ABA Assist

Restrictive procedures and the least restrictive option

Gentlest thing likely to work, with safeguards on the rest

  • RBT
  • BCaBA
  • BCBA

What the obligation is

The rule is to use the least intrusive intervention likely to be effective, and to reach for more restrictive ones only after reinforcement-based options have been tried or ruled out — and then with extra authorisation, training and oversight. Punishment-based components, anything that removes access, and anything involving physical contact all sit at the restrictive end. Whether they may be used at all is governed by the person's written plan, your employer's policy, your certified training and state law, in that combination. This app does not describe how to carry out physical procedures, because physical management is a certified hands-on competency assessed in person, not something anyone should learn from a screen.

What this looks like

  • Antecedent changes and differential reinforcement tried before anything punitive is considered.
  • A plan that names exactly what is authorised, by whom, and under what conditions.
  • Staff who deliver a restrictive component having current, hands-on certification in it.
  • Every use documented and reviewed, not just the ones that went badly.

Where people get caught

  • Reaching for a restrictive procedure because it seems faster.
  • Assuming a supervisor's authorship means a procedure is lawful in your setting.
  • Treating a plan as permission to improvise something similar in a crisis.
  • Running a component you have read about but never been trained to perform.

If you are not sure

Do not proceed. Ask your supervisor what the plan actually authorises and what your employer's policy requires, and get trained before you are alone with someone whose plan includes anything restrictive.

In the codes

  • RBT Ethics Code (2.0) Section 2 — How you deliver services
    • 2.05 Restrictive and punishment-based procedures need a written plan first
    Read the official code
  • Ethics Code for Behavior Analysts Section 2 — Your conduct in practice
    • 2.14 Choose interventions on the evidence, and prefer reinforcement
    • 2.15 Minimise the risk your intervention creates
    Read the official code

On the exam

Terms used here

Situations where this comes up

Related topics

Written from

  • bacb-ethics-code-2022 — Minimising risk of behaviour-change interventions
  • abai-restraint-position-2010
  • usdoe-restraint-seclusion

Written from the analyst code's intervention standards, the ABAI position statement, and US Department of Education guidance. No procedural instruction given.

This entry has not yet been through independent review. Treat it as a draft, and read the official code for anything that matters.

Something wrong here? Report it.