What are Emergency Services?

 Emergency Services are available to anybody experiencing a behavioral health crisis. The program is staffed by Crisis Counselors who are Graduate level licensed or license eligible clinicians and Virginia Certified Preadmission Screeners. Preadmission Screeners are responsible for coordinating psychiatric hospital admissions. Emergency Services focus on individual rights, privacy, confidentiality and use of least restrictive alternative treatments including outpatient services.

  

How do Emergency Services work?

 Emergency Services are reserved for urgent or severe behavioral health crises. Crisis Counselors work hand-in-hand with the Magistrates Office, Police Departments, Sentara Williamsburg Regional Medical Center Emergency Department, Virginia Peninsula Regional Jail, private care facilities, families and individuals. Emergency Services are available 24 hours a day seven days a week by calling 757-220-3200 or by dropping by the CSB during regular business hours.

  

Who may benefit from these services?

 Any child, adult or elder with mental illness, substance use disorders or intellectual disabilities. Anybody requesting services and anybody referred to services because of a behavioral health crisis.

  

What services are provided?

Suicide and homicide risk assessment Mental status assessment Hospital pre-admission screening Hospital admission and care coordination Civil commitment hearing attendance Hospital discharge planning Crisis counseling and crisis stabilization

What is Case Management?

Case Management helps individuals by:

Accessing supports and services critical to meeting basic needs Improving quality of life Promoting self empowerment

 

How does Case Management work?

Ongoing assessment and person-centered planning are central to Case Management. Services are planned with the individual in support of his/her wellness and recovery plans. Case Management encourages self empowerment and recovery by working with the individual and, whenever possible, his/her support system.

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Who may benefit from these services?

Case Management services are provided to:

Children and adults with intellectual disabilities Adults with serious mental illness (SMI) Children with serious emotional disturbance or at risk of SED Children with developmental delays

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What services are provided in the Case Management program?

Services are provided that support the individual’s plan. Services include:

Assessment Service planning Service coordination Help obtaining/maintaining services Connection to providers Implementation of the person-centered plan Supportive counseling Monitoring

Outpatient Service includes a variety of CSB programs. The following programs all fall under Outpatient Services:

 

Outpatient Counseling

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What is Outpatient Counseling?

This program is a counseling service that uses treatment and intervention to increase the strengths and resources of each individual. The substance abuse focused counseling is designed to increase awareness of the impact of alcohol/mood altering drug use on the lives of substance users, improve the ability to cope with daily stressors without alcohol or drugs, and encourage alternatives to using alcohol or other drugs.

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How does Outpatient Counseling Work?

The program operates in the CSB Williamsburg and Grafton offices Monday through Friday, 8:30 a.m. to 6 p.m. with later evening hours by appointment. The program sets up treatment, education and support networks that empower the individual with the skills and desire needed to begin the mental health and/or substance abuse recovery process.

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Who may benefit from these services?

Services are for anyone with mental illness, substance use disorder and/or co-occurring disorders. Teen substance abuse treatment is offered by contract through Bacon Street. In addition, substance abuse counseling is offered to inmates at the Virginia Peninsula Regional Jail.

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What services are provided in the Outpatient Counseling program?

Services in this program include:

Biopsychosocial Assessment Treatment Planning Group, individual, family and couples counseling Care coordination Consultation Psychological testing (intelligence, personality and achievement)

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Motivational Services

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What are Motivational Services?

The focus of the program is to increase a consumer’s motivation to change behaviors, rather than on changing the behavior itself. Motivational Services are limited services and are provided as non-treatment.

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How do Motivational Services work?

Services are generally provided on an hourly basis, once a week, through group or individual counseling in a clinic. A course may involve single or group sessions. Services are offered Monday through Friday 8:30 a.m. to 6 p.m., with later evening hours by appointment.

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Who may benefit from these services?

Services are for people with mental health and/or substance use behaviors of concern.

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What services are provided through the program?

Motivational Services focus on acceptance of a substance use, anger management or crisis management condition.

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Intensive Outpatient Program (IOP)

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What is Intensive Outpatient Program (IOP)?

The Intensive Outpatient Program (IOP) serves persons with severe substance use disorders to assist substance abuse recovery. The IOP is a more intensive level of service than traditional outpatient service, but is less intensive than inpatient treatment. It is also capable of treating individuals with a relatively stable co-occurring mental illness and substance use disorder.

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How does IOP work?

 The IOP provides nine or more hours of group programming per week (three hours a day, three times a week), mainly made up of counseling and education about substance-related and mental health problems. In addition, each person takes part in an individual, marital or family counseling session one hour a week and case management services as needed

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Who may benefit from these services?

