Speech Therapist Refusing To Do PECS
- 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
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 and will just slap or pat on electronic devices. Upon further discussion, the speech therapist said if we do PECS then she will not participate or work on it with him and would prefer to be taken off the team. As the BCBA how do you ensure that the team is providing socially significant programming when it is now potentially causing a team member to leave?
Response
- The entire team should hopefully presenting information on PECS with grace to the SLP.
- Prerequisite skills are not in place to use a device
- Clinical relationship with the entire team including the family may be in jeopardy
- 3.01- Relying on assessment; this could support PECS vs Device