Therapeutic Behavioral Health Services for Children and Youth

Therapeutic Behavioral Services (TBS) is an intensive, individualized, one-to-one behavioral coaching program available to children/youth up to age 21 who are experiencing a current emotional or behavioral challenge or experiencing a stressful life transition.

TBS can help children/youth and parents/caregivers learn skills to increase successful behaviors and learn new ways of reducing challenging behaviors. TBS is not a stand-alone service; it supports an ongoing primary mental health service such as mental health therapy or case management.

Who is eligible for TBS?

TBS is only available to children/youth who:

  • Have full-scope Medi-Cal benefits,
  • Are receiving ongoing mental health services, and
  • Meet one or more of the following criteria:
    • Experiencing difficult behaviors which may jeopardize their placement;
    • Currently living in a group home or short-term residential therapeutic program (STRTP);
    • At risk of psychiatric hospitalization, or have been psychiatrically hospitalized within the last 24 months;
    • Transitioning to a lower level placement; and
    • Previously received TBS services.

Referrals are sent to the County's TBS provider for services.

TBS Prior Authorization Request & Referral

The form serves as both prior authorization request and referral form:

    Fax referrals to Optum Public Sector San Diego at 866-220-4495

For information, questions, and concerns  

Contact New Alternatives - TBS Office
Monday-Friday, 8:00am-5:00pm
858-256-2180

Learn More

Not sure where to start?

Call the Access and Crisis Line (ACL) at 1-888-724-7240 to speak to an experienced counselor who can help find the right service for you or someone you care about. The ACL is operated 24 hours a day, 7 days a week with support available in over 200 languages. Live chat and other resources are available through the ACL website or up2sd.org.

If you are experiencing an emergency, please call 911.