Decision-Making Skills: Scenario 1

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

It was problematic in regards to all 3- ethics, professionalism and the client’s treatment program. The supervisee easily could have approached the situation differently instead they have now created the expectation that anyone can pin the student to their desk and it will be okay. The student also escalated in topography of behavior from destruction to aggression and self-injury.

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?

Could be delivered in the moment due to ethical constraints (student not being allowed to get up from desk = mechanical restraint)

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?

De-escalation training, how to respond to novel behaviors,

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.