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Unlicensed, Certified BCBA Provide Supervision

Scenario There are currently 3 BCBAs on the staff at my current site. 2 of the BCBAs are licensed and one of us is working on getting licensed, we are all certified. The 2 BCBAs that are licensed are relatively new to this site and have not mastered the work that we do. We have a few supervisees that require supervision. Per the BACB, a supervisee is expected to have 2 client observations supervised as well as individual supervision meetings.…

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BCBA Receives Cease & Desist

Scenario A BCBA needs to approach a colleague about questionable clinical practices and/or professional ethical practices (e.g., outdated intervention procedures or not following the PECC to resolve conflicts). Instead of interacting with the BCBA, the colleague in question uses an attorney to send out a cease and desist for alleged slander before direct attempts to connect with colleague to clear up confusion. How should this be handled? Response Codes to Consider: 7.02, 1.01, 1.02, 1.03 Steps to Explore: Consult with an attorney due to cease and…

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Speech Therapist Refusing To Do PECS

Scenario I am on a new team with a very involved young child with ASD and several other diagnoses. When meeting with the team, it was determined that PECS would be a great starting point for the child for functional communication. The speech therapist stated that she will just recommend a communication device because she hates doing PECS, implementing it and keeping up on the pictures. The family expressed concern about the child using a device as he doesn’t point…

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Resources for IRB Approval for Independent Researchers

Scenario I am looking for resources for IRB approval for independent researchers. I'm partnered with a university and have approval for a project but I have other projects unrelated to that project that I would like to get approval for. Any suggestions? Response The university s/he is partnering with may have its own IRB (I know ASU does), otherwise whoever their university contact is should have resources? I’m in the early stages of this process as well but I’m just…

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Family Doesn’t Want Details Released To Funding Source Without Permission

Scenario I am working with young child with ASD. The family has sought out numerous treatments for their son. They feel that the hyperbaric chamber, oxygen therapy, gluten free diet and supplements have been the most beneficial treatments for their son. The team feels that the evidence-based practice of ABA is making a great impact on the child with the therapist. He is able to perform a wide variety of skills in different areas of development for the provider. The…

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Parents Offering Token Items During Check Out/Transition

Scenario A team is looking for insight on how to handle parents offering dinner and other token items during check out/transition out of service session (especially how a BCBA would coach a RBT to handle this in the moment)? Response Explanation of appreciation but limitations that exist to accept   Make sure message is firm but respectful; establish mutual trust, prime the situation   Many of these families feel eternally indebted to us, we need to acknowledge their thankfulness and redirect this…

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Terminate Services Due To Parent Behavior

Scenario How does a BCBA terminate services when parent behavior is impeding patient services? Response Review expectations at onset of service Revisit tx plan goals and alignment with family values Reach out to supporting BCBAs for guidance Set discharge criteria in initial tx plan Refer to counseling for additional services if exp. avoidance is hypothesized

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BCBA Subpoenaed in Family Court

Scenario A BCBA is subpoenaed, court ordered and approached by one guardian(parent) lawyer for issues involving family court. What are the next steps for the BCBA? Response Outline at the onset of services (conditions of participation in such situations, must be judge-ordered etc.   Annually revisit conditions for participation in court   Address familial stressors at intake

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Changing Direction of Treatment from Previous BCBA

Scenario You are a new BCBA to an established case and go to meet your client and his family for the first time.  The client is a 12-year-old male evaluated using the VB-MAPP and has been a client of the company for 5 years.  You see the client run in and out of the meeting wearing only his underwear and holding up an iPad to his ear.   While meeting with the family, you learn that the previous BCBA has…

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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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