Reference no: EM133248000
SCENARIO - Jordan has been receiving ABA services for 6 months. Two months ago, his BCBA left his case and was replaced by a new BCBA, Lorraine. Jordan's mother has been mentioning to Jordan's RBT that she dislikes how Lorraine implements Jordan's behavior plan and how she prefers Jordan's old BCBA. Jordan's mother has even reached out to the ABA company requesting to have his former BCBA back on the case because she has not seen any improvements and believes her son's behavior is worsening. She is told the former BCBA would not have adequate time to put into Jordan's case. Jordan, who displays high-intensity self-injurious behavior and aggression, has made significant improvements within the past months as indicated by the data. Lorraine shows Jordan's mother the data, but his mother insists his behavior has worsened with her and other family members. Lorraine puts in place some parent goals for Jordan's parents to implement, as well as provides training for each of these goals. She checks in with Jordan and his family weekly and observes that Jordan's mother is not following through with any of the goals and when Lorraine attempts to discuss the matter with her she either blames Lorraine or is completely disengaged in the conversation.
1. Collect all relevant data that could help with resolving the matter.
2. Identify principles involved and explain how they relate to the case.
3. Consider whether principles conflict in this situation or whether there is uncertainty about a particular principle (e.g., beneficence, respect for autonomy) directs you to do.
4. Formulae a question that reflects the conflict.
5. Decide which principles should have priority in the case and support that choice which factors are relevant to the case, or find an alternative that avoids the dilemma.
6. When uncertainty persists, note whether there is some missing information that would help you resolve the dilemma. Which information? How will it help resolve the dilemma?
7. Evaluate your decision by asking if it is what a consensus of exemplary BCBAs would agree to do.
8. Plan the practical steps that you should take, focusing on the details of the case and the future issues that you forsee.