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Supervisee Slaps Child in School Setting

Scenario Dilemma: Supervisee slaps a child in the school setting. Response Mandatory reporters- DCS   Reach out to the BACB   Reach out to the state psych board   Look at supervision contract and what the criteria to terminate it is   Learning point- make sure you are writing your contracts accordingly to cover certain situations that require immediate action   How would we know if someone has a previous incident against them? – probably not known until it’s been…

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Client Pre-Authorization Denied For Much Needed Services

Scenario You receive an ABA referral from a pediatrician for a 3-year-old client; you call the parent listed and gather insurance details and enough background information to see if the client’s behaviors are within the scope of the practice. The client is severely impacted and engaging in high rates of SIB; your colleague that specializes in SIB has an opening on his caseload. When the team proceeds to obtain prior authorization from the client’s primary insurance, pre-auth is denied as…

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Parent Utilizing CBD & THC

Scenario You have been working with a family for 18 months. The father is consistent with parent training attendance, actively engages in sessions and follows through with protocol implementation. The client recently experienced an increase in aggression; the team has developed a modified protocol and you are prepared to share it at the next parent training session. At the parent training session, Dad mentions that he is trying CBD oil (with THC) with the child in hopes to reduce aggression…

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Helping Close Relationships With ABA Tips

Scenario You keep in touch with a good friend from High School and you know that their young child is showing signs and symptoms of Autism. They end up getting a diagnosis and reach out to you asking for some tips. You give them some tips on increasing communication, following through with demands, and capturing motivation. The information is well received, but they’re now asking you more questions, about behaviors, and school support, and whether you think their child will…

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Potential Gifts From Clients on Social Media

Scenario You are starting to build your online presence, and network with other professionals via Facebook and Instagram. You are judicious in checking your security settings, and only add people that you know are in the field. That being said, you do not have a personal connection with all of your online “friends.” One day, on Instagram, you see an online friend post a picture, with a “friend” (online only) holding a bottle of alcohol and stating that it was…

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Parent ABA Practice Questions in OT & Speech

Scenario I understand that your organization is the Arizona chapter of the Association for Behavioral Analysis International. I also understand that there are no laws or regulations for ABA in Arizona. However, there are professional and ethical standards from your organization and ABAI, and as a parent of an autistic child, I have some questions that deal with professional and ethical standards. My daughter attends an establishment that offers speech and occupational therapy. I have come to learn that this…

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Creating Protocol to Prevent and Treat Trauma with Limited Functional Language

Scenario A BCBA is working with a medically fragile teenager, significantly impacted in several domains (communication – very little functional language, daily living, social skills etc.). The client suffers from a rare heart condition requiring an AED (on her person – in backpack) at all times. The family recently learned of the only potential surgery that could save her life (implant of internal defib). However, the setting on the implant cannot be set for her specific needs so it will…

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Hostile Work Enviornment

Scenario I am a BCBA working in a school setting. My boss has created a hostile work environment (i.e. threatening job security, public humiliation, gaslighting, intentional sabotaging and retaliation). Due to stress, I have found that my quality of work is decreasing and impacting my ability to provide effective services to my students (ethical code 2.09). However, if I leave my job, my students will lose their BCBA (the school will not hire another) and they will not receive the…

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Parental Collaboration

Scenario Frank is a mid-level therapist, currently in supervision with an agency in which utilizes ABA for children with Autism. Frank has been working with a family for the last 12 months, with two children recommended 40 hours a week of early intervention. There has been little to no data, hampering adherence to service requirements. The parents have a difficult time with transitions, developing relationships and managing the schedule of two child on the spectrum with higher level(s) of medical…

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Family Rejecting Safety Measures

Scenario I have been working with a child that is diagnosed with ASD. She engages in severe self-injurious behavior (head banging). She has been hospitalized 2 times for cuts to her forehead and concussions. Behaviors have decreased at school after staff training from our team but stay consistent in the home. The family is struggling with staying in close proximity to her, being proactive and implementing strategies when staff is not around. Their insurance company is suggesting a helmet to…

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