1. Lorraine Becerra, M.A., BCBA
SPED 6780 Ethics Week 3 (9/24)
Do not place text over the lines of an image (ie. The sidewalk.)
Lorraine Becerra, M.A., BCBA

2. What’s Due What’s New Facilitated Discussion In Class Debates!
Tyra’s Study
What’s New

3. ROADMAP j ✓ 1.0 2.0 Everyday Ethical Challenges
Introduction to the Compliance Code
Responsible Conduct of Behavior Analysts
Behavior Analysts’ Responsibility to Clients j ✓
1.0
2.0

4. Everyday Ethical Challenges3
Everyday Ethical Challenges

5. Personal vs. Professional Ethics
Non-Explicit Rules
Culture
Experiences
Consequences
Explicit Rules
Determined by group
Mismatched with Personal

6. FAVORS
GOSSIP
Erosion
“WHITE LIES”
APPRECIATION
ADVICE
RESPONSIBILITY

7. Strong Therapeutic Relationship
DO IT NOW
Clear
Compassion
Discomfort
Strong Therapeutic Relationship

8. BST for Supervisees/Staff/Parents
Clear Instructions (spoken and written)
Model
Rehearse to Criterion
Feedback
Advanced Skills
Moderate Skills
New/Low-Level Skills
Least Close In Supervision
Moderate Close In Supervision
Most Close in Supervision

9. Effective January 1, 2016

10. Related Codes
BACB Code
APA
ABA
CalABA
FABA
TxABA
NASP
NASW
AERA

11. PROCESS Conduct Guidelines & Disciplinary Standards
Input Gathered
Conduct Guidelines & Disciplinary Standards
2013 Ethics Workgroup
Consolidate Into 1 Document & Expand Scope
Streamline BACB’s Process
PROCESS

12. WHAT’S DIFFERENT?

13. WHAT’S DIFFERENT? Compliance Code –single document Table of Contents
Glossary
Code Compliance Committee & Disciplinary Review Committee
-Reported w/in 6 months
-On-line submissions
Cross-Reference Guide Provided
WHAT’S DIFFERENT?

14. MULTIPLE RELATIONSHIPS
BEHAVIOR ANALYST
SERVICES
MULTIPLE RELATIONSHIPS
GLOSSARY

15. Me? My Colleagues? My Supervisees? My Clients?
FOCUS OF CODES

16. DEBATE (20 min) First Affirmative (5min)
Cross Examination by Negative (2min)
First Negative (5min)
Cross Examination by Affirmative (2min)
Conclusions (3 min)

17. DEBATE 1
SCENARIO: You are working in-home with a child with multiple disabilities who also engages in fairly aggressive behavior. The family is from India, and consists of the child’s mother and father, 4 younger siblings, and the child’s maternal grandmother. The parent’s speak English enough to effectively communicate information about programming, but the grandmother does not. The child’s aggression was most severe with the grandmother, but since services started 2 months ago you have implemented a successful intervention plan that has resulted in an 80% reduction of aggression and has increased the child’s functional communication. The grandmother does the majority of the cook, which smells great, which you have pointed out to the mother in the past. Upon leaving a session the grandmother presents you with a tinfoil packet of handmade samosas and a very large smile.

18. Break
Do not place text over the lines of an image (ie. The sidewalk.)

19. Responsible Conduct of Behavior Analysts
1.0
Responsible Conduct of Behavior Analysts
…maintain the high standards of behavior of the profession.

20. WHAT ARE THE “HIGH” STANDARDS??
Honesty
Integrity
Reliability
Confidentiality
Trustworthiness

21. 1.01 Reliance on Scientific Knowledge 1.02 Boundaries of Competence
1.03
Maintaining Competence

22. 1.04 INTEGRITY (a) Truthful & Honest (c) Follow Through & Commitments
(b)
Contingencies Leading to Fraudulent, Illegal, or Unethical Bx
(c)
Follow Through & Commitments
(d)
Follow Legal & Ethical Codes of Social & Professional Community
(e)
Commitment to Code and Actions to Resolve Conflicts

23. 1.05 PROFESSIONAL & SCIENTIFIC RELATIONSHIPS
(a) Services only in context of defined professional or scientific relationship
(b) Use understandable language (conceptually systematic)
-Info provided prior to services
-Info provided about results & conclusions

24. 1.05 PROFESSIONAL & SCIENTIFIC RELATIONSHIPS
(c) When specific differences of the client or family significantly impact work > obtain training or refer
(d) No discrimination
(e) No purposeful harassment or demeaning of individuals
(f) Recognize potential for personal problems and conflicts may influence > refrain if those compromise service delivery

25. 1.06 MULTIPLE RELATIONSHIPS & CONFLICTS OF INTEREST
(a) Avoid Multiple Relationships
(b) Be Aware > Resolve
(c) Recognize > Inform
(d) Do not accept/give any gifts

26. 1.07 EXPLOITATIVE RELATIONSHIPS
(a) Do not exploit those you have authority over
“unfairly use person for profit or advantage”
(b) No sexual relationship with clients, students, or supervisees
(c) No sexual relationships with clients, students, or supervisees for at least 2yrs following end of professional relationship
(d) No bartering for services

27. Facilitated Discussion
Ryan
Brian

28. Behavior Analysts’ Responsibility to Clients
2.0
Behavior Analysts’ Responsibility to Clients
…operate in the best interest of clients.

29. Public/Private Org.
Org. Rep
Parent/Guardian
Target Individual

30. Organizational Policies
2.01 ACCEPTING CLIENTS
Education
Training
Experience
Available Resources
Organizational Policies

31. 2.01 ACCEPTING CLIENTS
There is no one else.
There are others, but...

