Ethics chapters 1-7 Bailey and Burch

2.09 Treatment/Intervention Efficacy.

*Clients have a right to effective treatment Obligation to advocate for and educate the client about scientifically supported, most-effective treatment procedures. *Responsibility to advocate for the appropriate amount and level of service provision and oversight required to meet the defined behavior-change program goals. *When more than one scientifically supported treatment has been established, additional factors may be considered in selecting interventions *Review and appraise the effects of any treatments about which they are aware that might impact the goals of the behavior-change program, and their possible impact on the behavior- change program, to the extent possible.

2.01 Accepting Clients.

*Commensurate with education training experience available resources organizational policies.

Step 3

*Contingency plans *1st plan may not prove successful *Have a contingency plan in place from the start *Reflect the unique circumstances of the case

Sunland Miami Legacy

*Dr. Jack May and Todd Risley along with parents and advocates *Outcome was a blueprint for action *Human Rights Committees *Peer Review Committees *Guidelines & Regulation *roots of behavior analysis *scandal made ethics a thing in behavior analysis

Sunland General Guidelines

*Emphasize natural consequences of behavior *Devise your own immediate response *Follow through with every promise or threat that is verbalized to clients *If a procedure did not work they would use a slightly more extreme form *Resulting in horrific abuse

Be Just

*Ethic of Reciprocity *What is fair is not always equal *How would you like to be treated? *How would you want your loved ones treated?

Florida Association for Behavioral Analysis

*First state to have strong guidelines *First state to certify behavior analysts *First state with a strong association

Sunland procedures

*Forced public masturbation *Forced public homosexual acts *Forced washing of the mouth with soap *Beating with a wooden paddle *Public humiliation *Time-out in a closet while naked *Long periods of restraint (24 hours)

Accepting Accountability

*Highest standard *Data-based decisions *Be thorough *Eliminate biases *Take responsibility *Accept blame *Make changes

Care and Compassion

*Interpersonal behavior *Demonstrate sympathy and concern *Maintain appropriate boundaries with clients

Step 1

*Is is covered by the Ethics code? *BACB.com *Scan the subject index at the back of the book *Do you have the strength, skill, and motivation to do the right thing?

Developmental Centers

*Lanterman DC Closed in 2014 *Fairview DC in SoCal opened in 1959 Serves approx 270 ages 18-99 *Sonoma DC in North CA Opened in 1891 Serves approx 390 *Porterville DC Opened in 1953 Serves approx 360 General treatment 180 Secure treatment 180

be faithful

*Loyal *Trustworthy *Honest *Dependable *Reliable *Wise *Effective *Builds long-term relationships

2.07 Maintaining Records. RBT

*Maintain appropriate confidentiality in creating, storing, accessing, transferring, and disposing of records under their control *Maintain and dispose of records in accordance with applicable laws and requirements of this Code.

1.03 Maintaining Competence through Professional Development. RBT

*Maintain knowledge of current scientific and professional information in their areas of practice and Maintain competence in the skills they use by reading the appropriate literature, attending conferences and conventions, participating in workshops, obtaining additional coursework, and/or obtaining and maintaining appropriate professional credentials.

2.10 Documenting Professional Work and Research. RBT

(a) Behavior analysts appropriately document their professional work in order to facilitate provision of services later by them or by other professionals, to ensure accountability, and to meet other requirements of organizations or the law. (b) Behavior analysts have a responsibility to create and maintain documentation in the kind of detail and quality that would be consistent with best practices and the law.

2.11 Records and Data. RBT

(a) Behavior analysts create, maintain, disseminate, store, retain, and dispose of records and data relating to their research, practice, and other work in accordance with applicable laws, regulations, and policies; in a manner that permits compliance with the requirements of this Code; and in a manner that allows for appropriate transition of service oversight at any moment in time. (b) Behavior analysts must retain records and data for at least seven (7) years and as otherwise required by law.

Sunland Miami Scandal 1972

*Abusive "behavior modification" *Former TB hospitals *Intensive investigation *Dr. E claimed to have worked with professionals *None would claim him *Alleged that procedures were warranted by the circumstances

2.15 Interrupting or Discontinuing Services

*Act in the best interests of the client to avoid interruption or disruption of service. *Make reasonable and timely efforts for facilitating the continuation of services in the event of unplanned interruptions *When entering into employment or contractual relationships, behavior analysts provide for orderly and appropriate resolution of responsibility with paramount consideration given to the welfare of the ultimate beneficiary of services. *Discontinuation only occurs after efforts to transition have been made. Behavior analysts discontinue a professional relationship in a timely manner when the client: no longer needs the service, is not benefiting from the service, is being harmed by continued service, or when the client requests discontinuation. *analysts do not abandon clients.

1.06 Multiple Relationships and Conflicts of Interest

*Avoid multiple relationships *Sensitive to harmful effects of multiple relationships *Inform of harmful effects of multiple relationships *Do not accept or give gifts to clients

2.13 Accuracy in Billing Reports.

*Behavior analysts accurately state the nature of the services provided the fees or charges the identity of the provider relevant outcomes other required descriptive data.

2.08 Disclosures. RBT

*Never disclose confidential information without the consent of the client, except(1) to provide needed professional services to the client, (2) to obtain appropriate professional consultations, (3) to protect the client or others from harm, or (4) to obtain payment for services, in which instance disclosure is limited to the minimum that is necessary to achieve the purpose. *Consent for disclosure should be acquired at the outset of the professional relationship.

