Test 1 Flashcards
What is meant by “today is the last day of your civilian life”?
Personal ethical codes must be given up in exchange for our fields professional ethical guidelines
Sunland Miami scandal
–
what were the immediate consequences of the investigation?
termination of some of the individuals involved and the creation of a statewide advocacy program.
What were the findings/conclusions regarding programming provided by the
Achievement division.
Not based in B Mod but had evolved from undertrained staff encouraged to generate creative consequences.
What was the key ingredient left out of the “token program”?
monitoring of individual resident behavior
What was the statewide peer review committee for behavior modification (PRC)?
a committee set up to establish a set of guidelines for the use of behavioral procedures and monitor.
What is meant by the behavior is not only quite severe but also complex in nature?
possibly multiple function
What is meant by Do no Harm and what were 3 ethical examples?
dont do harm
take on client you were not trained for dont develop responsible data system make treatment without knowing info (dude escalates with shower)
What is meant by Autonomy and what ethical issues may arise?
person should be able to do things themselves but this may create more opportunity for problem behavior
Benefiting others what ethical issues may arise
who is the intervention for?
Being Just- what is this basic principle?
Golden Rule
Why is being Truthful important to you and the profession?
provides basis for long term relationships
According Dignity check out ACTs programs, specifically work shops and remembering with dignity. When is a choice a choice?
respecting when a client can not make a choice
What is meant by treating others with caring and compassion?
work to benifit client, respect dignity and autonomy
How does one demonstrate pursuit of excellence?
use most up to date methods. get CEUs
What is meant by the client does not fail, the program does?
if a program does not work it needs to be redesigned
What makes behavior analysis unique?
only approach that uses single subject research so validates treatment scientifically for each client
What is the criteria for a treatment procedure to be included in the library of possible procedures?
rigorous peer review standards
What is meant by “third party referral”?
caregiver recommends
What is the major concern of a third party referral?
who is the txt for?
How does funding rules and regulations affect the Right to Effective Treatment?
if funding is not available or not provided clients treatment can suffer
How does the lack of data or data faking affect the Right to Effective Treatment?
we rely on data to judge treatment efficacy and make decisions
How does choice affect treatment decisions?
selecting alternative non evidence based treatments can take time and resources away from ABA
How do competing lines of authority affect the Right to Effective Treatment?
if a psychologist is in charge he or she may decide the only treatment is medication
How does choice impact the responsibility to recommend scientifically supported and most effective treatments?
it is ultimately up to the caregiver which therapies are chosen
How does the behavior analyst deal with competing professions and their theories?
independently review evidence and recommend based on science
Why do you need an appropriate assessment, e.g. parents report the behavior is so severe that they need a behavior program now.
because we make treatment choices based on data not anecdote
When a parent invites you to their child’s birthday party what ethical principle is involved?
Dual relationships and conflicts of interest
Why is it important to conduct a functional assessment?
to determine the controlling variables related to a behavior problem
Why do some behavior analysts not conduct functional assessments?
they claim to use their professional jugement or descriptive assessments
Where do we learn our rules of ethical conduct?
as children
What are personal ethics?
ethics developed for personal choices based on learning history
What are professional ethics?
ethical rules of a profession
How do favors impact professional ethics?
they may impact treatment efficacy
How does gossip impact professional ethics?
others may innocently ask about a client forgetting it is confidential
How do White lies impact professional ethics?
an attempt to avoid conflict may lead to more lies
What is the impact of exchanging gifts and favors?
creates a dual-role relationship
How does responsibility impact a behavior analyst?
dont make excuses or cover up problems to avoid embarassment
What is meant by the behavior analyst must transition from a civilian to a professional?
old ethics must be abandoned when in the role of an BCBA
What did Governor Youngdahl do in 1949?
Ceremonial burning of restraints as a statement of moving away from such practices
What must we be on guard for?
For demonology creeping up in different forms
What was METO and who did they serve
Minnesota extended treatment options, they served persons with developmental disabilities who exhibit severe behaviors which present a risk to public safety
What were the 2 complaints investigated by the office of Ombudsman?
use of physical restraints on the disabled
families had not approved
When can restraints be used
as a tool of last resort— only when there is immediate risk of harm and only for the time needed to abate that risk.
What did the complaint find regarding alternative approaches?
sometimes untried, they went right to restraint
What did the Minnesota Office of Health Facility Complaints and DHS Licensing Division find?
multiple violations regarding use of restraint
What do all citizens of Minnesota deserve?
treatment with dignity and respect regardless of ability or disability.
What rights does the 14th Amendment provide?
right to reasonably safe conditions of confinement, freedom from unreasonable bodily restraints, reasonable protection from harm, and adequate food, shelter, clothing, and medical care.
How is adequacy of treatment determined?
focuses on whether institutional conditions substantially depart from generally accepted professional judgment, practices or standards.
Why was METO developed?
after closure of Cambridge State Hospital designed to serve citizens with developmental disabilities who have some of the most challenging behaviors, including those that may have been involved with the criminal justice system or those who have lost their less restrictive community placement.
Were all beds certified under ICF/MR rules and regulations?
CMS determined that 36 of the beds did not meet the federal standards for certification. CMS opined the clients placed in those beds did not need an institutional level of care for their basic activities of daily living (bathing, feeding, clothing, toileting).
What is “Rule 40”?
refers to the rules that govern the use of aversive and deprivation procedures such as seclusion and restraints.
to direct what type of aversive procedure that will be implemented if all other efforts have failed to produce a safe situation.
Does Rule 40 promote the use of aversive and deprivation procedures?
No, Rather to encourage the use of positive approaches as an alternative and to establish specific standards that must be met when other less restrictive alternatives have been attempted and proven unsuccessful.
How did coercion apply to the complaint received by the Ombudsman?
certain METO staff threatened families that if they did not sign the aversive program developed by the behavioral staff they could have custody taken away.
What was the criteria for being placed into restraints?
Aggressive or dangerous behavior
What was the rationale provided for the use of restraints?
Aggressive or dangerous behavior, when questioned on seemingly inocuous behavior staff claimed the were precursors to dangerous behavior
.What percentage of persons hadbeen restrained?
65
What did the review of medical files find?
No one had restraint contraindicated. Someone who had just been released from hospital for lung absences was restrained in prone position. Someone who had unsteady gait was restrained with arms on waist
.What was the problem with the reasons listed as why a person was put in restraints?
Did not seem aggressive or dangerous such as touching a pizza box or talking about running away
. What did documentation reveal regarding when a person was placed into restraints?
Some would be calm until put in restraint then cry, others would calmly assume the position
What did the Office of Health Facility Complaints find?
failed to meet the requirements under MN Statute 144.651, Subdivision 14, to ensure that residents were free from maltreatment, particularly from “unnecessary drugs and physical restraints.”
. DHS licensing issued 6 citations that can be summarized as?
Failing to follow proper procedures regarding use and documentation of controlled procedures
When describing the clients placed in METO, the staff insinuated that most of the persons came through the criminal courts, how many clients were adjudicated?
only 5 of 40
Whose fault was it that a person was placed in METO?
staff of METO made comments that it was the clients when this is not the case
.When the guardian suggested alternative behavioral methods for persons with autism, what was the result?
Clinical director did not approve guardians request to have client stay longer because he claimed that guardian attacked proffessional credibility at every opportunity.
What was the finding regarding the claim that METO is a nationally recognized program?
based on use of restraint not measures of target behavior
What constraints were on the system?
insufficient resources lead to poor staff training
Without immediate and substantive change, the state is at risk of what?
further federal intervention
