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Metro Richmond


Therapeutic day treatment or TDT is a Virginia Medicaid-funded program that combines psychotherapeutic, medication education and mental health treatment interventions to children and adolescents in the effort to promote behavioral progress within both an individual and group atmosphere.


TDT Behavioral Specialists seek to promote positive social skill interactions among children and adolescents while assessing, redirecting, and intervening in behavioral challenges. A large part of the program encompasses social skill training, while harnessing in on the individual challenges a child faces with specific interactions with others. Utilizing evidence based treatment modalities, person-centered approaches, group therapy sessions, psycho-educational techniques, and cognitive behavioral techniques; the behavioral specialist focuses on helping the child to fulfill treatment goals. Upon successful completion of the program, the child will have built a more stabilized sense of socializing with others and appropriately managing behavioral challenges. 

Who is Eligible

Children, youth, and adolescents under the age of 21 who demonstrate difficulties in managing behaviors within a structured environment, i.e. school, recreation center, daycare. These individuals have difficulties in establishing and maintaining interpersonal relationships to the extent that they are at risk for out of home placement or hospitalization; exhibit such challenging behavior that repeated interventions by mental health, social services, educational system, or judicial system have become involved; and exhibit cognitive challenges where they do not recognize personal danger or the risks their behaviors put them. For example, a child who has received repeated out of school suspensions for inappropriate behaviors.  


  • Establish and maintain appropriate social skill development

  • Improve anger management

  • Develop and utilize coping skills in difficult situations

  • Improve ability to respect authority figures

  • Decrease disruptive behaviors

  • Decrease aggressive behaviors

  •  Redirect low self-esteem in the effort to improve self-image

  • Understand importance and consumption of psychotropic medications if warranted

Can be Used to Treat

  • Attention Deficit Hyperactivity Disorder

  • Disruptive Mood Dysregulation Disorder

  • Disruptive Dysregulation Mood Disorder

  • Oppositional Defiant Disorder

  • Depression

  • Post Traumatic Stress Disorder

  • Reactive Attachment Disorders

  • Conduct Disorder


  • Case management until approved for service

  • Psycho-educational group therapy with cognitive behavioral treatment methods

  • Medication education groups with clinical staff

  • Community resource connections

  • Psychological and psychiatric evaluation resource connections

  • Social skills reinforcement and application field trips

  • Social skill groups

  • 24-hour crisis support

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