When Medical Concerns Impact HRE

1 Ethics CEU

Course Abstract: Many learners for whom SBT is appropriate have secondary diagnoses or conditions that involve chronic or persistent pain and discomfort which may limit mobility and stamina. These conditions can affect their ability to reach HRE as well as impact the response effort of completing expected CAB activities. This webinar will discuss issues related to ethical implementation of SBT with this type of learner and present a process for assessing and creating a secondary plan for customizing sessions when this setting event acts as a pervasive MO. We will discuss ways to adjust HRE activities, options for customizing SBT steps, and a form of Universal Protocol to use across those sessions. We will look at targets related to learner response to this format and public accompaniment signs as well as creating training for staff to recognize when to move between the two types of sessions based on those signs.

Learning Objectives:

• Identify signs of private events that would correspond with challenges reaching HRE
• Complete a plan for a secondary protocol for days when the client has medical challenges affecting implementation of SBT
• Identify several targets that can be implemented on days when typical programming is not appropriate

Presenter Bio:
Emily Kearney is a BCBA in the US who focuses on using the nuance of our science across populations to teach effectively and safely. She is guided by the Constructional Approach, which aims to alleviate and prevent distress and discomfort by focusing on missing skill repertoires rather than behavior reduction. Using a component/composite analysis allows us to determine what is missing and why the behavior that might otherwise be labeled as disruptive, challenging and so forth, is perfectly logical from the perspective of the learner. The SBT process fits very nicely into this framework for some learners and Emily really enjoys mentoring other BCBAs to understand the components in a deep way so that they can best apply them in unique combinations for their learners, and really tease out the best teaching methodology to reach socially-significant outcomes for their learners.