These ambulance care givers are generally professionals or paraprofessionals and in some countries their use is controlled through training and registration.
Paraprofessional educators in these roles may require specialized training in behavior management, de-escalation, personal-professional boundaries, and sometimes physical restraint.
These employees include special education teachers, special education aides, paraprofessional educators (such as speech and language pathologists and social workers), and substitute teachers.
Forty-six school support staff members, including full-time cafeteria, custodial, mechanical, security, clerical, and paraprofessional staff, assist in the operation of the school.
The non-profit organization was founded in 1966 and, as of 2009, has over 100 members including libraries, librarians, trustees, and library paraprofessionals.
It may be administered and scored by paraprofessionals; but must be used and interpreted only by clinically trained professionals, who can employ psychotherapeutic interventions.