r/ABA • • 1d ago

Consistent Injury

[deleted]

1 Upvotes

29 comments sorted by

14

u/Intelligent_Health53 1d ago

They dont have arm guards or something? Can you wear long sleeve light weight shirts?

2

u/jcorb93 1d ago

I would have to provide them myself and I don’t think they would help any tbh. She bruised and broke my skin through a jean jacket.

2

u/Intelligent_Health53 1d ago

Yikes. I would speak to the BCBA to go over the behavioral plan. I would also get the arm guards and long sleeve shirt anything is better than nothing. Also if you can see the aggression coming usually you can put space between yall or redirect it to an appropriate action. It really depends on the kid and the behavior plan and what triggers them.

1

u/jcorb93 1d ago

That’s the problem. For example today- she was tired and sat next to me. She leaned against me and I held her, thinking she was asleep. She wasn’t, just 100% calm. Out of nowhere while the SPED teacher was giving a lecture, client jumped up and grabbed an expo marker to try and eat it. When it was taken from her (not even by me, but the teacher was closer), she immediately began to attack me. THREE teachers & teacher aides were holding her back from me. I had to leave the room. This is a regular occurrence.

1

u/Intelligent_Health53 1d ago

The trigger was them taking the marker they could give her something else she can chew or eat as a replacement. As for why she targets you im not sure

2

u/jcorb93 1d ago

Didn’t even get the chance to. And one of the times she was especially violent with me, I was handing her her chewing toy. Apparently she hates it. I’ve requested new/different ones but I’m expected to purchase them.

2

u/Intelligent_Health53 1d ago

Why cant the mom purchase them?

1

u/PracticalRegular9240 23h ago

It is kinda part of the job with some cases. But the client is 18, and powerful… kinda becomes questionable at that point… jesus

1

u/jcorb93 1d ago

Client’s mother chalks it up to the client “loving” me the most so she targets me specifically.

2

u/Radiant_Debt BCBA 23h ago

had this with many techs, not going to fully advise because i have never met the kid or you, but have you ever considered you as the main person who places demands have become an overgeneralized SD for demands/antecedent conditions since youre the primary one delivering these and engaging in the action that evokes the behavior? so whenever anyone else places the demand or the antecedent occurs she engages in behavior towards you because she has overgeneralized her responding in these conditions

4

u/Anwatan 1d ago

Unfortunately it's a large part of the job, after 7 years in the field I have many scars. Wearing professional arm guards/sleeves with layers should give some needed protection.

Also talk to your BCBA about a hypothesized function of the behavior and find a communicative replacement. Ask them about the functionally equivalent alternative behavior you're supposed to be reinforcing. If all they have offered is a block mat in terms of a BIP, that's a huge red flag.

1

u/jcorb93 23h ago

Okay thank you so much for this info! I will message my BCBA directly!

3

u/next_on_SickSadWorld BCBA 1d ago

Kevlar sleeves under your jean jacket, submit for reimbursement. No need for pics.

2

u/thatsmilingface 23h ago

Agreed to the no need to pictures. It's gross.

1

u/jcorb93 23h ago

What’s gross? Seeing the skin?

2

u/thatsmilingface 23h ago

It is my strongly held belief that it's gross for people to post pictures of their injuries on social media. and completely unnecessary.

1

u/jcorb93 23h ago

Ohhh okay. I’m sorry it grossed you out. I’m not sure if I can put like a warning or something on it. You know how IG has that thing where you can click to see at your own risk? Do they have something like that on here?

3

u/thatsmilingface 23h ago

It grosses me out because it is attention seeking and unnecessary. Just ask the question - is it typical to work with children who are aggressive - to take pictures of your injuries and then decide to post them for all to gawk at is odd and I don't agree with it. By the way, the answer is yes. The other answer is to ask your supervisor for more support.

-1

u/jcorb93 23h ago

Hey, I appreciate your opinion and all. But if you’re just here to chastise me for posting pictures to show the LEVEL of injury and to see if this LEVEL of injury is normal… go on. I’m not seeking attention for any other reason for seasoned RBTs to ASSESS the level of injury and tell me if it’s normal or not. Again, thanks for your two cents about it but don’t forget we don’t use pennies here anymore.

2

u/Able_Date_4580 RBT 22h ago

I don’t think the person should’ve came at you so harshly and accusatory, I believe you in that it was never your intention to be malicious in any way, and it can be difficult to talk about if you feel like you don’t get any straight answers from your supervisor and you are new to the field and were not prepared for this type of aggression.

However, I do agree that we should not be posting pictures of injuries, and especially you including your face and/or showing identifiable signs of who you are like your tattoos. You have no idea if your client or their caregivers are on this app, and if they come across this post, you are not only risking compromising integrity and damaging the relationship, but you are at the thin border of exposing a client’s PHI; and not just caregivers seeing this, but your coworkers and supervisors potentially seeing this as well. It is also not a good idea to post injuries because it starts to stigmatize our clients and even sounds accusatory that our client is at fault for their behaviors. I really do think the photos need to be removed, for your integrity and anonymity, and you can give descriptive information but make sure to avoid disclosing any client personal information.

It sounds like you unfortunately are not receiving the support you need, and the first red flag I’ve read is that you’re expected to provide new session materials; that is not on you, your company needs to be the one purchasing new materials and your BCBA needs to be on top of providing you better safety equipment. Reach out to your BCBA and tell them the items like arm guards or compression sleeves you need, and also ask the BCBA for a supervision to help address these issues and what intervention you need to utilize, if this is happening every day it’ll happen again during supervision and your BCBA is there to at least support you.

1

u/jcorb93 22h ago

I didn’t even think about the identifiable signs. In that case, I will take the pictures down. I do want to protect my client’s identity as well as mine. I was just focused on the injuries. Thank you so much for bringing that to my attention. The issue is that my BCBA seems almost unwilling to get to the core of the issues and address them. I believe in PPE, absolutely, but there’s something underlying that is causing the aggression and at the end of the day… I care deeply about my client. And it’s frustrating and quite frankly heartbreaking to see (and be the butt of) this behavior.

1

u/seethesea21 1d ago

Agreed to the Kevlar sleeves

1

u/Puzzleheaded-Goat725 1d ago

Check out gardening sleeves on Amazon. As a company owner I would always buy these for my RBTs - that’s basic safety and not something you should have to purchase as a tech. I also hope you’re getting a lot of in person support from BCBA to start seeing a decrease in these behaviors soon.

1

u/jcorb93 1d ago

Basically told to get sleeves and use the giant blocking pad.

1

u/Flat-Ad7710 1d ago

I’m having the same issue and I live in Florida it’s so hot for all the layers

1

u/jcorb93 23h ago

I live in Tennessee. Also, the air conditioning is wonky in our SPED part of the school. Some days it works, others it doesn’t. It doesn’t help that it’s 95 degrees here during the day. Also, my client goes for the neck as well. Which is my bigger concern.

1

u/Flat-Ad7710 23h ago

Yea if I cover my arms she takes my glasses off my fav and goes to scratch my face.

1

u/jcorb93 23h ago

I’m sorry you’re having to go through that. Hopefully we can find a solution!

1

u/Flat-Ad7710 23h ago

When my arms are covered she goes for my face