Acute Care Project

The Acute Care Project began in Region 4 in 1999. Since then, the Project has administered the allocation of more than $30 million for local inpatient hospitalizations via contracts with local hospitals/hospital systems. Funding uninsured individuals in a local setting allows individuals to receive quality care that can involve their families, case managers, and other support systems in the least restrictive setting.

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Adult Crisis Stabilization Unit

Through the use of an interdisciplinary treatment team, RBHA offers a sub-acute residential Crisis Stabilization Unit (CSU) that provides treatment to individuals in crisis. At the CSU, we provide daily psychiatric evaluation and medication management, nursing, case management, peer recovery, and clinical services to all individuals admitted to the program. RBHA operated Adult Crisis Stabilization Unit.

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Children's Crisis Stabilization Unit

Since May 2012, Region 4 has been supporting a 6, now 8-bed, Children’s Crisis Stabilization Unit (CSU) through a contract with St. Joseph’s Villa in Henrico County. The CSU is designed to serve children and adolescents ages 5-17 who are experiencing a behavioral health crisis and require short-term, out-of-home placement. Day stabilization services are also available.

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Children’s Response and Stabilization Team (CReST)

CReST acts as a resource for the youth of Region 4, ages 5-18, who are in crisis and need help avoiding psychiatric hospitalization and/or reducing the cycles of crises by connecting individuals to ongoing services. Services are mobile and community-based. RBHA operated CReST.

CReST Referral Number: 1-833-968-1800

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Discharge Assistance Program

DAP supports the Department of Behavioral Health and Developmental Disabilities’ commitment to person-centered and recovery based care. The DAP is supported with a pool of state mental health funds allocated to the region to implement community capacity and/or individualized services and supports that enable adults receiving services in state hospitals to live in the community.

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HOPE Co-occurring Residential Services

Project HOPE, a co-occurring disorders program, provides residential treatment services to individuals with moderate to severe mental illness who also have a co-occurring substance use disorder. The integrated treatment model treats both the individual’s mental health conditions and addictions in a coordinated fashion and views the recovery process as long-term and community-based. RBHA operated HOPE.

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Housing Coordinator Services

The Region 4 Housing Coordinator services were created to address the increased state hospital census crisis. The housing coordinator assists with discharging individuals from the state hospitals who present with significant housing barriers. The housing coordinator also builds relationships with community providers both within and outside our region.

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Individual Support Funds

The Region provides a small pool of flexible funding to support one-time, individualized needs – like short-term housing or transportation - for persons with urgent/emergent needs, especially those in settings such as a local hospital or crisis stabilization unit.

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Peer Recovery Coordination

Recognizing the value of peer services in the public behavioral health system, Region 4 developed two new positions, Certified Peer Recovery Support Specialist Coordinators, to develop the peer workforce through certification and training opportunities, connection and mentoring opportunities, surveying the peer workforce, and hosting an annual recovery conference for the region and beyond.

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Regional Education Assessment Crisis Services Habilitation (REACH)

REACH is a program to support individuals (adults and youth) with developmental disabilities who are at risk of crisis due to challenging behavioral health needs which are negatively affecting their quality of life. REACH offers 24/7 crisis intervention and community-based and residential crisis stabilization services for adults and children. The program also operates an adult transitional home. The homes are all located within Chesterfield County. In addition to the crisis services, REACH also provides prevention services such as outpatient psychotherapy, consultative support and training for families and caregivers to reduce the likelihood of future crises. RBHA operated REACH.

REACH Crisis Hotline: 1-833-968-1800

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Regional Jail Team

The Regional Jail Team is designed to divert offenders, when feasible, from state hospitalization and incarceration. The team’s services are available to those who reside within this regional catchment area, and/or are incarcerated, receive or have a history of receiving services from the local Community Services Board (CSB), or are under a court-order in our partnered jails. In hospital diversion cases, the team provides jail-based competency restoration services and court-ordered evaluations in lieu of inpatient hospitalization.

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SUD Diversion Liaison

This new service came online late Fiscal Year 2019, supported by state funding aimed at reducing the numbers of individuals with primary Substance Use Disorder diagnoses being admitted to state facilities and/or quickly discharging them to the community with the appropriate services and supports in place to help with their recovery.

Utilization Management

In addition to providing funding for hospital stays, Region 4 funds clinical staff to perform active utilization management for individuals hospitalized under Acute Care Project funding, ensuring the best, most effective care is being provided to that individual and that coordination of care is occurring between the hospital and the responsible CSB and/or community partners.

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