Decision-Making Skills: Scenario 1

Your response Response example
Is this an ethics violation? No ethics violation 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. Least restrictive environments should be developed prior to higher levels of restriction. Also, differential reinforcement of alternative behavior should have been prioritized in this situation – DRA.

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?

Supervisor will discuss the potential restrictive environment the RBT was creating when utilizing this intervention and would recommend teaching alternative behaviors to escape tasks.

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?

Other ways the escape extinction method can be applied.

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.