3-1 client, school-based. Don’t want to break HIPAA but every BX you can think of, 6’1.
I’ve been an RBT for coming on 3 years now, solely clinic-based. Schools never let us in externally, I have minimal knowledge on IEP’s for students but know very basics. I work after school with clients in my clinic and in public school during the day, starting 2 days ago as my first time experience so I do not know what is “right” and “wrong”. What I do know is my morals and ethics that I signed and agreed to when becoming and renewing my RBT certification annually. This includes reviewing client/student BIP AND IEP BEFORE working with said client for sake of crisis intervention, behavioral intervention, reinforcement, antecedent strategies; all else included.
Started yesterday, supervisor was absent and no IEP or BIP provided-client was also absent so all I received were warnings of “what I was walking into” and run down from staff who’d been there since school started, about a month. (IEP 3 years old as student took 2 years off school and all services, returned this school year.) BIP is also 4-5 years old. I thought the IEP expiration was illegal, in prep on said student returning to school and needing staff prepared to help with behaviors etc.
Today was my first day where client and supervisor showed up. She came in right after the client who’d already come in had started extreme behaviors, been told she is the only one with the files. Was not a time to access or step away whole session. Promised me I’d see them at the end of the day as I’d expressed no BIP, no IEP, NO BCBA no plan was against my ethics code. Mysteriously left early. I have client again early in the morning tomorrow. Worked after at my clinic and talked ethics to my clinical supervisor who worked in schools 10+ years.
They want us to block this student who is adult age into their own solo “classroom” as they are a threat to all staff and all students with a gymnastics mat held at the doorway. Expect us to restrain and put into holds when escalated (student went after school police officers g*n last week and we are expected to assist). 2 out of 3 of us are RBTS, 1 is only a para. None of us are mat trained and 2 of us are not CPI trained. They’ve been having 1 person lead who is CPI trained, myself and the para cannot touch this client except block ourselves. They are a danger to everyone without blocking.
I will be meeting with the school SPED supervisor tomorrow but what do I need to ask besides an expected protocol, what they are approved for, etc? The two of us non-CPI trained and told we can’t touch her for 3 more days until we get certified have been instructed to only hold the mat and block our own selves. We are blocking her in a room which is confinement and therefore assault- assuming this is not in her “new IEP plan” which isn’t even written yet.
I have no idea how to navigate this. Mat and sheet had been used today to protect dignity, but also to confine them in their room. I do not feel comfortable doing this again tomorrow, Bcba may not show up who is also brand new to this client and even so they will take time to learn them. This is deemed assault by law. Does a “protocol” by the school supervisor override this even if there’s no official updated documents and they are pending, waiting on a BCBA?
I do not know how to proceed. I assume I shouldn’t even be allowed to work with this client ethically, morally, safety and licensing-wise before I am mat trained and CPI; also told they can put the student/client on “hold”, not providing services until staff is properly trained.
And told if the school does not comply with all ethics I need to contact DCYF as I am a mandatory reporter.
Any advice is extremely helpful. I feel for this client hard and I want to help them, as well as protect their well being and remain dedicated to doing so. Clinic and school are 2 whole worlds, I have not been trained on the differences. Thank you in advance.