-Unfortunately, I have seen several really great SV's leave ACES. For some their complaints have been of upper management and the stress of billable hour expectations, while others simply received competitive offers from other companies
-This turnover (which is even higher amongst BI's) has a negative effect on client's/families including disrupting progress, unclear plan for client goals, and even lapses in services (Anecdotal: when I was removed from a case to be assigned to another due to scheduling, I watched a mother brought to tears over fear of going more time without the services for her son; additionally BI's often leave without much notice and it can be very upsetting to our clients)
-The pay is low and if you want a raise you really have to go out of your way to seek it out; annual reviews are not automatic; when your raise is approved it takes a few months to hear back/for it to go through
-Working in the home doing one-to-one sessions can sometimes feel lonely (no co-workers, 10 min breaks in your car, lunch breaks at a local Starbucks that's in between clients, lack of connection to others who understand daily challenges)
-During the school year it can be very difficult to maintain full time hours due to the lack of morning/ midday clients and if a case is terminated or you switch clients you might go a few weeks without work; this can be stressful when you have bills to pay!
-Your resilience is really tested by the more physical/aggressive clients; even with CPI training, it might feel like you are outmatched (Anecdotal: I am currently subbing for a client who is can be very aggressive and is physically stronger than me, while I am receiving a lot of one on one support from the BCBA on the case - which is very valuable- I have a lot of anxiety over working with this client
On a personal note, the physicality and emotional toll that this position has really really warrants medical benefits, but ACES makes it really challenging to qualify; this in combination with minimal connection with coworkers makes this difficult to sustain! I have seen a lot of employees (good and not so good) leave.
