Ethics
RBT Task List 3.0 (Section F). Adhering to the RBT Ethics Code, maintaining boundaries, and ensuring cultural humility.
Core Ethical Principles
The foundation of all ethical decisions. RBTs must uphold these values in every interaction.
- Do No Harm: Prioritize client safety and well-being above all else.
- Be Honest: Maintain integrity in data collection, reporting, and billing.
- Treat Others with Dignity: Respect the client's rights, privacy, and preferences.
- Be Just: Treat all clients fairly and equitably.
Demonstrating Competence
RBTs must only practice within their defined role and training. If asked to perform a task you are not trained for, you must decline and seek supervision.
Implementing plans designed by a BCBA.
Designing interventions, modifying plans without approval, or giving medical advice.
Supervision Requirements
Supervision is mandatory for maintaining RBT certification. It ensures fidelity of implementation and client progress.
- 5% Rule: RBTs must be supervised for a minimum of 5% of their total hours worked each month.
- Two Face-to-Face: At least two contacts per month must be face-to-face (observation).
- Feedback: RBTs must accept feedback professionally and apply it to improve performance.
Confidentiality (HIPAA)
Protecting client information is a legal and ethical requirement. Information should only be shared with authorized individuals.
- Social Media: Never post photos or information about clients on personal social media.
- Storage: Keep documents locked and digital files password-protected.
- Public Settings: Avoid discussing client details in public places (e.g., coffee shops).
Public Statements
RBTs must represent the field of ABA accurately. Avoid making false claims or guarantees about treatment outcomes (e.g., "We can cure autism").
Multiple Relationships
A multiple (dual) relationship occurs when the RBT has a professional role AND a personal role with the client or supervisor. These must be avoided to prevent conflicts of interest.
Babysitting for a client, dating a supervisor, entering a business partnership with a client's family.
Politely decline and explain the ethical code to the family.
Gift Guidelines
Receiving gifts can blur professional boundaries. The RBT Ethics Code has specific rules regarding gifts.
- Value Limit: Gifts generally should not exceed $10 (or equivalent value).
- Frequency: Gifts should be occasional, not frequent.
- Cash: Never accept cash or cash equivalents.
Professional Skills
RBTs are expected to maintain professionalism at all times.
- Reliability: Arriving on time and prepared for sessions.
- Communication: Using clear, non-judgmental language.
- Appearance: Following the organization's dress code.
Cultural Humility
RBTs must respect the diverse backgrounds of their clients. This includes awareness of your own biases and adapting to the family's cultural values.
Recognizing that your cultural norms may differ from the client's.
Incorporating culturally relevant materials or practices into therapy (e.g., language, food, holidays).