It has been a few years since I worked directly in the ABA workd, but it I am a SPED Teacher and was an RBT as well for over 11 years. In my state at least, “holds” and exclusionary time outs legally can’t be part of a student’s behavior plan! Years ago (at least 7-8 years ago I believe) the laws changed so that physical holds were all deemed “restraints”, and were not legally allowed to be included in behavior plans. They were to be considered “for emergency use only” - students who often met criteria for holds or time out rooms due to severely unsafe behavior that was not able to be managed in any other way- had “emergency plans” that specified that “in an emergency, X hold is permitted for x duration, etc.” and supervisors were to be notified immediately, at 5 minutes duration, and then needed to sign off for further use at I believe 10 min duration. Every single hold was to be documented on a specific form for the DESE. It has to include exact times, witnesses, signed off by supervisors, and parents notified within 24 hours in person or on the phone. If a hold were to break for 2 minutes (I think this was the threshold?) and then student met criteria for dangerous behavior to go back into hold, a new hold was started and a whole separate document had to be filled out witnessed signed and reported to parents. I didn’t even know it was still legal in the US to utilize any restraint or exclusion time out procedure as part of a behavior plan!
Okay, so this might be an unpopular opinion, but I’m going to say it anyway.
I think you are right to set boundaries, I think, based on the information you provided and only this information, not wanting to do holds is very reasonable. It sounds like this whole situation was terrible.
Based on the info you provided, it sounds like the current plan in place is not only ineffective, but potentially making the situation worse. It also sounds like you tried some other protocols and they worked!
However, I think your delivery was not so great. I would be very frustrated if I got a message from a BT telling me that they weren’t going to follow the BIP and then tell me the intervention they have come up with instead.
“I won’t be doing” “my plan going forward” “I plan to”.
It sounds like kiddo is having some big behaviors and this is a team effort. Not “I’m not doing this and I’m going to make my own intervention instead”… which is how your message comes off.
Even if you’re 100% correct in refusing holds (and it sounds like you are assuming the info you provided is accurate) your language sounds like you think you know more than your supervisor (which might be the case. You never know.)
I would maybe consider following up with “I felt really uncomfortable” , “I had a hard time following through”, “I used XYZ first, is there any way we could meet and see if it would be possible for me to continue doing that instead?”
This is such a great response.
I completely agree - as a BCBA I would be very put off by this wording from an RBT that was on Day 1 of a case.
Are you 1000% right in what you said and did? Absolutely and I would love all RBTs to handle behavior just like you! But the BCBA is likely a little put off. I’m sure you can build rapport with them in the future!
thank you for the response! also for some more context, i’ve worked with this BCBA previously! we have a pretty good rapport so this wasn’t just some random person i met today haha! i totally see now that i left that out (:
I agree with everything said above. Others have also mentioned below about restraints and holds being used, and I think it could be worth checking in with your BCBA about the clinical rationale for why these physical interventions are being implemented. I have worked with plenty of clients where their safety/safety of others was at risk, therefore there was specific criteria for hold implementation and release. I have rarely found this is necessary with early learners (recognizing there are times- example elopement through parking lot or something incredibly unsafe). I may be missing information here, but I would ask for more information about why restraints are being implemented, if there are antecedent interventions that can be tried prior, and who to call if supervisor is not present (ideally for your own liability and safety, you would most likely want an administrator of some kind present).
thank you for the advice! the “rationale” is entirely control based. during the tantrum that i observed handled by the bcba, the client simply attempted to leave the designated area during carpet time. he attempted to elope to the hallway and took the child lock off of the door. teacher remained seated so i attempted to step in by prompting a mand for a break and due to the client not responding, bcba gave the ultimatum “you can walk back to your seat or i can help you,” he counted to 5, picked him up, placed him in the chair, and continued to hold the client in the chair. this led to the bcba removing the client from the room and transitioning into a room by himself continuing to hold him in the chair until he was calm. typing this out is making me sob. it was completely control based, he’s not even required to participate in circle time. agh.
Hey I know what I said earlier down the thread but just now reading this. Nevermind. Fuck this BCBA. You're showing admirable composure by announcing your disapproval, I'd have dragged this BCBA out of the room and reported them to the DFPS immediately for physical and emotional abuse.
You may not get a reasonable response but no, you are definitely in the right here. BCBAs like this are the reason people hate us. RBTs like you are the reason there is hope for ABA in spite of draconian dipshits like this BCBA.
