It’s like they say “we have methods and systems, if they don’t work; well, that’s because of you.” The system seems built around avoidance of responsibility; pushing consequences down instead of up. They keep moving the goalposts and gaslight when you confront them.

Sounds like people on a power trip making themselves feel better. I've been in professional mental health settings (autism is not my specialty at all), and I have heard so much victim-blaming from therapists saying that their client isn't getting better because they're not doing the work. They can't accept that they aren't helping the client and that their titles and degrees don't have any effect in the practical world, so they blame-shift onto the person with less power to maintain their delusion of superiority. It's straight up out of the narcissist playbook.