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Services include: Emergency Services are unscheduled and sometimes scheduled crisis intervention, stabilization, and referral assistance provided over the telephone or face-to-face, if indicated, 24 hours per day and seven days per week to people seeking such services for themselves or others. Services may include walk-ins, home visits, and jail interventions. Emergency Services may include preadmission screening activities associated with admission to a state hospital or training center. Project REACH is a program to support adults and adolescents with intellectual disability and/or developmental disability, as well as mental health condition or challenging behavior that is negatively affecting their quality of life. Purchase of Inpatient Hospitalization Psychiatric Services/Medication includes the provision of psychiatric nursing services by licensed psychiatrist and nurses and may include medication services including prescribing medications and medication management. Outpatient Services are generally provided on an individual, group, or family basis, and usually in a clinic or similar facility or in another location. Outpatient Services may include diagnosis and evaluation, screening and intake, counseling, psychotherapy, behavior management, psychological testing and assessment, laboratory and other ancillary services. Case Management assist individuals and their family members to access needed services that are responsive to the person's individual needs. Services include: identifying and reaching out to individuals in need of services, assessing needs and planning services, linking the individual to services and supports, assisting the person directly to locate, develop, or obtain needed services and resources, coordinating services with other providers, enhancing community integration, making collateral contacts, monitoring service delivery, and advocating for people in response to their changing needs. Day Support Services are services provided in the community and in the program that are individualized activities, supports, training, supervision, and transportation to individuals with intellectual disability to improve their functioning or maintain an optimal level of functioning. Specific components of this service develop or enhance the following skills: self-care and hygiene, eating, toileting, task learning, community resource utilization, environmental and behavioral skills, medication management and transportation. Group Homes provide overnight care in a group home with an intensive treatment or training program. The group home provides 24 hour supervision for individuals who require training and assistance in basic daily living functions such as meal preparation, personal hygiene, transportation, recreation, laundry, and budgeting. Employment Services provide work and support services to groups or individuals in non-residential settings. a. Sheltered Employment Services provide work in a setting that is for individuals with disabilities who are not ready, are unable, or choose not to enter into competitive employment in an integrated setting. This service includes the development of social, personal, and work-related skills based on an individualized services plan. b. Supported Employment provides paid employment to an individual placed in an integrated work setting in the community. The employer employs the individual. On-going support services that may include transportation, job-site training, counseling, advocacy, and any other supports needed to achieve and to maintain the individual in the supported placement are provided by an employment specialist, co-workers of the supported employee, or other qualified individuals. Supported Residential Services are services that support individuals in their own housing arrangements with staff.

Provide outpatient mental health therapy for children and their families.

Provides outpatient psychotherapy, psycho-diagnostics, psychological testing and neuro-psychological testing. Serves adults, youth and children over age 2 in need of mental health evaluation or counseling.

Offered in each of the offices by clinical social workers, and counselors. Outpatient counseling services are brief in nature, often utilizing "solution focused" or other brief models of behavior modification. Provided at four different locations: Main Center (adjacent to SWCC), Tazewell County Satellite Office (Tazewell), Russell County Satellite Office (Lebanon), and at the Buchanan County Satellite Office (Grundy).

RACSB offer psychiatric counseling to individuals, groups and families; specialized outpatient counseling and case management services; case management services to link individuals to community resources and to inpatient/residential programs. RACSB also offer emergency crisis intervention.

A private agency licensed by the Department of Mental Health, Mental Retardation and Substance Abuse Services to provide: *Intensive In-home *Client Behavior Intervention *Mentoring *Mental Health Supports *Supported Residential Services/In-home Under Both the Mental Retardation/Intellectual Disabilities(MR/ID) and the Developmental Disabilities (DD)Waivers *Crisis Stabilization Under Both the MR/ID and the DD Waivers *Crisis Supervision Under Both the MR/ID and the DD Waivers.

Therapeutic Day Treatment (TDT) Services are coordinated in partnership with Hampton and Newport News School Systems and provide supports for students experiencing emotional and/or behavioral problems.

Partial Hospitalization Program (PHP) is a short-term (10-15 days), intensive treatment program for male and female adolescents ages 12 to 18 who are experiencing an acute crisis. The program includes multidisciplinary assessment, treatment, and stabilization with the goals of maintaining safety, crisis management, and symptom relief. PHP is held Monday through Friday for six hours per day. Adolescents attend PHP instead of school as a medical leave of absence. PHP allows the adolescent to remain in his/her home and community while receiving an intensive therapeutic experience primarily through group therapy with peers.

Case Management / Support Coordination programs coordinate the delivery of services for persons with behavioral health, substance use and intellectual/developmental disabilities. This includes a comprehensive assessment of individual needs in the areas of housing, vocational training/ employment, physical health, psychological / psychiatric treatment, and other life domains. This assessment includes the compilation of developmental, educational, vocational, social, and psychological evaluations as well as information from the person's family and other service providers. Once the individual has been assigned a Case Manager / Support Coordinator, a service plan is prepared which includes the strategies most appropriate for meeting each individual's needs. The Case Manager / Support Coordinator will assist the individual and family by linking or connecting them with the identified, available service provider(s) or resources.

Provide diagnostic evaluations as well as a variety of evidence-based services that support families and their children and adolescents with autism spectrum disorder (ASD) and related challenges. Increase Helpful Behaviors with ABA Applied Behavior Analysis (ABA) is a proven approach that focuses on increasing behaviors that are helpful and decreasing behaviors that are harmful or interfere with learning. VIA's Outpatient Behavioral Services team delivers ABA services in two ways: Build Skills for Daycare, Preschool, or Kindergarten with Early Intervention (ages 2 to 6) Help Children Succeed in Their Local Schools with Intensive School-Based Intervention (ages 5 to 22) Outpatient psychological services include psychological assessments for a variety of developmental and emotional concerns, parent support and coaching, social skills and emotional regulation groups, and therapy for children and adolescents diagnosed with ASD, other neurodevelopmental disorders, and related mood disorders. Speech therapy offers evaluation and treatment of varied communication disorders aimed at increasing clients' communication and independence while focusing on individual strengths and interests. Services are provided at the outpatient clinic and often include family training and consultation.

