About This Program

The Children’s Behavioral Health Initiative (CBHI) was created by Dr. Judy Ann Bigby, Secretary of the Executive Office of Health and Human Services (EOHHS) to implement the remedy in Rosie D v Patrick, a class action lawsuit filed on behalf of Mass Health-enrolled children under age of 21 with serious emotional disturbance (SED). Through CBHI, Mass Health requires primary care providers to offer standardized behavioral health screenings at well-child visits, mental health clinicians to use a standardized behavioral health assessment tool, and provides new or enhanced home and community-based behavioral health services. CBHI also includes a larger interagency effort to develop an integrated system of state-funded behavioral health services for children, youth and their families.

For more information please watch the following video: What is In-Home Therapy (IHT)?

Services Provided through the Children’s Behavioral Health Initiative

In-Home Therapy: In-Home Therapy is situational, working with the youth and family in their home environment, fostering understanding of the family dynamics and teaching strategies to address stressors as they arise. In-Home Therapy fosters a structured, consistent, strength-based therapeutic relationship between a licensed clinician and the youth and family for the purpose of treating the youth’s behavioral health needs, including improving the family’s ability to provide effective support for the youth to promote his/her healthy functioning within the family. Interventions are designed to enhance and improve the family’s capacity to improve the youth’s functioning in the home and community. This may prevent the need for the youth’s admission to an inpatient hospital, psychiatric residential treatment facility or other treatment settings.

Therapeutic Training & Support: This is a service provided by a qualified paraprofessional working under the supervision of a clinician to support the implementation of the licensed clinician’s treatment plan to assist the youth and family in achieving the goals of that plan. The paraprofessional assists the clinician in implementing the therapeutic objectives of the treatment plan designed to address the youth’s mental health, behavioral and emotional needs. This service includes teaching the youth to understand, direct, interpret, manage, and control feelings and emotional responses to situations and to assist the family to address the youth’s emotional and mental health needs.

Therapeutic Mentoring: Therapeutic Mentoring offers structured, one-to-one, strength-based support services between a therapeutic mentor and a youth for the purpose of addressing daily living, social, and communication needs. Therapeutic Mentoring services include supporting, coaching, and training the youth in age-appropriate behaviors, interpersonal communication, problem-solving and conflict resolution, and relating appropriately to other children and adolescents, as well as adults, in recreational and social activities pursuant to a behavioral health treatment plan developed by an outpatient, or In-Home Therapy provider in concert with the family.  These services help to ensure the youth’s success in navigating various social contexts, learning new skills and making functional progress, while the Therapeutic Mentor offers supervision of these interactions and engages the youth in discussions about strategies to effectively handle peer interactions.

Children’s Behavioral Health Initiative’s


  • Child-Centered and family driven services.  These are driven by the needs and preferences of the child and family, developed in partnership with families, and accountable to families.
  • Strength-based.Services that are built on the strengths of their families and their communities.
  • Culturally responsive. Services that are responsive to the family’s values, beliefs, norms, and to the socio-economic and cultural context.
  • Collaborative and Integrated.  Services that are integrated across child-serving agencies and programs.
  • Continuously Improving.  Service improvements reflect a culture of continuous learning, informed by data, family feedback, evidence, and best practice.


The Children’s Behavioral Health Initiative places the family and child at the center of our service delivery system and will build an integrated system of behavioral health services that meet the individual needs of the child and family. Policies, financing, management and delivery of publicly-funded behavioral health services will be integrated to make it easier for families to find and access appropriate services, and to ensure that families feel welcome, respected and receive services that meet their needs, as defined by the family.

Strategic Priorities

  • Increase Timely Access to Appropriate Services
  • Expand Array of Community-based Services
  • Reduce Health Disparities
  • Promote Clinical Best Practice and Innovation
  • Establish an Integrated Behavioral Health System Across State Agencies
  • Strengthen, Expand, and Diversify Workforce
  • Mutual Accountability, Transparency, and Continuous Quality Improvement

For Therapeutic Mentor Referral, please download the form HERE.
For In-Home Therapy Referral, please download the form HERE.

Contact and Information

Ericka Cobos, M.Ed., LMHC
Director of In-Home Therapy Services
508-798-1900 Ext 350