Frequently Asked Questions


Whether you are a care giver thinking about working for Grafton or an agency considering working with us, you may have questions. We are happy to speak with you about any concerns you have have. In the meantime the questions and answers below may provide some useful background.

For what roles, in terms of functions, does Grafton hire?

Grafton is proud to employ a wide range of behavioral healthcare professionals including psychologist, physicians, nurses, nurse practitioners, teachers, behavior health therapists, speech therapists, occupational therapists, direct support professionals and many more. If you are interested in making a different in the lives of individuals with complex behavioral health challenges, we want to hear from you!

What is the best way to submit my resume to/get an interview with Grafton?

Current employment opportunities are listed on our website here.

What is the onboarding process like at Grafton?

Grafton’s commitment to those we serve starts with hiring the most qualified people – and keeping them up to date with training in the latest behavioral healthcare and educational techniques. The process begins with a thorough initial screening, followed by a minimum of 48 hours of curriculum training prior to working with clients. Additional courses are required to be completed within an employee’s first six months on the job. Additionally, all employees complete annual training requirements and must maintain certifications.

What sort of training is a Grafton employee required to take?

All new direct service providers, contractors and interns are required to participate in 56-64 hours of training before they begin working with the children and adults we serve. The curriculum was designed to cover a breadth of evidence based topics. The training also includes several hours of observation and instruction in the working environment.

During the first six months at Grafton, new employees receive on-the-job support and instruction from their supervisors and are required to complete online and classroom courses and assignments designed to provide the additional knowledge and skills needed in the job.

Does Grafton offer Continuing Education for its employees?

Yes. Grafton employees must fulfill certain annual training requirements. Training offered during a particular year will include those by regulatory agencies as well as topics intended to enhance performance or promote a particular skill set. Training may take place online or in person.

In addition, Grafton has developed a Job Ladder System for direct support professionals. This program provides the opportunity to expand skills and knowledge. When employees have met specific time-in-position requirements, completed specific courses and assignments and demonstrated proficient performance, they may move up the “Ladder” and be recognized and compensated accordingly.

We also offer a wide range of (Type II continuing education) courses from a Behavior Analysis Certification Board, Approved Continuing Education Provider (#OP-13-2400) for Grafton employees seeking to learn from our subject matter experts.

How would you describe the culture for employees at Grafton?

What we do makes a difference in people’s lives. We strive to give our employees what they need to provide our clients with the highest level of service and support every day. Our focus is empowering individuals.

We empower our teams through strong leadership and collaboration among colleagues. We empower our clients — children, adolescents, and adults with complex mental health challenges — to live their best lives. And we empower communities by being a good partner and reinvesting resources into those areas in which we work.

What benefits does Grafton offer employees?

Grafton offers competitive benefits including:

  • Healthcare
    • 100% coverage for routine preventative care as well as other in-network benefits
    • Prescription drug coverage
    • Dental and vision coverage
    • Flexible spending accounts
  • Long-term Financial planning
    • 401K
    • Voluntary life insurance
  • Work/life balance
    • Educational assistance program
    • Paid time off, based on length of employment
    • Sick leave
What does Grafton do that makes it unique from its peers?

While many organizations focus on providing either behavioral healthcare or treating those with intellectual disabilities, Grafton has found that serving both populations improves outcomes for all. Teams serving individuals with intellectual and developmental disabilities are able to learn from those providing the latest psychotherapeutic approaches — and vice versa — deepening and broadening the available expertise. Further, our six decades of clinical practice, evidenced-based data and record of successful outcomes support this integrated approach

While “trauma-informed” has become a frequent buzzword in behavioral healthcare, Grafton is a true pioneer in the application of trauma-informed principles. For more than a decade, we have taken a trauma-informed approach with each client we serve by adhering to a philosophy of comfort vs. control:

  • Recognizing the pervasiveness of trauma – with a high likelihood of past trauma, it is critical to ensure adequate support for these experiences
  • Identifying and addressing trauma as early as possible
  • Understanding the connection between current behaviors and past trauma history



How does Grafton coordinate clients’ care with other agencies and with the communities in which it resides?

In most cases, the Grafton Case Manager is the first point of contact for our community partners. Case Managers focus on keeping referral agencies informed of many issues including: progress in treatment, medical issues, significant incident notifications, planned residential activities/outings, and other events.

What third-party credentials has Grafton received (e.g. licensing, accreditations, commissions, and/or associations that require standards and/or compliance requirements)?

