“This week, we focus on the varying complexity of ethical dilemmas, as well as
the seven-step model for analyzing these situations. Consider one of the
following scenarios described by a professional, and describe how you would
respond using the seven-step model. (Please put in the subject line which
scenario you are discussing.)
The Medicaid waiver agency where I am providing behavioral services, billed for
behavioral services that were not provided to the client. I am sorry to say this was
probably not just an error because this is not the first time the agency has done
this. My ethical conflict is that the agency did provide another service the family
desperately needed, so the family has not reported the agency. The family did
not want to lose the best personal care attendant they have ever had. Does this
balance out? The family and child really did need this personal care attendant.
Can I get in trouble for not reporting this? And, I don't even know to whom or how
I would report this. (Bailey & Burch, 2016, p. 271)
A BCBA is in business with a person from another field who was the lead author
on a study that has been shown to have serious methodological flaws. The other
authors have retracted its findings. The lead author was found to have a serious
conflict of interest that was not disclosed when the study was published and is
being investigated for scientific misconduct. Nevertheless, the BCBA continues to
promote the person’s unsubstantiated theory about the etiology of autism and
treatments that have not been tested scientifically. (Bailey & Burch, 2016, p. 274)
What should be done? Do I speak up in opposition of this BCBA who is
promoting this theory?
Where I live, many BCBAs working in the area of autism promote interventions
that are ineffective or not based on research. Examples are casein-free diet,
essential fatty acids, facilitated communication, auditory integration training,
sensory integration therapy, secretin, megavitamins A, B6, and C, and chelation
therapy. These BCBAs say, "I just don’t want to argue with the parents; they want
to try these things and are willing to pay for both them and behavioral services.
As long as it is not hurting anything and my programs are working, I don’t see
this as an ethical issue." (Bailey & Burch, 2016, p. 272)”
Related: [SOLVED] The Case of Sara
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