E02.06-E02.08 Maintaining Confidentiality, Maintaining Records, Disclosures

Question 1

A supervisee is asked by her BCBA supervisor for copies of past instructional programs she has written for students in her classroom. The supervisee refuses, citing confidentiality concerns. Does she have grounds for doing so?

Answer 1

Yes, but she should obtain consent and then share it because the supervisor can use it to shape and influence her clinical skills.

Question 2

A BCBA arrives at a school to review a student’s records. He is informed that he doesn’t have consent. In an immediate phone call, the parent says that she will give consent after she reads the form. The secretary permits the BCBA to conduct the record review.

Answer 2

The BCBA may be in violation of the law.

Question 3

Once created, who is responsible for records about behavior analytic services?

Answer 3

The behavior analyst or the employer

Question 4

Discuss confidentiality

Answer 4

At the outset of the relationship

Question 5

A behavior analyst may disclose confidential information about a client without the client’s consent

Answer 5

All the above:
In order to collect payment for the services.
When ordered to do so by a judge

Question 6

A school district has contacted a BCBA to coordinate school and home interventions. The parent has consented to the sharing of information, and the district has provided this in writing.

Answer 6

This is appropriate, as coordinated treatment is in the best interest of the client and consent has been obtained.

Question 7

A BCBA, going on maternity leave, gives a client’s file to her BCBA colleague before gaining written consent. What should the receiving BCBA do?

Answer 7

She should return the file, or if that is not possible, review it only after written consent is obtained

Question 8

Unless required or permitted by law, disclose confidential information only after you’ve

Answer 8

Obtain written consent from the client/client’s surrogate

Question 9

A researcher conducting a study on different staff training methodologies shares individual data labeled by staff initials and the agency’s name. Is there adequate protection of confidentiality?

Answer 9

No, the staff initials and agency name should have been changed or deleted.

Question 10

The safest way to protect client confidentiality on social media is to

Answer 10

Avoid posting any information about clients and their families on social media

Question 11

A behavior analyst may disclose confidential information about a client without the client’s consent

Answer 11

To protect the client or others from harm

Question 12

Documentation of behavioral services typically includes

Answer 12

Assessment and behavior change data

Question 13

Behavior analysts are required to maintain and dispose of client records in accordance with

Answer 13

All the above:
BACB ethical guidelines.
The policies of their organization.
State and federal laws and regulations.

Question 14

Documentation describing the provision of behavioral services should be written with a high enough degree of quality and detail that they would be sufficient for scrutiny in a

Answer 14

Court hearing if there is a possibility that this may happen

Question 15

Documentation of behavioral services typically includes

Answer 15

All the above:
Descriptions of interventions.
Assessment and behavior change data.
Records of interactions with clients.

Question 16

A BCBA comes across this post seeking advice on the internet… does this post protect client confidentiality?

Answer 16

No, the post includes too many personal details

Question 17

While visiting a client at school, the child appears with a long thin red mark across his left cheek. The BCBA asks how he got the mark and the child discloses that his mother hit him with a stick. The BCBA should

Answer 17

Report the incident to the appropriate authority

Question 18

A behavior analyst may disclose confidential information about a client without the client’s consent

Answer 18

All the above:
When ordered to do so by a judge.
To protect the client or others from harm.
To refers the client to other professional services.

Question 19

If permitted by law, a valid reason for disclosing information without the individual’s consent includes

Answer 19

Provision of needed services, obtaining professional consultation, or to receive payment for services

Question 20

A BCBA has a private consulting service. Her client records should be stored

Answer 20

In a locked cabinet for which she has the only key

Question 21

A teacher who is also a BCBA, posted a picture of her classroom on social media. She is careful to make sure non of the name labels on the desk and cubbies are visible. No students or other staff appear in the picture. Is she protecting student confidentiality?

Answer 21

Yes, because no names or students are visible

Question 22

While giving a tour of a school, the director sees one of the children and says “This is Joshua, he used to have high rates of self-injury, but now his rates are down to less than two a week.” What is your reaction to this?

Answer 22

It is wrong because the director should not identify a child by name or behavioral profile to people unrelated to the program.

Question 23

As a behavior analyst, you must keep appropriate records of your work with a client so that

Answer 23

Other professionals may use them to assist your client in the future.

Question 24

A client who has hurt others in the past has threatened to hurt someone else. You

Answer 24

May be legally responsible to report this to the police.

Question 25

A BCBA is disposing records of clients from over 10 years ago. Which of the following answers conveys appropriate safeguards?

Answer 25

The BCBA shreds all papers associated with the case.