Decision-Making Skills: Scenario 3

Your response Response example
Is this an ethics violation? 3.03 3.06 2.02 – The trainee did not act in the client’s best interest when he took the client out alone
Was this response problematic with regard to professionalism or the client’s treatment program?

Yes. If the client is known to engage in self-injury and aggression, then the staff should have taken measures to ensure safety of client prior to utilizing a learning opportunity in a public setting.

The trainee took a risk by not intervening sooner and did not have a plan for how to respond when the behavior escalated. Most importantly, the trainee should not have been in the community alone with a client that responds to loud noises with behavioral escalations.
When/how might feedback be delivered by the supervisor?

Immediately the supervisor can inform RBT to utilize learning opportunities and increased success in controlled settings prior to attempting to generalize skills in public settings. Risks did not outweigh the reward.

Immediately to correct the error in judgement that lead to a safety risk for the client
What types of additional training might improve this trainee’s performance?

Generalization training

Professional decision-making using practice scenarios; Review of safety procedures when working with clients who engage in SIB and safety on community outings