Empowering Independence: The Impact of Therapeutic Consultation at CRi
Navigating behavioral challenges can be a significant part of supporting individuals with developmental disabilities. CRi's Therapeutic Consultation services, led by Board Certified Behavior Analysts, empower caregivers and support teams with effective strategies.
Learn how this vital service enhances independence and quality of life within our community.

Overview of Therapeutic Consultation
In the journey of supporting individuals with developmental disabilities, understanding and managing behavioral challenges is paramount. That's where Therapeutic Consultation (TC) steps in.
Therapeutic Consultation (TC) is a waiver-funded service under Virginia's Medicaid system, designed to support individuals with developmental disabilities by providing specialized behavioral expertise to their caregivers, family members, and service providers. It is not a direct therapy service but rather a consultative service aimed at enhancing the individual's quality of life and fostering their independence within home and community settings.
Role of BCBAs in Therapeutic Consultation
At the heart of Therapeutic Consultation are Board Certified Behavior Analysts (BCBAs) and Board Certified assistant Behavior Analysts (BCaBAs). These professionals play a crucial role by conducting assessments, developing intervention strategies, and training caregivers and support teams to implement effective behavioral interventions. From there, they develop function-based intervention plans tailored to each individual's unique needs.
The primary responsibilities of a BCBA/BCaBA in TC include:
Conduct Comprehensive Assessments
BCBA/BCaBA’s Conduct comprehensive assessments, including functional behavior assessments (FBA) and preference assessments.
Identify factors contributing to challenging behaviors and develop function-based intervention plans.
Conduct Behavior Support Plan Development
Develop individualized, data-driven behavior support plans (BSPs) tailored to the client's specific needs and environmental context.
Ensure plans align with the individual's goals and capabilities to promote meaningful skill development and independence.
Conduct Caregiver and Staff Training
Train caregivers, family members, direct support professionals (DSPs), and other stakeholders in behavior intervention strategies.
Provide hands-on coaching, modeling, and feedback to ensure effective implementation of the BSP.
Provide Ongoing Monitoring and Consultation
Regularly monitor progress through data collection, direct observations, and team meetings.
Adjust intervention plans as necessary based on data trends and caregiver feedback.
Collaboration with Multidisciplinary Teams
Work alongside speech therapists, occupational therapists, physical therapists, and case managers to ensure a holistic approach to client care.
Participate in team meetings and Individual Support Plan (ISP) development to coordinate services and goals.
Crisis Prevention and Management
Provide guidance on crisis intervention strategies and proactive measures to reduce the occurrence of severe behavioral episodes.
Assist caregivers and providers in implementing evidence-based de-escalation techniques.
How Therapeutic Consultation Works
The journey begins with a referral from the individual's Support Coordinator as part of their waiver services under the Developmental Disabilities (DD) Waiver in Virginia.
Referral Process: Individuals must be referred by their Support Coordinator as part of their waiver services under the Developmental Disabilities (DD) Waiver in Virginia.
Authorization & Service Plan: Upon approval, a BCBA/BCaBA develops a service plan outlining assessment, consultation, and training needs.
Service Delivery: Services are provided through a consultative model, focusing on caregiver training, BSP implementation, and ongoing support.
Review & Adjustments: BCBA/BCaBAs continually monitor outcomes, refine strategies, and ensure the long-term sustainability of behavioral interventions.
Benefits of Therapeutic Consultation
Therapeutic Consultation offers numerous benefits. It empowers caregivers and staff with the tools and knowledge to manage behaviors effectively, promotes independence by helping individuals develop adaptive skills, and enhances overall quality of life by reducing challenging behaviors.
Empowers Caregivers and Staff: Provides families and providers with the tools and knowledge to manage behaviors effectively.
Promotes Independence: Helps individuals develop adaptive skills to increase self-sufficiency.
Enhances Quality of Life: Reduces challenging behaviors and improves overall social and daily living skills.
Prevents Institutionalization: Supports individuals in remaining in community-based settings rather than requiring residential placement.
Improves Service Coordination: Encourages interdisciplinary collaboration for a comprehensive support system.
Ultimately, it supports individuals in remaining in community-based settings, preventing institutionalization and encouraging interdisciplinary collaboration for a comprehensive support system.
Therapeutic Consultation is more than a service; it's a pathway to empowerment, independence, and enhanced quality of life for individuals with developmental disabilities and their support networks.
Empowering individuals and their support networks is at the heart of what we do. If you're curious about the impact of our Therapeutic Consultation services, consider consulting with one of our expert clinicians to learn more about how we can help.