Decision-Making Skills: Scenario 1

Your response Response example
Is this an ethics violation? 4.09 Least Restrictive Procedures Codes 3.01, 4.02-04, 4.09 – Rather than address the motivating operations, the RBT used a restrictive procedure, escape extinction, without an assessment or authorized treatment plan.
Was this response problematic with regard to professionalism or the client’s treatment program?

Yes

Yes, 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?

Immediately when the Supervisor is made aware of the issue.

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?

Reinforcement of Alternate Incompatible Behavior, De-Escalation Strategies, and an appropriate manner to request a break via FCT

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.