Imagine yourself being the characters in the following 4 cases. Follow the ethical decision-making process outlined by Rosenberg and Schwitz (2019) to resolve the potential ethical dilemmas presented in each case. It is required that your response follow these steps:
You need to make sure you include the codes appropriate in the assignment:
3.01 Behavior-Analytic Assessment
3.02 Medical Consultation
3.03 Behavior-Analytic Assessment Consent
3.04 Explaining Assessment Results
3.05 Consent-Client Records
3.01 Behavior-Analytic Assessment
a. Behavior analysts conduct current assessments prior to making recommendations or developing behavior-change programs. The type of assessment used is determined by client’s needs and consent, environmental parameters, and other contextual variables. When behavior analysts are developing a behavior-reduction program, they must first conduct a functional assessment.
b. Behavior analysts have an obligation to collect and graphically display data, using behavior-analytic conventions, in a manner that allows for decisions and recommendations for behavior-change program development.
3.02 Medical Consultation
Behavior analysts recommend seeking a medical consultation if there is any reasonable possibility that a referred behavior is influenced by medical or biological variables.
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3.03 Behavior-Analytic Assessment Consent
a. Prior to conducting an assessment, behavior analysts must explain to the client the procedure(s) to be used, who will participate, and how the resulting information will be used.
b. Behavior analysts must obtain the client’s written approval of the assessment procedures before implementing them.
3.04 Explaining Assessment Results
Behavior analysts explain assessment results using language and graphic displays of data that are reasonably understandable to the client.
3.05 Consent-Client Records
Behavior analysts obtain the written consent of the client before obtaining or disclosing client records from or to other sources, for assessment purposes.
Step 1: Why does this trigger your ethical radar?
Identify the ethical dilemma
If applicable, identify the client(s)
Identify the relevant codes in the BACB Code
Identify personal values or biases that may influence your decision-making on this issue
Step 2: Brainstorm solutions.
What solutions does the BACB Code suggest?
What are the other possible solutions?
Step 3: Evaluate solutions.
Consider what issues, conflicts, or tensions might potentially influence each solution. Also consider the following:
Client safety
Client dignity and self determination
Client outcomes
Impact on your relationships with other parties
Family preferences
Step 4: Have you found an acceptable solution?
If Yes, continue to Step 5.
If No, return to Step 2.
Step 5: Implement the solution with fidelity and carefully document all actions taken.
Step 6: Reflect upon the results/effects of your decision.
Was it a successful resolution?
Do you need to take any further steps in this particular situation?
Have you learned anything that will affect future ethical decisions?
Case 1
Andy was a BCBA who had previously worked for years as a massage therapist. One of the first cases that he received in a residential setting for adults with developmental disabilities involved a female client who would run down the hall out of the blue and hit another client in the back. The client would laugh and then go in her room and sit on her bed. Andy felt that she was tense and that her behavior was caused by her bursts of unpredictable aggression. As a result, Andy wrote treatment program that involved shoulder rubs for this client in contingent on any such behavior.
As Andy’s supervisor, how would you handle this situation?
Step 1 Identify the (1) ethical dilemma; (2) the relevant BACB compliance code that you learned this week; (3) the personal values or biases that may influence your decision-making on this issue.
Step 2 Brainstorm the solution to the question raised?
Step 3 Evaluate solution
Step 4 Have you found an ethically acceptable solution?
Step 5 Reflect upon your decisions
Case 2
Dr. P. was a BCBA-D. He has been working on Steve’s behavior issues for years. Steve lives in a supported living apartment in the community, and he works at a job with supervision from vocational rehabilitation. Dr. P’s data showed that Steve frequently arrives late or completely misses work. A variety of incentive programs have been ineffective. Dr. P is wondering if Steve would benefit from counseling. He has a friend and colleague who is a counseling psychologist; his plan is to invite his colleague to lunch and tell him about Steve.
Can Dr. P talk to another professional about Steve to determine if the person would consider taking Steve as a client?
Step 1 Identify the (1) ethical dilemma; (2) the relevant BACB compliance code that you learned this week; (3) the personal values or biases that may influence your decision making on this issue.
Step 2 Brainstorm the solution to the question raised?
Step 3 Evaluate solution
Step 4 Have you found an ethically acceptable solution?
Step 5 Reflect upon your decisions
Case 3
Dr. G. was consulting with clients who were senior citizens living in a residential facility. Mr. Smith refused to walk anywhere. He sat in a wheelchair day after day, and within a short period of time she no longer had the strength to walk to the dining room or down the hall. The medical staff identified walking as the number one goal for Mr. Smith. Dr. G. knew that behavioral services for this activity would probably be needed only for a few weeks.
Should Dr. G. tell Mr. Smith he will be working with him until he improves, or should he wait until he is ready to terminate his services?
Step 1 Identify the (1) ethical dilemma; (2) the relevant BACB compliance code that you learned this week; (3) the personal values or biases that may influence your decision making on this issue.
Step 2 Brainstorm the solution to the question raised?
Step 3 Evaluate solution
Step 4 Have you found an ethically acceptable solution?
Step 5 Reflect upon your decisions
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