How Consent Works in ABA Therapy – Ethics and Practice
In ABA therapy, consent starts with parents giving informed consent for treatment plans, while kids provide ongoing assent through verbal or nonverbal agreement. This dual process respects legal needs and child autonomy, as required by BACB Ethics Code 2.11.
Parents sign informed consent before services begin. They get details on procedures, risks, benefits, and rights to withdraw.
Therapists explain everything clearly. Consent must be voluntary and informed.
Kids assent by nodding, saying "yes," or engaging willingly. Therapists check assent continuously and honor withdrawals, like turning away.
BACB mandates obtaining assent when applicable.
One provider shared: "During sessions with 5-year-old Alex, he nodded for puzzles but walked away from prompts – we paused, respecting his assent." This built trust fast.
A review of 23,447 ABA studies found <1% detailed assent procedures, showing a growing focus. Only 28 articles described methods fully.
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