Consider this scenario: A family has contacted you about the care of their
grandfather, Juan, who has Alzheimer’s disease. The nursing home staff report
that Juan engages in frequent elopement from the nursing home facility when
unattended, and verbal aggression that has caused disruptions to the other
nursing home residents. A review of the files shows that the nursing home
contracted with a BCaBA who did not conduct a functional behavior
assessment but advised setting limits, being consistent with rules, and blocking
Juan from engaging in problem behavior. The nursing home staff decided to
incorporate these strategies by restricting Juan from accessing the courtyard or
roaming the halls, leaving him to stay all day in his room with only accompanied
walks to therapies and the dining hall. Juan’s behaviors escalated and they have
stated they will be ordering the use of chemical restraints to block occurrences of
the problem behavior.

Related: BCaBA
For this assignment, complete the following:
 Consider Bailey and Burch's (2016) risk-benefit analysis model. Recreate
and use this worksheet to outline the risks and benefits of a behavior
analytic procedure (remember chemical restraints are not behavior
 Prepare a formal letter to the family with your recommendations. Include a
copy of the worksheet you used with your notes to conduct the risk-benefit
 Analyze, within the letter, at least five BACB ethical code elements that are
relevant to your discussed behavior analytic procedure and this scenario.
Assignment Requirements
Your assignment should meet the following requirements:
 Written communication: Should be free of errors that detract from the
overall message.
 APA formatting: References and citations are formatted according to
current APA style guidelines. Review the Evidence and APA section of the
Writing Center for more information on how to cite your sources.

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 Resources: 2–4 recent, scholarly or professional resources.
 Length: 4–5 double-spaced pages, in addition to a title page and a
references page.


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