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Results
#1. A Board Certified Behavior Analyst (BCBA) conducts an initial record review for a new client. The records indicate a history of head-hitting self-injurious behavior (SIB) that was previously associated with migraines. Recently, the client has started to engage in head-slapping behavior in the presence of the BCBA and the Registered Behavior Technician (RBT). Considering the client’s history and the new presentation of SIB, what is the first and most appropriate action the BCBA should take?
This scenario presents a critical ethical and practical consideration for a BCBA When a client exhibits new or escalating selfinjurious behavior SIB especially with a known medical history like migraines associated with previous SIB the first and most immediate step is to rule out any underlying medical causes The text explicitly states its our obligation eliminate any medical reason before implementing behavior procedures Migraines are a private event and a medical situation and a medical professional is best equipped to assess and address potential physiological factors Until medical causes are ruled out any behavioral intervention might be ineffective or even exacerbate the issue While a functional analysis Option A consulting with a previous BCBA Option B or completing continuing education Option D are all valuable actions in a BCBAs practice they are not the first priority when a medical concern is suspected particularly with SIB The prompt specifically asks what to do first to ensure the clients safety and wellbeing
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