32. 2.02 RESPONSIBILITY All Parties affected by services
Multiple parties as client?
Establish hierarchy and communicate are outset
Identify & Communicate Primary Beneficiary & Advocate for That Indiv

33. 2.03 CONSULTATION (b) Cooperation With Others
(a) Appropriate Consultation & Referral Based on Best Interest of Client
-consent
-”other relevant considerations”
(b) Cooperation With Others
-when indicated
-manner consistent with philosophical assumptions & principles
-purpose to effectively & appropriately serve client

34. 2.04 THIRD-PARTY INVOLVEMENT IN SERVICES
(a) Clarify natural of relationships at outset (each party and conflicts)
(b) Foreseeable risk > clarify nature and direction of responsibilities, keep informed, resolve
(c) Services to minors or protected classes > inform parent/guardian
(d) Contraindicated Requirements > Client’s care above all others
-Resolution
-Termination

35. 2.05 RIGHTS & PEROGATIVES OF CLIENTS
Client’s rights paramount, provide support
Credentials provided upon request
Consent from client and staff for recording (different types)
Informed of rights and complaint procedures
Compliance with criminal background checks
(a)
(b)
(c)
(d)
(e)

36. 2.06 MAINTAINING CONFIDENTIALITY
(a) Primary obligation to protect confidentiality
(b) Discuss at outset and as appropriate/needed
(c) Include only information relevant to communication
(d) Discuss confidential information only for scientific/clinical purposes and only with appropriate individuals
(e) Do not share identifying information about current clients within social media

37. (a) Maintain appropriate confidentiality in records
2.07 MAINTATINING RECORDS
(a) Maintain appropriate confidentiality in records
(b) Maintain & dispose within requirements of laws, regs, policies, & Code

38. 2.08 DISCLOSURES
Disclosing Confidential Client Info W/O Consent, Unless Compelled or Permitted:
-to provide needed professional services to client
-to obtain appropriate professional consultation
-to protect client or others from harm
-to obtain payment (limited to necessary for purpose)

39. 2.08 DISCLOSURES Consent for Disclosure at Outset
Ongoing Consent for Disclosure as Need Arises

40. 2.09(a) TREATMENT/INTERVENTION EFFICACY
Clients have right to effective treatment
BA always obligated to advocate and educate:
Scientifically Supported &
Most-Effective Treatment
Effective Treatment Validated As Producing Effects That Are:
Short-Term &
Long-Term

41. Client Context & Values Best Available Evidence
Effective Client Outcomes
Client Context & Values
Best Available Evidence
Clinical Expertise

42. 2.09(b) TREATMENT/INTERVENTION EFFICACY
BA has responsibility to advocate for appropriate:
AMOUNT
LEVEL
OVERSIGHT
To Meet Goals

43. 2.09(c) TREATMENT/INTERVENTION EFFICACY
Consider additional factors, such as:
efficiency
cost-effectiveness
risks/side effects
preferences
BA expertise & training
When more than one scientifically support treatment is available:

44. 2.09(d) TREATMENT/INTERVENTION EFFICACY
Review & appraise effects of tx that might impact goals & possible impact on bx-change program

45. 2.10 DOCUMENTING PROFESSIONAL WORK & RESEARCH
(a) Document work to facilitate later work, ensure accountability, and comply with requirements of organization or law
(b) Responsibility to create & maintain detail and accuracy consistent with best-practice & law

46. 2.11 RECORDS & DATA (a) (b) … in accordance with…
Retain records & data for at least 7yrs and as directed by law

47. 2.12 CONTRACTS, FEES, & FINANCIAL ARRANGEMENTS
(a) At Outset: signed contract outlining resp., scope, and obligations under Code
(c) Fees are consistent with law and free of misrepresentation. Discuss service limitations due to funding limits up front
(d) Changes in funding circumstances > revisit financial responsibilities and limits
(b) As early as possible: agree to compensation & billing

48. 2.13 ACCURACY IN BILLING REPORTS
Nature of Services
Fees/Charges
Identify of Provider
Relevant Outcomes
Other Required Descriptive Data

49. 2.14 REFERRALS & FEES
Must not receive or provide money, gifts or other enticements for any professional referrals.
Referrals should include several options and based on need of client.
Referrals include disclosure of relationship of parties.

50. 2.15 INTERRUPTING OR DISCONTINUING SERVICES
(a) Act in best interest of client to avoid interruption/disruption
(b) Reasonable/timely efforts to facilitate continuation of services during unplanned interruptions
(c) Upon contract > orderly and appropriate resolution –paramount consideration to welfare of client
(d) Discontinuation:
-no longer needs
-no more benefit
-harmed if continue
-client request
(e) Do not abandon. Discuss:
-client’s views and needs
-appropriate pre-termination
-suggest alternate providers
-reasonable other actions for timely transfer

51. Ethical Scenario 11 & 16
In groups of 3-4, you will review the scenario and write a one-page paper that includes the following:
A brief and clear description of the specific ethical dilemma
A minimum of 3 relevant codes
A brief description of the relevant ethical principle/s
A proposed primary and alternative solution, and
A summary statement describing a similar experience or how this situation will be relevant to your future professional settings.

52. ! Next Class Read -Ethics Chapters 8 & 9
Keep Looking into BCBAs to Interview and Post on Canvas
Debate 2: Amy & Bayley
Vs. Stephanie & Sandra
Disc: Jason & Bayley
Make time Every Day to Reflect on Ethics!