Decision-Making Skills: Scenario 3

Your response Response example
Is this an ethics violation? 4.03b 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?

Client’s treatment program

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?

At the next supervision meeting; review the plan and programs in place for the client and ensure fidelity with a crisis plan for future community outings.

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?

De-escalation training.

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