Decision-Making Skills: Scenario 1

Your response Response example
Is this an ethics violation? 1.01, 2.01 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?

The RBTs response to the initial behavior (Property destruction) escalated the client behavior. This response was not likely part of the BCBAs behavior plan for this particular behavior due to the fact it is a form of restraint

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?

I would provide in person feedback to go over my concerns with how the RBT responded and to go over the behavior plan again and address any questions the RBT may have in regards to the plan and proper staff respose

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?

Role play

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.