Upload
drusilla-moore
View
214
Download
1
Embed Size (px)
Citation preview
PRESENTED BY CHRISTINA SLATEN
The Behavior Analyst’s Responsibility to Clients
A Little History….
Early behavior analysts were responsible to the employer, sometimes the parents
1974 – Wyatt vs. Stickney Institutionalized mental patients had right to
individualized treatment or to be discharged into the community
Highlighted “client’s rights” Wyatt Standards
Service delivery within a humane environment Sufficient qualified staff members Individualized treatment plans Least restricted environment
Responsibility to all involved, with a focus on the person directly receiving the intervention to make sure no harm was done
Responsibility to Clients
Guideline 2: The behavior analyst has a responsibility to operate in the best interest of clients. Who is the client? (2.01)
Anyone to whom services are provided Examples?
Clear and detailed list of obligations that behavior analysts must adhere to when providing treatment involving behavioral procedures
Always ask , “What is in the best interest of my client?”
Definition of Client (2.01)
Broad application
Anyone to whom behavior analyst provides services Individual (service recipient) Parent/guardian of service recipient Institutional representative Public/private agency Firm/corporation
Most vulnerable individuals in the chain of services are considered primary clients
Accepting Clients (2.02)
Only accept clients whose behavioral concerns are in line with behavior analyst’s education, training and experience
• If outside expertise, must be under supervision/consultation of BCBA who has credentials with the particular situation
Responsibility (2.03)
Responsible to all parties effected by the behavioral services.
Obligation to make sure that all principles of ethics extend to everyone involved Service recipient Parent/guardian Other people in the specific environment (e.g., other
students in classroom)
Consultation (2.04)
Appropriate consults and referrals• Based on best interest of
client• Appropriate consent• Subject t0 relevant
considerations (e.g., applicable laws, contractual obligations)
Cooperation with other professionals to provide effective and appropriate services• Recognize various ethical
codes of other professions
Third-Party Requests for Services (2.05)
Clarify nature of relationship with each party at onset of service Role of behavior analyst Probable uses of services /information obtained Limits to confidentiality?
If there are any risks of conflicting roles Clarify nature and direction of responsibilities Keep all parities informed Resolve situation according to Guidelines
Rights and Prerogatives of Clients (2.06)
Supports individual rights under the law
Secure permission (for each use of) electronic
recording of interviews/service delivery sessions
Meet requirements for
criminal background
checks
Inform clients of rights and procedures to
complain about professional practices
Provide client with accurate credentials
Maintaining Confidentiality (2.07)
Primary obligation to take reasonable precautions to respect confidentiality Law, institutional rules, professional, and/or professional/scientific
relationshipsClients have a right to confidentiality – should be
discussed at onset of relationship and ongoing as needed Unless not feasible or contraindicated
Examples?
Include only pertinent information in written or oral communication
Discuss confidential information only for appropriate scientific/professional purposes and with people clearly concerned with info
Maintaining Records (2.08)
Maintain appropriate
confidentiality
Creating
Storing/Disposing
Accessing
Transferring
Maintain and dispose of records in accordance to applicable laws, regulations or corporate policy AND in a manner that complies with the BCBA guidelines.
Review current Health Insurance Portability and Accountability Act (HIPPA, 2003) legislation
Disclosures (2.09)
A.) Disclose confidential information without consent of the individuals only as mandated/permitted by law for a valid purpose To provide professional
services to client Obtain professional
consultations To protect client/others
from harm To obtain payment for
services
B.) Disclose confidential information with appropriate consent Examples of
appropriate consent?
Treatment Efficacy (2.10)
Responsible to recommend scientifically supported most effective treatment procedures Both long and short term benefits to clients and society
Right to effective treatment Based on research literature Adapted to individual client
Responsible for review and assessment of likely effects of all alternative treatments Including those provided by other disciplines and no intervention
Consideration of multiple, scientifically-supported treatments, may include, but not limited to… Efficiency Cost-effectiveness Risks/side-effects Client preference Practitioner experience/training
Documenting Professional and Scientific Work (2.11)
Appropriately document to facilitation replication, ensure accountability & meet requirements of institution/law
If used in legal proceedings, must create and maintain documentation that would be consistent with the quality consistent with reasonable scrutiny in a judicial forum Good idea to imagine all documentation WILL be used in legal
proceedingsAlways obtain and document
Institutional Review Board (IRB) or local Human Research committees
Confirmation of compliance with institutional requirements
Records and Data (2.12)
Compliance with guidelines and applicable laws or regulations
Fees, Financial Arrangements and Terms of Consultation (2.13)
Agreement reached re: detailing compensation and billing arrangements as early in professional/scientific relationship as possible
Fees consistent with law Limitations of service due to financing discussed as early as
possible Do not misrepresent fees
Provide term of consultation, specific requirements for providing services & responsibilities of all parties Prior to implementation of services Contract or Declaration of Professional Services
Accuracy in Reports to Those Who Pay for Services (2.14)
Accurately state Nature of service/research Fees or charges Identity of provider Findings Other required descriptive data
Examples?
Referrals and Fees (2.15)
Disclose if there is payment received or fees divided with another professional (other than employer – employee relationship
Interrupting or Terminating Services (2.16)
Make reasonable efforts to plan for continuing service in the event there will be an interruption of service
Include resolution of services in contractDo not abandon client – end service when it is
reasonably apparent client no longer needs services
Pre-termination services Suggest other service providers Transfer responsibility to other providers if necessary
Questions?
References
Bailey, J.S., &Burch, M.R. (2001). Ethics for behavior analysts (2nd Expanded
Edition). Routledge.