Rehabilitative Behavioral Health Services (RBHS)
Medicaid-covered support at home, at school, and in the community.
Intensive Skills-Based Support for Children & Teens
Rehabilitative Behavioral Health Services (RBHS) provide intensive, skills-based support for people who need more than traditional outpatient therapy. Covered by South Carolina Medicaid, these services are delivered where the hard moments actually happen, so skills get practiced in the settings where they need to hold. RBHS is often assumed to be a children’s program. It is not. Adults with Medicaid qualify on the same basis as children: a qualifying mental health or substance use diagnosis and documented medical necessity.
What Separates it from Outpatient Therapy
Goes where you are
A behavior that only shows up at bedtime or in third period math cannot be fixed in a 50 minute office visit.
Delivered by a team
A licensed clinician oversees the plan; trained staff deliver the hands on work.
Tied to a written plan
Every session connects to a stated goal.
Built to step down
Most intensive at the start, tapering as skills hold.
Who Can Benefit from RBHS?
RBHS may be right when outpatient therapy alone has not resolved:
- Aggression, property destruction, or self-harm
- Daily routines that keep falling apart
- A recent hospitalization or crisis episode
- Suspensions, school refusal, or leaving campus
- Skills that hold in session but not at home
Services We Provide
Psychosocial Rehabilitative Services
Skill building, not talk therapy. PRS teaches the practical abilities a person needs to be stable and independent, and it teaches them in the places where those abilities actually get used. That covers independent living skills like managing an illness day to day, personal living skills like routines, hygiene, and self care, and interpersonal skills like communication and holding on to a support system. A staff member works alongside the person in the moment rather than talking through it afterward in an office. PRS is front loaded on purpose: most intensive at the start, tapering as skills take hold.
Behavior Modification (ages 0 to 21)
For children and adolescents whose behavior has become a safety problem at home or in the community. Staff work in the moment, redirecting and modeling appropriate behavior as situations unfold rather than debriefing them later. The work follows a written plan built by a licensed clinician that names the specific behaviors being targeted, identifies what tends to set them off, and sets out the strategies staff and caregivers will use consistently. Over time the focus shifts from interrupting the old pattern to building and reinforcing the replacement behavior until it holds on its own.
Family Support Services (ages 0 to 21)
Support aimed at the caregiver, because families are the ones who hold the gains after our staff step back. This covers understanding the diagnosis and what it does and does not explain, coping skills for handling a crisis without outside help, consistent responses at home so the same behavior does not get five different reactions, and advocating effectively in school meetings and other settings. It is a clinical service directed at treatment, which means it is not case management, respite, or childcare.
Individual, family, and group therapy
Individual therapy is collaborative work on the thoughts, emotions, and behaviors driving distress, building healthier strategies in a confidential setting. Family therapy addresses the relationships and patterns around the client, with or without the client in the room, and is often short term and focused on a specific problem such as school difficulty, grief, or a hard adjustment. Group therapy puts skills work alongside peers facing similar challenges. All three are delivered by licensed clinicians and by license eligible clinicians working under supervision.
Psychiatric assessment and medication management
A psychiatric evaluation is a detailed assessment by a psychiatrist or qualified psychiatric provider covering presenting concerns, psychiatric and medical history, and current functioning, including a records review and a full mental status exam. What comes out of it shapes the treatment plan and the criteria for eventually stepping down. If medication becomes part of the plan, ongoing management follows: reviewing what is working, adjusting where needed, and staying coordinated with the rest of the team rather than running on a separate track.
Crisis management and safety planning
When a situation escalates, the immediate work is stabilization and safety. What follows matters as much: a written safety plan built with the client and the family that names the early warning signs, the steps that help before things peak, and exactly who to call. The goal is a plan a family can actually reach for at 9pm on a Tuesday, not a form in a chart. Where it is clinically appropriate, that planning is also what keeps an avoidable ER visit or hospitalization from happening. If someone is in immediate danger, call 911 or dial or text 988.
Our RBHS team works in the settings where people actually spend their time: at home, at school, and in the community. Skill building and behavior modification are delivered in person by design, by staff who live in the communities they serve. Home and community services run in the counties where our RBHS teams are based, so call and we will confirm whether we cover yours.
Find Out If RBHS Is the Right Fit
We will check coverage and tell you plainly whether RBHS is the right service or whether something else fits better. We accept referrals from families, school counselors and nurses, pediatric and primary care practices, hospitals, inpatient and residential facilities, DSS, DJJ, guardians ad litem and family court, and other providers. Call us at (843) 793-2104