Do Registered Behavior Technicians Get Drug Tested | It Depends

Yes, Registered Behavior Technicians (RBTs) get drug tested, especially during pre-employment screening. Testing policies vary by employer and state. Random or post-incident tests may occur. THC testing depends on local marijuana laws, job setting, and funding source requirements.

Have you used drugs in the past or still under the influence sometimes, here and there, and working as an RBT or planning to become one after giving the exam?

Do RBTs Get Drug Tested?

Yes, RBTs are drug tested. But it’s not a BACB (Behavior Analyst Certification Board) mandatory rule to get it tested; it’s a company decision.

Agencies, clinics, or schools that employ RBTs will often require drug tests during:

• Pre-employment
• Random testing (in some states or agencies)
• Post-incident reviews
• If they suspect drug use on the job

So, if you’re working with vulnerable populations (like children with autism), most employers want to minimize any risk without hiring a drug user. And drug screening is one of the ways they do that.

My advice to if you are still using it, get it clean fast if you are interested in this career prospect.

How Often Are RBTs Tested?

There’s no universal rule here, as there are no fixed rules to get it tested.

It depends entirely on the employer’s policy and sometimes even on the type of insurance they bill under.

So, for example:

• Pre-employment tests are nearly universal in large ABA companies.
• Random drug tests are more common in states with higher Medicaid scrutiny.
• Post-incident testing happens if there’s a behavioral crisis, injury, or serious complaint involving a client.

When I visited a few Reddit threads while searching online, Reddit users from Texas and Florida report being tested twice a year in high-regulation clinics, while others say they’ve worked 3+ years without a single test.

What Drugs Are They Looking For?

Typical drug panels used by ABA employers screen for:

• Marijuana (THC)
• Cocaine
• Opiates
• Amphetamines
• Phencyclidine (PCP)
• Benzodiazepines
• Barbiturates
• Methadone
• Methamphetamines

Some of the clinics also include alcohol, especially if your role includes driving to clients’ homes.

What If You Test Positive on the Drug Test?

I’m gonna be blunt here, if you test positive for an illegal or unprescribed substance:

• You may be terminated immediately
• But your BACB certification won’t be affected, unless the employer reports misconduct tied to safety or ethical violations
• If you’re on prescribed medication, your employer might require documentation from your doctor

Is the Test Random or Always Scheduled?

Well, it can be both. Like I said before, there are no rules and completely under the company’s control on when and how to do it.

• Pre-employment tests are always scheduled
• Random testing varies, as some clinics literally pull names monthly
• Reasonable suspicion testing can happen if a supervisor believes you’re under the influence during sessions

And trust me, don’t expect a heads-up. Random screenings can be same-day, no notice.

Does It Vary by State?

Absolutely, it does. The reason is that some states allow certain drugs while some might not allow it.

• States with medical or recreational marijuana laws (like California, Colorado, or Oregon) may not penalize for THC use off the clock, but many employers still do.
• In more conservative states like Alabama or Mississippi, you might lose your job even with a medical marijuana card.
• Medicaid regulations can force stricter drug policies in some regions, especially if billing depends on compliance.

So, know which state you are in, the company you are working for, and align with their drug policies.

Are Any Drugs Allowed for RBTs?

Yes, but only if they’re prescribed and disclosed.

Let’s say you take:

• Adderall for ADHD
• Xanax for anxiety
• Methadone under a treatment plan

As long as your doctor prescribes it, and you’re not impaired during work hours, you’re typically in the clear. But you must inform your employer, especially if you’re drug tested.

My Personal Advice

If you’re an RBT or planning to become one, my personal advice as someone who has been in this field for some time now:

• Expect at least one drug test before you start working.
• Know your employer’s policy.
• Be honest if you’re on any prescribed medications.
• Don’t assume that state marijuana laws protect you; even if it is legal, your employer might not agree.