TeamE-2CaseStudy2

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Ethics Scenario Review 2 Team Member Names : Mitchell Popp, Stephanie Perdue, Matt McIntire, Anne Winkelman, Maria Prieto, Jennifer Rondinelli, Alisha Norton, David Ubl Case Study Number : 22 Ethical Guideline(s) Addressed in this Case: 1.04 Integrity (a) Behavior analysts are truthful and honest. The behavior analyst follows through on obligations and professional commitments with high quality work and refrains from making professional commitments that he/she cannot keep (p. 295). 2.10 Treatment Efficacy (a) The behavior analyst always has the responsibility to recommend scientifically supported most effective treatment procedures. Effective treatment procedures have been validated as having both long-term and short-term benefits to clients and society (p. 301). (b) Clients have a right to effective treatment (i.e., based on the research literature and adapted to the individual client) (p. 301). (c) Behavior analysts are responsible for review and appraisal of likely effects of all alternative treatments, including those provided by other disciplines and no intervention (p. 301). (d) In those instances where more than one scientifically supported treatment has been established, additional factors may be considered in selecting interventions, including, but not limited to, efficiency and cost-effectiveness, risks and side-effects of the interventions, client preference, and practitioner experience and training (p. 301). 7.01 Affirming Principles The behavior analyst upholds and advances the values, ethics, principles, and mission of the field of behavior analysis. Participation in both state and national or international behavior analysis organizations is strongly encouraged (p.301). 8.01 Ethical Violations by Behavioral and Non-behavioral Colleagues. When behavior analysts believe that there may have been an ethical violation by another behavior analyst, or non behavioral colleague, they attempt to resolve the issue by bringing it to the attention of that individual if an informal resolution appears appropriate and the intervention does not violate any confidentiality rights that may be involved. If resolution is not obtained, and the behavior analyst believes a client’s rights are being violated, the behavior analyst may take additional steps as necessary for the protection of the client (p.312). Resolve the issue: There are many ethical guidelines that are relevant in this scenario. It is recommended to the reporting BCBA that he/she meet informally with the other professional (8.01) to discuss the ethical issues of promoting other inventions outside of their scope of practice and which may not have a scientific evidence base in research (2.10a). The BCBA has an ethical obligation to consider the possible side-effects, interactions and efficiency of multiple interventions implemented simultaneously (2.10d). BCBAs may inform the parent an honest review of these alternative treatments (2.10c); however, it is critical that the BCBAs also address that they cannot
implement these treatments themselves (1.04a). Ultimately, it is the client, defined as “...an individual person (service recipient), parent or guardian of a service recipient, an institutional representative, a public or private agency, a firm or corporation,” (2.01) who has the right to choose which treatment(s) will be implemented. In the case that a parent chooses to implement alternative treatments, simultaneously with ABA therapy, a risk-benefit analysis should be conducted, exploring side-effects, efficiency of the treatment, client preference and practitioner experience (2.10d). Thorough documentation should be provided in order to determine which treatment is benefitting the client most. Case Study Number: 19 Ethical Guideline(s) Addressed in this Case: 2.09 Disclosures (a) Behavior analysts disclose confidential information without the consent of the individual only as mandated by law, or where permitted by law for a valid purpose, such as (1) to provide needed professional services to the individual or organizational client, (2) to obtain appropriate professional consultations, (3) to protect the client or others from harm, or (4) to obtain payment for services, in which instance disclosure is limited to the minimum that is necessary to achieve the purpose (p. 301). 2.11 Documenting Professional and Scientific Work (a) Behavior analysts appropriately document their professional and scientific work in order to facilitate provision of services later by them or by other professionals, to ensure accountability, and to meet other requirements of institutions or the law(p. 302). 2.12 Records and Data Behavior analysts create, maintain, disseminate, store, retain, and dispose of records and data relating to their research, practice, and other work in accordance with applicable laws or regulations and corporate policy and in a manner that permits compliance with the requirements of these Guidelines (p. 302). 2.13 Fees, Financial Arrangements and Terms of Consultation (a) As early as is feasible in a professional or scientific relationship, the behavior analyst and the client or other appropriate recipient of behavior analytic services reach an agreement specifying compensation and billing arrangements (p. 302). (b) Behavior analysts’ fee practices are consistent with law and behavior analysts do not misrepresent their fees. If limitations to services can be anticipated because of limitations in financing, this is discussed with the patient, client, or other appropriate recipient of services as early as is feasible (p. 302) . (c) Prior to the implementation of services the behavior analyst will provide in writing the terms of consultation with regard to specific requirements for providing services and the responsibilities of all parties (a contract or Declaration of Professional Services) (p. 303). 2.14 Accuracy in Reports to Those Who Pay for Services. In their reports to those who pay for services or sources of research, project, or program funding, behavior analysts accurately state the nature of the research or service provided, the fees or
charges, and where applicable, the identity of the provider, the findings, and other required descriptive data (p. 303). 2.15 Referrals and Fees. When a behavior analyst pays, receives payment from, or divides fees with another professional other than in an employer-employee relationship, the referral shall be disclosed to the client (p. 303). 7.03 Being Familiar with These Guidelines Behavior analysts have an obligation to be familiar with these Guidelines, other applicable ethics codes, and their application to behavior analysts’ work. Lack of awareness or misunderstanding of a conduct standard is not itself a defense to a charge of unethical conduct. (p. 312) Resolve the issue: If the professional feels inadequate information is being provided he/she should consult with a supervisor to determine what information is needed before addressing the BCBA. The ethical guidelines require the BCBA making request for services needed to provide thorough documentation, showing assessment data, and that this particular client meets the criteria to receive behavioral services (2.11). Although the reporting professional claims it is standard for the company to pay for a certain number of hours, the reporting professional should tell the BCBA that it is his/her responsibility to gather appropriate documentation before processing this request (2.12). It is the BCBA’s responsibility to adhere to the guidelines outlined by the BACB (7.03). The BCBA should effectively communicate specific compensation and billing arrangements for the client to this professional (2.13a). It is also the BCBA’s responsibility to accurately represent data and fees, and to clearly communicate this with the client (2.13b). Prior to beginning services a contract needs to be written, in order to effectively communicate expectations, terms of consultation, and any specific requirements needed to all parties involved (2.13c).
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References Bailey, J. S., & Burch, M. R. (2011). Ethics for behavior analysts (2nd ed.). New York: Routledge.