Residential Services for Youth with Autism
Located on our 32-acre Shaker Heights, Ohio campus, Monarch Residential Autism Services is a unique residential treatment program comprised of three separate but closely affiliated entities. Two of the three (Monarch Boarding Academy North and Monarch Boarding Academy South) are licensed Qualified Residential Treatment Programs (QRTP) that serve individuals ages 8 up to age 21 with Autism Spectrum Disorder and often other co-occurring diagnoses. The third (Monarch Boarding Academy West), is a licensed Psychiatric Residential Treatment Facility (PRTF) that serves children ages 6 through 12 with Autism Spectrum Disorder and/or Intellectual and Developmental Disabilities. All three programs help residents develop the skill sets they need, including but not limited to communication, sensory awareness, executive functioning, and life skills, so they can return home or to a less-restrictive setting.
Program Features
Residents at Monarch Boarding Academy (MBA) live in comfortable, secure, home-like facilities designed and staffed to enhance social, behavioral, communicative, functional, pre-vocational, and academic growth. Individuals are assigned to a mixed gender program based on age, functional ability, peer group, and clinical presentation. MBA North and South (QRTP) can accommodate up to 10 residents each, and MBA West (PRTF) up to 6 residents. Each resident has their own bedroom. The average length of stay for QRTP is variable based on residents’ needs. The PRTF has a maximum 6 month stay.
To accommodate individuals with varied symptoms, capabilities, needs, ages, and levels of development, Monarch Residential Autism Services’ programming is highly individualized and well organized. Each person’s day, from wake-up to bedtime, is structured and consistent including personal grooming, meal preparation, and recreation. For QRTP residents, educational services are provided five days a week from 8:25am to 2:40pm at Monarch Residential Education School, located in an adjacent building within walking distance. PRTF residents receive educational services in alignment with their IEP/SP, which may include placement at Monarch Residential Education School or in an appropriate alternative setting. On weekends and days off from school (including 4 weeks over the summer), individuals follow their residential routines and schedules and engage in socialization and group skill building activities including cooking club and community outings.
Each resident’s schedule is individualized, and skills are taught in one-on-one and small group settings. Below are interventions and activities offered to residents:
- Assessments in residential and school settings that help inform programmatic decisions
- Individualized Treatment Plan (ITP) and Individualized Education Plan/Service Plan (IEP/SP)
- Regulation supports designed to provide sensory input, teach coping strategies, and promote regulation
- Visual supports designed to assist with instruction, organization, transitions, and communication – please click here to view sample visual supports
- Communication skill building using Augmentative and Alternative Communication (AAC) including visual supports and Speech Generating Devices (SGSs)
- Elements of Applied Behavior Analysis (ABA) to help teach new skills, strengthen emerging skills, and maintain learned skills over time
- Social skill building to promote tolerance, collaboration, conflict resolution, and friendship
- Personal care and independent living activities including personal hygiene, laundry skills, money management, leisure skills, cooking/nutrition, and first aid
- Fine and gross motor activities designed to enhance mobility, improve coordination, and promote exercise
- Academics and pre-vocational training skills
- Recreation and leisure activities to help promote personal growth, exploration of preferences, social engagement, and relaxation
- Community outings that help generalize skills and provide exposure to a variety of social settings
Healthcare Coordination
We prioritize the health, safety and well-being of the youth we serve. All Monarch Residential Autism Services clients have access to routine and preventative medical and dental care on our campus (link to Office of Healthcare Coordination or Zest Pediatrics/Infinite Smiles).
Upon admission, all individuals receive a comprehensive physical examination. Psychiatric and physical healthcare needs are assessed and provided for the entirety of their treatment. For those with more intensive medical needs, we facilitate access to world-class healthcare through partnerships with Cleveland Clinic and University Hospitals.
Residential Education School
All Monarch Boarding Academy North and South (QRTP) residents attend Monarch Residential Education School, a division of Monarch School and a chartered non-public school licensed by the Ohio Department of Education. Located adjacent to Monarch Boarding Academy, students transition seamlessly between home and school each day in a highly supportive environment.
By the Numbers
- 195-day school year (mid-August through mid-July)
- School day: 8:25 a.m.–2:40 p.m.
- Small educational teams: 5–6 students
- Individualized instruction: One-on-one and small group learning
- Serving students nationwide through single-case agreements
Individualized Learning & Therapies
Students receive instruction aligned with their Individualized Education Plan (IEP) or Service Plan (SP) and supported by Monarch’s Visual Language Immersion Treatment Model. Educational teams include:
- Intervention Specialists and Supervisory Teachers
- Instructional Assistants
- Speech-Language Pathologists
- Occupational Therapists
- Behavior Analysts, Behavior Specialists, and Registered Behavior Technicians
- Music and Art Therapists
Students receive academic instruction, speech and occupational therapy services, and specialized supports designed to help them make meaningful progress toward graduation requirements.
