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An Essential Service Decision Model for ABA Providers During Crisis.

Richard A Colombo1, Michele Wallace1, Rachel Taylor1

  • 1Center for Applied Behavior Analysis, 11150 W. Olympic Blvd, Los Angeles, CA 90064 USA.

Behavior Analysis in Practice
|July 9, 2020
PubMed
Summary

Applied behavior analysis (ABA) is a medically necessary autism treatment. A decision model ensures continuity of ABA services during disasters, prioritizing client needs and provider competency for effective intervention.

Keywords:
COVID-19autismdecision makingessential servicesethicspandemic

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Area of Science:

  • Behavioral Science
  • Clinical Psychology
  • Public Health

Background:

  • Applied Behavior Analysis (ABA) is recognized as medically necessary for autism spectrum disorder (ASD) and related conditions in the U.S.
  • Disruptions to ABA services during crises can have severe, long-term negative impacts on individuals with ASD.
  • Ethical obligations require ABA practitioners to ensure service continuity while minimizing harm.

Purpose of the Study:

  • To present a decision-making model for ABA practitioners facing service delivery challenges during emergencies like the COVID-19 pandemic.
  • To guide practitioners in prioritizing essential ABA services when faced with potential interruptions.
  • To offer a framework applicable to various emergency situations impacting ABA service delivery.

Main Methods:

  • The study proposes a decision model for ABA practitioners.
  • The model incorporates prioritization of immediate needs, client vulnerability, and provider competency.
  • It draws parallels with crisis management strategies in the broader medical field.

Main Results:

  • The proposed decision model aids ABA practitioners in navigating service delivery during crises.
  • It facilitates evidence-based decisions regarding the necessity and continuity of ABA interventions.
  • The model's principles can be adapted to diverse emergency scenarios.

Conclusions:

  • ABA services are critical and should not be easily discontinued during disasters.
  • A structured decision model is essential for maintaining service continuity and ethical practice in ABA.
  • The model provides a valuable tool for ensuring ongoing support for individuals with ASD during emergencies.