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| Ethical Considerations in the Treatment of Severe Problem Behavior in the Home Setting |
| Sunday, May 28, 2017 |
| 5:00 PM–5:50 PM |
| Convention Center Four Seasons Ballroom 2/3 |
| Area: AUT; Domain: Service Delivery |
| CE Instructor: Kim Phillips, M.A. |
| Chair: Alexandra K Petz (Autism Home Support Services) |
| LISA K. DWORKIN (Autism Home Support Services) |
| KIM PHILLIPS (Autism Home Support Services) |
| CHRISTIAN BENAVIDES (Beacon ABA Services) |
| Abstract: Serving individuals with autism spectrum disorders (ASD) in home settings is a growing sector in Applied Behavior Analysis (ABA). With this comes a number of ethical dilemmas related to safety, effectiveness, and environmental constraints. Given that individuals with ASD frequently demonstrate rates of challenging behaviors higher than those with intellectual disabilities but without autism (Brereton, Tonge, & Einfeld, 2006; Emerson & Hatton, 2007b)—this is an area that must be addressed by almost every in-home ABA practitioner and family of a child with ASD. When these behaviors become severe safety risks (due to age/size, learning history, etc.) these ethical dilemmas become more fraught as families’ abilities to safely manage behavior without support staff, availability of other placements, safety of ABA therapists, and efficacy of ABA programming all come into play. While schools and residential placements have resources to keep clients with severe behaviors and others safe, the home setting does not—frequently leading to reliance on crisis teams, hospitalization, and emergency placements. The panel discussion will focus on ethical considerations and decision making in addressing severe problem behavior in home settings with specific attention placed on case conceptualization, risk assessment, parent training, and crisis intervention. |
| Instruction Level: Intermediate |
| Keyword(s): Ethical Considerations, Problem Behavior |
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