Service Descriptions

Community Based Services

Adult Case Management

Case Managers enhance the quality of life for those recovering from serious mental illness, through treatment coordination, support and advocacy. We provide the following:

• Assessment of needs
• Assistance to develop and work on goals
• Coordination of services including referral and linkage to other services
• Monitoring service delivery and progress

Case Managers often make outreach visits, assist with applying for benefits, and advocate for the client within the agency and the community.

Child & Adolescent Case Management Designed to help the child and family evaluate different areas of a child’s life to identify not only what treatment needs should be addressed, but also what resources are available within the child, family, and the community to meet those needs.
The case manager is responsible for: • Maintaining contact with the child and family
• Monitoring the child’s progress
• Evaluating the effectiveness of services being provided
• Determining what additional services would be beneficial

Theraputic Day Treatment Services
Our school-based counselors provide individual, group, and family treatment. They work in conjunction with teachers and school staff to provide the best integrated care possible to children and their families. The integrated care helps to improve a child's attendance, concentration, behavior, and social skills.
Families work with our clinicians to improve: • Family Communications
• Anger Management
• Stress Management
• Coping Skills
• Parenting Strategies
• Self-Esteem • Social Skills
Intensive Care Coordination ICC uses an evidence-informed “High Fidelity Wraparound” model where an individualized team approach moves the child and family to self-efficacy and minimal professional involvement. A key principle of this model is Family Voice and Choice, in which clients are respected as experts on their own families. The family identifies their own needs, selects which professionals and other support people they want on their team and has a leading role in all treatment decisions. A single, integrated Plan of Care is developed at monthly team meetings held for each family. The ICC facilitation process continues until the team’s goals are accomplished. Psychosocial Rehabilitation Eagles's Nest Eagle’s Nest opened its doors in May, 1983 and believes that recovery is not limited to certain individuals or certain choices. Eagle’s Nest supports many facets of evidenced-based practices and sciences specific to recovery. Eagle’s Nest strives to help individuals living with a serious mental illness by: Supporting individuals during their recovery process to live and work in their community Promoting whole person recovery, centered around SAMHSA's 8 Dimensions of Wellness Incorporating community living in all of its aspects in the communities of their choice Empowering individuals to take control of their own recovery to live life to the highest quality Click here to learn more about the Recovery Mural! Prevention It is the mission of Prevention Services to empower the community through collaboration, education, and resources that support informed decisions to enhance quality of life.

Substance Use Disorder Treatment

Case management services are available for men and women with substance use issues. Women with substance abuse issues who are pregnant will be offered a general intake appointment within 48 hours of their request. Priority consideration is also given to Women with dependent children, and IV drug users will be offered an intake appointment within fourteen days of their request. SA Case Management services will be started as soon as possible following this initial intake, and a face to face appointment with an SA Case Manager will typically be offered within two business days following the initial intake. The goal of SA Case Management Services is to provide the necessary coordination of care and to link with appropriate services in the community. In addition to linking with appropriate substance abuse services, assistance is provided with referrals for services such as: prenatal screening, physical exam, nutritional counseling, child care, pediatric services for children (which includes immunizations), developmental assessments for children, vision and dental screening, parent education, therapeutic services for children, and transportation. We offer gender specific treatment groups and individual services plans for those with co-occurring disorders. Breathalyzer testing and urine drug screens are a required part of our treatment program. Referrals and admission to inpatient detoxification and/or rehabilitation facilities can be provided based on individual need. Aftercare is provided, including for those who might initiate their own in-patient treatment. Men’s Program Phase 1 Monday, Wednesday, and Thursday evenings 5:00pm-7:00pm for 8 weeks (24 sessions) Phase 2 Monday and Thursday evenings 5:00pm-7:00pm for 8 weeks (16 sessions) Phase 3 Wednesday evening 5:00pm-7:00pm for 8 weeks (8 sessions) ​m-3:00pm for 8 weeks (8 sessions) ​Women’s Program Phase 1 Monday, Wednesday, and Thursday 1:00pm-3:00pm for 8 weeks (24 sessions) Phase 2 Monday and Thursday 1:00pm-3:00pm for 8 weeks (16 sessions) Phase 3 Wednesday 1:00pm-3:00pm for 8 weeks (8 sessions)

