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Standard 1.07: Cultural responsiveness

RBTs work with their supervisor to make their services culturally responsive. They examine their own biases and their ability to serve people with different backgrounds and needs, and they get any training they need under their supervisor's direction.

What it means in practice

Families differ in language, religion, family structure, routines, food, holidays and what they value in their child's behavior. Cultural responsiveness starts with curiosity and humility: ask rather than assume, notice when your own expectations are shaping how you see a family, and respect the family's practices in their home.

The code lists many dimensions to consider, including age, disability, ethnicity, gender expression and identity, immigration status, relationship status, national origin, race, religion, sexual orientation and socioeconomic status. Evaluating your own bias means honestly asking whether you treat or judge some families differently.

The RBT's part is to notice and report, not to redesign. When a family's values or practices bear on the plan, such as a reinforcer, a target behavior or the session schedule, bring it to your supervisor, who decides how to adjust the plan with the family. Ask your supervisor for training when you need it.

Scenarios

Scenarios for standard 1.07
SituationWhat to do
The plan uses small candies as reinforcers, and the family tells you their faith requires a diet that excludes some ingredients in those candies.Don't give food that goes against the family's practices. Tell your supervisor right away so they can change the reinforcers with the family, and use only alternatives your supervisor approves.
A plan target is sustained eye contact, and the caregiver explains that in their culture children show respect by not looking adults in the eye.Thank the caregiver and pass the concern to your supervisor promptly. The supervisor decides with the family whether and how to change the goal.
You notice you explain less and rush through parent updates with a family whose first language differs from yours.Recognize this as a possible bias, raise it with your supervisor, and ask about interpreter services, translated materials or training that would help you serve the family well.

Practice questions

4 questions
  1. Question 1A family tells the RBT that, in their culture, eating with the hand is customary, and they do not want their child's utensil goal. What should the RBT do?

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    D: Respect the family's view and ask the supervisor to review the goal with them. Cultural responsiveness means taking a family's values seriously. Goals belong to the supervisor and the family, so the RBT relays the concern quickly and respectfully.

    • A: Stopping a goal is a plan change the supervisor must make.
    • B: Sending the family elsewhere does not get the concern to the supervisor.
    • C: Arguing for the goal disregards the family's values, and goal decisions are the supervisor's.

    Task E.1 · RBT Ethics Code 2.06 · RBT Ethics Code 1.07

  2. Question 2Before a holiday, a family offers the RBT a small plate of homemade food they traditionally share with guests. Its value is a few dollars, and the agency has no stricter policy. What should the RBT do?

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    A: Accept it graciously as an occasional thank-you. A small, occasional gift that carries cultural meaning and brings no financial benefit is within the code. Accepting graciously respects the family's tradition.

    • B: The code does not ban small, occasional gifts, including food.
    • C: Returning gifts starts a cycle of exchange the code is meant to prevent.
    • D: The code limits gifts to $10 or less; it does not ban them, so this would also misinform the family.

    Task F.8 · RBT Ethics Code 1.11 · RBT Ethics Code 1.07

  3. Question 3A family offers the RBT a necklace worth about $80 and explains that refusing a gift is considered insulting in their culture. The agency has no stricter policy. What should the RBT do?

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    D: Thank them warmly, decline, and ask the supervisor for help. The $10 limit applies whatever the family's reasons. Declining respectfully, acknowledging the meaning of the gesture, and asking the supervisor how best to explain it shows both ethical compliance and cultural responsiveness.

    • A: Cultural respect does not override the $10 limit.
    • B: Accepting it, even for a while, is still accepting a gift over the limit.
    • C: Telling the supervisor does not make an $80 gift acceptable.

    Task F.8 · RBT Ethics Code 1.11 · RBT Ethics Code 1.07

  4. Question 4Which description best fits cultural humility?

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    D: Ongoing self-reflection and learning from each family. Cultural humility is a lifelong practice of examining your own assumptions and biases and learning from each client and family, who are the experts on their own culture.

    • A: Trait lists invite stereotypes and treat culture as something to master.
    • B: Ignoring differences can overlook what matters to each family.
    • C: Cultural humility is a continuing process, not a one-time achievement.

    Task F.10 · 40-hour curriculum section G · RBT Ethics Code 1.07

Answer every question to see your score.

Where it sits in the code

Standard 1.07 is in section 1, General Responsibilities, of the RBT Ethics Code (2.0). On the exam it relates to task F.10 Cultural humility and responsiveness, task F.1 Core ethics principles. Read the official text for the exact wording.

Related standards: 1.08 No harassment or discrimination, 1.09 Personal biases and challenges.