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#1. A Board Certified Behavior Analyst (BCBA) is working with a client who is engaging in severe self-injurious behavior (SIB) that poses an immediate and significant risk of physical harm to the client and others in the environment. Due to the severity of the behavior, there is no time for a lengthy assessment. Given the ethical guideline to ‘Do No Harm,’ what is the most appropriate immediate first step for the BCBA?
In situations involving severe selfinjurious behavior SIB that poses an immediate risk of harm the ethical imperative to Do No Harm BACB Professional and Ethical Compliance Code 101 Responsible Conduct of Behavior Analysts dictates that the immediate priority is to ensure the safety of the client and others This often means implementing emergency procedures to reduce the dangerous behavior even before a complete functional analysis can be conducted While a full functional analysis is crucial for developing effective longterm interventions it takes time and resources that are not available in an immediate crisis Delaying intervention for a full functional analysis or starting with a light punishment which goes against the principle of starting with the most effective intensity when punishment is deemed necessary would violate the commitment to immediate safety Ensuring staff followthrough with task demands is a general good practice but doesnt directly address the immediate severe SIB crisis
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