay particular attention to as a clinic owner to track the progress of your clients or the success of your business.
Carolina Alay:Yes, um, we have to track, like when we start with a client, we need to identify what are the skills that the child has and what are the skill deficits, and we also track the behaviors, and this is very specific. We use uh frequency duration and we collect data for everything. Um, so we can see we have metrics to determine uh if the child can do this skill and show it for you know, like in 80% of opportunities for this many days in a row, and he can also do it with other presenters in other um settings, then we can consider this as masters. So that's kind of like the internal tracking. But in terms of measuring the success of the company, I think I can measure it by how many children we graduate from our program before they reach the age of 12. Um, and I think it's an interesting metric because that let me know that maybe the child is not completely independent, but it is independent enough, and the family has all the tools necessary to say, you know what, I got it from here. I can handle this, this is doable, right? Um, so at that point, when we see that the behaviors are minimum, like zero or close to zero, and the child is learning from the natural environment, and we can't graduate them, um you know, we we go ahead and we discharge them. And our rates of success uh it's above 80% for the clients that we see. So it's yeah, it is satisfactory to see that because once they graduate, it they're you know, they do great.
Dr Andrew Greenland:Really impressive. Um, so what's the biggest time drain for you in in any of the work that you do? Is it anything around clinical stuff or is it admin, operational? What's the kind of thing that drags you away from what you really love doing?
Carolina Alay:Um sometimes is the the operational things that I have to manage, um like creating systems so that everything flows perfectly. I'm not I don't consider myself to to be great at it, but I do my best and I do my research and I and I try. Uh one thing one of the things that I'm very proud of is the culture that I've created in the company, and it's a a lot of collaboration and open opportunities. So I open the stage to anybody in the company. If you have a great idea, you think that we can do much better at something, bring it up. And we have offered bonuses and and incentives to people. No matter what position you are, if you have a great idea, we think that we can do better, just let us know. Um, we have kind of like an open policy, we have a lot of um channels of communication so people feel supported, which is challenging because we don't work all in an office, everybody's on their own space because we go to the homes of the clients, we go to the schools, so you know everybody's everywhere, but we're all connected. If if a technician needs assistance, she has to send a message and somebody jumps in right away and helps. We provide them with materials, with uh documents, with information, all of that, so that we're all on the same page.
Dr Andrew Greenland:And if you had a magic wand and you could instantly fix one thing in your operations or day to day, what would that be?
Carolina Alay:That's a tricky question. Uh I think I will. I don't know. There's like like a lot of little things that I would like to to improve and change. Um, right? So like the way that we train our people. I think we do very good trainings, but I think we can improve like the onboarding and make it uh flow better uh for people that are joining us uh as a company or that are entering uh ABA, and also the way that we um do the intake process for our families because um we currently have a lot of different systems. So when somebody called us to schedule an appointment, we have to go through different programs and go, okay, I'm gonna send you a link here, and I'm gonna send you a PDF this way, and I'm gonna send you an email this other way. So everything is kind of like spread out. Um, and we're currently working on designing a software that can integrate all of those pieces to make that intake process a breeze and to help the analysts with the clinical aspects of that too. So all the information is in one place, and we can kind of like funnel it all the way until we get an initial assessment and we can start working from there. Um, so that's kind of like our biggest, one of our biggest projects right now. And I'm very excited about that.
Dr Andrew Greenland:Brilliant. Well, hopefully I'll streamline everything for you. Um, but if you had a uh sudden influx of, I don't know, 50 new clients next week or next month, um, how would that work? Um what would be the first thing to break or get overwhelmed? Hopefully not you or any of your staff, but what would happen with a sudden surge in demand? Some people might say it's a nice problem to have, but obviously it doesn't always work out that way.
Carolina Alay:Yeah, um we have a team of analysts. Um so what we do when we have like like a lot of people coming all at once, we try to, you know, like divide the work, create teams. Okay, you're gonna do this, I'm gonna be in charge of that. Um, and I think collaboration has been one of our biggest tools. Um, because delegating, especially for a CEO, is difficult and is challenging. When you start a company from scratch, you want to have control of everything. You want to have eyes on everything and you want to make sure that everything is working properly. And it's impossible. It is really difficult, and I've learned it the hard way. Um you know, trying to take over all of the tasks at one is is just not possible, not manageable. And I think it it pays a tap on your mental health and on your family and your family time. I I've been there before, like working past 6:30 p.m., working on the weekends, saying, okay, I can go because I have an event, I have this and that. Um, and I think the time and my husband, who I have to give credit to, um, has brought me to you know to the realization that you as you know, like you are not replaceable in your family. You can be replaced at work, but not in your household. So being allowed to delegate, being allowed to say, you know what, I trust you, you got this. Go ahead and do it. Um it's not gonna be perfect every single time, but it's not gonna perfect if I do it anyway, you know, every single time. So might as well just just go for that. And I think people feel good about it when you trust them. It gives them a good feedback that that they're value to.
Dr Andrew Greenland:It's about empowering the staff, isn't it? Completely get it. So if you were starting your business or practice again from scratch tomorrow, knowing what you know now, what would you do differently, if anything?
