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What separates competent clinical decision-making from simply following a checklist?
In this episode of Behavior Business Roundtable, Kyle Steury is joined by Kristen Byra, Steve Sparks, and Taylor Barker for a wide-ranging conversation about how behavior analysts learn to make good clinical decisions, and what may be getting lost as the field grows.
The panel discusses the role of literature reviews and mentorship when BCBAs encounter unfamiliar clinical problems, the difference between completing an assessment tool and actually analyzing behavior, and the risks of relying on social media for clinical recommendations. They also examine what should happen when an intervention isn't working, including treatment fidelity, measurement, reinforcement, stimulus control, environmental variables, and whether the original clinical hypothesis was correct. The panel flips the conversation around at the end and discusses "What are newer BCBAs getting right?"
From greater comfort with technology to interdisciplinary collaboration and increased attention to compassionate care, the group considers what more experienced behavior analysts can learn from the next generation of practitioners.
Topics include:
• Literature reviews and evidence-based clinical decision-making
• Mentorship and practicing within your scope of competence
• Facebook and social media as sources of clinical advice
• Functional assessment vs. simply completing assessment tools
• Collecting useful data, not just more data
• Insurance requirements and medical necessity
• Treatment fidelity and troubleshooting ineffective interventions
• Reinforcement, stimulus control, and implementation errors
• AI in ABA and clinical decision support
• Interdisciplinary collaboration
• Compassionate care for clients and caregivers
• What newer and more experienced BCBAs can learn from each other
Behavior Business Roundtable brings experienced behavior analysts together to debate the clinical, ethical, and business issues shaping the field of applied behavior analysis.
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