Advanced Interview

Crisis

condition resulting in sudden, intense, and/or unsafe behavior for self and others

Escalation

the topography of the behavior is intensifying

Prevention

creating conditions that would make the behavior less valuable ; avoid crisis all together

De-Escalation

procedures that assist in reducing or turning the behavior off

Factors Effecting Behavior

• External: outside variables: culture (experience), environmental triggers

• Internal: inside variables: biological, personality traits, motivation

• Disability: regulation, communication barriers, limited experience and exposure

Crisis Prevention

proactive measures that avoid crisis situations from occurring

Prep: attire, fingernails & hair, document review, materials & tools

Environment: remove restricted items, block exits, minimize distraction, clear pathways, boundaries

Awareness: clear line of sight, proximity, positioning

Behavior Intervention

procedures working to decrease the frequency of challenging behavior (extinction, alternate behaviors, wait out, task reduction

Crisis Management/De-Escalation

intervening in order to minimize risk/harm and protect safety of individuals and environment

Client Dignity

treating individuals with respect, maintaining confidentiality, upholding autonomy regardless of behavior, culturally responsive

Maintain Professional Boundaries

avoid dual relationships, conflicts of interest, any social media contact

Supervision Requirements

must be under clearly defined role with close supervision, at least two face to face per month, ensure BACB accounts are up to date and RBT is listed under the supervisor for supervision, must have client specific knowledge to be able to observe the RBT, employed by the same organization or contractual relationship

Non-Compliant RBT with Supervision Rules

= immediate termination and no reapplication for 6 months

Clinical Direction

RBTs take necessary actions to protect clients when they become aware that a client’s legal rights are being violated or that there is risk of harm to a client. In these instances, RBTs report the matter to their supervisor → (in my client case → someone using punishment / bruising like in Abby’s class, restraint)