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Behavioral & Healthcare Services

Photo of child hugging parentOur Behavioral and Health Supports include psychological supports, behavioral treatment, family counseling, nursing supports and human sexuality education and supports. The department’s mission is to support individuals and their caregivers as behavioral and related mental health concerns arise at home, at work or in the community, so that optimal personal growth, development and quality of life can be realized and achieved.   

Psychological Supports

A wide range of psychological services can assist individuals and their families to overcome challenges that interfere with a person’s ability to maximize personal growth and development and achieve the highest quality of life possible. Services are provided at home, at work or in the community. The psychological support team, which is composed of a variety of staff who have training and experience working with individuals with DD, includes psychologists, psychology assistants, school psychologists and Licensed Professional Clinical Counselors.  

Team members are flexible in how and where they deliver services and emphasize rapid response. With a long history of clinical service to individuals with DD, they provide seamless services to all ages and all levels of disability from those with minimal support needs to those with the most intensive needs.  

To access psychological supports, call Dr. Richard A. Cirillo at (216) 736-2693 or e-mail   

Psychiatry Clinic at University Hospitals
The Department of Psychiatry at University Hospitals operates an intellectual and developmental disabilities outpatient psychiatry clinic serving adults ages 18 and older. The clinic is staffed by psychiatrists, psychiatric fellows, residents, and advanced practice nurses. These staff have specialized knowledge and experience in working with adults with developmental disabilities who also have psychiatric needs and/or behavioral problems and their families and caregivers.

There are two clinic locations:
     EAST- UH Cleveland Medical Center (Suite 1165, First Floor, W.O. Walker Center, 10524 Euclid Ave. Cleveland)
     WEST- Suite 214, 4065 Center Road, Brunswick, OH 44212

For more information, click HERE to visit the Clinic's website or call: 216-983-0027.

Behavioral Treatment

Behavioral treatment is a process that typically includes analysis of behaviors, training caregivers, plan development and implementation of behavioral interventions.  

Behavioral treatment works for a number of reasons. Our team can help modify the environment so optimal learning can take place. This concept is better known as person-environment fit. We help to modify the behaviors of the individual, the staff and the caregivers to avoid or break down those barriers that limit growth and potential. Finally, we help to increase the knowledge and skills of caregivers so that they are empowered to provide behavior supports in everyday life.   

Our staff include licensed psychologists, psychology assistants, Licensed Professional Clinical Counselors, Licensed Independent Social Workers and behavior support professionals.

To access behavioral treatment services, call Dr. Richard A. Cirillo at (216) 736-2693 or e-mail

   Download a copy of our Behavior Support Procedures Manual.

Family Counseling

Family counseling and consultation assist family members and/or caregivers with the challenging issues surrounding living and caring for an individual with DD. The primary purpose is to support positive change that the family has identified. Family counseling is a process that includes assessment, intervention and caregiver support to help with problem-solving, coping strategies, stress, anger, loss/grief, trauma, family conflict, life transitions, education and professional consultation.  

Family counseling is unique. Our family counselors take into consideration the caregiver’s behaviors, emotions and thoughts as they impact the relationship with the individual with DD. They provide flexible supports to family members and caregivers and can provide counseling and consultation in a variety of settings.All are master’s degree level, licensed counselors or social workers, who have extensive experience in the field of DD. They function as part of a team that allows access to a wide variety of resources. Family counselors serve any individuals involved in the care and support of an individual with DD, including parents and siblings, immediate and extended family, non-biological caregivers or any combination of individuals or groups.  

To access family counseling services, call Dr. Richard A. Cirillo at (216) 736-2693 or e-mail

Nursing Supports

Our nursing staff offer supports to enable individuals with DD and medical needs to live, learn, work and play in the community by working with individuals, families/guardians/caregivers and other community agencies supporting them.  

Our nursing supports are individualized and consist of analysis of medical needs through assessment, consultation and plan development; training of individuals, families and caregivers to meet medical needs, promote and maintain health, identify risks to health and safety and take actions in the event of a health care problem; implementation by short-term direct nursing services, training and delegated nursing; and evaluation of services/supports provided.  

Our highly qualified staff of registered nurses and licensed practical nurses have long-term experience in meeting the medical/nursing needs of individuals with DD. They employ a holistic approach that considers the physical, mental, psychosocial, emotional and spiritual needs of individuals when meeting medical needs. Their services are individualized, quickly accessible and flexible.  

To access these services, call Dr. Richard A. Cirillo at (216) 736-2693 or e-mail     

The Comprehensive Care Clinic at MetroHealth Medical Center
The Comprehensive Care Clinic employs a medical home model that gives coordinated medical care to children and adults with developmental disabilities.  Care is given across a variety of specialties and throughout the patient’s lifespan.  In addition to physicians, nurses and other professionals, the clinic employees nurse care coordinators who work closely with families and their medical providers help to ensure that the patient has a coordinated plan of care and can manage any potential barriers to receiving that care.  

To learn more, click 
HERE to visit the Care Clinic’s website or call 216-778-5198.

Human Sexuality Education and Supports

Human Sexuality Education and Supports provides sexuality and social skills information, education, training and consultation to individuals, their families, caregivers and staff to maximize an individual’s ability to live, learn, work and play in the community. Services and supports are flexible and provided when and where they are needed.  

They include assessment of behaviors or issues, information and education to address public and private behavior, legal and illegal sexual behavior, sexual health, reducing vulnerability and increasing independence, coaching in order to model appropriate social behavior and take advantage of “teachable moments” that may occur across settings and training and consultation with staff so that they may gain strategies for responding to sexual behaviors, as well as assistance with sexuality policy development.  

Each of our staff members has at least 10 years of social services experience with a wide variety of backgrounds, including work in adult residential services, vocational training with adults who have severe and profound disabilities and adults with challenging behaviors. Our staff have developed an effective style of relating to people and assessing their needs as well as clarifying, simplifying and addressing issues as they are presented.  

To access these services, call Dr. Richard A. Cirillo at (216) 736-2693 or e-mail

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Cuyahoga County Board of Developmental Disabilities
1275 Lakeside Avenue East
Cleveland, Ohio 44114-1129
PHONE: (216)241-8230 - FAX: (216)861-0253