KeepUp_RBT2

Unprofessional behavior, not listening to supervisor, potential cofidentiality problems with phone

Develop a final plan that if not followed, she is fired

Ethical concerns are:
1. continuity of care
2. Not taking feedback properly
3. professionalism

I would review the situation with Cassie and explain that she has not made any changes to her behavior and therefore we have to terminate our contract.

lack of professionalism, not delivering proper services

If no improvement, a remediation plan would be in place and RBT may be removed from case until can improve competence

Unprofessional conduct and not being responsive to supervisor feedback.

This should be reported and the RBT should be terminated from her position.

following guidelines

improvement plan, terminate services

Cassie has been given a chance at understanding parameters of professional behavior and how she is in violation of the ethics code. She has not improved, The violation is ongoing. She needs to be reported

Put on probation, report to the BACB, terminate supervision

Lack of professional behavior. Safety of child if Cassie is texting and being distracted. Time management.

Move Cassie to in-clinic supervision if possible. Terminate supervision if remediation is not possible.

Not adhering to the client's needs and acting in a professional manner.

Further steps may need to be examined such as termination of employment.

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Delivery of services to the client
Professional work environment

Review the agreement, remove her from case if she cannot improve performance

1.02 RBTs conduct themselves in a professional manner, are accountable for their actions, and make an effort to follow
through on work and contractual commitments. When commitments cannot be met, RBTs work with their supervisors to
address the situation in the best interest of clients.
2.03 RBTs conduct themselves in a professional manner during all work activities (e.g., delivering services, receiving training
or supervision). They take action to improve their performance following feedback from supervisors.
3.01 RBTs comply with all requirements of the BACB and their supervisor, including, but not limited to, supervision,
documentation of supervision, and audits.

Reassign Cassie

Cassie's continued unprofessional behavior, characterized by lateness, early departures, and texting during sessions, poses significant ethical concerns for her supervisor. This behavior directly violates the RBT Ethics Code's mandate for professional conduct and adherence to supervisor directives, potentially harming client well-being and eroding trust. The supervisor's interventions, including corrective feedback, a remediation plan, and professionalism training, have proven ineffective, raising concerns about performance monitoring. Cassie's struggle to show improvement demonstrates a failure to uphold professional commitments and comply with supervisory requirements, needing further, more intensive intervention to ensure that the ethical code is followed and to protect client interests.

As the supervisor, I would respond with a more structured approach, starting with a formal, documented meeting to present the social validity data and restate professional expectations. A revised remediation plan would be implemented, including a behavioral contract, increased monitoring and observations. Written warnings and potential suspension or termination, would be implemented if her behavior doesn't improve.

Cassie’s persistent unprofessional behavior presents multiple ethical violations according to the RBT Ethics Code 2.0, particularly in the areas of professionalism, responsibility, and adherence to supervision feedback.
1. Failure to Maintain Professional Boundaries (RBT Ethics Code 1.3 & 1.5)
• Being consistently late, leaving early, and texting during therapy demonstrates a lack of responsibility and professionalism.
• These behaviors disrupt client services and violate ethical obligations to prioritize the client’s well-being.
2. Failure to Implement Corrective Feedback (Section 3.05 - Responding to Feedback)
• Cassie’s supervisor has already provided corrective feedback, a remediation plan, and training, yet her behavior has not improved.
• Ignoring or failing to implement supervision feedback is an ethical violation.
3. Neglect of Client Services (Section 2.01 - RBT’s Responsibility to Clients)
• Cassie’s lateness and distractions directly impact the quality of services she provides.
• This could be classified as neglectful behavior if it results in missed therapy goals or diminished client progress.
4. Deception and Lack of Integrity (Section 1.2 - Integrity)
• If Cassie is not transparent about her work habits and misrepresents her time spent with clients, this raises serious ethical concerns.
• This could jeopardize the trust between the client’s family and the provider.

Since Cassie’s behaviors persist despite previous interventions, the next step should be a formal escalation process.

1. Schedule an Immediate One-on-One Meeting
• Address the continued reports of unprofessional behavior in a direct but constructive manner.
• Use objective data (e.g., reports from families, supervision checklists, attendance logs).
• Example:
✅ “Cassie, despite our previous conversations, families continue to report that you arrive late, leave early, and text during therapy. This directly affects client care and does not align with professional expectations. Can you help me understand what’s preventing improvement?”

2. Issue a Formal Written Warning
• Since Cassie has already received verbal feedback, a remediation plan, and training, this step requires documented disciplinary action.
• Clearly outline the specific expectations and consequences for continued noncompliance.
• Example:
✅ “You are required to arrive on time, complete full therapy sessions, and remain fully engaged with clients at all times. Further violations will result in additional disciplinary actions, including termination.”

3. Increase Monitoring and Accountability
• Implement closer supervision and direct observation of Cassie’s sessions.
• Require weekly progress check-ins and self-monitoring logs.
• If necessary, assign another staff member to verify her attendance and engagement.

4. Provide a Final Opportunity for Improvement
• If Cassie acknowledges the issue and commits to change, give a short probationary period (e.g., 30 days) to demonstrate improvement.
• Use a structured checklist to track performance.

5. Terminate Employment or Report to the BACB (If Necessary)
• If Cassie fails to improve or continues to engage in unethical behavior, termination may be necessary.
• If her actions rise to the level of an ethics violation (e.g., falsifying time, neglecting clients), a report to the BACB may be required.