Legal & Ethical Issues Impacting Persons with Autism and Intellectual Disability
Live
In-Person
5-8:15 PM EST
3 Hours
390 Reed Rd
FL 1
Broomall, PA 19008
$75
09/18/26
3 CE Credits in Ethics
American Psychological Association
PA Board of SW, MFT, & PC
ASWB ACE (Approved Continuing Education Program)
Audience
Advanced

Learning Objectives
Ethical Tensions
|
Analyze ethical tensions between autonomy, beneficence, and justice in clinical and behavioral interventions with individuals with ASD and I/DD. |
Diagnostic Overshadowing
Applied Behavior Analysis
Guardianship
Capacity in Legal Decision-Making
Tool Development
Live In-Person Course on 9/20/26
from 5-8:15 PM EST
I. Foundations of Ethical Practice in Disability Contexts (30 minutes)
A. Defining Ethics in Professional Practice
- Values underpinning ethical practice
- APA Ethical Principles (Beneficence, Nonmaleficence, Justice, Respect for Rights and Dignity)
- Professional responsibility in I/DD services (Luckasson et al., 2022)
B. Historical Context
- Disability Rights Movement timeline
- Federal legislation impacting persons with disabilities
- Justice and civil rights framing (Principle D)
C. Models of Disability
- Medical vs. social models
- Neurodiversity movement/ model of disability
- Affirming neurodiversity within applied behavior analysis (Mathur et al., 2024)
II. Ethical Controversies in Intervention & Professional Practice (30 minutes)
A. Autonomy vs. Habilitation
- “Right to eat too many doughnuts and take a nap” (Bannerman et al., 1990)
- Balancing liberty and skill acquisition
B. Ethical Critiques of ABA
- Justice, nonmaleficence, autonomy concerns (Wilkenfeld & McCarthy, 2020)
- Meaningful outcome targeting (Bahry et al., 2022)
C. Person-Oriented Ethics & Community Engagement
- Engagement with autistic communities (Cascio et al., 2020)
- Ethics
of care in transitions (Jacobs et al., 2021)
III. Diagnostic Ethics & Clinical Accuracy (30 minutes)
A. Barriers to Accurate Diagnosis in ASD & I/DD
- Complicating diagnostic factors
- Biopsychosocial developmental model
B. Diagnostic Overshadowing
- Definition and risks (Dell’Armo & Tassé referenced in slides)
- Ethical implications of misattribution
C. Ethical Implications of Early Detection
- Parent perspectives and ethical complexity (Vanaken et al., 2024)
D. Clinical Responsibility
- Accurate assessment improves lives
- Proactive, multimodal treatment planning
BREAK: 15 MIN
IV. Capacity, Consent &
Decision-Making Frameworks (45 minutes)
A. Consent Frameworks
- Simple vs. informed consent
- Competence to consent criteria
- Presumed capacity (age 18+)
B. Substitute Decision-Making Structures
- Educational
- Financial
- Healthcare
C. Supported Decision-Making
- Autonomy preservation
- Natural supports
- Least restrictive principle
D. Advance Directives
- Financial Power of Attorney
- Health Care Power of Attorney
- Mental Health Power of Attorney
E. Clinical Implications
- Factors to consider in capacity assessments
- Recognition of impact of capacity determinations on individual
V. Guardianship Law & Act 61 (PA) (30 minutes)
A. Title 20 Chapter 55 Overview
- Incapacity vs. guardianship determination
- Court’s obligation to consider lesser restrictive alternatives
B. Act 61 Amendments (2023)
- Mandatory legal counsel for AIP
- Emphasis on less restrictive alternatives
- Certification of guardians
- Automatic review hearings
C. Limited vs. Plenary Guardianship
- Scope of court order
- Areas guardians cannot decide
- Retained rights
D.Clinical Implications
- Impacts of guardianship on treatment planning and interventions
VI. Ethical Practice Implications for Social Workers & Mental Health Clinicans (15 minutes)
A. Informed Consent in Complex Systems
B. Confidentiality & HIPAA Personal Representatives
C. Best Interest vs. Substituted Judgment Standards
D. Advocacy vs. Neutrality
E. Protection from Abuse
Registration & Information
Course Completion & CE Information
APA Credit: Psychologists must be present for the entire presentation and sign in and out.
Act 48 in Pennsylvania: Educators must be present for the entire presentation and complete the course evaluation.
Certificates for all courses and credit types are auto-generated by the learning platform upon acceptable completion of requirements. For a live course, the instructor completes the attendance verification step.
The certificates remain part of the learner's profile for 3 years and can be accessed by the learner with their login information at anytime.
References
Maleita Olson, LCSW, NADD-CC
Maleita Olson, LCSW, is a co-founder and current Chief Operating Officer of Spectra Support Services, LLC. She is a licensed clinical social worker in PA. During Maleita’s 30-plus-year career, she has worked in community-based, institutional, government and medical settings, with a primary focus on serving individuals with developmental disabilities and their families.
