Get Answer: Bcba This Scenario Question Guide

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Original Question

The BCBA’s in this scenario are being asked to take on a caseload that just exceeds their abilities in so many ways. Being asked to take on this amount of billable hours is just not manageable nor ethical. This compromises the quality of care being provided to the clients, their professional competence, may cause burnout and wouldn’t leave the BCBA’s much time to supervise their behavior technicians. Having this big of a caseload can lead to making mistakes and if the full effort isn’t being put in it can lower the effectiveness of interventions. Each client needs to be given the proper amount of attention and care. The most relevant ethics codes focus around delegating tasks, professional standards and scope of competence. These codes include: 2.01 Providing Effective Treatment 2.02 Timeliness 3.01 Responsibility to Clients 3.03 Accepting Clients 4.03 Supervisory Volume These principles make sure that when a BCBA is accepting clients, they operate within their scope of competence and available resources. This makes sure the client is given high-quality, effective care in a timely manner. When looking at Supervisory Volume, BCBA’s must be able to provide supervision and training that is helping the technicians. This includes in person, via telehealth, and via teams if reaching out with questions or concerns. This situation could fall into so many codes if the BCBAs get behind and fail to meet proper documentation standards, don’t comply with specific requirements, breach service agreements, alter data, evaluations, and implement interventions. Some possible solutions could include discussing their ethical concerns with leadership again and advocating what they can and can’t do and making sure that they document all of these conversations. If the company does not give in and continues to expect the BCBA’s to effectively manage such high caseloads, then they must seek new employment. At this point it may even need to be reported to the BACB. ADD MORE SOLUTIONS

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