"alternative" non-evidence based treatment recommendations.
Inadequate staffing
When school administration works against the BCBA's recommendations and end up reinforcing the behavior they are trying to stop.
Disagreement in treatment with other professional in a different field
Buy in from on staff members
Professionals from other fields disagreed with the use of Applied Behavior Analysis. Said it was not research based.
Employer not held to ethical standards refusing to make changes to remove ethical breaches. Only BCBA is held accountable and has no way to hold the employer accountable.
Superiors not recognizing the validity of practitioners choosing not to treat because of the case being outside of their scope of practice or unethical to treat.
Uncertainty about 3rd party data collection.
Buy in from other staff
Collaborating with SLP
At the time of analyzing the plan with the parents, some of the maladaptive behaviors were not accepted by the parents
Was requested to implement a BIP without the approval or consent of the caregiver/parent
n/a
moving staff around for convenience of schedule, not the best interest of the client
The school telling the RBT to implement non-evidence practices when the BCBA is not present.
I think it’s important to how to ethically consider training a trainee who is older or more seasoned in a company and knowing that sometimes the conflict is the flexibility in the supervisor being new and less experienced being there boss is a difficult transition that can impact procedural fidelity. Training a supervisor in knowing how to validate those staffs feelings and work together using each others knowledge would be helpful to learn when preparing to work in the real world.
None at this time
I have had a concern for a parent and how a RBT was providing therapy during sessions.
As a BCBA in a school district I often get pushback from teachers regarding reinforcement, the function of a behavior, or a particular goal I have put in the IEP.
Collaborating with OT
Implementation of not adecuate skill program for kid
Lack of understanding or expectation that informed consent is required to make recommendations for student in school setting
Conflicto de intereses
Lack of respect for rules related to gift giving and company practices