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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Crisis Response and Stabilization Team (CReST)

CReST acts as a resource for the residents of Region 4, ages 5 through the lifespan, who are in crisis and need help. With quick response and with assistance connecting to ongoing services, CReST hopes to reduce the cycles of crisis and prevent the need for acute psychiatric hospitalizations. 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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Marcus Alert

The Marcus-David Peters Act (Marcus Alert) seeks to divert individuals needing behavioral health care from the criminal justice system through the development of a comprehensive crisis system that includes community care teams and protocols for specialized response to behavioral health emergencies. The legislation establishes the foundation for protocols in communities that ensure coordination between 911 centers and regional crisis call centers and establishes a specialized behavioral health response from law enforcement when responding to a behavioral health situation. RBHA is one of five initial implementing localities across the state and the first in Region 4 to develop protocols in alignment with the legislation.



REACH is a system of supports for individuals (adults and youth) with developmental disabilities who are at risk of crisis. REACH offers 24/7  mobile crisis response, community crisis stabilization, residential crisis stabilization and crisis prevention services. 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 system training and consultative support. RBHA operated REACH.

REACH Crisis Hotline: 1-833-968-1800

REACH Training Calendar


Regional  Crisis Call Center

Region 4 has contracted with PRS CrisisLink to serve as the crisis call center for the central region of Virginia. PRS is certified as a national suicide prevention lifeline (NSPL) and provides mental health services and emotional support over the phone for individuals experiencing a mental health crisis. The call center helps connect the caller with a higher level of care, as needed, to include such services as mobile crisis support and community stabilization. For individuals who need further resources, a post-crisis follow-up call is offered with our care navigator for wrap around service provision. Central Virginians wanting to connect with the national suicide prevention lifeline should contact: 1-800-273-TALK.

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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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Regional Recovery Services

Regional Recovery Services strive to create a strong collaboration between peer recovery specialists, family support partners, clinical staff, peers served and stakeholders. Lead Certified Peer Recovery Specialist Coordinators work to enhance the peer workforce though the facilitation of trainings, coordination of the Region 4 Peer Academy, and the hosting of various connection and mentoring opportunities.

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Service Members, Veterans & Families (SMVF)

The Service Members Veterans and Families (SMVF) regional initiative was designed to ensure that SMVF receive mental health and supportive services that are high quality, evidence-based, trauma-informed, culturally-competent, and accessible. The SMVF Regional Navigator is responsible for coordinating the development and implementation of regional initiatives, including oversight of regional SMVF training and capacity-building funds, collaboration with community partners at local, state, and federal levels, participation in regional SMVF initiatives focused on suicide prevention, serving on work groups to enhance regional services/partnerships, and working to grow best practices to support individuals with military backgrounds and their families.


SUD Diversion Liaison

SUD Diversion services provide support for individuals with primary or co-occurring substance use disorders who come into contact with the behavioral health system and who are at risk of hospitalization or have been admitted to a state or local psychiatric facility. Services and supports are focused on reducing the overall number of bed days in state psychiatric facilities and preventing hospital admission by connecting individuals to appropriate community-based or residential treatment services. 

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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