What are outpatient behavioral services?
Boundless outpatient services provide treatment for a range of behavioral health concerns. Our health professionals specialize in serving children, adolescents, and adults with co-occurring intellectual and developmental disabilities and/or behavioral health challenges.

Whether you are looking for community-based counseling or a comprehensive psychological evaluation, our flexible options for clinic, community, or in-home services allow us to engage individuals in the environment that works best for them.

What services are available?
Available services vary by county and can include psychiatry and child psychiatry, individual family, and group therapy, telepsychiatry, psychological evaluations, behavior management, care coordination, day treatment, our Early Identification Clinic, community-based counseling, speech and language therapy, and behavior consultations.
What makes us stand out?

We are the only organization in Ohio with both CQL and CARF accreditation. Our commitment to love, excellence, respect, and well-being shines through in everything we do.

About our outpatient services


Augmentative Alternative Communication (AAC) Clinic

AAC opens a world of possibilities for people with speech or language challenges.

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An augmentative alternative communication device can open an exciting new world of possibilities for individuals with speech or language challenges. Our AAC Clinic helps bring that world within reach. Your first visit to the Boundless AAC Clinic begins with a speech-language evaluation to determine if our clinic is right for you. If after your evaluation our speech pathologists determine a device would be beneficial, we help select the best device for you or your loved one.

Once a device recommendation has been made, we then help work with your private insurance and/or Medicaid to secure funding. After the device is purchased, our team works with you to make sure you’re comfortable and getting the most out of your new device.

Care Coordination

Care coordination is available to children, adolescents, and adults, in the home and in the community.

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Care coordination services are available across a range of diagnoses and ages. This service can include the following:

  • Linkage to resources, community supports, and programs
  • Education and advocacy for children and adults in a school setting and in the community
  • Assistance navigating insurance, Medicaid, and Social Security disability funding
  • Training for the individuals we serve and families
  • Coordination of multiple service modalities
  • Transportation
  • Financial planning
  • Guardianship

Community-Based Therapy

Our clinicians are experienced in treating individuals with depression, anxiety, ADHD, intellectual disabilities, autism, and more.

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Our team of clinicians provide individual counseling services at home, school, and in the community, and specialize in serving children, adolescents, and adults with co-occurring intellectual and developmental disabilities and/or behavioral health challenges. We are experienced in treating individuals with depression, anxiety, adjustment disorder, ADHD, bipolar disorder, psychosis, oppositional defiant disorder, conduct disorder, intellectual disabilities, autism, and more.

We engage family members, school staff, and other care providers to develop well-rounded strategies that address the unique challenges of the individuals.

  • Licensed mental health professionals provide trauma-informed counseling
  • Intensive counseling services with sessions up to several times per week, based on assessed need are available
  • Topics addressed can include, but are not limited to, trauma, grief, suicidal ideation, self-harm, self-esteem, communication, coping skills, anger management, bullying, interpersonal relationships, conflict resolution, decision making, and emotional regulation

Early Identification Clinic

Our Early Identification Clinic helps identify children under the age of six with autism spectrum disorder and other developmental delays.

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Our Early Identification Clinic (EIC) identifies children under the age of six with autism spectrum disorder and other developmental delays, including speech, motor, and cognitive delays. We use state-of-the art tools to aid in our assesment, such as the Autism Diagnostic Observation Schedule (ADOS-2). Our team of behavioral health professionals includes a child and adolescent psychiatrist, speech/language pathologist, and a child clinical psychologist.

Outreach Applied Behavior Analysis Services

We provide consultations to increase adaptive skills and decrease challenging behavior.

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Alongside board-certified behavior analysts, we provide consultations to schools and adult service placements to increase adaptive skills and decrease challenging behavior. For intensive applied behavior analysis therapy, 1:1 staffing is available.

  • Functional behavior assessments help determine why challenging behavior occurs and inform treatment
  • Skill assessments guide treatment and strategies for the development of new skills
  • Family training reduces challenging behavior and fosters skill-building opportunities
  • Follow-along services monitor progress and provide ongoing training, education, and feedback to families and professionals

PharmBlue Specialty Pharmacy

Boundless is proud to partner with PharmBlue, an independent specialty pharmacy, to provide you with convenient and discreet pharmacy services.

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Our on-site medication concierge, Courtnie Grubaugh, is your first contact for enrolling as a PharmBlue member. She will coordinate your pharmacy needs to ensure that you receive your medications on time and will continue to be your personal point of contact to help resolve any questions.

