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<regulation prefix="Regulation" num=".11" citation="COMAR 10.58.16.11" title_num="10" subtitle_num="58" chapter_num="16" heading="Practice Responsibilities.">
  <paragraph num="A.">
    <text>Except where there is a consultative agreement, the licensed behavior analyst is ultimately responsible for the design and implementation of behavior analytic services that are in the best interest of the client, under the licensed behavior analyst’s supervision.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Behavior analysis involves the design, implementation, and evaluation of systematic instructional and environmental modifications to produce socially significant improvements in human behavior.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The responsibilities of a licensed behavior analyst are as follows:</text>
    <paragraph num="(1)">
      <text>Objective measurement and description of specific levels of client behavior at baseline and throughout treatment;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An emphasis on understanding the current function or functions and future importance of behaviors targeted for treatment;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Efforts to design, establish, and manage treatment environments in order to minimize problem behaviors and maximize progress on treatment targets;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Use of a carefully constructed, individualized, and detailed behavior analytic treatment plan that:</text>
      <paragraph num="(a)">
        <text>Utilizes reinforcement and other scientifically validated behavior analytic procedures as opposed to procedures that lack scientific evidence of effectiveness;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is designed to establish small units of behavior and build toward larger, clinically important changes in behavior that result in improved client health and functioning;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Includes ongoing, frequent, direct observation and objective measurement of treatment targets and analysis of the resulting data in order to adjust treatment procedures to maximize client progress; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Is implemented repeatedly, frequently, and consistently across multiple environments by the licensed behavior analysts’ supervisees, and the client’s caregivers who are trained and supervised by the licensed behavior analyst to implement specified components of the treatment plan; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Determination and supervision of tasks to be performed by a supervisee based on the supervisee’s training, experience, and competence, in accordance with the responsibilities for supervision described in Regulation .13 of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>