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Continuity of quality service might be one of the most important aspects of treatment with successful outcomes. Quality can refer to a number of variables including a strong rapport between client (and family) and clinicians, built over time with a steady progression of engaging and reinforcing sessions. While case managers are part of this quality service, it is inevitably the registered behavior technicians (RBTs) who share the most time and encounters with client and family. often in the family home. Hence, the reality of turnover of staff, or perhaps the necessity for 'time-off,' can create a semblance of discontinuity in service all on its own. In this episode, Dan and Mike revisit a 'company line' oft used to promote parameters like 'sub' clinicians when assigned staff is unavailable for a session and client as usual--the RBT is 'a service, not a person.' All the while, Mike splits time between being a 'sub' of sorts himself, caring for his 2-year-old while 'mama' is away, as Dan and he analyze the pros and cons of seeing the RBT as a service, and not a person.

Lots to analyze in this tasty brew--a hint of bitterness, perhaps a bit sour at times, but it promises a smooth finish. Enjoy all the layers, and always analyze responsibly.

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