Adult Regional Crisis Services

Learn more about Adult Regional Crisis Services at RBHA.

RBHA is the operating agent for 2 regional crisis response programs for adults. Services are provided to individuals residing in Region 4 of the Virginia Department of Behavioral Health and Developmental Services (VDBHDS) planning regions. The counties and localities included in Region 4 are:

  • Chesterfield County (Chester, Chesterfield , Ettrick, Matoaca, Midlothian, Mosely)
  • Richmond City
  • Henrico Area (Charles City, Red House, Glen Allen, Henrico, Highland Springs, Sandston, Lanexa, New Kent , Providence Forge, Quinton)
  • Hanover (Ashland, Beaverdam, Doswell, Hanover, Mechanicsville, Montpelier, Rockville)
  • Crossroads Area (Amelia, Jetersville, Buckingham, Charlotte, Charlotte Court House, Drakes Branch, Keysville, Randolph , Red Oak, Cartersville, Cumberland , Dundas, Kenbridge, Lunenburg, Meherrin, Prince Edward, Victoria, Blackstone, Crewe, Nottoway, Farmville, Green Bay, Rice)
  • D19 (Hopewell, Dinwiddie, McKenney, Emporia, Greensville, Skippers, Disputanta, Fort Lee, Prince George, Claremont, Spring Grove, Surry, Wakefield, Jarrat, Stony Creek, Sussex, Wakefield, Waverly, Colonial Heights, Petersburg)
  • Goochland and Powhatan (Crozier, Goochland, Gum Spring, Hadensville, Maidens, Manakin-Sabot, Oilville, Powhatan)

REACH Services for children and adults also includes the following localities:

  • Southside (Warfield, Alberta, Brunswick, Gasburg, Lawrenceville, Rawlings, Alaton, Boydton, Buffalo Junction, Chase City, Clarksville, Clover, Halifax, Mecklenburg, Nathalie, Scottsburg, Skipwith, South Boston, South Hill, Sutherlin, Virgilina, Bracey)

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

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. REACH offers 24/7 crisis intervention and stabilization services (community-based and in the Crisis Therapeutic Home), as well as providing crisis prevention, training and support services for families and caregivers to reduce the likelihood of future crises.

Learn more about adult regional services through Region 4.

Crisis Stabilization Unit (CSU)

CSU is a 16-bed, residential treatment program for adults experiencing a mental health or substance use crisis. CSU is staffed by an interdisciplinary team that includes psychiatric providers, nurses, a medical doctor, clinicians , a peer specialist, and mental health technicians.

CSU accepts voluntary and involuntary admissions. Individuals are referred by their local Region 4 community services board. Admissions are accepted 24|7. Individuals typically stay an average of 5-7 days or until treatment goals are met.

CSU Helps People in Crisis

To help people through a crisis, CSU staff:

  • Facilitate 8 daily psycho-educational group meetings focused on treatment and recovery daily
  • Provide individual one-on-one supportive counseling sessions
  • Assist with medication management for both psychiatric and medical illnesses
  • Offer medically-assisted withdrawal services in conjunction with behavioral health service needs for those using substances.
  • Help the individual develop an individual Wellness Recovery Action Plan (WRAP) aimed at effectively managing their recovery during and after discharge.

CSU provides a safe, structured environment conducive to recovery – no tobacco, electronic devices, weapons, or outside food or drink allowed.

CSU Benefits the Community

CSU serves the region by providing a safe environment and evidence-based treatment modalities for adults experiencing a mental health crisis. Referrals come from community services boards of Richmond, Henrico, Hanover, Goochland/Powhatan, Chesterfield, Crossroads, and District 19.

CSU service goals:

  • Help individuals avoid inpatient hospitalizations
  • Increase access for individuals to recovery services
  • Coordination of mental health, substance use, and medical services
  • Assist individuals with integration back into the community

REACH – Adult Services

24|7 CRISIS & REFERRAL LINE – 1-855-282-1006

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

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.

3700 Festival Park Plaza
Building D
Chester, VA 23831


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