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Results
#1. A Board Certified Behavior Analyst (BCBA) has been working with a client for several months, addressing severe self-injurious behavior. Despite implementing several evidence-based interventions, the client’s progress has stalled, and the BCBA realizes that the complexity of the client’s case exceeds their current competency and experience level. The BCBA believes that further, extensive training would be required to adequately serve this client, which would take at least a year. Given the critical nature of the client’s behavior and the lack of progress, what is the most ethical and appropriate course of action for the BCBA?
According to the BACB Professional and Ethical Compliance Code for Behavior Analysts specifically sections related to competence 102 and discontinuing services 215 a BCBA must only provide services within the boundaries of their competence When a clients needs exceed a practitioners competence and continued service is not yielding progress the BCBA has an ethical obligation to ensure the clients wellbeing Immediately terminating services without a transition plan constitutes abandonment 215 b which is unethical While seeking supervision is generally good practice 205 if the BCBA genuinely lacks the fundamental competence for the case and progress has stalled it may not be sufficient or timely Attending a yearlong training program is not appropriate as time is of the essence for the clients critical behavior and waiting a year would be detrimental The most ethical and appropriate action is to create a detailed transition plan and refer the client to a more competent provider This ensures continuity of care prevents abandonment and prioritizes the clients need for effective intervention
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