Association for Behavior Analysis International

Automatically reinforced behavior presents substantial challenges to clinicians when developing behavioral interventions. This presentation will examine that questions of how, when, and whether automatically reinforced behavior should be treated. Self-injury is problem behavior that is sometimes maintained by automatic reinforcement and can pose the risk of significant and, in some cases, life threatening harm. On the other hand, stereotypy is nearly always automatically maintained but rarely leads to injury. Ethical considerations for clinicians will be discussed and the risks and benefits of both treating and not treating self-injury and stereotypy be explored. Some applied research on evaluating and treating stereotypic behavior will be reviewed with a focus on effective interventions for building core adaptive living and social skills.

Applied Behavior Analysts

Autism is prevalent in all racial, ethnic, and socioeconomic groups, with 1 in 44 children aged 8 years or older receiving an autism diagnosis, per the Centers for Disease Control and Prevention’s (CDC)’s Autism and Developmental Disabilities Monitoring (ADDM) Network. However, minority groups are less likely than their white counterparts to be diagnosed with autism or as having speech delays. There are also disparities in the age that some minority children are diagnosed with autism, as well as the reported quality of care received. Studies found inequalities specific to autism diagnosis and treatment due to race, ethnicity, and socioeconomic status that limit accessibility of Applied Behavior Analysis (ABA) interventions for Black, Indigenous, and People of Color (BIPOC) and low-income families (Lauer, 2013; Magaña, et al. 2012; Smith et al., 2020). The panel discussion will start with an overview of disparities in access to healthcare, funding, and access to services and three organizations will discuss initiatives aimed at reducing disparities in service access. The panelists will then answer questions discussing organizational resources for building a DEI department, staff and client resources aimed at increasing service access, and recruitment strategies aimed at increasing the diversity of service providers.

BCBAs, BCBA-Ds, and Professional Psychologists should have experience in implementing programs in their own organizations, engaging with their communities, and using measurement tools to indicate organizational outcomes.

Speech-language pathologists (SLPs) and professionals in applied behavior analysis (ABA) participate as members of support teams for children with autism. Collaboration between these professionals can enhance the team’s work, since each professional brings valuable resources to the table. However, overlapping areas of expertise, different terms used for similar instructional elements, and variations in addressing the same problems may complicate the collaborative process. This gap between ABA professionals and SLPs appears to be growing even wider and if not addressed, can begin to have negative consequences for individuals on the spectrum. This panel will discuss the differences and issues that complicate collaboration. Examples of the widening gap will be provided from the field. Potential strategies to overcome these challenges and foster collaboration will be discussed.

BCBAs, SLPs, and clinical disciplines who have provided direct support to autistic children or adults.

Evidence-based practice (EBP) is a commonly used term in the field of applied behavior analysis (ABA); however, disagreement or misunderstanding regarding what EBP is and how to engage in evidence-based decision making persist. In this symposium, we will attempt to clarify the definition of EBP in ABA and we will discuss the role that EBP plays in different domains of ABA. First, Dr. Bethany Contreras will discuss the definition of EBP and will offer specific suggestions on how practitioners can use EBP to guide ethical decision making. Next, Dr. Audrey Hoffmann will discuss how EBP provides a framework for embedding evidence-based decision-making in coursework and supervision in order to improve ethical decision-making in novice behavior analysts. Finally, Dr. Jennifer Ledford will discuss and expand upon the two presentations, identifying limitations and areas for future work.

Practicing behavior analysts, behavior analytic higher education professionals, supervising behavior analysts

Evidence Based Practice (EBP) provides a useful framework for teaching decision-making skills and ethical practice to novice behavior analysts. This presentation will provide a brief introduction to EBP and go over the importance of including EBP within training programs for behavior analysts (both in higher education and in supervised practice). Suggestions for embedding EBP into course sequences and supervision practices will be provided as well as discussing potential barriers to training a complex behavioral repertoire such as evidence-based decision-making. The presentation will highlight the importance of novice behavior analysts basing decisions on the best available research evidence, considering the client values and context, and improving and appropriately utilizing their clinical expertise as ethical behavior analysts.