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Results

#1. Ms. Davies, a newly certified BCBA, is working with Mr. Henderson, a 72-year-old client in a residential setting. Mr. Henderson proactively sought Ms. Davies’ assistance to reduce his daily tobacco use. After a thorough assessment, Ms. Davies developed a comprehensive behavior-change plan, which included a self-management component and a formal behavior contract signed by both parties. For the first two weeks, Mr. Henderson successfully adhered to the plan, showing significant progress. On the 15th day, Mr. Henderson informs Ms. Davies that he no longer wishes to participate in the tobacco reduction program. What is the most ethically sound course of action for Ms. Davies to take?

Remind Mr. Henderson of the signed behavior contract and the potential consequences for non-adherence, urging him to reconsider his decision.

Terminate all services with Mr. Henderson immediately, citing his lack of commitment to the agreed-upon treatment plan.

Acknowledge Mr. Henderson’s progress and express continued support, but respect his right as an adult to withdraw from the intervention, then discuss transition or termination of the specific program.

Offer Mr. Henderson a more substantial reinforcer, such as a monetary bonus or a desired privilege, to motivate him to continue with the program.

According to the ethical guidelines for behavior analysts eg BACBs Ethics Code for Behavior Analysts clients especially adults who are capable of making their own decisions have the fundamental right to selfdetermination and to terminate services at any point even if significant progress has been made Forcing an intervention upon an unwilling client implementing negative consequences for withdrawal or attempting to bribe a client to continue against their express wishes violates core ethical principles such as client autonomy dignity and beneficence The most ethical approach is to respectfully acknowledge their decision ensure their wellbeing and facilitate a smooth transition or termination of the specific program while offering encouragement for past successes and exploring other potential supports if desired by the client

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