Decision-Making Skills: Scenario 1

Your response Response example
Was this response problematic with regard to ethics, professionalism, or the client’s treatment program?

pushing the desk into a place where the child could not escape

Yes. Rather than address the motivating operations, the RBT used a restrictive procedure, escape extinction, without an assessment or authorized treatment plan. The response caused a behavioral escalation which included new behaviors in addition to escape. With regard to professionalism, the response supported a belief that ABA is controlling and restrictive.
When/how might feedback be delivered by the supervisor?

provide how to react in that situation and model it

Immediately – this response should not be repeated at the next session. The supervisor can suggest non-contingent breaks and increasing reinforcer delivery for task completion
What types of additional training might improve this supervisee’s performance?

behavior intervention plan support and de-escalation strategies

Training in options for addressing noncompliance and also options for adapting programs when the client is having an off-day. In general, the supervisee might benefit from an opportunity to analyze motivating operations and come up with options for how to address various MOs.