Specifications include, but are not limited to: The County of Fresno on behalf of the Department of Behavioral Health is requesting proposals from qualified vendors to provide the following Therapeutic Behavioral Services. Since June 1999, Therapeutic Behavioral Services (TBS) has been available to children and youth under age 21. California was required to provide TBS as a result of a class action lawsuit in federal court in Los Angeles, Emily Q. v. Bontá. TBS is an intensive, individualized, one-to-one behavioral coaching program available to children/youth up to age 21 that are experiencing emotional or behavioral challenges in their current living environment or experiencing a stressful life transition. TBS is only available to those children/youth with full-scope Medi-Cal benefits who are receiving ongoing mental health services.TBS can help children/youth and their parents/caregivers learn strategies and skills to increase the kinds of behavior that will allow them to be successful in their current environment and learn new ways of reducing and managing challenging behaviors. TBS is not a stand-alone service. It is used to support an ongoing primary mental health service such as mental health therapy or case management.