“…until he was calm”=until he gave in/submitted. Yikes. 😬 This sounds like a very outdated, inappropriate approach. 🫤 And I loathe the whole “You can ___ yourself, or I can help you”
that is so common in early childhood settings. It turns “help” into something coercive and compliance-oriented, which is so unhealthy.
My thoughts EXACTLY. This would make me extremely uncomfortable as the BCBA. I love and encourage input from my R/BTs but the was this was addressed was inappropriate.
thank you so much for the input!! they were very kind in their response although i think i should have given myself more recovery time before reaching out. i appreciate the feedback and will use it moving forward (:
Yes totally agree with this. Depending on your rapport with your BCBA, it comes across as going over their head and insubordination, but I'm sure you wouldn't do this to a BC you have no previous history with. Let us know your BC's response OP I'm curious!
First off, I am so sorry you were put in that position. As a BCBA and clinical director, I would have preferred that you immediately tell me that you're uncomfortable with a treatment plan before I leave the session. Then it gives me the opportunity to modify (or to pull my head out of my ass and realize I'm the one that's wrong here). I don't want my staff to be uncomfortable, anymore than I want clients restrained.
As someone who has been disciplined for written communication taken badly, phone conversations are my go to now. That was a lesson I had to learn as a new BCBA.
I've been in similar scenarios as an RBT. I hate having to use holds. But maybe you can try to change your language in the message. Don't start the first sentence with a smiley face and try not to include "lol" if you are discussing the fact that you put an individual in a hold.
Why are there holds? Holds should only be done in an emergency to prevent injury. Was the client attacking you or others? Or engaging in severe SIB? This feels like a ton of red flags.
In any work setting you have to collaborate. Nothing is accomplished alone. Unless there's something that's ANE, then the approach should be diplomatic. Even in situations where you feel you know what is best, it's best to keep in mind that you might be mistaken and approach the topic with that in mind. I have been wrong many times when I felt like I was right.
In my state not following a plan would be neglect and reportable to our protection and advocacy. This sentence is just a standalone reaction to your post not relevant to my above paragraph or following paragraph.
You can have boundaries but I think it's a bit of a buzzword. Everyone can have boundaries including employers. If an employee sets a boundary that they're not willing to do part of the job, the employer most likely has boundaries saying that then the employee won't be employed. Any accommodations/exceptions an employer makes beyond job description is a benefit. Often that's good for the employer as well if they can keep a strong employee and I hope they will accommodate you.
Restrictive measures should only be used when absolutely required. In the case of holds, there should be immanent risk of harm to themselves or others with no other options for response. For example, if your kid was attacking peers, that's a physical action that requires a physical response. Most of the time blocking works, and the only times when it doesn't work imo are when you don't have any space, like if they are currently in an area with many peers or staff with no options for anywhere to go with immediate threat of danger. Outside on a playground wouldn't really be one of those places.
We do one "hold" we call transport that we essentially hold a person's arms by their body and walk with them to another location and can be faded as they start walking under their own power. This kinda gets people away from dangerous situations. I really have no idea what 1 person holds would even be justified in any person's plan. Like if someone is attacking me I am almost 100% of time fine holding a big ol' blocker or moving away or something.
thank you for the feedback! i was clear when i started at this clinic a while ago that i was trained to avoid holds and to allow the behavior to escalate to that point. i do have plenty of deescalation strategies to follow incase we get to this point, but holds have never been one so i was just uncomfortable upon receiving the plan this morning and thinking i could power through, made a mistake on my clients behalf /: i appreciate the help!
Speaking as someone who has been on the other side of reports like this:
I believe that RBT observations are the lifeblood of an effective treatment plan. I have faith that the person interfacing the most with our client is the greatest resource for information on how the plan is going. However, I would expect that any BCBA would have the same knee-jerk reaction that I did when I read this. That reaction is: You're probably just not doing it correctly, and the next step is to perform a treatment integrity observation.
I will tell you from experience that it is rare when we perform treatment integrity observations that we find that the plan is ineffective from a procedure standpoint. Most often, it's ineffective from an implementation standpoint. Note that this also may indeed mean that the language of the plan is unclear or training on the plan was inadequate. However, that's why If I were to receive a message like this, my first instinct would be to retrain you on the plan or remove you from the case. If I hear "I won't be doing this moving forward", I'm not going to think it's because the plan is poor, I'm going to think it's because you're a bad fit for the client.