Developmental Services

Group Homes we operate 4 group homes located in the areas of Natural Bridge, Buena Vista, Timber Ridge and Millboro. Our residential facilities offer all the comforts of home, including single occupancy bedrooms that are tailored to residents’ individual needs and personal taste. -Handicapped accessible -Well maintained and inviting -Open and staffed 365 days a year, 24 hours a day -Licensed and under the administration of the Virginia Department of Behavioral Health and -Developmental Services. -Subsidized by the U.S. Department of Housing and Urban Development (HUD), helping to make them an affordable option -Residents must be at least 18 years old and have a primary diagnosis of developmental disorder. -United States citizen or eligible immigration status as determined by HUD -Have a Medicaid Waiver slot, which provides funding for necessary training and supports -Meet low-income limits established by HUD for Rockbridge County Day Support Services RACS offers both center-based and non-center based day support services. Both programs serve adults with developmental and/or intellectual disabilities up to five days per week, providing them with services and supports to enhance their quality of life. Our center-based program is housed within The Magnolia Center, located at 75 Village Way in Lexington, Virginia. Non-Center based day support occurs in a variety of settings to maximize opportunities for community integration. Community Engagement Program The Community Engagement program follows the same philosophy as the center based program. We strive to match community engagement activities with the individuals and offer choices based on availability and the desires of the program participants. Each activity will have a maximum ratio of 1 staff to 3 program participants.

RAISE Early Intervention Program

RAISE is part of the “Infant & Toddler Connection of Virginia,” the statewide system of early intervention services. RAISE provides coordinated, quality, comprehensive early intervention supports and services to families with infants and toddlers, birth to age three, who have developmental delays or disabilities or who are at high risk for delay. RAISE, recognizing families as the primary agents of change in their child’s development, partners with each family during service delivery, supporting them in ways that enable them to achieve their goals for their child.  Services include:
• developmental screenings to determine if a young child is learning, playing, moving, talking and understanding like other children his or her age.
• multidisciplinary team eligibility determination process.
• comprehensive assessments to get a thorough understanding of a child’s strengths and challenges.
• service coordination to ensure that each family receives the necessary services and supports that will help their child reach his or her potential.
• physical therapy, speech therapy, occupational therapy, and developmental services to help families help their children develop new skills and abilities during their everyday routine.
• transition support to assist families in securing appropriate services, if necessary, once their child is no longer age eligible for early intervention. ​ Anyone, including families, may make a referral to RAISE.

Outpatient Services

Mental health services aid to individuals, groups and families from age 3 and up. We treat mental illness, substance abuse issues, trauma, relationship problems, chronic issues as well as short term crisis. Child Therapy/Crisis Therapy: RACS has individuals specifically trained to work with children. We have a Child Crisis Therapist who works with children, adolescents and families. Crisis Therapy includes up to 30 days of intensive work designed to stabilize the child at risk. Once the child is no longer in crisis, services can be continued in outpatient or referred if needed. RACSB also offers traditional play therapy for children needing therapeutic intervention. Because children communicate differently, play is an effective way for these children to learn communication skills and coping strategies. This serves as a meaningful way for children to express themselves, explore solutions and improve relationships. Outpatient Therapy RACS offers outpatient therapy to address ongoing mental health needs. A variety of evidence-based therapy is available. These therapies are often covered by Medicaid or other Private insurance. We also offer a sliding scale to those without insurance. Therapy is an effective way to learn coping strategies, deal with past traumas, learn effective communication skills, decrease anxiety and depression and a variety of other issues. Crisis Counseling 24 Hour Crisis Toll Free Hotline, 1-855-222-2046 Crisis counseling is offered without appointment by walk-in during office hours and through our crisis hotline 24 hours a day. You will speak to a certified mental-health counselor who will provide professional counseling as well as assess what services would be beneficial moving forward. Psychiatric Services We provide psychiatric evaluation and specialized medication for the treatment of mental illness and Substance abuse. We serve adults and children. We work to provide psychiatric and nursing services in a timely and effective manner to help consumers achieve their maximum level of wellness, enhance their quality of life and help them take full responsibility for the management of their mental illness and/or substance dependency.

Developmental Disabilities Support Coordination

Support Coordination serves as the ‘hub’ for individuals with Developmental Disabilities. Support Coordinators lead treatment teams in identifying individual’s needs, linking them with appropriate services and supports, and monitor their health, safety and well-being in the community.