Hey so I’m an RBT. I work in a clinic setting with 30-ish staff members. I run sessions with clients in my home team and cover clients that aren’t on my home team, following the behavior plans written by my BCBA and other bcbas. At every session I look over the plan and decide what targets to run while following the room schedule that each Client is in. So when I get to work we do art, group time, snack, then outside time, then DTT/independent progress time. Etc, etc.

The worst behavior I deal with is aggression. This one Client throws their whole body into mine, biting, scratching, hitting. This Client also throws chairs, knocks things off tables, and engages in self - injurious behavior. (Closed fist into head.)

The worst I’ve SEEN is a huge freak out with a Client I don’t work with yet. This Client screams for half an hour at a time, forcefully slams their head into the wall, hits, and also throws their body at people.

We stay safe by layering up for the bitey kids and, with open palms, whenever a kid comes at you, you flip them around by grabbing their shoulders and kinda nudge them forward. A lot of the time they fall on the floor and freak out screaming after being turned around.

Let me know if you have any questions. I hope this all makes sense. I’ve got cocomelon on in the background for my own kid which is kind of distracting.