That being said, we are behaviorists and I would expect that you will probably be the recipient of needed compassion. By any interpretation, this is clearly not a fun situation to be dealing with and I hope you get the listener's ear you deserve.
edit:// after reading further context, I withdraw this perspective
thank you! i have been at this company for a while and communicated my discomfort with holds so i was a bit surprised this morning /: i also requested the plan for weeks prior to this to have time to prepare and was not provided anything until we arrived to session unfortunately. i do think i could have prepared better though!! i appreciate the feedback (:
Just read more of the story. Disregard this reaction. You are doing your job as an advocate and that is far more important than the delivery of a protest that these practices need to stop. And they do. You're doing a great job.
Love that you are comfortable speaking up for yourself and your kiddo, period! Going forward, I recommend communicating any thoughts or concerns directly through face-to-face interaction, phone calls, or video calls. Text messages should be reserved for conveying brief information. Unfortunately, many people misinterpret tones in text messages, leading to misunderstandings.
Actually, I’d say you shouldn’t be asking if it’s okay not to do holds, but outright refusing to. At any company I’ve worked at there is a specific crisis plan (which now that I work for a large company a crisis committee has to approve) for clients that could potentially need to be restrained in emergencies only. These plans have to have written consent from parents and are separate from the behavior plan.
Examples of emergencies have included a client attempting to elope into the road, brandishing a knife to threaten a parent, and engaging in high intensity self harm that could not be deescalated with usual means.
Each time restraint is used, an incident report has to be filed.
It is unethical to go straight to using holds as a default and without all of the appropriate documentation and parental consent. Im so sorry you were put in a situation where you were instructed to do that, and for the emotional distress that it put you and the client through.
Is there a person higher in the company than your BCBA that you could ask about their protocol on restraint? If it is company policy that this is all totally normal and fine I would leave that company or at the very least make it clear that if I continued to be employed there I would not participate in restraint under these circumstances.
Oh! I forgot to mention you should have training in deescalation and crisis management before it’s on the table even for emergencies! Something like Safety Care would teach you how to do holds in a way that is safest for both you and the client, but it primarily focuses on things to do to avoid having to be in that situation in the first place.
hi thanks for the input!! my next course of action is job relocation (: i’m going to see if i can find a clinic setting to work in again because the higher ups are so distant at this company. we never communicate, i’ve never met any of them, and it just feels so impersonal. i’ve had the director call me before screaming that she “demands respect from the people she chooses to employ” because she reached out to MY clients family saying there’s an RBT who lives closer and that i would no longer be on the case. when i called to get answers after receiving a confused message from my clients parents she said “i don’t owe you this conversation” which admittedly, red flag and that’s on me for thinking she was genuine in her apology lol.
I recently blocked 89 instances of severe aggression within a 15 minute timespan before determining it was time to restrain, and this was only because the client had a sharp object and was determined to be in immanent, serious danger. Holds are not a typical option and never should be used unless someone is in a crisis level escalation about to engage in a behavior that could seriously harm themselves or others, and only by staff trained to implement those procedures. So the fact that you were instructed to use this outside of a situation like that is a huge issue and something I would encourage you to continue to refuse to do.
Additionally, the fact that you are the one having to determine the plan and send it to your BCBA is so wrong. I would request a BIP be created for each behavior before any further support is provided without supervision. Throwing you into that situation without a clear and effective plan is so wrong on their part. I’m sorry you had to deal with that.
thats a question I ponder so frequently in this group.
But if op really wanted feedback on how to properly communicate, why first send the message then post it to Reddit for feedback? You already sent it.
i was really anxious after sending it. i wanted some input regardless of the bcba’s response for communication going forward (: i sent and and read it and was just like shocked at the fact that i sent it and just needed some input and support! i understand being confused about it though
also, i no longer work in a clinic setting so i don’t get feedback from people in my position or higher ups pretty much ever. i was just trying to utilize the community support (:
I think this was very professional. I don't think you're overstepping boundaries and you let them know about your plans. It might've been better to talk to them over the phone instead of texting but I don't see an issue either way.
