Behavioral Support Services

WAIVER SERVICES/Medicaid Waiver Programs

The Home and Community Based Services (HCBS) program is a federally funded program through Medicaid. It provides eligible individuals services in their home or community. The underlying philosophy of HCBS is to move away from institutionalized settings and to safely and responsibly support an individual’s independence in the least restrictive environment possible. Ideally, this would be in a home and community based setting. With the support of this federally funded Medicaid program, Indiana’s Division of Disability and Rehabilitative Services (DDRS) operates two waiver programs for individuals with developmental and/or intellectual disabilities: the Family Supports Waiver (FSW) and the Community Integration and Habilitation Waiver (CIH.)

Reach High Consulting and Therapy, LLC provides Behavioral Support Services to individuals through the Family Supports Waiver (FSW) and the Community Integration and Habilitation Waiver (CIH.) We are dedicated to providing person-centered, positive behavior support and are committed to promoting our client’s vision of life in their community. Services are provided at home, work, school, or in the community, depending on the unique needs of the client.

Behavioral Support Services

Behavioral Support Services (BSS) are a broad range of services and strategies to support individuals who face behavioral, social, or emotional challenges that interfere with their ability to access and actively participate in their community. Behavioral Support Services are intended to support individuals and their families to achieve self determination, independence, and inclusion in their community.

There are many challenges that Behavioral Support Services can address. Some examples of these challenges include:

  • Challenging Behaviors:
    • Aggressive Behavior (physical and verbal)
    • Tantrum Behavior
    • Impulse Control
    • Property Destruction
    • Self-Injurious Behavior
    • Task Refusal
  • Community Services
  • Daily Living Skills
  • Safety Awareness
  • Transitions/Changes in Routine
  • Cognitive Processing
  • Moral Reasoning
  • Communication/Social Skills
  • Building/Maintaining Healthy Relationships
  • Self-Help Activities
  • Adaptive Skills

Behavioral Support Services are provided by a Behavior Clinician who works to identify behavior that interferes with an individual’s ability to participate in their community. The Clinician seeks to gain an understanding of the function of each individual’s behavior/s, or why the behavior is occurring. With this information, a plan that is broken down into small attainable tasks is developed that includes:

  • Strategies to prevent the target behavior/s from occurring.
  • Strategies to teach, model, and encourage replacement behavior/s.
  • Strategies to reinforce replacement behavior/s.
  • Strategies to discourage target behavior/s from occurring.

Behavioral Support Services include the following:

  • A Functional Behavioral Assessment is conducted using multiple sources of data: past records, interviews, direct observation, and assessment.
  • A Behavioral Support Plan is developed with behavioral objectives and strategies to meet them.
  • Ongoing observation, assessment, and evaluation is used to monitor progress.
  • Behavioral objectives and outcomes are regularly monitored, reported, and reviewed to determine the effectiveness of behavioral strategies.
  • The Behavior Clinician trains direct support providers and team members in the implementation of the Behavioral Support Plan.
  • Positive behavior supports are provided through face-to-face sessions with the Behavior Clinician.
  • The Behavior Clinician collaborates with family and informal support systems.
  • The Behavior Clinician may attend appointments and meetings.
  • The Behavior Clinician consults with the Individualised Support Team (IST) and participates in meetings.