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Results

#1. You are a Board Certified Behavior Analyst (BCBA) supervising a technician during a new client’s first session. You have already completed the Functional Behavior Assessment (FBA) and developed an intervention plan. During the session, the client’s mother approaches you and reports that the client has recently started ‘pulling on his ears with force,’ a behavior never mentioned during the FBA. What should be your immediate and primary course of action as the BCBA?

Immediately add ‘pulling on ears’ to the behavior intervention plan (BIP) as a target behavior.

Begin collecting ABC data on the ear-pulling behavior to determine its function.

Instruct the technician to ignore the behavior and continue with the current plan.

Advise the mother to consult with a medical professional to rule out any underlying medical causes for the ear-pulling.

When a new potentially selfinjurious or physically concerning behavior emerges especially one like pulling on ears with force which can indicate pain or discomfort eg an ear infection the ethical and professional responsibility of a BCBA is to first rule out any medical causes According to the Professional and Ethical Compliance Code for Behavior Analysts clients have a right to effective treatment which includes ruling out medical or biological factors that may be influencing behavior If a medical cause is present it is often the most direct and effective path to addressing the behavior Adding it to the BIP or collecting ABC data might be subsequent steps if medical causes are ruled out but the immediate priority is always the clients health and safety Ignoring the behavior would be negligent

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