section 10 Flashcards

1
Q

3 fundamental questions of ethical

Practice

A

What is the right thing to do??

What is worth doing???

What does it mean to be a good behavior analyst??

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2
Q

Social validity

A

Not every skill has social validity.

Needs to be socially acceptable for their age group

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3
Q

3 reasons why we abide by ethic

A

MHS

Meaningful change

Harm- reduce/eliminate harm

Standards- written guideline for ethical standards

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4
Q

5 documents describe standards of professional conduct and ethical practice for ABA

A

Task list

Code

Education - right to effective education 1990

Psychologist

Behavioral treatment - right to effective behavioral treatment 1989

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5
Q

Professional and ethical compliance code for behavior analyst

A

The cod
Effective Jan 1 2016

2 parts

  1. 10 sections that are relevant to professional and ethical behavior of analysts
  2. 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

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6
Q

1.0 responsible conduct of behavior analysts

A

Maintain high standards of behavior of the profession-

If you are a BCBA, BCaBA, authorized by the BACB etc…

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7
Q

1.01 reliance on scientific knowledge

A

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

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8
Q

1.02 boundaries of competence

A

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

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9
Q

1.03 Maintaining competence through professional development

A

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

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10
Q

4 methods of maintaining professional competence

A

CLAC

C- CEUS

L-literature- read most updated, evidence
Based research

A- additional coursework if needed

C- conferences/workshops - attend them

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11
Q

1.04 integrity

A

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

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12
Q

1.05 professional and scientific relationships

A

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

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13
Q

1.06 multiple relationships and conflicts if interest

A

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

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14
Q

Extra information on conflicts of interest

A

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

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15
Q

1.07 exploitative relationships

A

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

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16
Q

The codes definition of a client

A

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

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17
Q

The term client does not include

A

Third-party insurance or payers, unless you were hired directly under contract by the third party insurer or payer

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18
Q

2.0 Behavior analyst responsibility to clients

A

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

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19
Q

2.01 Accepting clients

A

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

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20
Q

2.02 Responsibility

A

Your responsibility is to all parties affected by behavior analytic services. When multiple parties are involved create a hierarchy

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21
Q

2.03 Consultation

A

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

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22
Q

2.04 third party involvement in services

A

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

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23
Q

The codes definition of service record

A

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

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24
Q

When a third-party makes request for services that go against your recommendations

A

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

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25
Q

2.05 Rights and prerogatives of clients

A

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

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26
Q

2.06 Maintaining confidentiality

A

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

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27
Q

Extra information on confidentiality

A

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

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28
Q

Actions to protect confidentiality

A

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

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29
Q

2.07

Maintaining records

A

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

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30
Q

2.08 Disclosures

A

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

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31
Q

2.09 Treatment/intervention efficacy

A

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

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32
Q

The codes definition of a behavior change program

A

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

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33
Q

2.10 Documenting professional work and research

A

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

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34
Q

2.11

Records and data

A

You create, maintain, disseminate, store, retain, and dispose of records and data relating to your research, practice, and other work in accordance with applicable laws, regulations, and policies in a manner that permits compliance with this code and in a manner that allows for appropriate transition of service oversight at any moment in time

You must retain records and data for at least seven years

35
Q

Extra information on maintaining records

A

According to the APA ethical principle of psychologist and code of conduct records must be kept in a secure area.

A Release must be obtained to attain or give records

Records disposal should be complete shredding is best

Well-maintained records facilitate the provision of future services, meet agency or institutional requirements, ensure accurate billing, allow for future research, and comply with legal requirements

According to HIPAA, electronic transmission of confidential records across any unsecure medium is prohibited

36
Q

2.12 Contracts, fees, and financial arrangements

A

Before services begin make sure you have

A signed co react

A review of the scope of services you provide

Your obligations under this code

Make sure your fee practices are consistent with law and you do not misrepresent your fees

Make sure they know if there are any funding limitations that could affect them and when funding circumstances change you must revisit that with your client as well

37
Q

2.13 Accuracy in billing reports

A

When billing for your services you

Accurately state the nature of the services provided

The fees or charges

The identity of the provider

Relevant outcomes and other required information

38
Q

2.14 Referrals and fees

A

If you give or take a referral you must not receive a provide money gifts her other enticements

also make sure you provide multiple options in your referrals

39
Q

2.15 Interrupting or discontinuing services

A

Avoid interruption or disruption of services

In the event of unplanned interruptions like illness or relocation make sure you facilitate the continuation of their services in a timely manner

If your Employment or contractual relationship is ending make sure there was an orderly inappropriate resolution of your responsibility for services with welfare given to your client

Discontinue services only after you have made efforts to transition them

40
Q

When do you discontinue services

A

When they no longer need services

When no one is benefiting from them

If they’re being harmed by the service

If they’ve requested discontinuation

41
Q

3.0 assessing behavior

A

If you use behavior analytic assessment techniques do you so for appropriate purposes given current research

