Mental Health Services in Rockbridge County, VA
Rockbridge Area Community Services provides mental health services in Rockbridge County, VA, to individuals and families who need compassionate, professional behavioral health support. Rockbridge Area Community Services (RACS) is the primary local provider serving Lexington, the Town of Glasgow, and the Town of Goshen. If you or someone you care about is struggling, help is available. Call RACS at (540) 463-3141 to get started, or reach the 24-hour crisis line at 1-855-222-2046 any time.

Mental Health Services We Offer in Rockbridge County
RACS offers a full range of behavioral health services for people of all ages across Rockbridge County, VA. From communities along Interstate 81 and Interstate 64 to rural areas like Raphine, Natural Bridge, Fairfield, and Goshen, licensed clinicians are ready to help.
Services include:
- Individual counseling and outpatient therapy for adults, children, and adolescents aged three and up.
- Psychiatric evaluations, medication management, and nursing services for adults and children.
- Case management for adults and youth, helping clients connect with community resources and coordinate ongoing care.
- Peer support services, including veteran and family peer support programs.
- Psychosocial rehabilitation and Therapeutic Day Treatment for individuals building daily living skills.
- Intensive Care Coordination for children and families who need more structured support.
- Crisis counseling and 24-hour emergency mental health care, with walk-in access during office hours.
- Prevention programs, including suicide prevention and community coalition work through the Rockbridge Area Prevention Coalition.
Rockbridge County spans a largely rural landscape between the Allegheny and Blue Ridge Mountains. Residents in communities like Goshen, Glasgow, and Collierstown often face long distances to specialty care, making RACS's local presence especially important.
Explore the full range of mental health services available through RACS, or learn more about emergency crisis services if you need immediate help.
Who Qualifies for Services?
Most residents of Rockbridge County, VA, can access RACS services regardless of insurance status or income. RACS accepts Medicare, Medicaid, and most private insurance for outpatient services. For those without insurance, a sliding fee scale based on ability to pay may reduce costs. Individuals who meet Virginia state criteria may also be eligible for the Governor's GAP SMI program. Call (540) 463-3141 to ask about a benefits screening.
No formal referral is required. Referrals may come from physicians, schools, courts, family members, or individuals seeking help on their own.
How Do I Get Started?
Getting connected with mental health services is straightforward.
Here is what to expect:
- Call RACS at (540) 463-3141 during business hours, or the crisis line at 1-855-222-2046 for urgent help at any hour.
- Schedule an intake assessment so a clinician can evaluate your needs and recommend the right level of care.
- Review your personalized care plan, which may include therapy, psychiatric services, case management, or a combination of supports.
- Begin services at 241 Greenhouse Road in Lexington, VA, or through referrals to partnering providers as needed.
- Receive ongoing support, with your care team coordinating follow-up and adjusting your plan as your needs change.
Frequently Asked Questions
What Mental Health Services Are Available in Rockbridge County, VA?
RACS offers individual and group counseling, psychiatric evaluations, medication management, peer support, case management, and 24-hour crisis intervention. Services are available to individuals, families, and groups aged three and older, including adults, children, adolescents, and veterans.
Does RACS Accept Medicaid or Offer a Sliding Fee Scale?
Yes. RACS accepts Medicare, Medicaid, and most private insurance, and offers a sliding fee scale for those without coverage. Qualifying residents may also access the Governor's GAP SMI program. Call (540) 463-3141 to discuss your situation.
What Should I Do if I Am Experiencing a Mental Health Crisis in Rockbridge County?
Call the RACS 24-hour crisis line at 1-855-222-2046 to speak with a licensed clinician right away. Walk-in crisis support is also available during office hours. If someone is in immediate danger, dial 911.
Does RACS Serve Children and Adolescents in Rockbridge County?
Yes. RACS provides mental health care to children and adolescents beginning at age three, including individual therapy, case management, Therapeutic Day Treatment, Intensive Care Coordination, and crisis therapy. Clinicians work closely with families, schools, and other providers to support young clients.
How Do I Make a Referral to RACS?
Referrals may be made by physicians, schools, courts, family members, or individuals seeking services on their own. Call (540) 463-3141 during business hours or visit 241 Greenhouse Road in Lexington, VA.
Serving Rockbridge County and the Surrounding Communities
RACS has served the Rockbridge region since 1982 and remains the area's primary behavioral health resource. Whether you live in Lexington, Buena Vista, the Town of Glasgow, or a more remote community like Goshen or Natural Bridge, RACS is your local connection to professional, compassionate mental health services. Reach out today to take the first step toward stability and well-being.
Same-day access walk-in mental health assessments are available at our Lexington office, located at 241 Greenhouse Road, Lexington, VA 24450, on Mondays through Thursdays from 11:00 AM to 2:00 PM, and at our Bath County office, located at 12187 Sam Snead Hwy, Warm Springs, VA 24484, on Tuesdays from 10:00 AM to 1:00 PM. Individuals who walk in during these hours will receive a same-day mental health assessment and will be scheduled for their first service within 10 days of their assessment.

