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You may be surprised by how common staff instigating behaviors actually is and its generally by low experience individuals that are certain they know better that what the program (BSP) directs.

I have worked with people with the same diagnoses and medications. Ive even put the exact same lines in the behavioral support plans.

Some of these individuals that are capable of reading eventually will memorize their program and test support staff.

For example there was a person that sometimes could go outside of their home. That person would think of an unusual behavior and do it to see what reaction it would elicit from support staff. Lets say for example that the person in question would rub mud from their hair all the way down their face and clothes to their feet.

If there was nothing in the program that stated that the person couldnt do that and the staff just stood there or talked about the birds or something then the rest of the day may well go by without any incident. If the person tried to tell them to stop or that they werent allowed to do that then that staff failed the test and these individuals would know that this was not following the program and a full day of violence would be the staffs reward for making up their own program directives.

The teacher did not follow the program, and like many support staff that work with these kind of people and make up their own directives for the person in placement, received the expected result.

I cant tell you how many staff Ive seen beaten for almost exactly the same thing over the last 20ish years. There are many reasons the career field has a high turnover rate, being the person that cant follow directions is often one of them.

Well I've pretty much seen it all when it comes to someone cognitively going thru the stages of a brain disease that literally destroys the brain matter bit by bit...so that emotions, physical strength, inability to reason or think, aggression, tc etc tc. is seen and observed until what is left bears nothing to the individual but something else devoid of humanity as we know it.

You learn , oh do you learn! What it requires to communicate each step of the way until it's impossible to communicate. Rage and aggression is 24/7 and state laws forbid sedating these patients. Other patients, staff and visitors get hurt often seriously - nurses often are injured....so it's no wonder turnover is very high....

Just one patient like this can grab onto the crouch of a nurse like a vise-grip, requiring 5-6 people to simply hold down the patient....and still not get the grip loose.
The physical strength of such people is beyond comprehension.