Carolina Alay:Wow, I never thought of that. Um I think taking more time to create a team. Um, when I started, I like I was mentioning, I tried to do a lot of things all by myself. I didn't have a lot of time to kind of like see it and and read the resumes and talk to the people and and bring them in the company when they were ready, or just to make sure that they were the right match for me and my vision. I think that was a skill that I published throughout the years to be selective of the people that I have in the company. Um so I think that's one thing that I will probably do. Another thing was probably do uh study finances or do more research on how to run a business from the business perspective, especially because you know, when you when you study psychology and you all you have in your mind is I want to help people, I want to help others. I don't mind like, oh, they can't pay, it's okay. We can still provide therapy, we'll figure it out. Um, but little by little you will understand and you know that it's impossible to run a business like that because you you either sacrifice that or you sacrifice yourself, and I have to, you know, like it's it's my job too. Um, so keeping that balance and and learning, you know, the the managing side, the financial side, and all that backbone so that everything else can um come out and and run smoothly. I think those are things that I will definitely do better.
Dr Andrew Greenland:And finally, what does the next year hold? Where are you looking to take things in the next year? Do you have any plans for the business?
Carolina Alay:I do have big, big plans. So one is the the one that I was talking about, like uh we are creating this tool that hopefully we can um put out in the market and help other companies uh improve the way they do their their intakes and and facilitate for the analysts the way that they build the the reports because they're very time consuming. So hopefully we can uh mainstream that. So I'm very excited about that project. And we also we're also starting a training course because um here in Florida uh we have a lot of migration from South America, and a lot of people are great and they have great uh educational background, but they don't dominate the English language. So we have people that come in and get their um register behavior technician certifications, but they're not English proficient, so they have difficulties um finding jobs. So we want to uh I we created an alliance with a global tail college, which is a local college, to provide them with English that is specific for RBTs so that they can have the skills and communicate and find jobs and you know continue to to help the community. So that's the other project that we're working on.
Dr Andrew Greenland:Brilliant. Well, all the best with all of those. And with that, Caroline, I'd like to thank you so much. What a rich and thoughtful conversation. You're clearly helping families navigate some deeply personal challenges whilst also imagining, reimagining what support can look like. So thank you for your time, thank you for your insights. Lovely to have a conversation with you.
Carolina Alay:Thank you so much, Dr. Andrew. It's been a pleasure. Um, thank you for having me.
Dr Andrew Greenland:Thank you. So we'll cut there. Lovely, really enjoyed that. Really interesting. I always learn so much on these things because obviously this is not something I do in my clinical practice. So I will learn so much about what the what's out there and how you help other people. So amazing. Thank you. Thank you so much. Well, it came across really well, really interesting, engaging, um, really interesting to hear the insights into the inner workings of the business and some of the things that are challenging as well. I think the insurance thing is almost like a panacea in the sense of it's everything, every North American clinic I speak to has some kind of insurance issue similar to what you said, right? It seems to be universal. And it's interesting, it's like we don't have the same model over here, so it's I'm gradually understanding what the challenges are with it all.
Carolina Alay:But it sounds like Yeah, it's very difficult to get them to pay. Like their job basically is finding ways of how not to pay for things, and you know, sometimes we have we start a process with a client, and in the middle of it, they're like, Oh, we lost insurance. I just I just lost two clients last week, and we haven't been able to get them back. And those are kids that truly, truly need the services, and you know, going from a full support to zero, like cold turkey, like nothing. They just they don't really care about that, so it's it's sad. Um, but it's a system that we have, it's a broken health care system, I guess.
Dr Andrew Greenland:Ours is broken in different ways, but I I completely understand where you're coming from with that. Like I said, it's universal. Everyone I speak to has the same issue. So, no, really, really good. Really enjoyed that. Well, we'll try and get it out reasonably quickly and send you the link so that you can use it how you will. There's lots of good material on there. I would hope that you can find it useful for education, promotion, talking about your work, your approach, because I think you come across really well. So I think it'll be a good advertisement for your work. So thank you. Um we'll send you the link and we also put them out onto our platform as well, uh, which goes to Apple Spotify YouTube, about 10 of the other smaller ones, which I always forget the names of. And then we stream episodes to LinkedIn, um, a whole episode on a Wednesday lunch hour, um, probably over the next couple of months when we find a slot. And then we also put shorts out on social media, so TikTok and Instagram reels, just in the hope that somebody might see a clip or a short. And oh yeah, I'll watch the whole thing. It gives them that opportunity and just get the message and the word out there.
Carolina Alay:Oh, I appreciate you having me. It's been a pleasure. And I would like to stay in touch and and maybe, you know, like look for a collaboration down the road, because I know you're, you know, I'm also interested in the work that you do. I know there's some of my patients that um have uh functional doctors working with them alongside to kind of like ease some of the symptoms, especially like GTI and and all of those things. So yeah, for sure.
Dr Andrew Greenland:We go each other's details, so stay in touch. There's no reason why this has to be the last conversation. Of course. But um amazing. Well, look, I will be in touch. Thank you. Have a good rest of your day. All the rest.
Carolina Alay:All right, thank you so much. Have a good one.
Dr Andrew Greenland:Bye for now. Bye bye.
Carolina Alay:See ya.