42
Q

3.01 behavior analytic assessment

A

Conduct assessments prior to making recommendations or developing behavior change programs

Conduct a functional
Assessment before developing a plan

Determine the type of assessment you will use based on the clients needs and consent, environmental parameters, contextual variables, and the codes definition of a functional assessment

43
Q

The codes definition of functional assessment

A

Aka Functional behavior assessment

Procedures used to formally assess the possible environmental causes of the problem behavior

Informant assessments ( indirect- interviews, rating scales)

Direct observation in the natural environment

Experimental functional analysis

44
Q

3.02 medical consultation

A

Recommend seeking a medical consultation if there is any reasonable possibility that A referred behavior is influenced by medical or biological variables

45
Q

3.03 behavior analytic assessment consent

A

Prior to contacting in assessment you must explain to the client what procedure will be used, who will participate, and how the information will be used. You must get written approval before implementing them

46
Q

3.04 Explaining assessment results

A

Use language and graphic displays of data that are reasonably understandable to the clients

47
Q

3.05 Consent for client records

A

Before disclosures you must obtain the written consent of the client to obtain records from other sources for assessment purposes

48
Q

4.0 Behavior analyst and the behavior change program

A

You are responsible for all aspects of the behavior change program from the conceptualization to the implementation and ultimately to the discontinuation

49
Q

Termination criteria

A

Generate termination criteria for your client and starting a behavior change program

50
Q

4.01 Conceptual consistency

A

Design behavior change programs that are conceptually consistent with behavior analytic principles

This means that your work is consistent with the concepts of our field

51
Q

4.02 Involving clients in planning and consent

A

You involve the client in the planning of and consent for behavior change programs

52
Q

4.03 Individualized behavior change programs

A

You must Tailor behavior change programs to the unique behaviors, environmental variables, assessment results, and goals of each client

Do you not plagiarize other professionals behavior change programs

53
Q

4.04 Approving behavior change programs

A

Before you implement or make significant modifications in the clients Program you must obtain the client written approval

54
Q

4.05 Describing behavior change program objectives

Risk benefit analysis

A

Aka- Cost benefit analysis, cost benefit ratio

You must conduct a risk benefit analysis on the procedures to be implemented to reach the objective

Before you choose procedures to use with your client research there are risks versus their benefits

It’s like making a pros versus cons list

55
Q

The codes definition of risk benefit analysis

A

A risk benefit analysis is the deliberate evaluation of the potential risks (limitations , side effects , cost) and benefits (treatment , outcomes , efficiency , savings ) associated with given intervention

Translation the risk and benefits of your procedure are compared

56
Q

Eight general risk factor questions to ask yourself

A
  1. What is the nature of the behavior
  2. Are there enough staff to implement the procedure
  3. Is the mediator trained appropriately
  4. Is the setting appropriate for the procedure
  5. Do you have experience with this procedure
  6. Is there any potential risks to others from these procedures
  7. Is everyone on board to implement the procedure
  8. Is there any liability to you as a BC BA
57
Q

4.06 Describing conditions for behavior change program success

A

You tell the client about the environmental conditions that are necessary for the behavior change program to be effective

These are the conditions to help you attain behavior change program success

58
Q

4.07 Environmental conditions that interfere with implementation

A

If the environmental conditions prevent your program from being implemented you recommend that other professional assistance be sought

This means assessment, consultation, or therapeutic intervention by other professionals

If they’re not on board for your plan then try Plan B

Plan a is to have a meeting with all parties involved in retrain them as needed

Plan B is to recommend family therapy tonight them to collectively work on implementing the plan

If the environmental conditions hinder your program from being implemented you seek to Eliminate the environmental constraints

identify in writing the obstacles to fix the environment

59
Q

4.08 Considerations regarding punishment procedures

A

always recommend reinforcement rather than punishment whenever possible

If punishment procedures are necessary you always include reinforcement procedures for alternative behavior in the behavior change program

Before implementing punishment based procedures ensure that appropriate steps have been taken to implement reinforcement base procedures unless the severity or dangerousness of the behavior necessitates immediate use of aversive procedures

When you use aversive procedures you must give an increased level of training, supervision, and oversight

60
Q

4.09 Least restrictive procedures

A

Aka
Least restrictive alternatives

You review and appraise the restrictiveness of procedures and always recommend the least restrictive procedures likely to be affective

61
Q

Definition of a restrictive procedure

A

A procedure that restricts someone’s movement and/ or activity, ability to acquire positive reinforcement, access to valued objects and /or activities

62
Q

4.10 Avoiding harmful reinforcers

A

You minimize the use of items as potential reinforcers that may be harmful to the health and development of the client

Ex. Don’t use cigarettes, alcohol, fatty foods

Don’t deprive them of water etc…

63
Q

4.11 Discontinuing behavior change programs and behavior analytic services

A

How you discontinue programming with your client

Establish understandable objective criteria for the discontinuation of your program

