Basic Skills Training

Basic Skills Training (BST) is a rehabilitative mental health service covered by Medicaid that aims to reduce cognitive and behavioral impairments and help individuals achieve their highest level of independent functioning. These interventions are provided by qualified behavioral aides in the community or home setting, using positive reinforcement, modeling and other techniques to replace inappropriate behaviors and develop practical skills. BST helps clients and families build vital life skills such as:

  • Basic living and self-care skills – personal hygiene, nutrition, meal preparation, and household chores that foster independence.
  • Social skills and communication – learning to interact appropriately with peers and adults, manage emotions, and resolve conflicts.
  • Organization and time management – strategies to plan tasks, maintain schedules, and develop routines for school, work, or daily activities.
  • Problem-solving and coping skills – identifying challenges, making decisions, and using positive behaviors to overcome obstacles.
  • Transitional and independent living skills – preparing for adulthood by building self‑advocacy, money management, and community integration.

BST services must be authorized by Medicaid and are delivered one‑on‑one or in small groups. By focusing on concrete, goal‑oriented training, BST helps children and adults acquire the tools they need to thrive at home, at school, and within their communities.