Grafton is:

  • Licensed by the Virginia Department of Behavioral Health & Development Services for: outpatient services, residential service for children, programs for adults in Virginia and our psychiatric residential treatment facilities
  • Licensed by the Virginia Department for Education for educational services
  • Accredited by AdvancEd for our Berryville residential treatment center and our three private day schools in Winchester and Richmond
  • Nationally accredited by CARF for outpatient and psychiatric residential treatment facilities
How does Grafton measure outcomes?

Grafton is committed to helping each individual served meet his/her individualized goals, promoting a successful transition to a less restrictive setting, as soon as possible and appropriate, within the individual’s home community.

The rigor Grafton applies to measuring progress in clients’ plans of care, and in using the data gathered through this process to inform future treatment decisions, makes the organization unique among its peers. We support the recovery and well being of clients and families by:

  • Enhancing their quality of life
  • Reducing their referral behaviors, addressing their needs and building resilience
  • Restoring or improving their functional autonomy
  • Facilitating their integration into the community

Over the past decade, we have successfully implemented a formal “Goal Mastery” initiative that seeks to assure objectives established for each individual are clearly defined, meaningful, and measurable. Data for each goal is graphed, with formal systems in place for review. Changes are made, as the need indicates, to treatment and instructional strategies. In addition to the collection and meaningful use of individual data, aggregated data for all individuals served is reviewed and used to drive organizational change, as applicable. Since this Goal Mastery initiative was implemented, Grafton has consistently exceeded its target goal rate of 80%.

How does Grafton partner with the communities in which it resides?

Grafton collaborates not only with communities but also with families and other health care organizations to provide the best possible care and achieve demonstrable outcomes. We are a dedicated partner to the communities that we serve. For example, through a partnership with the state of Virginia, we work with the City of Winchester’s Department of Social Services to provide early intervention services for children aged birth to age three.

In addition, because we believe it is very important for individuals to develop natural connections within their communities, we work closely with local resources to integrate our services and facilitate social connections. In so doing, we are able to identify vocational learning opportunities as well as recreational and leisure activities for children and adolescents residing in Grafton’s specialized therapeutic group homes.


How does Grafton receive referrals?

referral form is located in the upper right corner of our website. Admission staff is available Monday thru Friday 8 a.m. to 6 p.m. by calling 888-955-5205. Voice mail is available for calls received outside of those hours. All calls are returned within 24 hours.

In addition, parents can go through their local school system, Department of Social Services office, and Community Service Boards or Community Service Agency. They can also be referred through their child’s physician or current hospital provider.


Are there situations in which Grafton will not accept an individual for services?

While we welcome and admit many individuals with complex co-occurring diagnosis and challenges, there are a few situations in which Grafton may refer an individual for treatment to a more appropriate facility. These include individuals who:

  • Have major medical problems requiring continuous medical oversight or treatment such as that provided in an acute care hospital (i.e.: 24-hour skilled nursing care, on site physician, technological monitoring)
  • Who are currently suicidal and are in imminent danger of harming themselves and, therefore, require an acute care inpatient level of care
  • Who are currently homicidal and are in imminent danger of harming others and, therefore, require an acute care inpatient level of care
  • Who require inpatient medical detoxification for drug or alcohol abuse

Grafton may determine individuals inappropriate for admission who:

  • Is in an acute psychotic condition
  • Is exhibiting behavior that endangers themselves or others
  • Has a history of setting fires
  • Has a highly contagious medical condition that in and of itself presents a clear danger to the individual or others (e.g. tuberculosis)
Does Grafton offer continuing education for people who are not employees?

Yes. We offer a wide range of (Type II continuing education) courses from a Behavior Analysis Certification Board, Approved Continuing Education Provider (#OP-13-2400) for those outside the organization seeking to learn from our subject matter experts. The cost is $20 per credit.

How do I obtain a continuing education certificate?

Once you complete the online reading, answer the questions, provide an approved response and pay for the CE credits, you will be able to download, save and print your certificate.

What organizations will accept the CE credits?

Grafton is approved by the BACB as a provider for continuing education credits (#OP-13-2400). Please contact your professional organization to find out if these activities are recognized for CE credits.

For courses and/or webinars that require essay responses, what is the approximate response time?

We will respond within five business days for quizzes that require essay responses.


How long are the certificates available once I complete a course?

Certificates are valid for two years from the date that test was taken.