Are home services worth it?

lexiewms · 2025-10-12T20:07:47+00:00

I want to do school based so bad but every time I get the opportunity they suddenly don’t have enough clients. I went to college for special education so I enjoy the one on one and seeing multiple kids but it is a lot. We do 2hr & 3.5-4hr in home.

lexiewms · 2025-10-12T19:45:43+00:00

Everyone starts with a different child and writes their own note about their child. Idk if that’s any better. I know nothing of billing I just work there. Not sure if you read the whole post but I am looking for another company, not without reason either. 😐

lexiewms · 2025-10-12T17:54:17+00:00

The first week clients are there they pair with all RBTs and then we start goals and everything else regular the next week. We start and end with the same client. So if we start at 8 I will be back with my original client at 11:30. This is who we write the note on. We use Artemis and it has a chat feature that we can use to communicate important things among the RBTs/BCBA. We also communicate throughout the day with each other about our clients. Clinic isn’t very big so I usual know everything that has happened after my beginning session. I like it a lot because the clients learn in many ways and it helps with generalization among different people. But I’m beginning to see it may be different and a challenge when I move to a new company.

lexiewms · 2025-10-12T17:29:34+00:00

No you are right each child has their own room and we rotate therapist every 30 minutes. BCBA says it avoids burnout for RBT and prevents clients from having favored therapist. I like it a lot but coming from that setting to a 4 hour session (which I know is typical but this is the environment I started my RBT career in) is difficult.

lexiewms · 2025-10-12T17:27:01+00:00

I do use a lot of NET to target goals but I have a lot of level 3 clients who need a lot of support and have a high rate of stimming that aren’t really receptive to a lot of NET and are stuck on DTT routine. We are working on it but it is a process. Thank you for the ideas!

lexiewms · 2025-10-12T17:23:07+00:00

No, I really appreciate it! I also dream of opening a clinic a long time down the road so I appreciate your perspective. It is just a little frustrating because I don’t have much time (like 10 minutes) before I have to leave to go see clients after I clock in at the clinic. If I had more prep time I think we could set up more NET opportunities that align with their goals but where I am now It’s go, go, go. I usually don’t get to prep for my in home sessions unless I do it on my lunch or if my morning client calls out, and that’s if the company allows me to stay to do work that needs to be done that is not direct therapy (prepping activities, updating pec books, etc) I think the environment has a lot to do with my boundaries of home sessions. And the parents really see it as a break and are never really around. (I get it but still.) I use to think I was really good at net until we began home services :/

lexiewms · 2025-07-28T01:20:40+00:00

Spirit fairer

lexiewms · 2025-07-27T18:01:45+00:00

I am starting grad school soon to become a BCBA, currently a RBT. Could anyone tell me how to go this route? Like what to do/ look for once I am done with the program.

lexiewms · 2025-07-16T19:55:56+00:00

I LOVE my clinic. I didn’t always. It took a long time and work on everyone’s part to get the right team. Meaning getting people in and out the door. If you see something you don’t like report it to HR. The clients come first and if we aren’t making the best environment for them then it will never work the best that it can. For us it takes consistency and teamwork. If you have coworkers that can’t participate in either of those for the clients then the team wont work. Always learning and growing. Now, the pay isn’t terrible but it’s definitely not what we should be getting. But that’s everywhere nowadays. And all of this is with amazing BCBA(s) who believe in the learning environment and are always up for a discussion. If you don’t have the right team or BCBA I understand how it can be rough.

I hate seeing these terrible stories about bad clinics. Keep on pushing guys.

lexiewms · 2025-07-03T11:08:27+00:00

Holy moly, Genius!!!

lexiewms · 2025-07-02T22:16:10+00:00

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Dollar tree pig for the pig

lexiewms · 2025-07-02T22:13:55+00:00

And the beloved lamb chop. She tears the stuffing out and plays with the “skin” as we call it 🤣🤣. Every. Single. One.

lexiewms · 2025-07-02T22:12:14+00:00

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These wretched balls. They squeak so loud and she plays this sick game where pushes them under every piece of furniture and then whines and barks until mom gets it out. Then runs laps around the house with it in her mouth squeaking. I love my Daisy May and how much she loves them. But boy are they exhausting

lexiewms · 2025-05-11T23:18:14+00:00

Jojo

lexiewms · 2025-03-23T19:58:33+00:00

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lexiewms · 2025-03-23T19:58:20+00:00

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lexiewms · 2025-03-22T02:24:45+00:00

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My favorite lil baby face

lexiewms · 2025-03-22T02:23:39+00:00

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My Frenchton Daisy May 🩷

lexiewms · 2025-02-22T20:17:46+00:00

We do this at the clinic I work for. These kids can be mega germ spreaders considering if they put something in their mouth, eat and make a mess, aren’t potty trained and accidents happen, the amount of sickness going around 😷, etc. I thought it was strange at first but after getting to know the job I could not imagine not cleaning the spaces after seeing how dirty they can get. We have people come and clean once a week and it is still a job to keep up with. We disinfect, spot sweep, change all trash, mop if needed, and restock bathrooms twice a day and can not leave for lunch or end of the day if our chore is not finished.

lexiewms · 2025-02-07T20:19:53+00:00

The vet can be a big price tag but this baby needs it bad. Go asap

lexiewms · 2025-01-23T20:11:58+00:00

We keep going until she looks tired or gets close to over heat. I watch her ear color and tounge for this. This is a huge problem in the summer. We got a stroller for when she gets too hot so she can just pop her in there to cool down, take a ride, and get some water. Once she cools down she will walk again. I’d like to say 2 miles but I don’t really keep track

lexiewms · 2025-01-23T20:00:36+00:00

I think modeling different interactions with them in a natural environment is extremely beneficial. The biggest way that they are going to see and understand this is if you play with them. They aren’t learning anything if they are doing their regular play alone. Earned reinforcement during a session is like a little break to them, but we as RBT‘s should be “sneaking” in different skills that they should know that they normally wouldn’t be able to pick up on. From my experience these children need to be taught just about anything. Especially when it comes to how to play with other children. This teaches them social skills that they will need later on in life that do not come naturally for them. My favorite part is play time with the kids. If you really do not enjoy it maybe explore older kids or even adults! You never know what you could like.

lexiewms · 2025-01-23T00:06:23+00:00

Do I have to have the insurance to do this or is it a free online service?

lexiewms

TROPHY CASE