| How is this an ethical problem for the supervisor? | How should the supervisor go about setting new boundaries for the RBT and his families? |
|---|---|
The supervisor should support the RBT as long as it does not exceed the limits | The RBT should respect boundaries each time that he could help into the responsibilities as an RBt he or she do good |
Only talk about science-based treatments. Relationship boundary/confidentiality | Sit down with him and explain how his behavior goes against code of ethics |
This is an ethical problem for the supervisor as this is beyond our scoop of practice. | The supervisor would need to first address this with the RBT and them address it with the families. |
IT is out of the RBT;s scope of competence. | review scope of competence and what he is able to do and not do. |
This is out of the scope of competence | Set boundaries by staying within their training and job guidelines |
The Therapist is acting out of their scope of competence as they are not a dietitian or a position or a specialist relating to diet or diet plans and does not know the client’s background or medical history | During meeting with supervisor with document input that they are providing to both parties. Also redirecting the family to speak with a physician or dietitian for any questions relating to diets |
This creates a dual relationship. It also falls outside the scope of practice. | Explain that we only work within our scope of practice. |
This is an ethical problem as he is not behavior in behavior-analytic conversation, taking time away from the session, he is engaging in multiple relationships, and he is prescribing something outside his scope of practice while not advertising ABA | Discuss different sections from the code listed above |
scope of knowledge | explain that therapy should be only within the scope of RBT guidelines |
Nutrition and diets are not apart of their scope. | Inform the RBT to direct any further questions or changes to the BCBA. Remind the RBT they are not in their lane and are not in accordance with the BCBA. |
Ethically you cannot prescribe a diet without that clinical knowledge and expertise. | Overlooking is not an option. Have the conversation and explain the brevity of the situation and a copy of the ethical guidelines documenting why it is not an option in the future. |
He is practicing outside his scope of practice. He is there as an RBT not nutritionist. | Explain to the RBT why it is inappropriate. Role play conversations as a parent and him demurring from giving nutrition advice. |
Diversity of client's family. Respecting boundaries. Time management. | Time management. Asking if client wants this information. Setting up a time for information exchange. |
The RBT is providing information unrelated to the RBT task list or the competencies selected by the BCBA. Practicing outside the scope of competency is an ethical violation. | Explain to the RBT that this is a strict violation of the ethical code and should be discontinued immediately. |
Outside of scope | |
kk | hh |
It is outside of the scope of competence and is interfering with service delivery. | Discuss with RBT the violation and provide feedback with a plan to adjust |
This is outside the scope of practice/competence. | Create an improvement plan. |
The supervisor is not a trained dietician and should be using his time the client and their family addressing the goals and objectives outlined in the family contract in accordance with the BACB | The supervisor can engage in and document ongoing, evidence-based data collection and performance monitoring (e.g., |
The supervisor is allowing the RBT to work outside his scope of competence and credentialing. | The supervisor should refer the RBT to the code of ethics and explain that giving treatment advice to anyone that is not directly a client is a violation of the code. The code of ethics also states that one should only practice within their scope of competence. Just reading information in articles and journals does not make it sound practice. Also suggesting a diet, without being a dietician or doctor, is definitely outside the scope of an RBT or BCBA. |
The supervisor's oversight of the RBT's dietary advice can be a violation of the ethics code, primarily due to the RBT not working within their scope of competence (1.05). By providing diet advice, the RBT is potentially jeopardizing client well-being and the supervisor is not following the responsibility to ensure effective treatment (2.01, 3.01). The supervisor and organization could have legal and liability problems, because the RBT's behavior could be considered misrepresentation and a violation of professional boundaries. Furthermore, the supervisor failed to properly delegate tasks (4.09). | To establish clear boundaries, the supervisor should immediately intervene and schedule a meeting. During this meeting, the supervisor must define the RBT's responsibilities, emphasizing that nutritional advice is outside their knowledge and potentially harmful. Addressing the misrepresentation and reinforcing professional boundaries is important. |
Practicing outside your scope of competency | schedule a meeting and give the RBT strategies for maintaining appropriate feedback |
They are responsible for their supervises practices and therefore can’t overlook instead provide direct feedback to superviseee as they practice out of their competence and potentially overstepping profess boundaries with family | Document everything and provide corrective feedback. Clearly define behaviours and appropriate conduct. Give them the RBT ethics code of practice and ensure they read and follow |
not evidence based nad not credentiled to do so | review ethics code |
He is practicing beyond his scope of expertise. He is not a dietician or physician | Be direct in feedback and training related to practicing within the scope of one's expertise. |
| How is this an ethical problem for the supervisor? | How should the supervisor go about setting new boundaries for the RBT and his families? |
