An Essential Service Decision Model for ABA Providers During Crisis.

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.