Ethics questions rarely announce themselves as ethics questions. They often look like a service problem, a supervisor request, a parent concern, or a quick clinical decision.
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The option sounds caring and efficient, but it skips consent, documentation, risk review, or scope. Ethics questions often reward the answer that protects the client even when it slows the action down.
The BCBA may understand the general problem but still lack competence for a specific population, procedure, setting, or cultural context. The safer answer usually involves consultation, training, referral, supervision, or documentation before proceeding.
A caregiver, teacher, employer, or administrator may ask for speed, privacy shortcuts, or a preferred outcome. Their concern matters, but it does not erase client rights or professional responsibilities.
Some answers hide behind a rule without solving the clinical risk. Good ethics reasoning usually combines policy, client protection, documentation, and a practical next step.
A funding coordinator asks the BCBA to alter a progress summary so the case appears to meet a payer's continuation rule, saying the client will lose services otherwise. The file includes 2 related notes from service week 10, and the request came from the caregiver. The BCBA should:
Review focus: Scope of competence
A supervisor notices that a BCBA is accepting favors from a client's family and then assigning that client extra appointment times over others with similar need. The file includes 3 related notes from service week 10, and the request came from the teacher. The BCBA should:
Review focus: Risks and prevention of unethical behavior
A family asks the BCBA to design a feeding protocol, but the BCBA has not been trained or supervised in feeding intervention. Services are delayed and the family is frustrated. The file includes 4 related notes from service week 10, and the request came from the clinic director. The BCBA should:
Review focus: Scope of competence
A clinic director wants to show a recording of a client's session during a staff meeting that includes employees who are not on the authorization. The file includes 5 related notes from service week 10, and the request came from the payer representative. The BCBA should:
Review focus: Confidentiality and consent
A local news reporter asks the BCBA to describe a client's dramatic progress and wants a few session details to make the story convincing. The file includes 6 related notes from service week 10, and the request came from the supervisee. The BCBA should:
Review focus: Confidentiality and consent