Developmental Services

Learn more about Adult Developmental Services at RBHA.

The Developmental Services Division provides a variety of services and supports for individuals of all ages across the life span. Using a person-centered approach, services focus on the specific wants and needs of the individual and their family. Individuals are provided guidance and tools for accessing resources and supports in the surrounding community to enhance their quality of life. A variety of services are provided directly by RBHA or through contractual agreements.

What is a Developmental Disability? A Developmental Disability is a severe, chronic disability that can be cognitive, physical, or both. Developmental disabilities appear before the age of 22 and are likely to be lifelong.

What is an Intellectual Disability? An Intellectual Disability is a disability characterized by significant limitations in both intellectual functioning (i.e., reasoning, learning, problem solving) and in adaptive behavior (which covers a range of everyday social and practical skills). The age of onset is before 18.

Intake and Assessment

To learn more about Adult Developmental Services at RBHA, contact the Adult Services Intake Coordinator at 804-819-8759.

Case Management Services

The core service provided at RBHA is case management. In Developmental Services, Support Coordination (case management) includes assisting individuals with accessing treatment and support for behavioral, emotional, psychiatric, social, and medical needs as well as accessing supports related to employment and housing.

RBHA Support Coordinators will:

  • Identify needed supports to achieve a fulfilling life
  • Link individuals to resources within RBHA and the community such as day support, supported employment, and financial services
  • Collaborate with a wide variety of professionals, programs, and agencies in the community to advocate for an individual’s preferences and needs
  • Promote participation within the community
  • Monitor the individual’s changing needs and adjust services and supports as needed
  • Work with individuals to develop an Individualized Support Plan (ISP)

Medicaid Waiver Case Management Services

Medicaid Waives provide funding for a variety of services to support individuals in community settings. Services and supports for adults provided through Medicaid Waiver may include:

  • Personal Assistance Services
  • Respite Care
  • Assistive Technology
  • Environmental Modifications
  • Private Duty Nursing
  • Day Support
  • Residential Support Services
  • Supported Employment
  • Crisis Supports

Your Support Coordinator can help determine if you are eligible for a Medicaid Waiver.

REACH – Adults (Region 4 Program)

24|7 CRISIS & REFERRAL LINE – 1-833-968-1800

REACH is a program to support individuals with developmental disabilities who are at risk of crisis due to challenging behavioral health needs which are negatively affecting their quality of life.

Our Goals

REACH emphasizes the PREVENTION of crisis situations. Through education, support, and planning REACH can assist in:

  • Allowing individuals to remain with family
  • Decreasing hospitalizations and incarcerations
  • Increasing community participation
  • Creating a continuum of care across all systems of support
  • Helping individuals live successful and healthy lives


Individuals may seek assistance for themselves or referrals may be made by hospital staff, Emergency Services, families, case managers & support coordinators, or other natural supports in a person’s life. REACH services are available for adults and children.

Who Should Be Referred?

Examples of individuals who might be referred for REACH services include someone who:

  • Is at risk of losing their home, job, or school placement due to behavioral concerns
  • Has a history of complex medical, behavioral, and/or trauma-related issues
  • Has exhibited a significant deterioration in functioning over the past 3 months
  • Has been admitted to a psychiatric hospital or training center in the past 3 months
  • Has exhibited behavior that resulted in contact with law enforcement or jail

Services are most effective when everyone involved in care and treatment actively participate in decision-making.

REACH Services


REACH staff provide home-based/community-based support services to assist individuals in maintaining stability in their current environment. By assessing needs and creating an Individualized Crisis Education and Prevention Plan (CEPP) and educating and training caregivers, REACH works to prevent crisis and potential out-of-home placement. Services may include outpatient psychotherapy and psychiatric & behavioral consultation. REACH staff also provide training and education to the larger community.


The REACH crisis team provides 24|7 crisis response and consultation. Once the immediate crisis is resolved, the REACH team continue to work with the individual and his/her support system with the goal of reducing the likelihood of hospitalization.


Brief community based crisis stabilization services are provided to adults and children across a variety of natural environments for up to 15 days per crisis event. Brief residential crisis stabilization services may be provided in our Crisis Therapeutic Homes (CTHs) located in Chester, VA when appropriate.

Central Region REACH provides services to people living in Chesterfield County, Crossroads Area, District 19, Goochland/Powhatan, Henrico County, Hanover County, Richmond City, Southside Area.
CLICK HERE to view the list of localities in Region 4.

Central Region REACH
3700 Festival Park Plaza
Building D
Chester, VA 23831

Omnibus Budget Reconciliation Act (OBRA) Services

OBRA Services ensure individuals residing in nursing facilities receive quality care and have access to specialized services that normally are not provided in a nursing facility. OBRA provides specialized services to individuals with mental illness, intellectual disability or related condition (developmental disability) who live in nursing facilities. Specialized services are those services individuals need to maximize self-determination and independence. Community living skills, assistive technology, day support, transportation and education are some of the services provided through specialized services.

Supported Residential Services

SRS provides training and individualized support to individuals with intellectual and developmental disabilities who live in their own apartments so they can achieve and maintain community stability and independence. SRS are provided in the home or community. Services and supports are person centered and are based on the individuals needs and therefore may vary from minimal support to more intensive support. SRS supports individuals with achieving their maximum potential and offers an opportunity to develop and maintain an independent lifestyle.

Employment Services

The Developmental Services Division is in alignment with the Department of Behavioral Health’s Employment First initiative. In an effort to better support individuals with disabilities through community-based integrated employment, various individual and group employment opportunities are offered for those who meet edibility criteria. Employment is an essential step in helping individuals with disabilities reach their fullest potential.

Get In Touch

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