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Results

#1. A client you are working with enjoys smoking in their residency, which is legal for adults. This behavior is not interfering with their treatment goals or safety, but you personally believe it is unhealthy and wish for them to quit. You’ve discussed this with the client, but they have expressed no interest in quitting at this time. What is the most ethically appropriate action for a Board Certified Behavior Analyst (BCBA) to take in this situation?

Report the client’s smoking to the owner of the residency to encourage them to quit.

Refuse to continue services with the client until they agree to address their smoking behavior.

Continue to discuss the negative health effects of smoking frequently during sessions, despite the client’s disinterest.

Respect the client’s request, continue to provide services for the agreed-upon treatment goals, and only address smoking if the client expresses a desire to change.

This scenario highlights the ethical responsibility of a BCBA to respect client autonomy dignity and rights Forcing ones ideals onto a client especially regarding a legal activity that is not impacting the agreedupon treatment goals is a violation of ethical guidelines eg BACB Professional and Ethical Compliance Code for Behavior Analysts specifically sections related to clients rights dignity and collaborating with clients on treatment goals While a BCBA can provide education and discuss potential health risks if appropriate and requested the ultimate decision to address a behavior like smoking rests with the client The BCBAs role is to focus on the behavior change targets that the client has consented to and that are within the scope of the treatment plan

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