Crisis Services

Crisis Line NSPL_Logo

Cumberland River Behavioral Health Center provides access to a 24-hour crisis line for adults and children who are experiencing a mental health crisis. The line is answered by trained professionals and is available 24 hours per day, 365 days per year. Our staff will listen, provide support, and provide information regarding agency and community resources for callers and/or concerned family members.  Our goal is to provide you with support so that you know that you are not alone and that we care.  Call 1-800-273-TALK (8255).

We are a proud member of the National Suicide Prevention Lifeline.

ASL Interpreter services are arranged and available for Deaf and Hard of Hearing individuals.  Specific language interpreting accommodations are reviewed and assessed on an individual basis.

TTY Toll Free 1-888-640-9335

Victims’ Services Hotline

Cumberland River Behavioral Health offers confidential crisis services to victims of sexual assault or abuse through the Victims’ Services Program Hotline. Our hotline is answered by trained professionals and is available 24 hours per day, 365 days per year. Our staff will listen with compassion and offer judgement free support. They are able to help you talk through what has happened and connect you with area resources. They are also able to have an advocate meet you at the hospital if the assault has happened recently and you choose to seek medical care. Call 1-800-656-HOPE (4673).

 

Children’s Mobile Crisis Team

The Children’s Mobile Crisis Team is a team of professionals that will provide crisis intervention and/or information and referral services to children and families who may be facing difficult emotional, behavioral or substance abuse issues. Our mobile crisis team reaches out to calm the situation to insure the right level of care is assessed.  The team provides assessment, crisis mediation and management, behavior management, family intervention, and referral. Additional follow up services are provided within 24 hours of the crisis.

The mobile crisis team is active after 4:30 p.m. on weekdays and 24 hours/day on the weekend and can be accessed by calling 1-800-273-8255.

 

Outpatient Crisis Services

Crisis services are available in all of our outpatient office during normal business hours, 8 am-4:30 pm Monday-Friday. Any person in crisis can walk into one of our offices and be seen. Outpatient locations are as follows:

 

 Barbourville Office 606-546-3104 704 Pitzer Street

Barbourville, KY 40906

Corbin Office 606-528-7010 1203 American Greeting Rd.

Corbin, KY 40702

Harlan Office 606-573-1624 134 Comprehensive Drive

Harlan, KY 40831

London Office 606-864-2104 915 North Laurel Road

Pittsburg, KY 40755

 Manchester Office 606-598-5172 565 Muddy Gap Road

Manchester, KY 40755

 McKee Office 606-287-7137 1348 Hwy 421N

McKee, KY 40447

 Middlesboro Office 606-248-4949 324 1/2 North 19th Street

Middlesboro, KY 40965

Mt. Vernon Office 606-256-2129 260 Valley View Lake

Mt. Vernon, KY 40456

Pineville Office 606-337-6137 215 East Tennessee Ave.

Pineville, KY 40977

Williamsburg Office 606-549-1440 285 Cemetery Road

Williamsburg, KY 40769

 

 

Haven House Adult Crisis Stabilization Unit

Haven House is an 8 bed, 24-hour, center for adults experiencing a mental health crisis. The costs for services provided are based on a sliding scale and will be set at the time of admission.  For more information, call (606) 878-7013 or click the picture above.

 

Turning Point Children’s Crisis Stabilization Unit

Turning Point is a short-term residential program for children and youth who are experiencing severe emotional, behavioral, or substance abuse crisis and are at risk for hospitalization or out of home placement. For more information call (606) 526-1626 or (606) 528-7010 or click the picture above.

Developmental and Intellectual Disabilities Crisis Response and Prevention Program

Crisis prevention and response services are available to participants with:

Developmental/intellectual disabilities that are experiencing an acute, immediate behavioral and/or psychiatric crisis as determined by the Department of Developmental and Intellectual Disabilities (DDID) crisis rating scale. We will assist in assessment of service needs, assist with acute symptom reduction, expand behavior supports and strengthen existing provider capacity and develop new capacity to respond to, prevent, and/or minimize emergent crisis issues. Services include an after-hours crisis hotline, D/ID triage system, a mobile crisis response process with trained staff, person-centered assessment and intervention, debriefing meeting after the crisis, community resource development, and intensive case management. Individuals in crisis are defined as being at risk of losing the support they need to remain in the community. D/ID Crisis Response/Prevention services can be accessed by contacting Cathy Stout at (606) 528-7010, ext. 2060 or Matt Keene at ext. 2070.   After hours assistance is available through the Crisis/Information Center 1-800-273-8255 or (606) 304-1599.

