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#1. A Board Certified Behavior Analyst (BCBA) at an ABA clinic has a long-standing professional relationship with a local pediatrician, who regularly diagnoses children with autism spectrum disorder (ASD) and refers them to the BCBA’s clinic for ABA services. When the pediatrician announces her retirement, the BCBA decides to take on the role of diagnosing children with ASD herself, believing she now has sufficient experience from working with diagnosed clients. According to the Professional and Ethical Compliance Code for Behavior Analysts, has the BCBA engaged in any unethical conduct?
Yes the BCBA has engaged in unethical conduct Diagnosing medical or developmental conditions such as Autism Spectrum Disorder is strictly outside the scope of practice for a Board Certified Behavior Analyst The BCBAs expertise lies in the assessment analysis and treatment of socially significant behavior not in medical or developmental diagnoses Even with extensive experience in providing ABA services to individuals with autism a BCBA does not possess the medical or psychological training and licensure required to make such diagnoses This action violates the ethical guidelines related to competence and professional boundaries specifically Code 102 Boundaries of Competence which states that behavior analysts provide services teach and conduct research only within the boundaries of their competence based on their education training supervised experience or appropriate professional experience Diagnosing ASD requires a medical doctor psychologist or other qualified professional with specific diagnostic training While the BCBA is filling a service gap doing so beyond their scope of practice is unethical and potentially harmful