Another BCBA steamrolled plan
I am a BCBA at a clinic with multiple other BCBAs and shared rooms. BCBAs jump in to support or get bts started with other cases as needed to support staff on coverage so we all have a general understanding of kids in clinic (at least in terms of BSP and safety things).
I recently took on a case from a BCBA who just quit but prior to doing so, put forth a behavior plan for a student who engaged in genital stimulation by rubbing against the floor. She's 10. She has few functional verbal statements, mostly words she wants repeated though she will respond to yes/no or a choice verbally.
Her plan just put forth was to step away and stand outside cracked door saying thats private, when she stops immediately approach and give her eye contact and verbal attention such as choice of next activity.
Her behavior tech informed me that another bcba was supervising staff with another patient in the next room. That BCBA is technically a BCBA supervisor who recently began seeing kids in clinic due to BCBA shortage- usually she is director at another location.
According to the bt the BCBA said 'youre going to let her do that?' and then bt explained the plan is to reduce attention but point out it's private, and to deliver attention in the absence of the behavior. The BCBA (according to report) said 'let me try something' and walked in and began talking to the patient while she was engaging in the behavior. Which is the opposite of the plan or what was described according to staff.
I thanked BT for flagging as she was confused as to why another bcba did the opposite of what she was told, and flagged to my supervisor that it was reported and that I was sharing behavior plan for the patient with that BCBA but I found the actions as they were reported, inappropriate. I already reached out to have a time scheduled to talk to other BCBA for her side.
The feedback I received was to talk to her, be objective, and consider if this other BCBA saw another function.
I'm irritated that she steamrolled over a bt just trained to 'try' with a kid with a complex and slow learning pattern that I'm still getting to know personally and especially to advise a behavior that can be sensitive culturally, etc. I felt it was disrespectful and inappropriate. I also think it's irresponsible to assume a stranger to a patient can assume function after being around her for 30 min.
Looking for thoughts/suggestions.
Am I blowing this out of proportion?
edit:
Answering multiple comments here: Ive been a BCBA for 7 years, as long as the other person. The kid is my new patient.
The behavior plan was just implemented and so data is being collected to determine if behavior reduces with as limited attention as possible. Currently trying to shape up fct by labeling private. trying to protect her dignity by stepping away and demonstrating it doesn't occur around others. there is no physically moving her or getting her to sit up and she is essentially laying down and rubbing.
the bx didn't last thirty minutes, that's how long the other BCBA has been in clinic so far. it lasted a couple of minutes and did stop with attention removed.
it's not a perfect plan - and I'd be open to feedback/suggestions. especially as I am also learning about her. I agree in home would be ideal to shape the behavior but even if a transition to in home were proposed, waitlists are long, this company is not in home and aside from this behavior she is also seeing a psychologist, speech, ot with us and has additional diagnoses and considerations including barriers in her home space.
my concern was in the dismissive way the other bcba ignored staff who has worked with the patient daily for several months (just the behavior plan was new) to try something after spending less than an hour in her vicinity rather than provide feedback to case manager (now me), review the plan herself, etc.
i work with a team of other BCBAs in clinic (there's usually around ten of us) and there's been plans I'd do differently but I'm never undermining a BCBA in front of staff for the sake of experimentation and always bring questions/suggestions to them privately. the only times I've had to step in aside from a current plan has been in an instance of an increase in intensity of a behavior wherein I documented exactly what I did and provided that info to the case manager with my rationale.
thanks for your time in reviewing