Therapeutic Behavioral Services (TBS)

TBS Request for Services (Opens in new window)

TBS is a specialty approved mental health service. This service provides additional short-term support individuals ages 6-21 with serious emotional problems who are experiencing a stressful transition or life crisis. TBS will assist clients in their transition to a lower level of care, including the natural home or avoid moving to a higher level of care, including hospitalization, a group home, or residential treatment.

TBS is intended to supplement other specialty mental health services by addressing and resolving the targeted behavior/s or symptom/s that are jeopardizing a client’s living situation.  Services are also structured to transition a client to a lower level of care.

The purpose of TBS is to further assist a client with their overall treatment goals by providing “in home” additional therapeutic services during a short-term period. A behavioral treatment plan will be developed by a licensed clinician, which the plan will outline detailed interventions that the Therapeutic Behavioral Aide (TBA) completes with the guardian in the home.  The TBS team typically includes the referring provider, parent/primary caregiver, the SBS clinician, TBS staff supervisor, the youth, and the TBA.  The team will identify behaviors to be targeted, as well as, the length of time authorized, and the hours per week.

The TBA provides training and care regarding therapeutic interventions.   Services are completed in the home environment, along with the guardian available, in order to  immediately intervene and target specific behaviors.  The TBA provides modeling, structure, support, and immediate, frequent one-to one behavioral interventions, which assist the client in changing or managing escalated behaviors. Seclusion of the client is not allowed as a component of Therapeutic Behavioral Services.

TBS hours will be decreased when behaviors progress and discontinue when the identified plan for transition has been reached, or when reasonable progress towards the behavioral benchmarks are achieved.

These service are intended to be short-term and time limited. Each mental health behavioral plan that includes TBS must include a plan for transition. This plan will be developed by the clinician and should address assisting parents/caregivers with the skills and strategies to provide the family with continuity of care.

Collaboration with other members of the mental health treatment team is also a primary component for this service.


The therapeutic behavioral plan is based on a comprehensive assessment of the client and family.

The behavioral plan must be reviewed every two months and revised as necessary to ensure that TBS continues to be effective.  A 14 day and 30 day supervision is also completed to track the behaviors adequately.  These reviews will always include the parent/caregiver and the client as appropriate.

It is imperative that the parent work closely with the TBA and the SBS clinician in order to learn new ways of managing problem behavior and ways of decreasing behaviors that will allow the client to achieve his or her treatment goals.