PharmBlue Specialty Pharmacy offers a range of solutions for patients to fit their needs. Our state-of-the-art systems and procedures reduce the stress often felt by the individuals we serve when working with a pharmacy. By eliminating these issues, both the individual served and the physician can focus more on treatment and healing.

Contact Courtnie Grubaugh, Medication Concierge, directly at 800.313.5138, or email her at PharmBlue@iamboundless.org to learn more about how PharmBlue can help you today.



Boundless offers a variety of in-person and telehealth psychiatric treatment options for children and adults.
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Psychiatry is a critical component of treatment for individuals seeking help with behavioral or mental health challenges. At Boundless, we offer an integrated program of psychiatry, telepsychiatry, and care coordination so that access to the care you need is never a barrier to treatment. Our team specializes in working with individuals with intellectual disabilities and behavioral health challenges.

Psychological Evaluations

Our team of licensed psychologists specialize in conducting evaluations for a range of developmental disabilities.

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Our team of licensed psychologists specialize in conducting evaluations for a range of developmental disabilities, including autism, ADHD, oppositional defiant disorder, learning disabilities, dyslexia, and a host of related mood disorders. We utilize a combination of interviews and state-of-the-art evaluation tools such as the Autism Diagnostic Observation Schedule (ADOS-2). After initial assessments are concluded, we provide a detailed report complete with treatment recommendations.


Speech and Language Therapy

We offer innovative one-on-one speech and language therapy from a state-licensed speech-language pathologist (SLP).

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We offer innovative one-on-one speech and language therapy from a state-licensed speech-language pathologist (SLP). Our SLPs provide person-centered, evidence-based therapy — as well as intervention services and speech and language education for families.

Services include:

  • Evaluation
  • Diagnosis and treatment of speech, language, and social communication deficits
  • Augmentative and alternative communications (AAC) therapy

Our speech and language team collaborates with other staff members and parents to encourage carryover skills that drive meaningful improvements.

Meet our psychiatric providers

Dr. Nithya Ramanathan 

Dr. Nithya Ramanathan 

Medical Director, Boundless Behavioral Health

Dr. Ramanathan is board certified in child and adolescent psychiatry and adult psychiatry. She completed her residency and fellowship at The Ohio State University and has been in practice as an outpatient psychiatrist for the past fifteen years. She has a passion for working with children and adults with autism and developmental disabilities. Dr. Ramanathan has extensive experience in providing mental health services to patients with mood disorders, anxiety disorder, and other mental health conditions. She has worked in community psychiatry for several years has a passion for teaching and enjoys working collaboratively with counselors, nurses, and care coordinators.

Alexa Kaufman

Alexa Kaufman

Psychiatric Mental Health Nurse Practitioner

Alexa provides comprehensive mental health care by prescribing medication and providing psychotherapy. She received a bachelor’s degree in public health with a concentration in sociology and a master’s degree in psychiatric mental health nursing from The Ohio State University. Alexa is from Powell, OH, and spent many years working with individuals with disabilities and autism by volunteering with her mother, who is an intervention specialist. Alexa continued to gain clinical experience in the field of mental health during her career at The Ohio State University Wexner Medical Center, Harding Hospital. In her free time, she enjoys yoga, biking, and hanging out with her two Siberian Huskies.

Evan Silverland

Psychiatric Mental Health Nurse Practitioner

Evan has been interested in relieving the mental anguish of others from a very young age, even before he truly understood that meant working in mental health. It wasn’t until the end of grade school that he realized his passion for brain sciences, ultimately leading him to study psychology at Indiana University. In addition to his undergraduate studies, Evan also worked in a lab which focused on the ways social/emotional development in childhood affects life outcomes in adults, as well as the impact of bedtime routines on sleep patterns, moods, and behavior. In 2016 he moved to Columbus to begin his graduate studies at OSU and started working at Harding Hospital, first as a psychiatric care technician and then as a nurse, helping children, adolescents, and adults struggling with psychiatric crises.

Stephanie Tronolone

Stephanie Tronolone

Psychiatric Mental Health Nurse Practitioner

Stephanie provides assessments, diagnosis, and medication management to children, adolescents, and adults. Stephanie specializes in mood and anxiety disorders across all ages and for those with autism spectrum disorder and/or intellectual disability. She began her career working in the Emergency Department at Riverside Methodist Hospital for several years. During that time, Stephanie gained experience in psychiatric emergencies and crisis management. Stephanie earned a bachelor’s degree in nursing and a master of science in nursing from The Ohio State University, graduating magna cum laude. In her free time, Stephanie enjoys rock climbing, hiking, cooking, and spending time with her fiance and two cats.


How can I learn more?

For intake information call 1.800.409.2729.

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