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2020 ; 13
(2
): 306-311
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An Essential Service Decision Model for ABA Providers During Crisis
#MMPMID32637293
Colombo RA
; Wallace M
; Taylor R
Behav Anal Pract
2020[Jun]; 13
(2
): 306-311
PMID32637293
show ga
In the United States, applied behavior analysis (ABA) is broadly recognized as a
medically necessary treatment for individuals diagnosed with autism and related
disorders (Association of Professional Behavior Analysts, 2020, Guidelines for
practicing applied behavior analysis during COVID-19 pandemic, Retrieved from
https://cdn.ymaws.com/www.apbahome.net/resource/collection/1FDDBDD2-5CAF-4B2A-AB3F-DAE5E72111BF/APBA_Guidelines_-_Practicing_During_COVID-19_Pandemic_040920.pdf).
We argue that this designation should not be called into question in light of a
particular disaster and that it is critical to consider that an interruption of
services can have long-lasting effects on the treatment of the individual
(practitioners are ethically obligated to uphold the continuity of services while
doing no harm). This dilemma might be ameliorated by a decision model that
considers the prioritization of immediate needs, the vulnerability of clients,
and the competency of service providers. Just as the medical field prioritizes
immediate needs during crisis situations and defers routine appointments (e.g.,
physicals, checkups), the ABA field can make similar evidence-based decisions.
The purpose of the current article is to provide a decision model for ABA
practitioners who find themselves questioning the need for essential service
delivery during the current COVID-19 pandemic. The impact of this model goes
beyond the needs of this crisis and can be applied to any emergency situation
where services are at risk of interruption.