Azaba Ethics Scenario Archive

College Recommendation Letter for Client

Ethics Scenario Archive
1. Approaching Former Adult Client
2. Medical Marijuana
3. Pro Bono Work
4. Supervision Has Multiple Relationships with Family Receiving Services
5. Parent Training Concerns
6. Parents Not Implementing Procedures
7. Soliciting Parent Testimonials
8. Retaliation Towards Mandated Reporting
9. Family Rejecting Safety Measures
10. Parental Collaboration
11. Hostile Work Enviornment
12. Creating Protocol to Prevent and Treat Trauma with Limited Functional Language
13. Parent ABA Practice Questions in OT & Speech
14. Potential Gifts From Clients on Social Media
15. Helping Close Relationships With ABA Tips
16. Parent Utilizing CBD & THC
17. Client Pre-Authorization Denied For Much Needed Services
18. Supervisee Slaps Child in School Setting
19. Changing Direction of Treatment from Previous BCBA
20. BCBA Subpoenaed in Family Court
21. Terminate Services Due To Parent Behavior
22. Parents Offering Token Items During Check Out/Transition
23. Family Doesn’t Want Details Released To Funding Source Without Permission
24. Resources for IRB Approval for Independent Researchers
25. Speech Therapist Refusing To Do PECS
26. BCBA Receives Cease & Desist
27. Unlicensed, Certified BCBA Provide Supervision
28. Rapid Prompting Method (RPM)
29. Parent as Witness to Accident
30. Website Testimonials
31. Student Using Social Media Inappropriately
32. Hiring Behavior Analyst Trainees at a School District
33. College Recommendation Letter for Client
34. Connecting Families That Are Clients
35. Employer Requiring Same Number of ABA Hours for All New Clients from New BCaBA
36. Do we have any ethical guidelines regarding shared work spaces among two companies that provide similar ABA services in a private property?
37. Client Assessment & Discontinuation
38. Caseload Concerns
39. Naptime
40. Systemic Supervision Concern – Clients & RBTs
41. BCBA’s Performing Diagnostics
42. Self-Reporting DUI to BACB
43. Multiple Relationship with RBT
44. Refusal to Provide Documentation
45. Telehealth Supervision
46. Role of a Lead RBT
47. Urgent – Unsupervised RBT
48. Clinic Owner Requesting Services
49. Inadequate Case Supervision
50. Language Barrier to Services
51. Withholding Fieldwork Hours
52. Reportable Trainee Behavior
53. Treating Others with Compassion, Dignity, and Respect
54. RBT Self-Reporting DUI

Scenario

Client that is being billed through insurance by the Agency that I work for is being accepted into college courses. He would like a letter of recommendation from his supervisor for some scholarship opportunities. Is it ethically appropriate to provide a letter for his college? What would be precautious steps to take in the event that we can provide a letter? Would this be better to provide during billable or non-billable therapy/supervision? What are some possible HIPPA considerations? Ethical issue: Dual relationship, Monetary concerns (if client receives scholarship for college), Billable/non-billable/spare time concerns.

Response

    • Committee Input:
      • Potential dual relationship issue
      • Can the client give their own consent to be able to release of PHI?
    • Exploration:
      • Avoid the multiple relationship.
        • “Our ethical code states that”
      • Coaching the client through asking other teachers/professional people
    • Codes:
      • 1.06B; 1.07A
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