Decision-Making Skills: Scenario 3

Your response Response example
Was this response problematic with regard to ethics, professionalism, or the client’s treatment program?

Yes, depending on where the client was in their training program, they may not have been ready to practice generalization skills in the natural setting without appropriate support.

Yes. 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?

In the next supervision meeting or immediately after the crisis has been supported and the client is safe.

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?

Additional training on how to respond in unexpected situations and how to safely plan for generalization in the community.

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