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Ethical Issues and Guidelines in the Use of Management Procedures for Challenging Behavior |
Tuesday, May 31, 2016 |
2:00 PM–2:50 PM |
Grand Ballroom CD South, Hyatt Regency, Gold East |
Area: DDA |
Chair: Merrill Winston (Professional Crisis Management, Inc.) |
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The Use of Component Analysis to Address Methodological Challenges in Naturalistic Settings |
Domain: Service Delivery |
AMANDA DUVA (Services for the UnderServed, Inc.), Vivian A. Attanasio (Services for the UnderServed, Inc.), James G. O'Brien (Services for the UnderServed, Inc.) |
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Abstract: Foxx (1996) indicated that most research studies demonstrate significant decreases in problem behavior within short clinical sessions, yet lack the sustainability for real-world applications. Pressures facing Board Certified Behavior Analysts, such as immediate positive outcomes while working within the constraints of state and federal guidelines, along with caregiver buy-in may lead to recommendations to implement a multitude of interventions without regard of maintenance and generalization. In addition, implementation challenges such as treatment fidelity, treatment integrity, and social validity were elucidated and addressed while trying to achieve these positive outcomes. The current case example discusses an individual living in a residential facility with severe challenging behaviors and how a component analysis was utilized to identify the most parsimonious treatment in stabilizing this individuals behavior. How to use a component analysis in other high pressure environments where Board Certified Behavior Analysts may seek to maintain a balance between agency expectations and Behavior Analyst Certification Board guidelines will be discussed. |
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Ethics in Crisis Management |
Domain: Theory |
MERRILL WINSTON (Professional Crisis Management, Inc.) |
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Abstract: Restraint use is a highly controversial topic and there are a number of ethical issues to address regards its use and non-use. The presentation will cover a discussion of ethics in general as a subset of “right and wrong”; as well as the ethics of restraint reduction goals and the right to effective treatment. Other topics include ethics as it relates to the individual’s ability to control the procedures used, as it relates to a lack of treatment despite numerous restraints, as it relates to knowledge of medical conditions, and the ethics of accepting highly challenging individuals that are beyond the organizations capacity to treat. Additional topics will include a discussion of restraint and seclusion as it occurs in common child-rearing practices as well as the ethics involved in decisions made by behavior analysts, direct line staff and administrators. |
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