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Capella University *

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7710

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Psychology

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Dec 6, 2023

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1 Juan’s Case Study Treasure M. Jefferson Department of Social and Behavioral Sciences, Capella University PSY 7710: Ethics for Behavior Analysts Dr. Meredith Mates September 10th, 2023

2 To the family of Juan Guzman, My name is Treasure Jefferson, and I am the BCBA assigned to your grandfather’s case. After careful consideration, I have attached a Risk Assessment document below to show you my recommendations for the ABA procedure that I believe will effectively decrease your grandfather’s target behaviors. This document examines the risks and benefits of a specific applied behavioral analysis procedure. The applied behavior analysis procedure that I believe will benefit your grandfather’s treatment is the differential reinforcement of alternative behavior (DRA). DRA is used to decrease the target problem behavior by reinforcing appropriate alternative behaviors and withholding reinforcement for any instance of the problem behavior occurring (Cooper et al., 2020). This means that we would not be reinforcing Juan’s problem behaviors (his elopement of leaving the facility and his verbal aggression) and would be praising him on alternative behaviors (using appropriate conversational skills to voice when he needs to leave an area, his concerns, and how he is feeling). I saw that the previous BCaBA did not conduct a functional behavior analysis assessment, which I believe needs to be done before we try to implement any ABA procedure. The functional behavior analysis assessment aims to understand the reasoning (function of the behavior) as to why your grandfather is eloping the facility and engaging in verbal aggression (Anderson et al., 2015). When you are implementing DRA, you need to understand the function of the behavior so you can reinforce an effective alternative behavior to see his behavior improve. There will be trials and tribulations throughout this journey, and I want to outline how my team and I will ensure that your grandfather will receive the best care. The Behavior Analyst Certification Board (BACB) has a set of ethical code guidelines that we need to uphold to create effective and successful intervention treatment for our clients. I

3 will describe some of the codes that coincide with how we will create effective treatment strategies for your grandfather’s behaviors and some mistakes made before I joined his team. The code that was violated was code 2.01, which is providing effective treatment. Some codes I will implement throughout his treatment are codes 2.11 Obtaining Informed Consent, 2.14 Selecting, Designing, and Implementing Behavior Change Interventions, 2.16 Describing Behavior Change Interventions before Implementation, and 3.01 Responsibility to Clients (BACB, 2020). Code 2.01 was violated because your grandfather was not getting effective treatment. The staff stated providing intervention techniques, attempting to use chemical restraints, limiting access to areas, and having him stay in his room without providing effective treatment to understand why he behaves the way he does. This is why I am stressing to conduct a functional behavior assessment before implementing any procedure. Codes 2.11, 2.14, 2.16 ensures that my selection for DRA is scentiifcally based evidence technique and i'm laying out my plans for how I want the treatment to go, why is it important, and the timeframe of the procedure. I will also be obtaining informed consent for the FBA and for conducting the DRA. Lastly, code 3.01 ensures that I am choosing procedures that are for Juan’s best interest. I want to address that we are all concerned about Juan and his stay in the facility. We want to maintain Juan's safety and protection while still allowing him to exercise his basic rights, such as traveling around the facilities. If you have any questions, please call me at the phone shown below, Monday through Friday, 8 a.m. to 6 p.m. I am not just here for Juan, but also for you as his family, so please do not hesitate to contact me if you need anything clarified.

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