Provides comprehensive community based services to children, adolescents and their families to help create healthy youth today for healthier adults tomorrow.

Host monthly Lunch & Learns to educate the public about important topics like suicide prevention, provide Mental Health First Aid to the community, provide Resource Guides to help those in need find therapy and resources quickly and easily, and bring together leaders from partner organizations to set community-wide goals to improve mental health access. Provide referrals to local services and providers.

Provides short term treatment for adults who require both comprehensive psychiatric/addiction evaluation and stabilization of their psychiatric symptoms and substance abuse. The program is uniquely designed to offer a comprehensive approach, integrating mental health and addiction treatment in a single program design.

Provides a variety of evidence based programs in school and community settings that are designed to address the prevention of violence and the use of alcohol, tobacco and other drugs by youth. Partnerships with the school districts, YMCA centers and other youth serving organizations provide a variety of settings for the provision of services to a diverse range of children and youth. These services are designed to increase participants' skills and enhance their resiliencies to better cope with life's challenges and to help them succeed in school and other endeavors. Youth leadership skills are emphasized to encourage healthy youth development for all children and teenagers. Services are research based and evaluated. RAYSAC, the Roanoke Area Youth Substance Abuse Coalition, is staffed by Prevention and sponsors many events and activities promoting drug free messages. A SAMHSA Drug Free Communities grant will provide coalition resources through 2010. The coalition's signature annual events are the After Prom Grand Finale in June and Red Ribbon Week in October. For more about RAYSAC go to www.raysac.org Prevention Planning Teams in Botetourt County and the cities of Roanoke and Salem meet regularly under BRBH Prevention Services leadership to gather, assess and analyze youth risk behavior data in order to identify areas of high risk behavior and plan prevention and intervention services tailored to local needs. Prevention staff are members of the Roanoke County Prevention Council, also a SAMHSA Drug Free Communities grant recipient, which performs similar functions and partners with RAYSAC in a variety of community events. Disaster Preparedness and Response includes the BRBH Crisis Response Team first mobilized to respond to the shooting at Virginia Tech in April 2007. Since that time these employees have received additional training in preparation for future local disasters. The role of "mental health responder has evolved over the last decade as more school shootings, the 9/11/01 attack and other disasters effecting large numbers of people have gotten public visibility and concern. This BRBH component is developing as resources become available and partnerships with other local emergency response organizations are institutionalized. Training and Staff Development provides education and training to BRBH employees and other nonprofit organizations. Training in new evidence based models, to meet licensure requirements, to enhance professional skills and to address performance issues is all coordinated through this component.

Connections ABA & Family Support Services Provides home-based and clinic-based Applied Behavior Analysis (ABA) services for children and adolescents under the age of 21 who demonstrate significant impairment in adaptive functioning that is related to either developmental delays or other health conditions.

Mental health outpatient services are provided consisting of comprehensive assessment and evaluation of an individual's mental health needs, therapy sessions, prescribing and monitoring medications as needed, and case management assistance in assessing community resources.

Prevention Services provide evidence-based programs & trainings focused on substance abuse, opioid/prescription medication misuse and suicide prevention. Prevention Services also work closely with community coalitions and community partner organizations to address these community issues. Prevention programs & trainings include: Mental Health First Aide, Adverse Childhood Experiences (ACE's), Suicide Prevention Gatekeeper Training, Overdose Reversal Training (REVIVE), and Community Presentations on Resiliency and Life Skills Development.

Support coordination services for children (from birth to 18) help families understand and connect with services that support a child's behavioral, developmental, and social needs. These services aim to help children and youth become more involved in family and community life. Different types of support coordination are available, depending on each child's specific needs.

Community mental health,intellectual development and disability services , substance abuse services and emergency services.

RACSB offer psychiatric counseling to individuals, groups and families; specialized outpatient counseling and case management services; case management services to link individuals to community resources and to inpatient/residential programs. RACSB also offer emergency crisis intervention.

Intensive In-Home services is a home-based program that provides stability for children, adolescents and their family. By going into your home we are able to better understand your child, their mental health and family relationships. We work with families to create individualized goals for your child. We teach age-appropriate strategies to help them learn how to manage their mental health symptoms, regulate emotions, positive coping skills and techniques, and communication skills.

Region Ten provides a wide array of substance use treatment that includes a comprehensive continuum of care to meet individual preferences and needs, as well as recommended levels of care. This continuum includes outpatient therapy (group and individual), case management, care coordination, intensive outpatient program, co-occurring treatment, peer support, and residential levels of care. These services are provided throughout Region Ten's sites and locations.

The Behavioral Health Clinic provides mental health counseling (individual and group therapy), substance use services (including Medication Assisted Therapy for opioid addiction and substance use care coordination), and psychiatric medication management.

Provides diagnostic, psychotherapy, and education services to all ages related to Adjustment Disorders, Alzheimer's, Anxiety Disorders, Autism Spectrum Disorders, Attention Deficit Disorders (ADHD), Behavior Management, Brain Injury, Conduct Disorder, Dementia, Depression, Developmental Disabilities, Mood Disorders, Oppositional Defiant Disorder, Parenting, and Post Traumatic Stress Disorder (PTSD).

Offers psychiatric, psychological and counseling services for children, adults and families affected by mental illness, substance abuse or intellectual developmental disabilities.