Treatment Integrity Is Not a Checkbox: Building Meaningful Fidelity Systems

Treatment integrity is foundational to effective, ethical ABA — yet behavior analysts often struggle to build fidelity systems that are both feasible and genuinely useful. This session reframes treatment integrity from a compliance checkbox into an active driver of clinical quality and client outcomes. Dr. Jessica Osos walks you through a practical, six-step framework for measuring, analyzing, and acting on fidelity data in ways that fit your supervision context. You'll examine the current state of practice: how most behavior analysts observe and provide feedback, yet far fewer consistently collect, track, and act upon fidelity data systematically. We'll unpack common barriers—fidelity drift, overreliance on global scores, competing contingencies, and training gaps—and explore empirically supported strategies for sustainable systems: task analysis of procedures, direct measurement, and performance-based feedback. With clinical examples across service settings, you'll leave with a blueprint for embedding treatment integrity into supervision, staff training, and program modification without increasing administrative burden. This session is essential for supervisors, clinical directors, and behavior analysts committed to closing the gap between what we value and what we actually do.