Client wanting to use treatments/programs that are not evidence based, then modifying their own implementation of programs to include aspects that are not evidence based. I have also had experiences where the client refuses to receive medical assessments and demands behavior treatments for a dangerous target behavior for reduction, when the target behavior likely was caused and reinforced by private biological events. The target behavior was also dangerous and likely causing medical problems as well.
Teachers in a specialized school setting (ASD High needs classroom) who flat out refuses to follow a positive support plan even with I have worked collaboratively with them to create something that the teacher/staff will buy into.
NA
The environment does not allow for fading, relies on ABA for academics
Staff turnover rate at AFC homes have caused many barriers surrounding treatment integrity and the need for more behavior plan in-services.
parents on the compliance case load
case loads and other staff not following a plan
Schools often don't want ABA professionals to implement the treatment program as written. They regulate the hours that clients can work with us and the times that the analyst can observe the therapist implementing the treatment plan.
Client parent wanted practices that were not evidence based and demanded pseudoscience.
Pressure from funding sources or admin to change clinical recommendations to fit policies rather than based on empirical evidence.
Other helping professionals training and implementing ABA strategies when that is not the reason for them being involved. For example, educators are there to provide support on curriculum to other educators.
na
Conflicting views on treatment for clients within the MDT
One of my clients constantly lies to school personnel.
Plan not implemented
"recommednations" is misspelled
Differentiating between professional scope of practice when working with others
conflict of interest
Nothing more
Frequently asking questions outside of working hours
Demands to implement techniques outside of the scope of ABA.
NA
Situations where personal, financial, or organizational interests may influence clinical decisions
Staff using strategy that is not in the plan
Member was arguably not in the best setting for their needs.