TBS (Therapeutic Behavioral Services)

child and mental health services

Therapeutic Behavioral Services (TBS) is an intensive, individualized, one-to-one behavioral coaching program available to our clients who are experiencing a current behavioral challenge putting them at risk of placement, of losing their current placement, or preparing for transition to a lower level of care.

TBS is a short-term program that focuses on changing a child’s behavior, while emphasizing the child’s strengths. TBS works in collaboration with the child, the child’s caregivers and the primary mental health provider to address 1 to 3 target behaviors that jeopardize the child’s ability to remain in his or her current home or jeopardize a successful transition home. TBS services are provided in the child’s home and other environments where the child’s behaviors occur. Services are approved for 30-60 days at a time and are expected to be a short-term activity. TBS can help children and their families learn skills to increase successful behaviors and learn new ways of reducing challenging behaviors.

TBS is a short-term program that focuses on changing a child’s behavior, while emphasizing the child’s strengths. TBS works in collaboration with the child, the child’s caregivers and the primary mental health provider to address 1 to 3 target behaviors that jeopardize the child’s ability to remain in his or her current home or jeopardize a successful transition home. TBS services are provided in the child’s home and other environments where the child’s behaviors occur. Services are approved for 30-60 days at a time and are expected to be a short-term activity. TBS can help children and their families learn skills to increase successful behaviors and learn new ways of reducing challenging behaviors.

TBS unfolds in three phases:

  1. TBS staff begin by gaining an understanding of the child’s behavior and what is the underlying need that they are attempting to have met through the negative or challenging behaviors? TBS then develops replacement behaviors for the child to use as alternatives. Strategies may include the development of a behavioral plan, such as a step-by-step process in which caregivers follow a guideline to manage specific behaviors as they occur, or an incentive plan where the child is rewarded for choosing productive replacement behaviors.
  2. Next, TBS staff works directly with the child and those who care for the child. During this time, TBS staff, the child and the child’s caregivers are learning together and taking responsibility for their parts of the child’s behavior plan. Interventions and strategies focus on improved self-management, self-awareness, and communication skills as well as positive reinforcement of desirable behaviors.
  3. During the final phase, TBS staff oversees a transition plan to ensure that the positive behavioral changes will continue. A child successfully transitions from TBS once the frequency, duration, and intensity of the targeted behaviors have been reduced and interventions and strategies have been transitioned to support persons.

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