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:

The Monarch Model emphasizes the use of assessments to guide instruction. Each student’s visual language, communication, academic, sensory, behavior, and other developmental domains are assessed by a team of Monarch professionals including Speech-Language Pathologists, Occupational Therapists, Intervention Specialists, Board-Certified Behavior Analysts (BCBA), and Psychiatrists. To ensure IEP and SP goals and objectives are appropriate and socially significant, it is critical to assess a student’s current level of functioning in all areas.

The Monarch Model maximizes the learning opportunity that visuals can provide by applying visual supports within a structured language system rather than using them as isolated icons. Each individual’s level of visual representation is assessed, so customized visual supports (e.g., photographs, line drawings, clipart, written words) can be created that are meaningful and effective, around three primary constructs:

  • Visual Instruction (adapting instruction so it is presented visually)
  • Visual Expression (using visuals to facilitate expressive communication)
  • Visual Organization (using visuals to organize activities and daily schedules)

Educational software, video modeling, mobile devices, and web-based tools, including VizZle™, are used liberally to support each student's Individualized Education Program (IEP)/Service Plan (SP). In addition, many individuals at Monarch use Speech Generating Devices, as well as Apple iPads, computers and SmartBoards, which facilitate interactive instruction and expressive and receptive communication. Technology is an integral and essential way to reinforce concepts by taking advantage of the attraction it holds for individuals on the autism spectrum. Technology-based instruction has been proven to promote motivation, attention, reinforcement, instruction, expression, and organization among individuals with autism.

The Monarch Model embraces a natural language curriculum that serves as an extension and elaboration of state curricular standards. We recognize that the individual’s available language system, including vocabulary and concepts, can dictate the extent to which they can successfully participate in learning. By maximizing access to language and providing continuous "teachable moments" in a natural environment, the potential for richer and more meaningful expression and understanding is made possible. Students are taught seven communicative functions, which include:

  1. Protesting and Refusal
  2. Organization and Transitions
  3. Requests
  4. Directives
  5. Comments
  6. Questions
  7. Social Pragmatics
  • Applied Behavior Analysis (ABA) principles and strategies are embedded throughout Monarch’s Visual Language Immersion Treatment Model, thereby maximizing its effectiveness.
  • School-wide Positive Behavioral Interventions and Supports (PBIS) is a prevention model. It is based on the premise that all students can benefit from well implemented, evidence-based practices for improving student behavior. School-wide PBIS provides informed decision making based upon an analysis of data that guides the process of assessing students’ needs and providing additional levels of behavioral support to those who benefit from it. In accordance with the Ohio Department of Education’s Policy on Positive Behavioral Intervention and Support, PBIS utilized at Monarch School encompasses a wide range of positive strategies to reinforce desired behaviors, decrease the recurrence of challenging behaviors, and teach appropriate alternative behaviors to students.
  • The goal of PBIS is to provide support at different levels of intensity based on what the student needs at the school wide (Tier 1), targeted (Tier 2), and individual (Tier 3) level of support. The PBIS prevention-oriented framework applies to all students, all staff, and all settings. School staff complete annual training to identify conditions such as where, under what conditions, with whom, and why specific inappropriate behavior may occur. School staff also complete annual training on the supports that correspond with each tier of the PBIS model. 

Monarch School recognizes that to ensure students are ready to learn, we must provide them with appropriate, personalized, and proactive supports to promote a state of regulation (e.g., an individual’s ability to manage his or her internal emotional and physical state to stay calm and engaged). All components work together to facilitate student engagement and participation in their daily routines, including academic, self-help, social, and vocational expectations.

  • Sensory input is a foundational component of how we interact with the world and our bodies; students may demonstrate unique patterns in which they require more or less of different types of sensory input to understand, process, and respond, as well as promote a state of regulation. All sensory systems (i.e., auditory/sound, tactile/touch, visual/sight, olfactory/smell, gustatory/taste, proprioceptive/body awareness, vestibular/balance & coordination, and interoceptive/internal sensations) are considered and addressed proactively on an individualized basis.
  • Co-Regulation is a key aspect of regulation (including future self-regulation) that dictates how adults model and provide support to students during both times of calm and times of distress. Specifically, it is the attuned and responsive interactions between a child and adult that allows them to reach a state of regulation together. This requires building meaningful, trusting relationships with students that positively influence the growth, development, and integration of their brains.
  • Teaching and modeling effective and individualized coping strategies during times of calm are integral to supporting a student’s ability to access and engage in co-/self-regulation when needed. This includes targeted instruction in mindfulness and “noticing in” to further develop students' awareness of their body signals and what those signals mean to promote independence with knowing when/what coping strategy is needed for a given situation.
  • The final key component to promoting regulation is the use of a Strengths-Based practice approach, which encompasses integrating student interests into lessons, fostering their sense of self-worth and successes by providing the “just-right” challenge, facilitating autonomy, competence, and relatedness in student/adult interactions, and ensuring foundational needs are met (e.g., physiological - food/water/warmth/rest; safety - security/safety) prior to placing external demands. This concept asks adults to strike a balance between expecting students to learn new skills (to regulate) and asking the change to come from elsewhere (e.g., adult, environment, routine, etc.).

