Decision-Making Skills: Scenario 2

Your response Response example
Is this an ethics violation? release of PHI and RBT is not qualified to make long-term progress suggestions 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?

Yes the RBT is not qualified to share that type of information. They also released PHI and that is a privacy violation.

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?

The supervisor will need to have a discussion with the RBT that includes the release of information and what their roll in the process is

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?

a training on privacy rules and regulations and to refamiliarize themselves with what they are qualified to share with people.

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