The IOP is provided to adults age 18 and over and their family members. Pregnant women are given priority and are scheduled within 48 hours of referral. Other priority populations are females with dependent children, IV drug users with substance dependency or abuse disorders and individuals being discharged from detoxification facilities or inpatient treatment.

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What services are provided in IOP?

At least nine hours per week of a mix of group counseling and psycho-educational groups Family services and/or multi-family services with family members or significant others  Individual counseling Psychiatric and medical services through the CSB or outside referral Motivational enhancement and engagement strategies, which are used in preference to confrontational approaches Case management services Crisis Services

What is Psychiatric Services?

The CSB provides Psychiatric Services to patients after the initial intake screening and clinical consultation. Patients are then scheduled for a one hour initial psychiatric evaluation completed by a psychiatrist licensed to prescribe medications. Through the course of medication monitoring in conjunction with other agency treatment programs patients are monitored for side effects, effectiveness and ultimately stabilization. As clinical stabilization is achieved, when no other services are requested nor prescribed, patients are eligible to be enrolled in Medication Stabilization with Physician approval.

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How does Psychiatric Services work?

 Our goals are accomplished by patients attending routine meetings or follow up appointments with their Psychiatrist at least quarterly or as often as recommended by physician based on the individual’s needs. 

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Clinic nurses assist patients in administering prescribed medications from various sources.

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The Medication Access Specialist assists patients obtain medications with application to pharmaceutical companies which contribute prescribed mental health medications to patients who are non-insured and meet requirement criteria. 

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Who may benefit from these services?

All patients who are in need of treatment, monitoring and stabilization through medication can benefit from compliance with Psychiatric Services.

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Where are Psychiatric services provided?

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Williamsburg Main Campus Grafton Clinic- satellite office Merrimac Detention Center- Child & Adolescent Psychiatric Services Virginia Peninsula Regional Jail- Adult Inmate Psychiatric Services

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What types of Psychiatric services are provided?

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Adult Psychiatric Services Child & Adolescent Psychiatric Services Geriatric Psychiatric Services Psychiatric Services for Intellectual Disability and Co-morbid Disorders Substance Abuse medication treatment and monitoring Labs services Medication administering Patient Assistance for obtaining mental health medications Weekly Walk-In Clinic for established patients

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What is Pathways?

Pathways is a behavioral health service that is committed to meeting the needs of our senior community. The services are planned with the individual and are based on his/her needs and preferences. Decisions are made together and in partnership with the providers and family.

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How does Pathways work?

Pathways is open Monday through Friday from 8:30 a.m. to 5 p.m. Evening hours are available by appointment. Services are provided at both the Williamsburg and Grafton locations.

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Who may benefit from these services?

Pathways reaches out to older adults in need of behavioral health services.

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What services are provided in Pathways?

The Pathways Program provides the following services:

Psychosocial and psychological assessment Behavioral health service planning Case Management Psychiatric Services Counseling for individuals, couples and groups Behavior management and substance abuse intervention Emergency Services

Children’s Behavioral Health Services include a variety of CSB programs. The following programs all fall under Children’s Behavioral Health Services.

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Intensive in Home Services

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What is Intensive in Home Services?

The program is more rigorous than normal outpatient services. It tries to reduce out of home placement for children and teens.

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How does the program work?

Services are about five hours per week and limited to 26 weeks per year. One parent or guardian must be willing to take part in the services.

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Who may benefit from these services?

The child or teen must meet at least two of the following:

Have difficulty in establishing or maintaining normal interpersonal relationships to the point that they are at risk of hospitalization or out of home placement because of conflicts with the family or community. Exhibit behavior that repeated interventions by mental health, social services or judicial systems are necessary. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize inappropriate behavior.

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What services are provided through Intensive in Home Services?

Services include:

Crisis intervention Short term crisis counseling Communication skills training Individual counseling Family counseling Case management services

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Children’s Case Management Services

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What is Case Management?

The program is more rigorous than normal outpatient services. It tries to reduce out of home placement for children and teens.

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How does the program work?

Services are flexible and can be provided at different levels of intensity from a once a month basis to a daily basis depending on the child’s need.

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Who may benefit from these services?

Children and teens ages birth to 18, who have developmental, emotional or behavioral issues are eligible for services.Children at risk of developing emotional or behavioral issues my also receive services.

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What services are provided through Case Management Services?

Services include:

Assessment of child/teen’s needs Referral to appropriate programs Linkage to services Supportive Counseling Problem Solving Resource Development Service Coordination Education regarding resources, medication, emotional needs

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Outpatient Services

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What is Outpatient Services?