As individuals on the autism spectrum become more competent in their understanding and use of language, they are better able to manage the demands of a comprehensive educational curriculum. To support this, the Monarch Model selected key language concepts in the content area curriculum and made them a critical, foundational component of instruction. As a result, math, social studies, science, language arts, and reading instruction are more comprehensible and manageable, which enables students to more effectively meet their learning potential.

Individual and program progress are continually assessed and reported with a unique data collection system. The data is analyzed and used to adapt teaching strategies, individualized treatment plans, and crisis management plans, and to generate narrative reports and statistics that reflect the individual’s progress on IEP and SP goals and objectives. This progress is shared with families through case management updates, quarterly progress reports, and annual IEP meetings.

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

Our residential team provides around-the-clock support in a structured, therapeutic environment designed to foster independence, skill development, and overall well-being.

Director: Eric Feitl, MA, BCBA, COBA

Leadership & Program Oversight

  • Director (Master’s degree or higher)
  • Program Managers (Bachelor’s and/or Master’s degree)
  • Staff Development Coordinator (Bachelor’s and/or Master’s degree)

Residential Support Team

  • Floor Supervisors (High school diploma and/or Bachelor’s degree)
  • Autism Treatment Specialists (High school diploma and/or Bachelor’s degree)

 

Our educational professionals deliver individualized instruction and therapeutic supports that help students achieve academic, social, and behavioral success.

  • Administration
  • Intervention Specialists
  • Supervisory Teachers
  • Instructional Assistants
  • Speech-Language Pathologists
  • Occupational Therapists
  • Behavior Analysts
  • Behavior Specialists
  • Registered Behavior Technicians
  • Art Therapist
  • Music Therapist

Our healthcare team ensures students receive integrated medical, behavioral health, and wellness services to support their overall development.

Medical Director: Emily Cao, MD

  • Child & Adolescent Psychiatrists
  • Therapists
  • Pediatrician
  • Dentist
  • Licensed Dietitian
  • Registered Nurses

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.

Prior to your child’s admission, tours are scheduled on a flexible basis based on the clinical team’s availability.

What are meals like, and can families provide food?
Meals are prepared by Normandy Catering Services and approved by Bellefaire’s Registered Dietitian. Residents’ allergies, dietary restrictions, and food preferences are documented upon admission, and every effort is made to prevent exposure and cross-contamination. When appropriate, food variety goals may be incorporated into treatment plans to expand tolerated foods. Healthy snacks are available throughout the day.

What is my child allowed to have in their room?
Residents may have comfort items and personal belongings based on individual needs, safety considerations, and flammability requirements. Items may be kept in bedrooms or in secure storage areas as appropriate.

Can my child have their communication device?
Yes. Communication devices are encouraged, and our Speech-Language Pathologists can assist with programming and maintenance as needed.

Can my child have a tablet or other personal electronics? Is Wi-Fi available?
Yes. Personal electronics may be used during designated leisure times and are securely stored when not in use. Wi-Fi is available throughout campus.

What does a typical weekend look like?
Weekends include structured recreational activities, community outings, and social skill-building opportunities. Residents maintain consistent routines while practicing skills in a variety of settings with appropriate supports.

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.

Is there nursing support and medication management?
Yes. Monarch nurses oversee medication administration and monitor residents’ healthcare needs.

How are medical and dental appointments handled?
Residents have access to on-campus medical and dental services, including annual checkups, sick visits, vaccinations, blood draws, and dental care. Sedation options are available when needed.

Zest Pediatrics provides concierge medical services at the Wuliger Wellness Center on Bellefaire JCB’s campus. Pediatricians from Zest provide medical care to residents from Monarch Boarding Academy including annual well visits, blood draws, vaccinations, sick visits, and more.

Infinite Smiles Dentistry, led by Dr. Shreya Mody, provides dental services to residents from Monarch Boarding Academy at the Wuliger Wellness Center on Bellefaire JCB’s campus. They have a mobile anesthesia unit for sedation if needed.

Will my child receive 1:1 support?
Monarch typically operates with a 2:1 resident-to-staff ratio. Additional staffing, including 1:1 support, is provided as needed based on individual needs and safety.

Are there spaces for regulation and de-escalation?
Yes. Residents have access to sensory rooms, quiet spaces, gross motor areas, playgrounds, and their bedrooms to support regulation and de-escalation.

How are incidents communicated to families?
Families are notified of significant incidents, including physical management, within 24 hours via their preferred communication method. Staff are trained in Safety-Care®, an evidence-based approach focused on prevention, de-escalation, and safety.

Does Monarch have a restraint policy?
Yes. Monarch uses the least restrictive interventions possible and prioritizes prevention and de-escalation strategies. Physical restraint is used only in emergency situations to prevent harm and is never used for discipline, convenience, or retaliation.

Does Monarch have an anti-bullying policy?
Yes. Monarch is committed to maintaining an environment free from harassment, intimidation, and bullying and works to ensure every student is treated with dignity, respect, and safety.

Case management updates are shared with each client’s parents/guardians regularly via either email, telephone call or MS Teams (based on the family’s preference).

Residential Education Program Communication Forms are scanned to families either daily or weekly based on the family’s preference.

In the event of an incident (including but not limited to physical management), an incident report will be shared with the guardians/caregivers within 24 hours via email or phone (based on their preferred method).


Accreditations