In [Kevin's] last six months here, his ability to use and identify his coping skills was 100%. This is amazing for a kid who previously had multiple placements.

Teri Kimball, Kevin’s Case Manager


While many organizations focus primarily on either mental health or intellectual disabilities, Grafton believes that serving both populations improves outcomes for everyone. Though these different client populations are served separately, our teams interact constantly, sharing the latest knowledge in their respective fields. Our clinical model is informed by both behaviorism and psychotherapeutic techniques.

The organization’s six decades of clinical practice and its record of successful outcomes support this integrated approach. We are gathering a robust database of evidence-based treatment goals and objectives that allows us to verify which approaches are most effective. In so doing, we are able to assess the collective impact of our programs and services, as well as the individual impact on each of our clients.


Read our new Clinical Outcomes Data Overview.


Goal Mastery

At the level of the individual client, Grafton utilizes Goal Mastery™, a rigorous data-driven decision-support function integrated into treatment plans and reviewed at multidisciplinary team meetings. We use observable behavior data to drive clinical decision-making and to assess our impact. These data are made available to families, managed care organizations and all key external stakeholders, so you can truly partner with us to make sure we are providing the biggest impact in the shortest possible length of stay.

Additionally, Grafton uses a battery of standardized assessments to gauge skill-acquisition throughout care. The examples below show real-life data gathered from our Therapeutic Community Living Options and Educational Services programs in Winchester and Richmond:

The Developmental Profile™ 3 (DP3) provides scores in key areas of development for young children.

The Assessment of Basic Language and Learning (ABLL) guides the instruction of language and critical learner skills in children with autism or other developmental disabilities.

The Adaptive Behavior Assessment System (ABAS) measures skills that allow our adolescent and young adult clients to live and function independently.

The Assessment of Functional Living Skills (AFLS) provides metrics on the essential skills that children, adolescents, and adults with developmental disabilities require in order to achieve the most independent outcomes.