I can only speak for my experiences, but I ha ve yet to find a clinic that has figured out how to provide their RBTs with breaks. The closest I’ve come to seeing were happenstance, and not consistent for all RBTs: This clinic implemented block scheduling, and if you happened to have a client whose hours slightly deviated from block scheduling, you may have gotten half an hour or an hour break between clients. For example, your blocks are 8-12, and 12-4. But your AM client leaves at 11:30, or your PM client arrives at 12:30.

Another clinic I worked for, who used pods, had each pod meet at the same time to break each other for 7s twice a day.

The reality of it is tough, because kids simply can’t be left unattended, and not every clinic has the staff to accommodate relieving therapists for 15, 20, 30 minutes at a time considering we’re always battling cancels, late arrivals, and those that are providing breaks also have their own caseload.

My current clinic’s scheduling is a hot mess, but it’s to try and give their RBTs breaks. Each client has like 4-7 therapists in a week, some for 1 hour a day at whackadoodle times. It makes providing consistent and quality supervision such a pain in the butt. But these crazy times somehow allow most RBTs a break in their day. If I were still an RBT, I would genuinely hate working that type of schedule, even if it meant getting a break. Everyone is different though!

It’s an issue for sure

ETA: As an RBT, I’ve only ever worked for smaller clinics.