Typically Outpatient Services include individual, group and family therapy.

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How does the program work?

In most cases counseling is short term, focused on improving the child’s or teen’s functioning and is family centered. Issues that lend itself to this approach are aggression, defiant behaviors, school problems, trauma, anxiety, depression and family disruptions such as divorce and bereavement. 

 

Who may benefit from these services?

Services are provided to those families and individuals who can benefit from addressing their issues in a therapeutic context.

 

What services are provided?

A family meets with a licensed therapist who gather information, helps the family assess their problems and needs and assist the parents in developing a treatment plan for their child. The therapist identifies all services that may be helpful to the family. Outpatient services include individual, group and family therapy.

 

What is Day Support?

The Day Support program provides personal, social and behavioral skills training for persons with intellectual disabilities (mental retardation) in order to help them improve the quality of their daily lives. Through skills assessment and person centered planning; the Day Support program strives to facilitate self-empowerment, community integration and independent living.

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How does Day Support work?

There are two types of Day Support: Center-based, which is provided partly or entirely in a single location with other individuals with disabilities, or Non-center-based, which is provided entirely in community settings to include volunteer sites, supervised employment enclaves and recreational activity sites. The program is open Monday through Friday from 8:30 am to 3:30 pm.  Transportation is provided to the program. Participation in services is based on the individual’s choices and preferences.

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Who may benefit from these services?

The target population for Day Support is persons age 18 and older who have a diagnosis of mental retardation and who no longer attend public education. Program participants must be able to maintain their personal health and safety, respect the property of others and benefit from services within a minimum of a 1:5 staff to consumer ratio.

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What services are provided in the Day Support program?

Day Support offers planned, structured services and supports in many areas. The following are examples of services provided:

Functional training in self, social, and environmental awareness skills Functional training in sensory stimulation and gross and fine motor skills Functional training in communication and personal care Functional training in the use of community resources, community safety, appropriate peer interactions, and social skills Functional training in learning and problem-solving skills Functional training in adapting behavior to social and community settings Assistance with personal care and use of community resources Supervision to ensure the individual’s health and safety Staff coverage for transportation of the individual between training and service activity sites Opportunities to use functional skills in community settings

What is People’s Place?

People’s Place is a recovery-based clubhouse day support program. Programs are provided to adults for two or more hours a day in a non-residential setting.

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How does People’s Place work?

People’s Place is open Monday through Friday from 8:30 a.m. to 3:30 p.m. Services are planned individually using a person-centered approach which engages the individual, family and provider team. Recovery goals and objectives are developed based on individual preferences, strengths and potentials.

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Individuals must demonstrate a clinical necessity for the service arising from a condition due to mental, behavioral or emotional illness that results in significant functional impairments in major life activities. As determined by a licensed mental health professional, individuals must meet at least two of the following on a continuing or intermittent basis:

Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness because of conflicts with family or community. Require help in basic living skills, such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized. Exhibit such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system are necessary. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.

Who may benefit from these services?

The program serves individuals who have serious mental illness and/or mental illness with other co-occurring disorders such as chemical abuse disorders. 

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What services are provided in People’s Place?

People’s Place offers structured day support services including:

Therapeutic groups Independent living skills instruction Communication skills instruction Community integration Interpersonal and social skills development Food preparation training Menu planning Finance management and budgeting Arts and crafts

What are Residential Services?

Residential Services are provided to adults with intellectual disabilities (mental retardation), mental illness and substance use disorders in order to assist the individual with living independently in the community to their greatest extent possible.  Based on individual need instructional activities, support and supervision are provided to help persons improve the quality of their daily lives and promote recovery, independence, clinical stability and community integration.

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How do Residential Services work?

CBH provides Residential Services to adults with intellectual disabilities, mental illness and substance use disorders in various ways to include the following:

