Decision-Making Skills: Scenario 2

Your response Response example
Is this an ethics violation? 2.06, 2.08 Confidentiality was not maintained (Codes 1.04d, 2.06, 2.08), predicting outcomes is also an ethical concern (Codes 1.01, 1.02)
Was this response problematic with regard to professionalism or the client’s treatment program?

The RBT should not have disclosed any information about the client to the grandparent without appropriate consent from the parent. This is a breach of confidentiality regardless if the grandparent is family.

Yes, the supervisee violated HIPAA and the BACB ethics code; forecasting outcomes damages credibility and rapport with the caregivers
When/how might feedback be delivered by the supervisor?

I would reiterate to the RBT that they have obligation to maintain confidentiality and that regardless of the member asking questions is a member of the client’s family they should make sure that they have access to that information. They should consult with the BCBA before or direct all questions back to the BCBA with statements such as “great questions, it would be best to direct these questions to my supervisor”

During the supervision meeting the supervisor might review the ethics codes that were violated and provide modeling/rehearsal/feedback of how to respond in that situation for the future
What types of additional training might improve this supervisee’s performance?

Ethics and confidentiality

HIPAA rules, how to respond to difficult questions, how to approach unexpected scenarios in the field, limitations of forecasting outcomes