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BCBA’s Performing Diagnostics

Scenario “There has been an uptick in ABA agencies posting that they will diagnose children with Autism if the child does not already have a diagnosis. I’m concerned about the field confusing competence within a scope with receiving some continuing education in another area. There are only a few levels of physicians that can diagnose…

Systemic Supervision Concern – Clients & RBTs

Scenario “We have been getting numerous ABA Technician applicants who have left a local ABA provider (non BCBA owned). All of them tell similar stories about the lack of supervision and training. All of them report there is only 1 BCBA who works remotely and the clinic goes without a BCBA for 2 weeks at…

Naptime

Scenario “Nap time while in center. Some of our early learner still require naps. The concern is that as the client is napping, the company is not billing during nap time which clinicians believe is consider a dual relationship as it is “babysitting” while the client is sleeping.” Possible solutions: Sending the client home.. Ending…

Caseload Concerns

Scenario “The company I work for assigns caseloads of 12-14 patients per BCBA. 14 would be for BCBAs that have a masters level student working under them in a mentorship program. My ethical dilemma is that I do not feel I am able to give my patients the full service that I have prescribed, and…

Client Assessment & Discontinuation

Scenario “BCBA recently had clinic administration call parents of early learner to pick up during a tantrum and discharged child with a referral to get a “mental health evaluation”. No behavior data was taken and no assessment of the tantrum behaviors. Behaviors were typical of an early learner starting ABA services.” Committee Input (e.g., considerations…

Do we have any ethical guidelines regarding shared work spaces among two companies that provide similar ABA services in a private property?

Scenario Work space sharing is becoming an efficient way to share resources among hospitals and other business models. Do we have any ethical guidelines regarding shared work spaces among two companies that provide similar ABA services in a private property? We can address the confidentiality issues but we wanted to make sure we did our…

Employer Requiring Same Number of ABA Hours for All New Clients from New BCaBA

Scenario You obtained your Board Certified Assistant Behavior Analyst (BCaBA) certification 3-months ago. You went from working as a Registered Behavior Technician (RBT), as you accumulated your required supervised fieldwork hours, to a position as a BCaBA with the same company. Suddenly, you had more authority to make decisions regarding your clients’ treatment programs, as…

Connecting Families That Are Clients

Scenario I work for an ABA company that offers in home ABA services. I have three plus families that live within a couple mile radius of each other. Multiple parents have asked me if I know of any other children or families around that are similar age skill set etc. The parents are wanting to…

College Recommendation Letter for Client

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…

Hiring Behavior Analyst Trainees at a School District

Scenario A school district posted a job opening for a BCBA, and said they would take someone non-certified, as long as the person pays for their own supervision. Would another district BCBA still be responsible for providing supervision, especially during the time between supervision ending (1500 hours completed) and time of certification? Response Committee Input:…

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