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• For adults with intellectual disabilities, the Colonial Behavioral Health (CSB) provides intensive supervised residential services.  CBH leases homes and/or apartments within the local community for individuals to reside and overnight care is provided. Skills training services and community supports are provided by the CSB based on a person centered plan that is developed with the individual, family and provider team. Wellness, support and safety preferences are incorporated into the planning process.   Admission into this program does require a Medicaid Waiver plan.
• CBH contracts with local assisted living facilities to purchase transitional beds for adults with mental illness to reside while they address their mental health needs.  In the effort to assist persons with moving from the assisted living facility on to independent living, individual recovery and support goals are developed which empower the individual to achieve objectives based on preferences, strengths and potential. Mental Health Supports are available for persons who reside in the assisted living facility.  Case Managers make referrals for these purchased beds for persons who do not have Medicaid benefits.  For individuals that do have Medicaid benefits and need residential services provided at an assisted living facility, their Case Manager will assist persons with submitting a residential application for services. 
• CBH contracts with the local Salvation Army to purchase beds in the HOPE Recovery Treatment Housing Program for adults with substance use disorders.  This program provides residents with both physical and emotional stability necessary to build successful skills for substance use recovery.  The HOPE Recovery Program allows residents time to take full advantage of community rehabilitation services such as substance use disorder or co-occurring counseling and case management services provided by CBH.  The Salvation Army provides residents with housing support services, employment training, job placements and financial counseling.  Residents can also receive recovery services from Spirit Works to prepare them for independent living.
• A residential support subsidy is available to eligible individuals receiving rehabilitative services from CBH. The purpose of providing the residential support funds is to promote and encourage greater social independence for persons with mental disabilities. Eligible recipients must apply for these funds on an annual basis and also sign indicating their understanding of the purpose of the financial assistance they will receive. Funds are only dispersed directly to a lessor (landlord, apartment complex).

Who may benefit from these services?

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Adults with intellectual disabilities Adults with serious mental illness (SMI) Adults with substance use disorders

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 What services are provided in the program?

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Residential Services may include the following based on individual need:

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Functional skills training to promote independent living Supervision to ensure the individual's health and safety Assistance with personal care and use of community resources Monitoring health and physical condition Medication management Staff supervision

What is Early Intervention?

Early Intervention services seek to intervene or reduce the incidence of mental illness and intellectual disabilities by enhancing protective factors for at-risk children and their families.

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How does Early Intervention work?

At-risk populations can access specialized services that offer positive behavioral skills training, counseling, education, tutoring, support and enrichment programs through contracts with Child Development Resources (CDR) and Infant and Toddler Connection.

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Who may benefit from these services?

Early Intervention works with individuals from birth to 3 years of age and their families.

 

What services are provided in Early Intervention?

The Early Intervention services include:

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Community-based prevention groups Family education Parenting education Developmental screening and assessment

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What are Prevention Services?

Prevention Services seek to encourage and promote the development of strengths and potentials in general and at-risk populations. It is the goal of prevention services to enhance protective factors and reduce risk factors for youth and their families. 

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How do Prevention Services work?

Prevention Services offer positive experiences through programs in our schools and communities. Services are designed to promote the development of healthy youth and strong families. Parents and/or caregivers can attend parent education programs at convenient community locations.

                                                                         

Who may benefit from these services?

Prevention Services are available to all residents in our service area. Prevention groups are offered in our local school in collaboration with school counselors. Prevention partners with other service providers and coalitions to maximize resources, identify gaps in service and reduce substance abuse and related problems in our community. 

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What services are provided in the Prevention Services program?

Prevention Services provide a wide range of programs to meet consumer’s needs. Services include:

Community-based Prevention Groups Parent Education Substance Abuse Prevention  Violence Prevention Community Education Interagency Collaborations

What are Mental Health Support Services?

This program offers training and support to help individuals with functional limitations achieve and maintain community stability and independence in the most appropriate and least restrictive environment. The treatment focus is on assisting the consumer with independent living skills and is appropriate for individuals who are at least 16 years of age.

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How do Mental Health Support Services work?

Services are typically provided in one hour increments in the individuals’ home or in the community and will be tailored to his or her needs. Services are developed with the individual and services team using a person-centered approach. Individual recovery and support goals are developed which empower the individual to achieve objectives based on preferences, strengths and potential.

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Who may benefit from these services?

Individuals must demonstrate a need for this service arising from a condition due to mental, behavioral or emotional illness which results in significant functional impairments in major life activities. The individual must meet at least two of the following:

Experience difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization, homelessness or isolation from social supports. Exhibit such inappropriate behavior that repeated interventions by the mental health, social services or judicial system are necessary. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior. Require help in basic living skills, such as maintaining personal hygiene, preparing food and maintaining adequate nutrition or managing finances to such a degree that health or safety is jeopardized.

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Individuals eligible for this service may have a dual diagnosis of either mental illness and intellectual disability (mental retardation) or mental illness and substance use disorder. If an individual has co-occurring mental health and substance use disorders, integrated treatment for the substance use condition is intended to positively impact the mental health condition.

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What services are provided in the Mental Health Support Services program?

Service activities include training in or reinforcement of functional skills and appropriate behavior related to the individual’s health and safety, Activities of Daily Living (ADL) and use of community resources; assistance with medication management and monitoring health, nutrition and physical condition.