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Lesson 1: Introduction to Supervision

Potential Consequences of Poor Supervision

 

Professor: So there are potential consequences of poor supervision. You know, when we talk about supervision in earlier segments, we sort of equated it to feedback. Feedback is such that it's part of supervision. But I think it's a huge part of supervision spends looked at poor supervision in terms of short-term and long-term difficulties or problems here. So I think the fundamental issue with poor supervision and kind of going a little backwards through this is, is it's an ethical issue because we sort of take an oath, if you will, or to abide by some ethical standards that state that we need to give our clients the best that we can do, the best that science has to offer, the best at our science of behavior has to offer. If we use Poor supervisory practices, it really doesn't allow that to play out. So I think it is an ethical issue, It's also an effectiveness issue. It makes a lot of sense that if I beyond the, the, the trainee or the, the, the teacher or the parent or whatever I'm doing. And I have someone telling me, hey, here's the intervention. You use this and I don't use it appropriately, it's not going to be effective. You know, go back to the example of taking the antibiotic. You'd take the antibiotic until it's gone, right? You follow the instructions. If you don't follow the instructions and you don't do it the way take that medication the way it's supposed to be taken, you're not going to be, it's not gonna be effective. The illness might come back. What have you, if you're had some surgery, let's say on some type of knee surgery, if you don't do what the physical therapist tell you and when you're kind of building back up in your therapy, you can't expect to have a range of motion and the strength that you once had so effect. And this is a big issue. Efficiency is another issue as well. It's sometimes it's overlooked. A lot of what we do is billable. A lot of what we do in one way or another, whether we see it or not. Sometimes, you know, you're the behavior analyst and you write the bill out and the client writes the check or somebody writes the check right back and it's insurance company, whatever the case may be, it might be that you are a teacher and you're obese EVA, and you know, the money doesn't change hands, but it's still your time. Someone's paying for your time. So when you have poor supervision and you don't train people well and have them operating at a high level of proficiency. It's very inefficient and it costs money. So there's an efficiency issue, a cost me on one side of the other side is a cause Quiet Time. So if it takes me three interventions, they find the right one or four interventions to find the right one. And it's because I wasn't supervised very well. I sort of went sort of went rogue and did my own thing. Yeah, maybe the behavior did change, but it was four or five months later when if I was Appropriately supervised. We could've got to immediately got to the correct intervention, changed the behavior in a week. Not always that save money, that's important, but it saves the client's time. It's more efficient. I think the other thing to recognize with what we do is this issue of potential injury. We change a variety of behaviors. We support a lot of pro-social, desirable behaviors. But, but some of what we do is really to address maladaptive behaviors, inappropriate behaviors that that are really not good for the client. I could for those around the client, There's a lot of issues with potential injury. I once worked at a facility for individuals with developmental disabilities way back in the day. And there was a lot of folks who come to lunch and you had to support them as they they had their watch. And you know that the potential for injury there was really high. You could aspirate food into your lungs and developed pneumonia without appropriate training and supervision to allow something as simple as or not at all simple. But something like supporting clients as they eat their food can really lead to something really bad. So there is a potential for injury. Oaky. Or another example would be, you know, the client who engages in self-injury. Let's say that they're, you know, just banging their head off a wall or off the floor. What do you, what do you do with that as a behavior analyst file? We have some really good interventions. But if you are poorly supervised, the situation like that with it, the risk of injury is so great and it kinda goes to little sidebar. I'm going to go down here. It kind of goes down to road of you need to know your limitations as well. So poor supervision can lead to problems there, but also not realizing unit you're in over your head. It's a big ethical issue there. If you feel like you're in over your head, don't take a case or move to contact another behavior analyst. So there is a real short-term issue with poor supervision division among team members. Have you ever been on a team where you feel like there are people that just aren't pulling their weight. You're the one that's out doing the continuing hours. You're out reading journals and all those things. But then there's people, a person, whoever, it just isn't doing their thing. And it causes division among team members, even, you know, a team of teachers, for example, if you have four or five teachers and you have one that's not kind of pulling their weight, it can cause real issues and division among team members so that yeah, there's a lot of short-term issues. I've just naming a few here for poor supervision. I think the negative, the long-term of this though is probably as important in some ways, if not more, has a negative impact on the field. If I'm a bad supervisor and you're not and you end up not getting trained properly, you're going to go out and you're going to work, and you're not going to change client behavior very well. It's going to be very effective, very inefficient, and probably a little unethical with that and maybe cause potential injury, other short-term things over time. When we replicate that effect over and over and over, at some point, people just yes, that, that ABA, stuff, it doesn't work. Our science is only as good or interventions are only as good as the people who were delivering them. We make sure that they're really using them to a high level of proficiency in high criteria. Or we're going to make a bad name for ourselves, we're going to have a negative impact on our field. Our science has so much to offer. We just need to make sure that we, we're stewards of that and be good stewards of that by providing good supervision, whether it's your ongoing supervision with folks that you're working with and making sure that you have a plan to talk to them and, and kind of move them forward in their career and their work with their clients. Or you have trainees, you have brand new, not quite be CPAs, but there's folks who were studying to be be CPAs. You really want to work on those things and make it so that again, these individuals are really sharp with what they're doing. So we don't have a negative impact on our field.


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