Children's Regional Crisis Services

Learn more about Children's Regional Crisis Services at RBHA.

RBHA is the operating agent for 3 regional crisis response programs for children. Services are provided to individuals residing in Region 4 of the Virginia Department of Behavioral Health and Developmental Services (VBHDS) 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)
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.

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.

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 children’s regional services through Region 4.

Children’s Crisis Stabilization Unit (CSU)

24|7 Call Center 804-874-9119

The Children’s CSU is operated in partnership with St. Joseph’s Villa and offers a safe, therapeutic environment designed to assist youth in stabilizing a mental health crisis.

Services include:

  • Individual and Family Interventions (including individual, group, and family therapy)
  • Assessment and Treatment Planning
  • Medication Management
  • Links to community resources
  • Educational Coordination

Who Should Be Referred?

Children’s CSU services are available to children, ages 5 – 17, living in Region 4 of Virginia (Richmond City, Henrico, Hanover, Chesterfield, District 19, Goochland/Powhatan, and Crossroads).

Examples of individuals who might be referred for Children’s CSU services:

  • Difficulty maintaining typical interpersonal relationships - risking hospitalization, homelessness, or isolation from social supports
  • Difficulty in activities of daily living
  • Exhibiting behavior that requires intervention by mental health professionals, social services, or law enforcement
  • Cognitive difficulties – unable to recognize personal danger or inappropriate social behavior

Children’s Response and Stabilization Team (CReST)

Referral Line 1-833-968-1800

CReST is a resource for youth, ages 5-18, who are in crisis and need help avoiding psychiatric hospitalization. With quick response and assistance connecting to on-going services, CReST works to reduce the cycles of crises and prevent the need for more intense care.

Who is Eligible for CReST?

Youth residing in Region 4, ages 5 – 18, who are experiencing an acute crisis which is disrupting their functioning.

CReST Services

CReST staff work with the youth and families/caregivers to:

  • Triage and problem solve the crisis at hand
  • Identify on-going treatment needs
  • Link youth and family to community providers
  • Provide community based counseling

How to Make a Referral

Call the referral line at  1-833-968-1800 and be prepared to provide your contact information, relationship, youth & family contact information and a brief description of the crisis situation,


Submit a face sheet and psychiatric consult via secure e-mail to or fax to 804-819-4262, Attention: CReST Each person who makes a referral will receive a follow-up contact from CReST within one business day.

REACH – Children’s Services

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

REACH Child Crisis Services 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 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 for 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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