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Results

#1. A BCBA has developed a comprehensive treatment plan for a client, which was thoroughly explained to the client’s primary stakeholders. However, the stakeholders have repeatedly expressed disagreement with the proposed interventions or have failed to implement the agreed-upon strategies, even after multiple revisions and attempts with different interventions. Despite the BCBA’s best efforts over three distinct intervention proposals, the client has made no observable progress due to these ongoing disagreements and implementation failures. What is the most ethically sound course of action for the BCBA in this situation, considering the client’s welfare?

The BCBA is obligated to continue searching for new interventions indefinitely until one is found that stakeholders agree to and implement, as stakeholders hold the ultimate decision-making power.

The BCBA should proceed with implementing the initially proposed intervention without stakeholder consent, as the BCBA is the expert and the client’s progress is paramount.

If a productive working relationship cannot be established and an agreement on intervention cannot be reached, thereby jeopardizing the client’s progress, the BCBA should refer the client to another provider.

The BCBA must continue working with the current stakeholders and attempt to persuade them through extensive education and training, even if the efforts prove futile over a prolonged period.

The ethical code emphasizes client welfare as the primary consideration While stakeholder input and agreement are crucial in ABA the BCBA is the expert responsible for designing and overseeing effective treatment When stakeholders consistently disagree with evidencebased interventions or fail to implement them and this pattern directly impedes client progress continuing the current service arrangement becomes detrimental to the client The ethical code provides leeway for BCBAs in such situations recognizing that an unworkable relationship is not beneficial Referring the client to another provider is an appropriate step when an effective collaborative relationship cannot be established ensuring the client has an opportunity to receive effective services elsewhere Continuing indefinitely with futile attempts or imposing interventions without consent are not ethically justifiable actions

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