The Children’s Behavioral Health Initiative (CBHI) is an initiative of the Commonwealth’s Executive Office of Health and Human Services (EOHHS).

It is an effort by MassHealth to provide more community-based behavioral health or mental health services to youth under the age of 21 who have MassHealth and who meet the criteria. Some private insurances are accepted as well. Sometimes these services are also called “Rosie D.” services.  River Valley Counseling Center provides CBHI In-Home Therapy (IHT) services, In-Home Behavioral Services, and Therapeutic Mentoring Services.

In-Home Therapy

In-Home Therapy (IHT) is an intensive therapeutic service delivered by a team consisting of a qualified clinician and a qualified paraprofessional. These services are provided in any setting where the youth is naturally located, including, but not limited to, the home, a foster home, school, child care agencies, and other community settings. These services are flexible to meet the needs of the families. Prospective youth and families must have medical necessity for IHT services, for which the level of care would be determined by the criteria guidelines.

In-Home Behavioral Services

In-Home Behavioral Services include observations that are over a period of time (generally 14-28 days). This is an intense service, & the therapists’ multiple weekly visits allows the therapists to have “eyes on” the behavior. In addition to observation, this service provides a family data sheet that records & collects information about the behaviors. This is done through a team of CBHI members including a Behavior Management Clinician as well as a Behavior Management Monitor.

Therapetic Mentoring Services

Therapeutic Mentoring (TM) Services are provided to youth under the age of 21 in any setting where the youth resides such as the home (including foster homes) and other community settings such as school and child care centers.

TM Services offer 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.

TM Services are provided through the use of supporting, coaching and training the youth in age-appropriate behaviors, interpersonal communication, functional skill-building, problem solving and conflict resolution in recreational and social activities.

TM Services are offered alongside a behavioral health treatment plan developed by an outpatient therapist, In-Home Therapy provider and/or for a youth in ICC.

For more information contact our referral team at 413-437-9200 or email

CBHI referral forms and HUB release form:

IHBS Referral Form

IHT Referral Form

TM Referral Form

HUB Release