Therapeutic Behavioral Services
The Therapeutic Behavioral Services team worked around the clock to remove debris,
paint and refurnish one grandmother's home to save her five grandchildren from being separated and placed in the foster care system.
Who is eligible for TBS?
- To qualify for TBS, clients must meet the following:
- Have full-scope Medi-Cal,
- Be under the age of 21,
- Meet medical-necessity criteria,
- Have target behaviors or symptoms that are not responding to other mental health services alone, are jeopardizing current placement and can be expected to respond to short-term, intensive intervention, and
Be an included member with one of the following criteria:
- Being considered for RCL 12 or above placement,an RCL 12 or above placement;
- One psychiatric hospitalization in the preceding 24 months or
- Transitioning from an RCL 12 or higher to a lower level of care.
How does a client get TBS?
How does TBS work?
Referral: Upon receipt of a referral, the treatment team, the parent or caregiver, client, clinician, social worker, attorney, and TBS specialist collaborate to develop goals, hours and days of service, and discuss relevant treatment information. TBS hours and length of service are based on the level of need to achieve the necessary amount of progress.
TBS addresses specific targeted behaviors that are jeopardizing a client’s placement or assists clients in the transition to a lower lever of care. It also identifies triggers to clients’ behaviors and effective interventions, and passes on successful techniques to caregivers for continuity of care.
Treatment Goals/Behavior Modification:
TBS implements direct behavioral interventions for the client wherever she or he is having the most difficulty. These interventions are designed to smooth the fit between a child’s behavior and the child’s environment. The TBS specialist utilizes behavioral analysis, cognitive behavioral techniques, skill building interventions and rewards and consequences to strengthen the client’s functioning. Using these techniques the specialist develops a behavioral plan which targets a specific behavior with the goal of reducing or eliminating the identified behavior and replacing it with a more adaptive behavior.
Length of services:
TBS is authorized by the Department of Mental Health in intervals of 120 hours or 60 days, whichever comes first. Services are reviewed monthly and re-authorized as needed.
Why Five Acres TBS?
The Five Acres TBS team is composed of 16 TBS specialists and four administrative staff. As a whole, the team possesses over 142 years of working with emotionally disturbed youth.
The Five Acres TBS team has established an outstanding reputation for quality, going the extra mile to meet clients’ needs and being highly committed to helping them reside in the lowest possible level of care. The Department of Children and Family Services reports that Five Acres’ TBS program is the best in the county and is especially responsive to community needs.
The Five Acres TBS Team is as diverse as the population served in the greater Los Angeles County area.