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. Using a naturally occurring situation without proper supports in place does not support the clients treatment program.

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?

Review of treatment plan should be completed. Supervisor should also discuss the importance of ensuring proper supports are in place when practicing coping skills.

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?

Provide controlled environment to have client practice coping skills.

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