Decision-Making Skills: Scenario 3

Your response Response example
Is this an ethics violation? ? 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, it seems like this was not a skill that was to be worked on with this client. Seeing as they were in a community setting and not a controlled setting it would have been best to remove the client from the situation since this was not a skill that has been practiced in a controlled setting previously.

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 – this should not occur again

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?

How to handle problem behavior, when to reinforce –toleration

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