Ethical and Legal Considerations Flashcards

A BCAT discovers that a colleague is implementing an unauthorized restraint procedure not included in the client's behavior plan. What is the most appropriate first action?

Answer: Immediately report the incident to the supervising BCBA

BCaTs are obligated to report any unauthorized or potentially harmful procedures to their supervising BCBA immediately to protect client welfare.

Under HIPAA, which of the following does NOT constitute a permissible disclosure of a client's protected health information (PHI)?

Answer: Discussing the client's progress with neighbors

Discussing a client's information with neighbors is never permissible under HIPAA because they are not part of the treatment or billing process.

A parent asks a BCaT to continue using a reinforcement strategy that the supervising BCBA has discontinued. The BCaT should:

Answer: Explain the BCBA's clinical decision and encourage the parent to discuss it with the supervisor

BCaTs must follow their supervising BCBA's clinical directives and should facilitate communication between parents and the supervisor rather than acting outside their scope.

Which scenario best illustrates a dual relationship that a BCAT should avoid?

Answer: Providing ABA services to a family member

Providing professional services to a family member creates a dual relationship that can compromise objectivity and professional boundaries.

A BCaT overhears another technician making disparaging remarks about a client's disability in a public space. The ethical obligation is to:

Answer: Address the behavior with the colleague and report it to the supervisor

BCaTs must uphold dignity for all clients and address unprofessional conduct through proper channels, including supervisory reporting.

When a BCaT suspects a client is being neglected at home, the legally mandated action is to:

Answer: Report suspicions to the appropriate child protective services agency

BCaTs are mandated reporters and are legally required to report suspected abuse or neglect to child protective services, regardless of certainty.

Which action best demonstrates the BCaT ethical obligation of 'beneficence'?

Answer: Selecting the least restrictive intervention that effectively addresses the target behavior

Beneficence means acting in the client's best interest, which includes using the least restrictive effective intervention to minimize harm.