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, pp. 344–345).

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In this unit, 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.)

Scenario 1:

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, pp. 344–345).

Scenario 2:

In our district, there is a BCBA who charges the school district and other agencies a lot of money for providing services to children with autism—and I mean a lot of money. He tells people who are more than just a BCBA that he is one of the very few behavior analysts in the country nationally certified as a “Behavior Analyst for Verbal Behavior.” What should I do about this? I am not inclined to approach him and would rather deal with someone else (Bailey & Burch, 2016, p. 341).

Scenario 3:

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. 345).

Reference

Bailey, J. S., & Burch, M. R. (2016). Ethics for behavior analysts (3rd ed.). Routledge.

250 words

 

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