Decision-Making Skills: Scenario 3

Your response Response example
Is this an ethics violation? No 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?

The staff member used a teachable moment. While the outcome was not what was desired I believed they attempted to maintain professionalism

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?

During a supervision meeting the supervisor should review the situation with the staff member going over what was done correctly and what could have been done differently.

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?

a review of the coping skills and de-escalation strategies.

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