TBS is the most intensive service EMBRACE offers. Services can be provided for several hours a day, multiple days a week, if warranted to keep the client safe and prevent hospitalization and/or loss of current placement. TBS Specialists can meet with a client in all settings where unsafe behaviors and emotional dysregulation occur.

One of the first steps in TBS is conducting a functional assessment of the client’s behaviors, meaning that the TBS Specialist assesses what function the target high-risk behaviors serve for a client. Based on this assessment, the TBS specialist works with the client and care team to develop positive replacement behaviors that serve the same or a similar function, while being safe and non-disruptive.

Each month, TBS Specialists measure the current presence and impact of high-risk behaviors through direct observation and reports from caregivers, other treatment team members, and the client. The goal is to determine what is working well and what may need to be adjusted over the next month to achieve the treatment goals. When barriers to progress are identified, the TBS Specialist collaborates with the care team to make adjustments to the treatment plan and increase support as needed.