Doing No Harm

*Practice only within your expertise *Develop responsible data collection systems *Inquire about clients needs *Offer all information necessary

2.03 Consultation.

*Behavior analysts arrange for appropriate consultations and referrals based principally on the best interests of their clients *Cooperate with other professionals, in a manner that is consistent with the philosophical assumptions and principles of behavior analysis, in order to effectively and appropriately serve their clients. *Another behavior analyst calls you to consult, but you have heard that they are very unethical - what do you do? *A family calls for services, but you are not able to take additional clients based on caseloads - what do you do?

2.14 Referrals and Fees.

*Behavior analysts must not receive or provide money, gifts, or other enticements for any professional referrals. *Referrals should include multiple options and be made based on objective determination of the client need and subsequent alignment with the repertoire of the referee. *When providing or receiving a referral, the extent of any relationship between the two parties is disclosed to the client.

Benefit Others

*Benefit to client is central focus *Who is the client? *Benefits to others *Individual first *Family *Third party

2.04 Third-Party Involvement in Services.

*Clarify the nature of the relationship with each party and any potential conflicts. *Clarify the nature and direction of their responsibilities, keep all parties appropriately informed as matters develop *Ensure that the parent or client-surrogate of the ultimate recipient of services is informed of the nature and scope of services to be provided, as well as their right to all service records and data. *Behavior analysts put the client's care above all others and resolve conflicts in the best interest of the client.

2.12 Contracts, Fees, and Financial Arrangements.

*Prior to services ensure that there is a signed contract outlining the responsibilities, the scope of behavior-analytic services, and obligations under this Code. *Behavior analysts and the client reach an agreement specifying compensation and billing arrangements. *Behavior analysts' fee practices are consistent with law and behavior analysts do not misrepresent their fees. Discuss limitations as soon as possible. *When funding circumstances change, the financial responsibilities and limits must be revisited with the client.

Respect Autonomy

*Promote independence *Self-sufficiency *Do not put people in harm's way *Classroom management *Performance management

According Dignity

*Respect *Ensure that clients are able to signal their needs *Given choices *Exercise their preferences *Mindful of the language we use when talking about clients

Step 4

*Skills & Clout *Be prepared to stand up for your clients' right to *effective treatment *Know the law and how agencies function

Pursuit of Excellence

*Stay current *Rules & regulations *Be aware of latest research *Subscribe to key journals *Attend CalABA conference *ABAI *APBA

2.06 Maintaining Confidentiality

*Take reasonable precautions to protect the confidentiality of those with whom they work *discuss confidentiality at the outset of the relationship and thereafter as new circumstances may warrant. *include only information germane to the purpose for which the communication is made *Discuss confidential information only for appropriate purposes and only with persons clearly concerned with such matters. *Behavior analysts must not share or create situations likely to result in the sharing of any identifying information

Step 6

*The Implementation *In any contentious arena, there is the possibility *that legal action will be taken *Be prepared with detailed notes

Step 5

*The Risk To the client To Others To the BA

Step 7

*The evaluation *Keep track of what was done and how it turned out *Keeping detailed notes on each ethics case will help you determine what to do next time

Step 2

*The players The BCBA The client Supervisor Agency Head Other Organizations

2.05 Rights and Prerogatives of Clients.

*The rights of the client are paramount and behavior analysts support the client's legal rights and prerogatives. *Behavior analyst's credentials. *Permission for electronic recording of interviews and sessions *Clients must be informed of their rights and about procedures to lodge complaints appropriate authorities, and the BACB. *Behavior analysts comply with any requirements for criminal background checks.

7-Step Model

*Thorough analysis *Avoid harm to clients *BA does not suffer in process

Boundaries of Competence.

*Work only within the boundaries of their competence *commensurate with their education, training, and supervised experience. *Expand only after first undertaking appropriate study, training, supervision, and/or consultation from persons who are competent in those areas.

1.07 Exploitative Relationships.

*do not exploit persons over whom they have supervisory, evaluative, or other authority *do not engage in sexual relationships with clients, students, or supervisees refrain from any sexual relationships with clients, students, or supervisees, for at least two years do not barter for services

2.02 Responsibility

*responsibility is to all parties affected by behavior-analytic services. *Hierarchy of parties must be established and communicated from the outset. *Communicate who is ultimate beneficiary of services is in any given situation and advocates for his or her best interests.

1.05 Professional and Scientific Relationships. RBT

*services only in the context of a defined, professional, or scientific relationship or role. *use language that is fully understandable *obtain the consultation and training necessary to ensure the competence, or they make appropriate referrals. *do not engage in discrimination against individuals or groups based on... *do not engage in behavior that is harassing or demeaning to persons with whom they interact in their work based on... *refrain from providing services when their personal circumstances may compromise service delivery

1.04 Integrity. RBT

*truthful and honest and arrange the environment to promote truthful and honest behavior in others. *do not implement contingencies that would cause others to engage in fraudulent, illegal, or unethical conduct. *follow through on professional commitments with high quality work and refrain from making professional commitments they cannot keep. *behavior conforms to the legal and ethical codes of the social and professional community of which they are members. *make known their commitment to this Code and take steps to resolve the conflict in a responsible manner

9 Core Ethical Principles

1. Do no harm 2. Respecting autonomy 3. Benefiting others 4. Being just 5. Being truthful 6. According dignity 7. Treating others with care and compassion 8. Pursuit of excellence 9. Accepting responsibility