By Matt Harrington, BCBA · Behaviorist Book Club · Clinical decision guide
One of the most consequential decisions a behavior analyst makes is not just what intervention to use, but how to approach the clinical question in the first place. For from ally to accomplice: taking active steps towards equity in aba, the difference between an evidence-based, individualized approach and a traditional, protocol-driven one can significantly impact outcomes.
This guide lays out the key factors side by side to support your clinical decision-making.
| Factor | Evidence-Based Approach | Traditional Approach |
|---|---|---|
| Level of Action | Allyship: Focuses on personal awareness, education, and expressed support for marginalized communities within ABA | Accompliceship: Takes concrete action to change systems, policies, and practices that perpetuate inequity, even when it involves personal risk |
| Risk Sharing | Allyship: Maintains personal safety and comfort while supporting others who are taking risks or challenging the status quo | Accompliceship: Shares the risks faced by marginalized colleagues by using privilege and position to challenge inequitable practices directly |
| Accountability | Allyship: Self-directed learning and personal growth, which may be inconsistent or self-congratulatory without external accountability | Accompliceship: Accountable to marginalized communities, seeking their guidance on what actions are most needed and accepting feedback on impact |
| Impact on Systems | Allyship: May raise awareness without producing structural change in organizations, research institutions, or professional organizations | Accompliceship: Targets structural change through advocacy for equitable policies, resource redistribution, and institutional transformation |
| Clinical Practice Changes | Allyship: Incorporates cultural awareness into individual clinical decisions without systematically challenging culturally biased practices | Accompliceship: Works to change assessment tools, goal-setting processes, and clinical frameworks to be genuinely culturally responsive across the organization |
| Professional Development | Allyship: Attends diversity trainings and reads about equity without necessarily changing professional behavior or advocating for change | Accompliceship: Mentors professionals from underrepresented backgrounds, advocates for diverse hiring and advancement, and restructures training curricula |
The ABA Clubhouse has 60+ on-demand CEUs including ethics, supervision, and clinical topics like this one. Plus a new live CEU every Wednesday.
Use this framework when approaching from ally to accomplice: taking active steps towards equity in aba in your practice:
Does the data support a need for intervention? Is there a meaningful impact on the individual's quality of life, safety, or access to reinforcement?
YES → Proceed to assessment NO → Document reasoning, monitor
A functional assessment should guide intervention selection. Avoid defaulting to standard protocols without individual analysis. Consider environmental variables, setting events, and private events.
YES → Select evidence-based approach matched to function NO → Complete assessment first
Goals should be co-developed. Assent and informed consent are ethical requirements. The individual's preferences and values matter in selecting both goals and methods.
YES → Proceed with collaborative plan NO → Engage in shared decision-making
This course covers the clinical and ethical dimensions in detail with structured learning objectives and CEU credit.
From Ally to Accomplice: Taking Active Steps Towards Equity in ABA — President BMBANetwork · 1 BACB Ethics CEUs · $10
Take This Course →1 BACB Ethics CEUs · $10 · BehaviorLive
Research-backed educational guide
Research-backed answers for behavior analysts
All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.