section 10 Flashcards
3 fundamental questions of ethical
Practice
What is the right thing to do??
What is worth doing???
What does it mean to be a good behavior analyst??
Social validity
Not every skill has social validity.
Needs to be socially acceptable for their age group
3 reasons why we abide by ethic
MHS
Meaningful change
Harm- reduce/eliminate harm
Standards- written guideline for ethical standards
5 documents describe standards of professional conduct and ethical practice for ABA
Task list
Code
Education - right to effective education 1990
Psychologist
Behavioral treatment - right to effective behavioral treatment 1989
Professional and ethical compliance code for behavior analyst
The cod
Effective Jan 1 2016
2 parts
- 10 sections that are relevant to professional and ethical behavior of analysts
- Glossary
They consolidated, updated, and replaced two of their old ethical documents - the professional disciplinary and ethical standards and the guidelines for responsible conduct for behavior analysts
1.0 responsible conduct of behavior analysts
Maintain high standards of behavior of the profession-
If you are a BCBA, BCaBA, authorized by the BACB etc…
1.01 reliance on scientific knowledge
You rely on professionally derived knowledge based on science and behavior analysis and making scientific or professional judgment and human service provision, when engaging in scholarly, or a professional endeavors
1.02 boundaries of competence
To become competent new areas get the right training first
You were only allowed to provide services, teach, or conduct research within the boundaries of your competence
1.03 Maintaining competence through professional development
You must maintain knowledge of current scientific and professional information in your areas of practice and undertake ongoing efforts to maintain competence in the skills you use
4 methods of maintaining professional competence
CLAC
C- CEUS
L-literature- read most updated, evidence
Based research
A- additional coursework if needed
C- conferences/workshops - attend them
1.04 integrity
You are truthful and honest and arrange the environment to promote truthful and honest behavior and others
Your behavior confirms to legal and ethical codes of the social and professional community of which you are a member
1.05 professional and scientific relationships
You provide behavior-analytic services only in the context of a defined, professional, or scientific relationship or role.
You use language that is understandable and provide appropriate information prior to service delivery about the nature of your services
If differences in age, gender, race, culture, ethnicity, national origin, religion, sexual orientation. Disability, language, or socioeconomic status significantly affect your work get the proper training or make the appropriate referrals.
Do not engage in discrimination, do not harrass or demean others
Recognize when your own personal issues interfere with your work and refrain form providing services
1.06 multiple relationships and conflicts if interest
Dual relationships
Avoided multiple relationships - that’s means that you can’t be in Both a behavior-analytic role and a non-behavior analytic role with someone at the same time
Do not accept gifts from clients
Extra information on conflicts of interest
When a principal party alone or in connection with family friends or associates as a vested interest in the outcome of the interaction
Guard against crossing any professional or personal boundaries
1.07 exploitative relationships
Do not exploit persons of whom you have supervisory, evaluative, or other authority over- like students, employees, clients…..
Don’t have sex with them - duh and eww…
If you did want to date your clients, students, or supervises you have to wait two years after the professional relationship has ended… and again eww…
Also don’t barter for services- unless a written agreement is in place for the barter
So do not barter unless it’s in writing and client request it and it’s customary in the area where you provide the service
The codes definition of a client
Refers to any recipient or beneficiary of the professional service provided by the behavior analyst
Includes but is not limited to
Direct recipient of the service
Parents, relatives, legal guardians, or legal representative of the person getting services
The employer, agency representative, institutional representative, or third-party contractor for the services of the behavior analyst
Any other individual that is known beneficiary of the services for the person
The term client does not include
Third-party insurance or payers, unless you were hired directly under contract by the third party insurer or payer
2.0 Behavior analyst responsibility to clients
You have a responsibility to operate in the best interest of your client
Client includes
Individual person
Parent/guardian of service representative
Organizational representative
Public or private organization, a firm, or a corporation
2.01 Accepting clients
You may only accept clients whose services requested are commensurate with
Your education. Your training Your experience If you have the available resources Organizational policies
If you don’t then either you can seek out the appropriate training and supervision needed or you refer them to someone else who does have that training already
2.02 Responsibility
Your responsibility is to all parties affected by behavior analytic services. When multiple parties are involved create a hierarchy
2.03 Consultation
Arrange for appropriate consultations and referrals based on the best interest of your client with appropriate consent abiding by applicable laws and contractual obligation’s
Example referral for a client with depression and suicidal ideation’s - refer them to a psychologist or psychiatrist
Also make sure you work appropriately with other professionals
2.04 third party involvement in services
When you agreed to provide services to a party or entity at the request of a third-party you
Clarify the nature of the relationship
Also clarify
Your role
Limits of confidentiality
The probable use for the services you provide or the information you obtain
Potential conflicts
Do all this before services begin (outset)
If there is a foreseeable risk of you being called upon to perform conflicting rolls because of a third-party you clarify the nature and direction of your responsibility, keep all parties in formed, resolve the situation in accordance to this code
The codes definition of service record
The client service record includes but is not limited to written behavior change plans, assessments, graphs, raw data, electronic recordings, progress summaries, and written reports
When a third-party makes request for services that go against your recommendations
You are obligated to resolve such conflicts in the best interest of your client. If the conflict cannot be resolved you may discontinue services to your client following an appropriate transition
2.05 Rights and prerogatives of clients
Rights and prerogatives clients refers to human rights, legal rights, rights codified within behavior analysis, and organizational and administrative rules and regulations designed to benefit the client
When asked you must provide an accurate and current set of your credentials
You must have written permission for electronic recording of interviews and service delivery sessions
You must provide clients in service with knowledge on how to Lodge complaints about your practice- how to your employer, the appropriate authorities, abs the BACB
You also much submit to background checks
2.06 Maintaining confidentiality
You discuss confidentiality at the outset of your relationship in there after as new circumstances may warrant
Do not share anything on social media about your clients- like pictures, names factual information
Extra information on confidentiality
Confidentiality is an ethical but also legal issue in some states
Make sure you know your state and or countries individual rules
When service to a client begins the limits to confidentiality must be fully explained
Make sure they know you are required to report child abuse, eminent severe harm to another or eminent severe harm to the person themself
Yes specific forms for reporting deliberate breeches in confidentiality
Actions to protect confidentiality
Requiring passwords on computers, locking files, not transmitting information wirelessly if it’s not encrypted, confirming the person status as a surrogate or legal guardian before giving out information about the client
2.07
Maintaining records
You must maintain and dispose of records in accordance with the laws, regulations, corporate policies, and organizational policies, and in a manner that permits compliance with the requirements of this code
Depending on your state and federal law you may be required to maintain client records for 1 to 7 or more years
2.08 Disclosures
For mandated or permitted legal reasons why you were disclose confidential information without consent
CPPS
Consultation
Protect- the client or others from harm
Payment- to obtain payment for services
Services- to provide needed professional services to the individual or organizational client
The parameters of consent for disclosure get them at the outside of the relationship and remember that it is an ongoing procedure throughout the professional relationship
2.09 Treatment/intervention efficacy
Clients have the right to an effective treatment based on research literature in adapted to the individual client
You advocate for the appropriate amount in level of service and oversight that is needed to meet the behavior change program goals
When one or more scientifically support a treatment has been established consider the efficiency and cost effectiveness, risk and side effects of the interventions, client preference, and practitioner experience and training when selecting which to use
The codes definition of a behavior change program
The behavior change program is a formal, written document that best describes and technological detail every assessment and treatment task necessary to achieve stated goals
2.10 Documenting professional work and research
Document your professional work to facilitate provision of services later by you or by other professionals, ensuring accountability, and meet other requirements of organizations or the law