Enriching Experiences Beyond the Classroom
Learning extends beyond the classroom through community-based experiences, prevocational training opportunities, and social activities that foster independence and connection.
Students may participate in:
- Community field trips
- Prevocational work experiences
- Cooking clubs
- Dances and holiday celebrations
- Spirit weeks and field day activities
- Art and music therapy
Educational technology, including Speech Generating Devices, is integrated throughout the school day, and student progress is monitored through a robust data collection system to ensure individualized growth and success.
Residential Education School Calendar (2026-27)
The Monarch Model
Monarch’s visual language immersion treatment Model combines concept-driven language instruction, visual and regulation supports, technology, and Applied Behavior Analysis (ABA). Developed through an ongoing partnership with Dr. Howard Shane at Boston Children’s Hospital and Harvard Medical School, it leverages the strong visual processing abilities of individuals with autism, and supports communication, comprehension, language development, social skills, behavior and sensory intervention, and academic achievement. The Model is concept-driven to ensure learning is generalized to multiple contexts including school, home and the community. It is predicated on the systematic and individualized introduction of language concepts accompanied by visual supports, to help individuals with autism develop modes of communication. These modes – spoken, visual and/or written – assist in alleviating frustration, reducing maladaptive behavior, building confidence, and enriching the individual’s quality of life.
The Monarch Model has eight critical elements that are incorporated into daily life at Monarch Center for Autism. Applied Behavior Analysis (ABA) principles and strategies are embedded in each of the elements, thereby maximizing their effectiveness:
Outcomes/Testimonials
"I cannot say enough about the entire staff at Bellefaire JCB. They understood my son and his needs very quickly into his stay and developed an appropriate treatment plan that included behaviors, medical challenges, and his re-engagement into the academic process. They were consistent, firm, loving, kind, and supportive... This was the first facility he has been in where I could just be mom. They gave us hope for his future, which we had begun to lose."
– Family of a SCCU/ITU client from California
"I cannot say enough about the entire staff at Bellefaire JCB. They understood my son and his needs very quickly into his stay and developed an appropriate treatment plan that included behaviors, medical challenges, and his re-engagement into the academic process. They were consistent, firm, loving, kind, and supportive... This was the first facility he has been in where I could just be mom. They gave us hope for his future, which we had begun to lose."
– Family of a SCCU/ITU client from California
"I cannot say enough about the entire staff at Bellefaire JCB. They understood my son and his needs very quickly into his stay and developed an appropriate treatment plan that included behaviors, medical challenges, and his re-engagement into the academic process. They were consistent, firm, loving, kind, and supportive... This was the first facility he has been in where I could just be mom. They gave us hope for his future, which we had begun to lose."
– Family of a SCCU/ITU client from California
"I cannot say enough about the entire staff at Bellefaire JCB. They understood my son and his needs very quickly into his stay and developed an appropriate treatment plan that included behaviors, medical challenges, and his re-engagement into the academic process. They were consistent, firm, loving, kind, and supportive... This was the first facility he has been in where I could just be mom. They gave us hope for his future, which we had begun to lose."
– Family of a SCCU/ITU client from California
"I cannot say enough about the entire staff at Bellefaire JCB. They understood my son and his needs very quickly into his stay and developed an appropriate treatment plan that included behaviors, medical challenges, and his re-engagement into the academic process. They were consistent, firm, loving, kind, and supportive... This was the first facility he has been in where I could just be mom. They gave us hope for his future, which we had begun to lose."
– Family of a SCCU/ITU client from California
Our Multidisciplinary Team
Monarch Center for Autism is committed to maintaining the highest standards of care through rigorous staff training and professional development. From autism-specific interventions and behavioral supports to safety practices and therapeutic approaches, our team receives comprehensive training designed to foster excellence in every interaction and promote meaningful outcomes for the students we serve. Each staff member receives extensive training related to the following:
- Bellefaire JCB and Monarch Residential Autism Services
- CPR, First Aid, and AED
- Safety-Care Crisis Prevention Training
- Acceptance and Commitment Training (ACT)
- Mental Health Training
- Clinical Training (e.g., Applied Behavior Analysis, Monarch Model, Data Collection)
- Client treatment plans
- Dedicated shadow period before working directly with clients
Frequently Asked Questions
Choosing a residential program is an important decision, and we understand that families have many questions. The following FAQs are designed to provide helpful information about daily life at Monarch Boarding Academy, including clinical care, education, communication, and residential supports. Our team is committed to partnering with families every step of the way to ensure each child receives compassionate, individualized care.
Accreditations

How and when will my child interact with peers?
Residents have opportunities for social interaction throughout the day, including meals, group activities, school, community outings, and recreational programming.
How often do residents access the community?
Residents participate in community outings and field trips when appropriate to support skill generalization and social engagement. Participation is based on each individual’s ability to maintain safety in the community.