I've been working with Olivia's therapists to decrease this aggression that Olivia's been displaying.  We are now doing what her therapist calls 'peel and go'.  When Olivia scratches/hits/punches/kicks then I am to get up - take away whatever we are working on and leave the room.  Obviously making sure I have a keen ear listening for her and not leaving her in any danger. 

Afterwards, her therapist wants us to go back to what we were working on, before the scratch/punch/hit/kick happened and make sure Olivia ends on a high note - some kind of success.  I keep forgetting that bit...

'Peel & go' does seem to be working though.  She is very attached to me, so me leaving is a bit of a shock to her.  She was obviously wanting some kind of reaction and I was giving it to her - even though I didn't realise I was.  She calls for me when I leave her, which I find really hard because I never want her to feel abandoned, even if I am the other side of the door.  However, something has to be done.  This is not good for HER in the long run and I have tried everything.  This feels like the last resort.

Now she has turned her attention to the teachers at school, so I sent them the behavioural plan today and hopefully they can find a way to implement some of it.  They won't be able to leave the room, but I am sure they can just not react and remove themselves from the situation.