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 you gotta fight for your right... to advocate for behavior analysis, 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 |
|---|---|---|
| Reach and Influence | Individual: Direct relationship with local legislators who represent your district and respond to constituent concerns | Organized: State and national associations can coordinate large-scale campaigns, mobilize hundreds of practitioners, and hire lobbyists |
| Speed of Response | Individual: Can respond immediately to local issues, write letters, or make calls without waiting for organizational processes | Organized: May take longer to develop official positions and coordinate responses, but carries more weight when they arrive |
| Expertise and Resources | Individual: Limited to personal knowledge and time; may lack familiarity with legislative processes and advocacy strategies | Organized: Access to legal counsel, policy analysts, lobbyists, and established relationships with decision-makers |
| Sustainability | Individual: Depends on personal motivation and availability, which can fluctuate with workload and life circumstances | Organized: Institutional structure provides continuity even as individual participants change, maintaining long-term advocacy presence |
| Credibility | Individual: Carries weight as a practicing professional and constituent, especially with personal stories and local examples | Organized: Speaks with the collective authority of the profession and can provide comprehensive data and policy analysis |
| Time Investment | Individual: Can start with minimal time commitment (a single phone call or email) and scale up based on interest | Organized: Requires membership fees and potentially committee participation, but leverages collective effort for greater impact |
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 you gotta fight for your right... to advocate for behavior analysis 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.
You Gotta Fight for Your Right... to Advocate for Behavior Analysis — Christine Evanko · 1.5 BACB Ethics CEUs · $15
Take This Course →1.5 BACB Ethics CEUs · $15 · 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.