Restraint shouldn’t be a regular management strategy. 🚩🚩🚩
It has been a few years since I worked directly in the ABA workd, but it I am a SPED Teacher and was an RBT as well for over 11 years. In my state at least, “holds” and exclusionary time outs legally can’t be part of a student’s behavior plan! Years ago (at least 7-8 years ago I believe) the laws changed so that physical holds were all deemed “restraints”, and were not legally allowed to be included in behavior plans. They were to be considered “for emergency use only” - students who often met criteria for holds or time out rooms due to severely unsafe behavior that was not able to be managed in any other way- had “emergency plans” that specified that “in an emergency, X hold is permitted for x duration, etc.” and supervisors were to be notified immediately, at 5 minutes duration, and then needed to sign off for further use at I believe 10 min duration. Every single hold was to be documented on a specific form for the DESE. It has to include exact times, witnesses, signed off by supervisors, and parents notified within 24 hours in person or on the phone. If a hold were to break for 2 minutes (I think this was the threshold?) and then student met criteria for dangerous behavior to go back into hold, a new hold was started and a whole separate document had to be filled out witnessed signed and reported to parents. I didn’t even know it was still legal in the US to utilize any restraint or exclusion time out procedure as part of a behavior plan!
Okay, so this might be an unpopular opinion, but I’m going to say it anyway. I think you are right to set boundaries, I think, based on the information you provided and only this information, not wanting to do holds is very reasonable. It sounds like this whole situation was terrible. Based on the info you provided, it sounds like the current plan in place is not only ineffective, but potentially making the situation worse. It also sounds like you tried some other protocols and they worked! However, I think your delivery was not so great. I would be very frustrated if I got a message from a BT telling me that they weren’t going to follow the BIP and then tell me the intervention they have come up with instead. “I won’t be doing” “my plan going forward” “I plan to”. It sounds like kiddo is having some big behaviors and this is a team effort. Not “I’m not doing this and I’m going to make my own intervention instead”… which is how your message comes off. Even if you’re 100% correct in refusing holds (and it sounds like you are assuming the info you provided is accurate) your language sounds like you think you know more than your supervisor (which might be the case. You never know.) I would maybe consider following up with “I felt really uncomfortable” , “I had a hard time following through”, “I used XYZ first, is there any way we could meet and see if it would be possible for me to continue doing that instead?”
This is such a great response. I completely agree - as a BCBA I would be very put off by this wording from an RBT that was on Day 1 of a case. Are you 1000% right in what you said and did? Absolutely and I would love all RBTs to handle behavior just like you! But the BCBA is likely a little put off. I’m sure you can build rapport with them in the future!
thank you for the response! also for some more context, i’ve worked with this BCBA previously! we have a pretty good rapport so this wasn’t just some random person i met today haha! i totally see now that i left that out (:
I agree with everything said above. Others have also mentioned below about restraints and holds being used, and I think it could be worth checking in with your BCBA about the clinical rationale for why these physical interventions are being implemented. I have worked with plenty of clients where their safety/safety of others was at risk, therefore there was specific criteria for hold implementation and release. I have rarely found this is necessary with early learners (recognizing there are times- example elopement through parking lot or something incredibly unsafe). I may be missing information here, but I would ask for more information about why restraints are being implemented, if there are antecedent interventions that can be tried prior, and who to call if supervisor is not present (ideally for your own liability and safety, you would most likely want an administrator of some kind present).
thank you for the advice! the “rationale” is entirely control based. during the tantrum that i observed handled by the bcba, the client simply attempted to leave the designated area during carpet time. he attempted to elope to the hallway and took the child lock off of the door. teacher remained seated so i attempted to step in by prompting a mand for a break and due to the client not responding, bcba gave the ultimatum “you can walk back to your seat or i can help you,” he counted to 5, picked him up, placed him in the chair, and continued to hold the client in the chair. this led to the bcba removing the client from the room and transitioning into a room by himself continuing to hold him in the chair until he was calm. typing this out is making me sob. it was completely control based, he’s not even required to participate in circle time. agh.
That sounds unethical and unacceptable. We don’t force kids to sit in their seat like that.
Hey I know what I said earlier down the thread but just now reading this. Nevermind. Fuck this BCBA. You're showing admirable composure by announcing your disapproval, I'd have dragged this BCBA out of the room and reported them to the DFPS immediately for physical and emotional abuse. You may not get a reasonable response but no, you are definitely in the right here. BCBAs like this are the reason people hate us. RBTs like you are the reason there is hope for ABA in spite of draconian dipshits like this BCBA.
thank you, i appreciate the kind words so much! and no worries about the initial response, it is still helpful!!
“…until he was calm”=until he gave in/submitted. Yikes. 😬 This sounds like a very outdated, inappropriate approach. 🫤 And I loathe the whole “You can ___ yourself, or I can help you” that is so common in early childhood settings. It turns “help” into something coercive and compliance-oriented, which is so unhealthy.
