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Results

#1. Jeremy, a 7-year-old client, has recently started wetting the bed five times a week, a behavior that has never occurred before and has no clear antecedent. His parents report that this is completely out of character for him. As a BCBA, before proceeding with any indirect assessments, direct observations, or the development of a behavioral intervention plan, what is your most ethically responsible and immediate course of action?

Interview Jeremy’s parents to gather information about potential changes in his routine or environment.

Re-implement a previously successful potty training procedure that was used when Jeremy was 3 years old.

Suggest that Jeremy’s parents consult a medical professional to rule out any underlying physiological causes.

Begin designing a punishment procedure for bedwetting to quickly decrease the behavior.

In Applied Behavior Analysis ethical practice dictates that before addressing any new or unexplained behavior change especially those with potential physiological underpinnings like sudden bedwetting a medical professional must be consulted to rule out any medical causes This is a critical first step because the behavior may be a symptom of a health issue not a learned behavior that requires a behavioral intervention Options A interviewing parents is a valid step in a functional behavioral assessment FBA but comes after ruling out medical causes Option B reimplementing an old procedure is inappropriate because interventions must be based on current assessments and plagiarizing old interventions without a new assessment is poor practice and unethical Option D designing a punishment procedure is not only a last resort but also highly inappropriate as an immediate first step especially without a functional assessment and prior medical clearance

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