
By: Cristina Martínez
M.B.A, M.S, BCBA, LBA
Client assent in ABA therapy
The BACB Code of Ethics clearly specifies the need to obtain consent from parents and/or caregivers for the implementation of ABA therapy. The 2022 update of this document moves towards establishing client assent as a fundamental element in the practice of ABA therapy. And we say it moves forward not only because it takes a step further on the road towards respecting the client, their preferences, their interests, but also because it ensures that the client is involved in their own intervention process and that they are motivated and committed. Ultimately, we are talking about guaranteeing the best possible results with our work, and that the goals set are achieved in less time and with greater effectiveness.
It is important to recognize the difference between parental and caregiver consent and client assent: Client assent can be given verbally or non-verbally and is of an ongoing nature. Parental consent is legal in nature and is often given on behalf of children, most of whom are minors, hence the complexity of client assent, given that, regardless of the client's age and communication skills, their opinion is essential in designing and implementing ABA therapy.
The responsibility to place the client's interests and safety above all other elements at all times is not exclusive to ABA professionals. In fact, it is a joint effort in which parental involvement is essential. It is imperative that everyone involved in the therapeutic process appreciates the importance of client assent, is trained, and develops skills around its measurement. So that:
• listening to the client is very important. Communication strategies may vary according to each individual, and the identification of verbal, extraverbal, or attitudinal signals may be the key to understanding what the client wants to transmit;
A client is an autonomous being, and this is a right that must be respected. At ABS, we are committed to providing our services with the highest quality. In doing so, we ensure that the impact of our presence in the lives of families is positive... and, for that, we must put the client first. We are aware of this, and make sure that each of us not only puts it into practice, but advocates for it.