Mental Health Services: Children & Adolescents

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For emergencies, referrals, or first appointments, contact Access Services at 540.961.8400.

Outpatient Services include:
– Individual, family and group therapy
– Psychological testing and written reports
– Crisis debriefing (following tragedies or catastrophic events)
– Mental health consultation for local Head Start programs
– Family Assessment and Planning Team (FAPT) representation
– Case management services

Outpatient Services are offered at NRVCS facilities in each of the five jurisdictions served by the agency, as well as area Head Start classrooms, and the New River Valley Detention Center in Christiansburg.

Parents/grandparents, guardians, or another relative may initiate contact with NRVCS, as may a representative of a local school, court, or Juvenile Probation. The referring professional or family member may call NRVCS’ Access Services line (540-961-8400, 24 hours a day/7 days a week) to do a brief phone screening and set up an appointment with a clinician.

Outpatient services are funded by Medicaid, FAMIS, the local Family and Assessment Planning Teams, self-payment, and private insurances.

Crisis Intervention services are provided to children and adolescents who are in a mental health or emotional crisis. Services are provided to help stabilize mood and behavior in order to prevent hospitalization or any other disruption in the child’s environment. The child must meet specific criteria to receive services and a parent or guardian willing to participate in treatment is necessary in most cases.

Crisis services staff provide crisis intervention and services for a 2-4 week period of time, during which the child and his/her family are referred to appropriate community resources to help deal with underlying issues and stressors. Children referred to crisis services must first be staffed with a supervisor and deemed appropriate for Crisis Intervention.

In-Home Services are appropriate for children with mental illness and/or co-occuring substance abuse issues that are at risk of being removed from his or her home. 

In-Home Services are required to be provided in the home and a parent or guardian must be willing to participate.  In-Home Services are considered to be an intensive service, requiring a minimum of 3 hours per week, and consist of individual and family therapy.  Prior to a referral for In-Home Services, the child must have tried other less restrictive interventions that were not successful.

Case Management assists children (ages birth to 21, and sometimes beyond) and their families in finding medical, psychiatric, social, educational, and other services which are needed for the child to thrive in the community. This includes facilitation of the referral process, providing transportation to appointments, and assistance serving as a liaison with school staff, physicians, and other agencies.

  • Case management is provided to children with serious emotional disturbances by helping families access outpatient, intensive in-home treatment, and ongoing psychiatric and mediation services. Case management services for children with serious emotional disturbance are funded by Medicaid and FAMIS. Families can also pay for services using a sliding scale fee. The local Family Assessment and Planning Team (FAPT) may sometimes assist families in paying for services.
  • Case managers also assist children with intellectual and/or developmental disabilities (ID/DD) gain access to the ID/DD Waiver, which can provide personal assistance, respite, assistive technology and other services. Case managers also work with a child’s Individual Educational Plan (IEP) team in the schools.

FAMIS is Virginia’s health insurance program for children. It makes health care affordable for children of eligible families. FAMIS covers all the medical care growing children need to avoid getting sick, plus the medical care that will help them if they do get sick or get hurt. This program also includes coverage for mental health services.

There are no enrollment costs or monthly premiums for FAMIS. For some services, the family will have to pay a co-payment. Most co-payments are just $2.00 or $5.00. Some services, like regular check-ups, are free. Click here to learn more.