Describe the discontinuation criteria to your client

When the established criteria for discontinuation are attained discontinue services (when the agreed upon goals are met)

64
Q

5.0 Behavior analyst as supervisors

A

When you are functioning as a supervisor, you must take full responsibility for all facets of this undertaking

You now are required to complete an eight hour supervision training- supervisor training curriculum outline- and 3 CEUs in supervision each certificate cycle

65
Q

5.01 Supervisory competence

A

You supervise only within your areas of defined competence

Competence is defined by the types of specific training and supervision the professionals have had

66
Q

5.02 Supervisory volume

A

Only supervise the amount of people that allows you to be affective there is no set number

67
Q

5.03 Supervisory delegation

A

You only delegate the responsibilities that they can reasonably be expected for o perform competently

If you’re supervisee does not have the necessary skills you provide conditions for the acquisitions of those skills and you observe your supervisee

68
Q

5.04 Designing effective supervision in training

A

You ensure that supervision and trainings are behavior analytic and content, effectively and ethically designed, and meet the requirements for licensure, certification, or other define goals

69
Q

5.05 Communication of supervision conditions

A

Prior to the onset of supervision provide a clear written description of the purpose, requirements, evaluation criteria, conditions, and terms of supervision

70
Q

5.06 Providing feedback to supervisees

A

Design feedback and reinforcement systems in a way that improves supervisee performance, provide documented timely feedback regarding the performance of supervisees on an ongoing basis

71
Q

5.07 Evaluating the effects of supervision

A

Design systems for obtaining Ongoing evaluation of your own supervision activities

72
Q

6.0Behavior analyst ethical responsibility to the professional behavior analysis

A

You have an obligation to the science of behavior and the profession of behavior analysis.

73
Q

6.01Affirming principles

A

Above all other professional training you uphold in advance the values, ethics, and principles of the profession of behavior analysis

74
Q

6.02 Disseminating behavior analysis

A

You promote behavior analysis by asking information about it available to the public through presentations, discussions, and other media.

75
Q

7.0 behavior analysts ethical responsibilities to colleagues

A

You work with colleagues within the profession of behavior analysis and from Other professions and must be aware of these ethical obligations in all situations.

You are a mandatory reporter of abuse - if you have first hand evidence

76
Q

7.01 promoting an ethical culture

A

You promote an ethical culture in your work environments abs make others aware of the code

Act ethically at all times

Manage other professionals and your staff to act ethically as well

77
Q

7.02 ethical violations by others and risk of harm

A

If you believe there may be a legal or ethical violation your first determine whether there is potential for harm, a possible legal violation, a mandatory reporting condition, or an agency, organization, or regulatory requirement addressing the violation

if a clients legal rights are being violated or if there is potential for harm, you must take the necessary action to protect the client.

including but not limited to:
contacting relevant authorities,
following organizational policies,
consulting with appropriate professionals
and documenting your efforts to address the matter

78
Q
  1. 0 public statements

8. 01 avoiding false or deceptive statements

A

You do not make public statements that are false, deceptive, misleading, exaggerated, or fraudulent- either because of what you state, convey, or suggest or because of what you omit concerning your research, practice, or other work activities or those of persons or organizations with which you are affiliated.

79
Q

8.02 intellectual property

A

You obtain permission to use trademark or copyrighted materials required by law

This included copy right symbols on materials that recognize the intellectual property of others

When delivering lectures, workshops, or other presentations give credit to authors

80
Q

8.03 statements by others

A

If you engage others to promote your professional practice, products, or activities publicly, you are responsible for their statements

Make sure you try to prevent them from making deceptive statements about your practice - if they do correct it ASAP.

If you paid for the advertisement make sure it identifies as paid

81
Q

8.04 Media presentations and media-based services

A

If you use electronica media obtain and maintain knowledge regarding the security and limitations of electronica media in order to adhere to this code

When you make a public statement or deliver presentations using electronica media do not disclose personal identifiable information concerning your clients, supervisees, students, research participants, or other recipients of your services that you obtained during the course of your work unless you got their written consent

When you provide public statements advice or comments by means of public lectures, demonstrations, radio or television programs, electronica media, articles, mailed material, or other media, you take reasonable precautions to ensure that your statements are:

based on appropriate analytic behavior literature and practice

The statements are otherwise consistent with this code

The advice or comment does not create an agreement for Service with the recipient

82
Q

8.05 testimonials and advertising

A

You do not solicit or use testimonials about services from current clients republication on your webpages or in any other electronic or print materials

If you use then; use former clients and they must identify if they were unsolicited or solicited

You may advertise
The evidence based services you provide

Describing the qualifications of your staff
Describing objective outcome data you have accrued or published, in accordance with applicable laws.

83
Q

8.06 in person solicitation

A

You do not engage in uninvited in person solicitation of business from actual or potential users of services who, because of their particular circumstances, are vulnerable to undue influence

84
Q

9.0 behavior analyst and research

A

You design, conduct, abs report research in accordance with recognized standards of scientific competence and ethical research.