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Practical Ethics for Effective Treatment of Autism Spectrum Disorder

2nd Edition - May 17, 2022

Authors: Matthew T. Brodhead, David J. Cox, Shawn P Quigley

Paperback ISBN:

9 7 8 - 0 - 1 2 - 8 2 3 8 6 0 - 8

eBook ISBN:

9 7 8 - 0 - 1 2 - 8 2 3 8 6 1 - 5

Practical Ethics for Effective Treatment of Autism Spectrum Disorder, Second Edition is for behavior analysts working directly with, or supervising those who work with,… Read more

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Practical Ethics for Effective Treatment of Autism Spectrum Disorder, Second Edition is for behavior analysts working directly with, or supervising those who work with, individuals with autism. The book addresses the principles and values that underlie the Behavior Analyst Certification Board’s® Professional and Ethical Compliance Code for Behavior Analysts and factors that affect ethical decision-making. In addition, the book addresses critical and under-discussed topics, including scope of competence, evidence-based practice in behavior analysis, how to collaborate with professionals within and outside one’s discipline, and how to design systems of ethical supervision and training customized to unique treatment settings.

Across many of the topics, the authors also discuss errors students and professionals may make during analyses of ethical dilemmas and misapplications of ethical codes within their practice. New to this revision are chapters on Quality Control in ABA Service Delivery, Ethical Issues in ABA Business Management and Standardizing Decision-making in ABA Service Delivery.

Cover image
Title page
Table of Contents
Copyright
About the series editor
About the authors
Series foreword: Critical Specialties in Treating Autism and Other Behavioral Challenges
Purpose
Read me (preface)
What this book is?
What’s new in this edition?
How this book is organized?
What this book is not?
Key terms
Moving forward
Acknowledgments
Chapter 1. Introduction to applied behavior analysis, ethics, and core ethical principles
Abstract
Paradigms of clinical ethics: providing the groundwork
Dominant paradigms in clinical ethics
Contract theory
Western clinical codes of ethics
Principles of bioethics: the material for building
Applied behavior analysis and ethics: what we have built so far
The consequences of influence from multiple ethical paradigms
Applied behavior analysis and ethical theory: why Board Certified Behavior Analysts should care
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 2. Contextual factors that influence ethical decision-making
Abstract
Basic research on choice
Different reinforcers for different behaviors
Delayed and probabilistic outcomes
Summary
Factors that affect clinical decision-making
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 3. Creating behavioral systems to support ethical behavior in autism treatment
Abstract
A brief introduction to behavioral systems analysis
Six steps of behavioral systems analysis
Case examples of behavioral systems analysis
Case study 1: a system that creates an organizational culture of ethics
Case study 2: a step-by-step process for interacting with nonbehavioral professionals
Case study 3: ensuring client and caregiver consent in treatment
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 4. Identifying your scope of competence in autism treatment
Abstract
Scope of competence within scope of practice
Identifying your own scope of competence
What coursework experiences define my scope of competence?
What experiences in various settings define my scope of competence?
What supervision experiences define my scope of competence?
Consider your answers in the context of successful treatment outcomes
How to broaden your scope of competence
When to seek additional training and when to refer a client?
A need for an honest evaluation
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 5. The decision-making process of evidence-based practice
Abstract
Definitions from medicine and psychology
The three-legged stool analogy
Defining evidence-based practice in applied behavior analysis
Evidence-based practice as a decision-making process
Using evidence-based practice in applied behavior analysis
Identifying the best available evidence
Evaluating evidence once you find it
Integrating evidence with client considerations
Integrating evidence with professional expertise
Case studies in evidence-based practice in applied behavior analysis
Evidence-based practice in special-education: you are missing the point
Vocational training: evidence-based practice done right
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 6. Interdisciplinary collaboration
Abstract
Recommendations for professional interactions
Respect legal, regulatory, and policy barriers
Limit technical jargon whenever possible
Nonbehavioral treatment recommendations
Additional recommendations
Chapter summary
Questions to help you incorporate this chapter into your practice
Chapter 7. Standardized decision-making
Abstract
Introduction
What is standardized decision-making?
Benefits of standardized decision-making in applied behavior analysis
Downsides to standardized decision-making in applied behavior analysis
Examples of standardized decision-making
Conclusion
Questions to help you incorporate this chapter into your practice
Chapter 8. Quality measurement in applied behavior analysis
Abstract
Ethically justifying quality applied behavior analysis services
Categories of quality measurement
Analytics: identifying relationships between structure, process, and outcome measures
Summary
Questions to help you incorporate this chapter into your practice
Chapter 9. Common errors and mistakes made during ethical analyses and application
Abstract
Wrongful appeals to authority
Incomplete analyses
Multiple relationships run afoul
Forgetting we are a science
Death by PowerPoint, or make your funk the P-Funk
Chapter summary
Questions to help you incorporate this chapter into your practice
References
Further reading
Index

Matthew T. Brodhead

Matthew T. Brodhead, Ph.D., BCBA-D is an Associate Professor in the College of Education at Michigan State University. Like many before him, his interests in behavior analysis and autism began at Croyden Avenue School in Kalamazoo, MI. Raised in Harbor Springs, Michigan, United States, he has an undying passion for spending time in the great outdoors. When he can’t get outside, he enjoys listening to and playing music, and in a previous life, he used to tour with a funk bank. You can learn more about his work by visiting his Web site, www.mattbrodhead.com.

Affiliations and expertise

Assistant Professor, Department of counseling, Educational Psychology, and Special Education, Michigan State University, USA

David J. Cox

David J. Cox, Ph.D., M.S.B., BCBA-D currently works as the VP of Data Science at RethinkFirst and is faculty at the Institute for Applied Behavioral Science at Endicott College. Dr. Cox has earned a M.S. in Bioethics from Union Graduate College; a PhD in behavior analysis from the University of Florida; a post-doctoral fellowship at the Behavioral Pharmacology Research Unit of Johns Hopkins University School of Medicine; and a post-doctoral fellowship at Insight! Data Science. Since 2014, Dr. Cox’s research and applied work has focused on how to effectively leverage technology, quantitative modeling, and artificial intelligence to ethically optimize behavioral health outcomes and clinical decision-making. Based on his individual and collaborative work, he has published 50+ peer-reviewed articles, three books, and 150+ presentations at scientific conferences.

Affiliations and expertise

Chief Data Officer, Behavioral Health Center of Excellence and Faculty of Behavior Analysis, Endicott College, Beverly, MA, USA

Shawn P Quigley

Shawn Quigley is the Chief Operating Office for Melmark. Dr. Quigley received his Master’s in Education at Idaho State University and then went on to Western Michigan University where he completed his Ph.D. in Behavior Analysis. Prior to joining the Melmark team, he completed a post-doctoral psychology fellowship with the University of New Mexico Medical Group. He stayed with University of New Mexico Medical Group as a manager of behavior services, working to increase access to behavior analytic providers, supporting advocacy groups, and developing state regulatory guidelines for service delivery. Dr. Quigley has worked as a direct support professional, behavior analyst, trainer, and administrator providing services in homes, schools, residential and community settings. These experiences provided a strong foundation for understanding service development, regulatory requirements, scope of competence issues, and resource allocation. Dr. Quigley actively supports the profession through practice, research, teaching, and service.

Affiliations and expertise

Director of Professional Development and Clinical Training, Melmark, Berwyn, PA, USA