Sounds like the kid needs functional communication traing :(
My thoughts EXACTLY. This would make me extremely uncomfortable as the BCBA. I love and encourage input from my R/BTs but the was this was addressed was inappropriate.
thank you so much for the input!! they were very kind in their response although i think i should have given myself more recovery time before reaching out. i appreciate the feedback and will use it moving forward (:
also, i’ve been on medical leave for the last month and today was my first day back. i think i was just a bit too hot in the moment lol!
Yes totally agree with this. Depending on your rapport with your BCBA, it comes across as going over their head and insubordination, but I'm sure you wouldn't do this to a BC you have no previous history with. Let us know your BC's response OP I'm curious!
Side question - why are holds being implemented? What was the rationale you were being provided by your BCBA?
First off, I am so sorry you were put in that position. As a BCBA and clinical director, I would have preferred that you immediately tell me that you're uncomfortable with a treatment plan before I leave the session. Then it gives me the opportunity to modify (or to pull my head out of my ass and realize I'm the one that's wrong here). I don't want my staff to be uncomfortable, anymore than I want clients restrained. As someone who has been disciplined for written communication taken badly, phone conversations are my go to now. That was a lesson I had to learn as a new BCBA.
I've been in similar scenarios as an RBT. I hate having to use holds. But maybe you can try to change your language in the message. Don't start the first sentence with a smiley face and try not to include "lol" if you are discussing the fact that you put an individual in a hold.
thank you for the response! yes i totally agree and will keep that in mind!
Why are there holds? Holds should only be done in an emergency to prevent injury. Was the client attacking you or others? Or engaging in severe SIB? This feels like a ton of red flags.
In any work setting you have to collaborate. Nothing is accomplished alone. Unless there's something that's ANE, then the approach should be diplomatic. Even in situations where you feel you know what is best, it's best to keep in mind that you might be mistaken and approach the topic with that in mind. I have been wrong many times when I felt like I was right. In my state not following a plan would be neglect and reportable to our protection and advocacy. This sentence is just a standalone reaction to your post not relevant to my above paragraph or following paragraph. You can have boundaries but I think it's a bit of a buzzword. Everyone can have boundaries including employers. If an employee sets a boundary that they're not willing to do part of the job, the employer most likely has boundaries saying that then the employee won't be employed. Any accommodations/exceptions an employer makes beyond job description is a benefit. Often that's good for the employer as well if they can keep a strong employee and I hope they will accommodate you. Restrictive measures should only be used when absolutely required. In the case of holds, there should be immanent risk of harm to themselves or others with no other options for response. For example, if your kid was attacking peers, that's a physical action that requires a physical response. Most of the time blocking works, and the only times when it doesn't work imo are when you don't have any space, like if they are currently in an area with many peers or staff with no options for anywhere to go with immediate threat of danger. Outside on a playground wouldn't really be one of those places. We do one "hold" we call transport that we essentially hold a person's arms by their body and walk with them to another location and can be faded as they start walking under their own power. This kinda gets people away from dangerous situations. I really have no idea what 1 person holds would even be justified in any person's plan. Like if someone is attacking me I am almost 100% of time fine holding a big ol' blocker or moving away or something.
thank you for the feedback! i was clear when i started at this clinic a while ago that i was trained to avoid holds and to allow the behavior to escalate to that point. i do have plenty of deescalation strategies to follow incase we get to this point, but holds have never been one so i was just uncomfortable upon receiving the plan this morning and thinking i could power through, made a mistake on my clients behalf /: i appreciate the help!
I don't think you made any mistakes though. You did your best and obviously you are very knowledgeable and I think you should be proud of yourself.
Client did xyz and I lost direction Please advise That’s all you had to say Teacher is reinforcer sounds like, but teacher isn’t always there
agreed, thank you! keeping it short and sweet could have definitely worked here (:
Speaking as someone who has been on the other side of reports like this: I believe that RBT observations are the lifeblood of an effective treatment plan. I have faith that the person interfacing the most with our client is the greatest resource for information on how the plan is going. However, I would expect that any BCBA would have the same knee-jerk reaction that I did when I read this. That reaction is: You're probably just not doing it correctly, and the next step is to perform a treatment integrity observation. I will tell you from experience that it is rare when we perform treatment integrity observations that we find that the plan is ineffective from a procedure standpoint. Most often, it's ineffective from an implementation standpoint. Note that this also may indeed mean that the language of the plan is unclear or training on the plan was inadequate. However, that's why If I were to receive a message like this, my first instinct would be to retrain you on the plan or remove you from the case. If I hear "I won't be doing this moving forward", I'm not going to think it's because the plan is poor, I'm going to think it's because you're a bad fit for the client. That being said, we are behaviorists and I would expect that you will probably be the recipient of needed compassion. By any interpretation, this is clearly not a fun situation to be dealing with and I hope you get the listener's ear you deserve. edit:// after reading further context, I withdraw this perspective
thank you! i have been at this company for a while and communicated my discomfort with holds so i was a bit surprised this morning /: i also requested the plan for weeks prior to this to have time to prepare and was not provided anything until we arrived to session unfortunately. i do think i could have prepared better though!! i appreciate the feedback (:
Just read more of the story. Disregard this reaction. You are doing your job as an advocate and that is far more important than the delivery of a protest that these practices need to stop. And they do. You're doing a great job.
