TBS Description


Therapeutic Behavioral Services (TBS)
A Brief Intervention for Youth and Families that Leads to Improved Outcomes

Therapeutic Behavioral Services (TBS) provides community-based, one-on-one, short-term, support to young people who are at risk of being moved into a higher, more restrictive placement (hospital, residential facility) or need support transitioning to a lower level placement (family home, foster home, group home).

TBS is an adjunct program, meaning youth must be enrolled in a primary mental health service to be eligible. Our behavior analysts target specific high-risk behaviors exhibited by the young person. We partner with youth, their caregivers and other natural support persons in their life to help facilitate lasting behavior change.

Program Facts

  • Medi-Cal eligible children and youth ages 0 - 21 who are at risk of escalating to a more restrictive level of care or are transitioning to a lower level of care and are already enrolled in a primary mental health program may receive TBS.
  • We partner with the primary mental health provider, whether it is another organization, or Stanford Youth Solutions practitioners to help streamline services for the greatest, maximum impact.
  • TBS can be provided in the family home, in school and/or in various other community settings.
  • Our behavior analysts are specially trained to help provide individualized, flexible, short-term services to target specific behaviors which put youth at risk. Together, we create and implement a plan to minimize risky behaviors while increasing coping skills and replacement behaviors.

Case Management Services

TBS operates within its scope of adding critical supports to help youth stay in their current residences, in conjunction with the primary mental health services. As such, case management services can include:

  • Attendance and advocacy at Student Study Team (SST) meetings, Individualized Education Plan (IEP) meetings
  • Attendance and advocacy at Team Decision Making (TDM) meetings with Child Protective Services (CPS)
  • Attendance and at court dates with families
  • Assistance with arranging transportation for a variety of needs, such as medical, psychiatric, education or employment needs
  • Linking to community-based resources for food, clothing, shelter

What Services Look Like

  • Our behavior analysts provide flexible, conveniently scheduled home or community visits to meet with youth and families to identify the specific behavior or behaviors that are putting the young person at risk of losing their placement.
  • Together, staff and families create and implement a short-term plan, generally lasting 90 days, to help the young person reduce risky behaviors while increasing coping skills and replacement behaviors.
  • Behavior plans generally begin with our staff working one-on-one with youth in their place of residence at the times in which challenging behaviors occur.
  • We concurrently work with caregivers to help build their parenting and coping skills to help support the young person.
  • Implementation of the behavior plan gradually transitions the skills learned from staff to the youth and their caregivers to allow for continued success.