About Us

Essential for Living (EFL) is a functional life skills curriculum and framework designed to improve quality of life for individuals with moderate to severe disabilities. EFL prioritizes skills that matter most for safety, autonomy, communication, health, dignity, and meaningful participation in daily life.

What distinguishes EFL is not only the curriculum itself, but the team of clinicians, educators, and collaborators who continue to develop, implement, and refine it across schools, clinics, and communities worldwide.

Leadership & Core Team

Troy Fry

CEO, Chief Clinical Officer (CCO), Co-Author of Essential for Living

Troy Fry

CEO, Chief Clinical Officer (CCO), Co-Author of Essential for Living

Troy Fry is a Board Certified Behavior Analyst and co-author of Essential for Living. He serves as the Chief Executive Officer and Chief Clinical Officer, providing overall clinical leadership, strategic direction, and stewardship of the Essential for Living curriculum.

Troy has spent decades working with individuals with moderate to severe disabilities across educational, residential, and community-based settings. His work has focused on ensuring that assessment, skill selection, and intervention decisions are grounded in social validity, dignity, and meaningful quality-of-life outcomes. Through his leadership, EFL has continued to evolve as both a practical curriculum and a broader framework for ethical, functional, and compassionate practice.

In addition to his leadership role, Troy is deeply involved in advanced consultation, mentorship, and content development. He plays a central role in shaping strategic partnerships, guiding clinical priorities, and supporting organizations and practitioners implementing EFL across diverse service systems and cultural contexts.

Areas of Expertise

  • Co-author and clinical steward of Essential for Living
  • Clinical decision-making, integrity, and oversight
  • Advanced case consultation and mentorship
  • Strategic relationships and long-term vision for EFL
Patrick McGreevy

Founder, Co-Author & Senior Clinical Advisor

Patrick McGreevy

Founder, Co-Author & Senior Clinical Advisor

Patrick McGreevy is the founder and co-author of Essential for Living and a foundational figure in the development of functional, socially meaningful approaches to teaching individuals with moderate to severe disabilities. He received degrees in Psychology and Special Education from the University of Iowa and earned his Ph.D. in Education from the University of Kansas under the mentorship of Ogden R. Lindsley.

Patrick has served as a special education teacher, university faculty member, author, journal editor, consultant, and international presenter. He is the author of Teaching and Learning in Plain English, founder and first editor of the Journal of Precision Teaching and Standard Celeration Charting, and the first author of Essential for Living. His work has profoundly influenced the application of Precision Teaching, verbal behavior, and functional skills instruction worldwide.

For more than 30 years, Patrick has provided consultation to school districts, residential programs, and hospitals, specializing in the simultaneous management of severe problem behavior and the teaching of communication and language skills to individuals with limited repertoires. He continues to serve as Senior Clinical Advisor to EFL, contributing to curriculum refinement, clinical philosophy, and decision-making to ensure the integrity and longevity of the framework.

Areas of Expertise

  • Foundational development and authorship of Essential for Living
  • Clinical philosophy, Precision Teaching, and verbal behavior
  • Advisory leadership in curriculum evolution and integrity
  • Consultation for severe problem behavior and communication development
Miguel Ávila

Director of Strategic Partnerships & Development; Senior Consultant / Trainer

Miguel Ávila

Director of Strategic Partnerships & Development; Senior Consultant / Trainer

Miguel Ávila is a Board Certified Behavior Analyst and international consultant with extensive experience in applied behavior analysis, crisis management, and professional training. He supports the strategic growth and international development of Essential for Living through systems-building, partnerships, training, and consultation across educational, clinical, and community settings.

Miguel has played a central role in the international dissemination of Essential for Living, including coordinating, translating, and editing the Spanish editions of the Professional Practitioner’s Manual and the Assessment and Record of Progress Manual. His work has contributed to the expansion of EFL implementation across the United States, Latin America, and other Spanish- and Portuguese-speaking regions.

Prior to his work with EFL, Miguel served as a Project Specialist and Instructor with the Professional Crisis Management Association (PCMA), delivering crisis management training using a train-the-trainer model and providing consultation nationally and internationally. He has also served as an Adjunct Professor at the University of West Florida.

Miguel is fluent in English and Spanish and is deeply committed to integrating compassionate, trauma-informed approaches with applied behavior analysis.

Areas of Expertise

  • Strategic planning and international expansion
  • Training, consultation, and mentorship (English & Spanish)
  • Integration of EFL with complementary frameworks (e.g., crisis management, PFA/SBT)
  • Development of certification pathways and partnerships
  • Ability to deliver PCM Practitioner-level courses
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Karie Seifert

Operations Director

Karie Seifert oversees the operational systems that support the delivery of training, consultation, and curriculum distribution.

Areas of Expertise

  • Operations and administrative workflows
  • Billing and logistics
  • Scheduling and coordination

International Reach

EFL is implemented and supported across multiple regions worldwide, with local leadership driving training, publishing, and community development.

United States flag

United States

Headquarters — training, consultation, and curriculum development

Latin America flag

Latin America

Spanish-speaking regions — Diversitad (Diana Vergara)

Brazil flag

Brazil

Publishing, training & certification — CEDIN (Amanda Bueno & Daiton Martins)

Italy flag

Italy

Clinical partnership & training — Dr. Chiara Pezzana

Russia flag

Russia

Translation project

China flag

China

Translation project

France flag

France

Translation & online training

Clinical & Strategic Affiliations

EFL collaborates with aligned organizations and leaders to support evidence-based, compassionate practices for individuals with moderate to severe disabilities.

Dr. Mark Sundberg VB-MAPP AuthorDr. Vincent Carbone Carbone Clinic
Our Services

Our Services

We provide a functional life skills curriculum, Essential for Living, for school districts, private schools, residential programs, hospitals, and families. We also provide in-person and virtual consultations for children and adults with moderate-to-severe disabilities, problem behavior, and limited communication skills, along with workshops and follow-up intensive training sessions for professionals working with these individuals.

We are dedicated to providing quality services for children and adults with moderate-to-severe disabilities and related products based solely on scientifically validated principles and procedures from Applied Behavior Analysis (including B.F. Skinner's analysis of Verbal Behavior), the Experimental Analysis of Behavior, Behavior Therapy, Direct Instruction, and Precision Teaching.

We are also committed to providing services consistent with an individual's right to effective instruction and treatment — the right to the least restrictive procedure that has a high probability of resulting in effective instruction or treatment.

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