Decision-Making Skills: Scenario 3

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

Could be problematic to the client’s treatment program. When the client has a loud “tantrum” in public, what is the designated protocol? Is it to remove them from the situation for safety reasons?
This could be considered a problem with ethics in consideration to responsibility to the client.

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?

Because the scenario reads “an experienced trainee”, I am assuming that, in the past, a loud “tantrum” could have been deescalated through the practice of coping skills in situ. I would discuss what the behavior of loud “tantrum” looked like operationally. Is it possible to define more clearly so that, in the future, a clearer decision can be made based on the intensity.

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?

The opportunity to read some historical notes about the client’s previous outings. Did this occur on other community outings? If so, what was done in those scenarios? If not, what was different about this one?

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