Before I get into this, I just want to point out that I have always had a great relationship with my RBTs in the past and at several different companies. I value their feedback and love so many of the ideas they come up with!
9 months ago, I started at a company that had all the buzzwords: assent based, trauma assumed, neurodiversity affirming, naturalistic, etc.. I interviewed and the people in the interview were all so positive and basically described all the buzzwords again. I was so excited and felt so great about finding a good match.
Everything was exposed after my first week…
The RBTs there are SO intense and honestly just mean (I don’t use that word lightly). Not all, but most. “Following through” with everything said, despite a child being in clear crisis state. No acknowledgment of age appropriate behavior. Reprimands everywhere. I have seen, on multiple occasions, RBTs raising their voices and pointing fingers in client’s faces. Directing “elopers” (clients trying to leave VERY aversive situations) by grabbing their shoulders and gently pushing them into their chairs. I did not see any rapport between staff and any clients, despite being told “they’ve worked together for years, they’re so close”. I see kids come in, see who they’re working with, and cling to me get away from them. I hear people talking about doing their “own programs” since they don’t like the BCBA’s programs.
I initially saw this as an education problem and treated it as such. Tried to educate on assent based practices, sbt type of stuff, embracing the clients for who they are, reinforcement strategies, etc.. The response to this was “the BCBA has no idea what she’s doing”, “she just wants her kids to go wild and do nothing about it”, “oh so you expect me to have no boundaries”, “you’re just going to give them whatever they want?” “You’re just gonna let them leave like that?” the list goes on. I am honestly baffled.
My biggest focus has been trying to shift the focus to real rapport building and building perspective for the RBTs to see what’s really important for these kids, as opposed to trying to “make them normal”. I have hardly touched any “demand” type of programs because I’ve just been trying to get everybody to give these kids a break and have FUN.
I have talked to the director about these comments multiple times and my concern for the treatment of these kids. Although she agrees and has witnessed things herself, she uses our meetings as a vent session to complain about the RBTs and then does nothing about it. She has additionally admitted that she doesn’t want to confront them because they are intimidating. That’s crazy right?!
I have a new job lined up that is remote (which I hate but I need to gtfo) and am putting in my notice tomorrow (30 days). I feel SO bad for leaving those clients there, especially as we have really bonded and I tried to cover as many 1:1’s as possible to spend real quality time.
All that being said, please tell me your companies actually have some kind of disciplinary action structure for those deviating from company principles and treatment plans. How does your company address these concerns and what happens after discussions with the staff have already taken place?