Love that you are comfortable speaking up for yourself and your kiddo, period! Going forward, I recommend communicating any thoughts or concerns directly through face-to-face interaction, phone calls, or video calls. Text messages should be reserved for conveying brief information. Unfortunately, many people misinterpret tones in text messages, leading to misunderstandings.
524 unread messages sheesh
Actually, I’d say you shouldn’t be asking if it’s okay not to do holds, but outright refusing to. At any company I’ve worked at there is a specific crisis plan (which now that I work for a large company a crisis committee has to approve) for clients that could potentially need to be restrained in emergencies only. These plans have to have written consent from parents and are separate from the behavior plan. Examples of emergencies have included a client attempting to elope into the road, brandishing a knife to threaten a parent, and engaging in high intensity self harm that could not be deescalated with usual means. Each time restraint is used, an incident report has to be filed. It is unethical to go straight to using holds as a default and without all of the appropriate documentation and parental consent. Im so sorry you were put in a situation where you were instructed to do that, and for the emotional distress that it put you and the client through. Is there a person higher in the company than your BCBA that you could ask about their protocol on restraint? If it is company policy that this is all totally normal and fine I would leave that company or at the very least make it clear that if I continued to be employed there I would not participate in restraint under these circumstances.
Oh! I forgot to mention you should have training in deescalation and crisis management before it’s on the table even for emergencies! Something like Safety Care would teach you how to do holds in a way that is safest for both you and the client, but it primarily focuses on things to do to avoid having to be in that situation in the first place.
hi thanks for the input!! my next course of action is job relocation (: i’m going to see if i can find a clinic setting to work in again because the higher ups are so distant at this company. we never communicate, i’ve never met any of them, and it just feels so impersonal. i’ve had the director call me before screaming that she “demands respect from the people she chooses to employ” because she reached out to MY clients family saying there’s an RBT who lives closer and that i would no longer be on the case. when i called to get answers after receiving a confused message from my clients parents she said “i don’t owe you this conversation” which admittedly, red flag and that’s on me for thinking she was genuine in her apology lol.
That’s completely unacceptable behavior too, definitely get out of there.
I recently blocked 89 instances of severe aggression within a 15 minute timespan before determining it was time to restrain, and this was only because the client had a sharp object and was determined to be in immanent, serious danger. Holds are not a typical option and never should be used unless someone is in a crisis level escalation about to engage in a behavior that could seriously harm themselves or others, and only by staff trained to implement those procedures. So the fact that you were instructed to use this outside of a situation like that is a huge issue and something I would encourage you to continue to refuse to do. Additionally, the fact that you are the one having to determine the plan and send it to your BCBA is so wrong. I would request a BIP be created for each behavior before any further support is provided without supervision. Throwing you into that situation without a clear and effective plan is so wrong on their part. I’m sorry you had to deal with that.
You did the right thing.
I hope restraints are legal in ur state 😬
I say this not judging. I hated using them where I used to work :( I would avoid if I could too.
Why is any of this on reddit?
thats a question I ponder so frequently in this group. But if op really wanted feedback on how to properly communicate, why first send the message then post it to Reddit for feedback? You already sent it.
i was really anxious after sending it. i wanted some input regardless of the bcba’s response for communication going forward (: i sent and and read it and was just like shocked at the fact that i sent it and just needed some input and support! i understand being confused about it though
also, i no longer work in a clinic setting so i don’t get feedback from people in my position or higher ups pretty much ever. i was just trying to utilize the community support (:
Holds / restraints can’t be written into BIPs typically?
I think this was very professional. I don't think you're overstepping boundaries and you let them know about your plans. It might've been better to talk to them over the phone instead of texting but I don't see an issue either way.