4790 Finlay Street, Suite #2, Richmond, VA 23231

(804) 222 - 8294

Soaring for Change Counseling Services

Our Services

Our agency accepts Medicaid plans through the Department of Medical

Assistance Services (DMAS). Licensed and residents in counseling clinicians conduct all diagnostic assessments for our clients.  Licensed Mental Health Professionals (LMHP) and Qualified Mental Health Professionals (QMHP-A/C) provide mental health services. These high standards carry over to our ABA (Autism spectrum) services with a staff of board certified registered behavior technicians supervised by BCBAs and  BCaBAs.


Outpatient Services offers individual, couple, family, and group counseling for

individuals in a traditional out-patient setting. Our therapists provide therapy for

children, adolescents and adults that struggle with managing a wide range of

mental health, behavioral and/or substance use disorders.

A range of therapists are available to provide services for individuals based on

their specific needs and preferences. Areas of focus include: anxiety,

depression, bipolar disorder, PTSD, ADHD, personality disorders, trauma,

abuse and neglect, substance use, grief/loss, adjustment/attachment issues,

foster care and adoption, anger management, and conflicts within

family/relationship dynamics. Multiple evidenced based interventions are used

to help bring about the desired change.


This program is an intensive day treatment option for adults dually diagnosed

with chemical addiction disorders and co-occurring major mental health

illnesses. The curriculum incorporates chemicals addiction treatments,

including Twelve Step facilitation and Motivational Interviewing, with Dialectical

Behavior Therapy (DBT) skills and other cognitive and behavioral health approaches.

Our program provides group counseling sessions that focuses on co-occurring

disorders, anger management, trauma recovery, parenting skills and life skills.

Individual and family therapy is also available. On site breathalyzer and urine

screening are also used on a random basis as indicated.

The program meets every Monday, Wednesday and Friday for 3 hours a day

 for 12 - 16 weeks. Clients have the option of attending the morning group from

 10:00 am to 1:00 pm and the evening group from 4:00 pm to 7:00 pm.


Crisis stabilization targets populations of all ages who are experiencing an

acute crisis of a psychiatric nature that may jeopardize the current living

situation. The goals of this service are to prevent hospitalization and establish

community stabilization, safety plans, etc.

Services are authorized for up to a 15-day period per crisis episode following a

face-to-face intake and may be provided up to 15 consecutive days in each

episode, or up to 60 days annually.


In order to be eligible for crisis stabilization services, one must meet two of the

following criteria:

  •  Experiencing difficulty in establishing and maintaining normal interpersonal relationships to a degree that one is at risk of hospitalization, homelessness or isolation from social supports
  • Experiencing difficulty in activities of daily living, such as hygiene, food preparation or managing finances to the degree that health or safety is jeopardized
  • Inappropriate behavior that necessitate immediate interventions by mental health, social services or the judicial system
  • Difficulty in cognitive ability. For example, one is unable to recognize personal danger or recognize significantly inappropriate social behavior


 Applied Behavior Analysis (ABA) serves children with Autism using scientifically

proven learning principles like positive reinforcement to bring about positive

change in maladaptive behaviors. This method redirects conduct that is harmful

or interferes with learning and increases the occurrence of useful behaviors that

contribute to a healthy lifestyle.

ABA targets social skills like academics, communication and adaptive

functioning (toileting, dressing, eating, vocational work, etc.). Parents,

caregivers, and paraprofessionals involved with the client are trained in the

basic principles of ABA for the sake of consistent treatment outside of direct

behavioral therapy. Family Insight’s highly trained professionals provide ABA

services under the direct supervision of a Board Certified (assistant) Behavior

Analyst (BCBA/BCaBA).

Soaring for Change’s in-home (ABA) services are available through Early Periodic

Screening Diagnosis and Treatment (EPSDT). This service is available to

individuals under the age of 21 residing in their family home who receive

Medicaid or have a Medicaid Waiver. Individuals seeking behavioral treatment

through EPSDT will need a letter of medical necessity from a physician or

psychiatrist indicating the need for behavioral treatment services.


The following requirements must be met in order to receive Behavioral Therapy Services (ABA):

  • Each individual who requests services must have clinical necessity documented by their physician and the therapy provider’s clinical director
  • An individual’s disorder and level of impairment requires treatment that cannot be provided by another DMAS program or a lower level of care/service and requires behavioral interventions and the expertise of a Licensed Mental Health Provider or a Board-Certified Behavioral Analyst
  • Behavioral Therapy is expected to increase appropriate social – communicative interactions and pivotal responses within a social framework and increase adaptive functioning;
  • Family and caregivers lack the skills needed to effectively manage the individual’s behaviors in the home environment. Training is necessary to educate the family and caregivers concerning the individual’s disorder and to teach effective behavioral management techniques. At least one family member or caregiver must be able to participate in services to learn behavioral techniques to manage behaviors in the home and to reinforce skill acquisition and progress; and
  • Behavioral Therapy is expected to produce beneficial changes in pivotal responses that result in more widespread behavioral change across a number of other non-targeted behaviors.


Through our intensive in-home counseling services, we serve youth ages 4-

21 utilizing evidence-based techniques to address problematic behaviors that

put children at risk of being displaced from their homes.

Our clinicians work with the child on a specialized treatment plan that addresses

specific behaviors while utilizing family supports. Our staff are on call 24/7 for

crisis management, and they are actively involved with connecting the child and

family to community resources that assist the child in successful treatment.

Children insured by Medicaid are eligible for up to 26 weeks of service per year

for 3 to 10 hours of in-home counseling per week depending on their needs.


Individuals qualifying for in-home counseling shall demonstrate a clinical

necessity for the service arising from mental, behavioral or emotional illness

which results in significant functional impairments in major life activities. The

diagnosis must be the primary clinical issue addressed by services and meet

the following criteria:


The diagnosis must support the mental, behavioral or emotional illness

attributed to the recent significant functional impairments in major life activities.

At Risk Criteria

The impairments experienced by the member are to such a degree that they

meet the criteria for being at risk of out of home placement as defined in the

below section.


1. Have difficulty in establishing or maintaining normal interpersonal

relationships to such a degree that they are at risk of hospitalization*

or out-of-home placement** because of conflicts with family or community.

2. Exhibit such inappropriate behavior that documented,repeated interventions by the mental health, social services, or judicial system are or have been necessary resulting in being at risk for out of home placement.

3. Exhibit difficulty in cognitive ability such that they are unable to recognize

personal danger or recognize significantly inappropriate social behavior

resulting in being at risk for out of home placement.


These services shall be provided in this level of care when the clinical needs of

the individual put him at risk for out-of-home placement, as these terms are

defined in this section:

1. When services that are far more intensive than outpatient clinic care are

required to stabilize the individual in the family situation, or

2. When the in-home counseling as the setting for services is more likely to

be successful than a clinic.

Family Involvement:


1. At least one parent/legal guardian or responsible adult with whom the

individual is living must be willing to participate in the intensive in-home

counseling services with the goal of keeping the individual with the family.

2. In the instance of this service, a responsible adult shall be an adult who

lives in the same household with the child and is responsible for

engaging in therapy and service-related activities to benefit the individual.