Behavioral Health Crisis Care Services

Someone to Call, Someone to Respond, and Somewhere to Go

We're Here for You

The Region 4 Behavioral Health Crisis Services serve individuals living in Region 4, which includes the following Community Services Boards (CSB) service areas: Chesterfield CSB, Crossroads CSB, Greater Reach CSB, Goochland/Powhatan CSB, Hanover CSB, Henrico Area CSB, and Richmond Behavioral Health Authority.

All services are free, voluntary, and operate 24/7.

If someone is experiencing a behavioral health crisis, there is NO WRONG DOOR for care.

Phone Someone to Call
Ambulance Someone to Respond
Building Somewhere to Go
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PhoneSomeone to Call

Phone support for emotional distress or thoughts of suicide.

988

988 is the three-digit number that anyone can call, text, or chat if they or a loved one are experiencing emotional distress or thoughts of suicide.

When someone contacts 988, they will be connected to a trained crisis worker who will provide support and connection to resources. Most calls are de-escalated completely over the phone. For individuals that need an in-person response, a Mobile Crisis Response team may be dispatched.

When they are or a loved one needs over-the-phone emotional support. Some reasons people contact 988 include suicidal thoughts, problems with drug or alcohol use, anxiety, depression, loneliness, bullying, relationship troubles, and just needing someone to talk with.

Anyone can call, text, or chat 988 at any time. No referral is needed. To learn more, go to 988lifeline.org.

Call 988

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Rapid response and mental health crisis intervention in the community.

CReST and REACH

CReST is a mental health crisis intervention program that supports both children and adults. CReST’s is one of the regional providers of Mobile Crisis Response (MCR): A rapid (less than 1 hour) and in-person response, assessment, and early intervention to an individual experiencing a mental health crisis which is disrupting their daily functioning. CReST also provides short-term follow-up in the community post-crisis.

REACH is a mental health crisis intervention program that supports both children and adults with intellectual or developmental disabilities. REACH is one of the regional providers of Mobile Crisis Response (MCR): A rapid (less than 1 hour) and in-person response, assessment, and early intervention to an individual experiencing a mental health crisis which is disrupting their daily functioning. REACH also provides short-term follow-up in the community post-crisis.

During a MCR with CReST or REACH, a clinician will conduct an assessment, de-escalate, safety plan, and coordinate follow-up services. The goal of a MCR is to keep people safe in their community.

When an individual’s mental health concerns are escalating and impacting their functioning, posing potential safety concerns. Examples include suicidal thoughts, decrease in daily activities, non-life threatening self-harm (e.g., cutting, scratching), and reckless behavior related to mental health concerns.

Call their 24/7 Mobile Crisis Line at: 833-968-1800.

Learn More about Crest

Learn More about Reach

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Walk-in mental health crisis centers and short-term residential crisis treatment.

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Crisis Receiving Centers (CRCs)

CRCs are facilities that provide 24/7 site-based services for those experiencing mental health and substance use crises. Within 23 hours, a multidisciplinary team will provide rapid assessment, crisis intervention, and referral to follow-up care. CRCs serve as an alternative to hospital emergency departments.

Upon arrival, a mental health professional will conduct an assessment to determine criteria and appropriateness for CRC services. As needed during stay, individuals can expect a clinical assessment, a psychiatric evaluation, clinical intervention, peer support, and a nurse assessment. Medications can be provided on-site at the Adult CRC. Prior to discharge, the team links the individual to services and resources.

When an individual needs immediate behavioral health services in a safe and contained environment, can consent to treatment, and does not pose imminent danger to themselves or others.

The Adult CRC is located at Richmond Behavioral Health Authority’s (RBHA’s) North Campus: 1700 Front Street Richmond, VA.

The Youth CRC (for ages 7 – 17) is located at St. Joseph’s Villa: 8000 Brook Road Richmond, VA. View a virtual tour of the Youth CRC.

Both the Adult CRC and Youth CRC accept walk-ins, along with referrals from sources such as: CSBs, hospitals, law enforcement, and families. Although not required, it is recommended to call the CRC before arriving to help streamline the process.

To contact the Adult CRC, call their 24/7 line at 804-819-4141.

To contact the Youth CRC, call their 24/7 line at 804-553-3201.

Learn More about Adult CRC

Learn More about Youth CRC

Crisis Stabilization Units (CSUs)

CSUs offer short-term (<15 days), 24/7, residential crisis evaluation and intervention services in a non-hospital environment. Multidisciplinary teams provide a variety of services, such as psychoeducation, counseling, psychiatry, medication management, and linkage to community resources. CSUs serve as an alternative to psychiatric hospitalization.

Mental health professionals provide assessment and treatment planning, one-on-one counseling sessions, group psychoeducation, medication management, and connection to community resources. The Youth CSU emphasizes family engagement throughout the youth’s stay. The Adult CSU offers integrated mental health, substance use, and medical services.

When an individual is showing changes in behavior that are tied to their mental health, and these changes are impacting their daily functioning or posing safety risks. CSUs also can serve as a step-down from an inpatient hospital stay.

The Adult CSU is located at Richmond Behavioral Health Authority’s (RBHA’s) main building: 107 S 5th St, Richmond, VA.

The Youth CSU (for ages 5 – 17) is located at St. Joseph’s Villa: 7700 Brook Road Richmond, VA. View a virtual tour of the Youth CSU.

For the Adult CSU, referrals must come from a provider at a CSB, a mobile crisis response team, a substance use disorder provider, the CRC, a hospital emergency department, or a hospital as a step-down. The 24/7 referral number for the Adult CSU is 804-343-7691.

For the Youth CSU, anyone can refer - such as other providers or a parent/guardian. The 2/47 referral number for the Youth CSU is 804-874-9119.

Learn More about Adult CSU

Learn More about Youth CSU

Crisis Therapeutic Homes (CTHs)

CTHs offer short-term (up to 30 days) residential crisis therapeutic services for individuals with documented intellectual and/or developmental disabilities who are experiencing a mental health crisis. CTHs prevent crises from escalating, support with crisis stabilization, and serve as a step-down from hospitalization. CTHs provide a community-based alternative to psychiatric hospitalization or incarceration.

Programming includes individual and group activities with a focus on identifying strengths and building new skills. The CTH clinical team coordinates with individuals’ community supports to facilitate a successful transition back to the community.

When an individual is exhibiting significant deterioration in functioning, is stepping down from a psychiatric hospital or training center, has had recent contact with law enforcement or jail, and/or is at risk of losing their home, job, or school placement.

Both the Adult CTH and Child CTH (up to age 17) are in Chester, VA.

Individuals may refer themselves, or referrals may be made by hospital staff, CSB Emergency Services, families, case managers and support coordinators, or other natural supports. For referrals, call their 24/7 Mobile Crisis Line at: 833-968-1800.

Learn More about Child CTH

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