TYPE OF SERVICES PROVIDED INCLUDE:

  1. Mobile Crisis: Mobile Crisis is the immediate in home or community response to assess for acute service needs, to assist with acute symptom reduction, and if necessary, to ensure the person in crisis safely transitions to appropriate crisis stabilization services.   These services are available 24 hours a day, 7 days a week, 365 days a year. CRBH uses a team approach to meeting the needs of the recipient. This service is provided in duration of less than 24 hours and is not an overnight service.
  2. Debriefing: Analysis of the situation, subsequent to assistance by the regional ID crisis team for managing a crisis, identifying things such as: what is known, was the crisis plan or participant summary followed, if not why, does plan address the issue, have staff been adequately trained, what were the triggers, antecedents, de-stabilizing factors present, environmental factors, further assessments needed, medications been recently changed or improperly administered, other issues, and subsequent recommendations and intensive planning to help prevent further incidents/crises. Debriefing may consist of multiple meetings to resolve an issue and should be conducted at all triage levels. An action plan should be developed to include responsible parties and dates to complete tasks and may include periodic assessment of progress and training of staff to implement behavioral strategies and environmental changes.
  3. Person Centered Planning: At critical moments, when community living may be threatened, it may be necessary to assist and guide an individual in crisis and his or her person centered team in the identification of how strengths, capacities, desires, choices, and opportunities can be best utilized in defining and pursuing a meaningful life. PCP helps to asses and mitigate risk while determining what is important to and for the participant. It considers options available through Medicaid, a Medicaid Wavier program, the Office of Vocational Rehabilitation, natural supports, and other resources. It maximizes community inclusion and generates action steps that can be taken immediately toward a better life. Family, Guardian, if applicable, friends, and care service professionals are included in planning, as designated by the participant. PCP ensures services are delivered in a respectful manner and plans include insight into how to assess the quality of services being provided.
  4. Technical Assistance/Resource Linkage: A time limited service in which participants are referred or linked to needed community information, resources, programs/services, other supports, including specific information on how to apply for any applicable programs, health benefits, grants, or Medicaid waiver programs.
  5. Prevention Services: The goal of prevention is to prevent the onset of disease and/or to mitigate the effects once diagnosed, This includes services such as screening tests for issues such as depression, alcohol or drug abuse, health conditions such as diabetes, obesity, or STDs, but can also be health monitoring, counseling and education, exams, shots and other lab tests and screening.
  6. Crisis Respite: Crisis respite provides short term relief (up to 2 weeks) for the individual and caregivers in order to prevent a crisis or assist in the de-escalation of a current crisis. Respite may be provided in a residential setting or on an hourly basis.
  7. Psychological Assessment: Psychological assessments are provided to assist in the prevention of crisis for an individual. Psychological assessments are a way of testing people about their behavior, personality, and capabilities to draw conclusions using combinations of techniques. The purpose behind modern psychological evaluation is to try and pinpoint what is happening in someone’s psychological life that may be inhibiting their ability to behave or feel in more appropriate or constructive way.
  8. Environmental Assessment: Field based assessments of the environment to determine what environmental factors may contribute to the occurrence or recurrence of a crisis. May include: physical/biological factors, physical surroundings, social practices and knowledge, technological adaptations and physical arrangements, culture, people and institutions with whom they interact, and other living (i.e. pets) and/or non-living things. Also consider how environmental factors are impacted by the crisis situation to identify potential risks to a participant’s health, livelihood and safety.
  9. Functional Assessment: Functional assessments are used to help prevent crisis by the examination of the relationships between stimuli and responses for an individual. To establish the function of a behavior, one typically examines the “four-term contingency”: first by identifying the Motivating Operations, then identifying the antecedent or trigger of the behavior, identifying the behavior itself as it has been operationalized, and identifying the consequence of the behavior which continues to maintain it.
  10. Development of Behavior Support Plan: The utilization of evidenced based and best practices in behavioral techniques, interventions, and methods to assist a person with significant, intensive challenges which interfere with activities of daily living, social interaction, or work. Evidenced based or best practices regarding treatment of a behavioral health condition shall be the primary support if supplemental behavioral interventions are needed. Positive behavior support plans are developed with the individual and the individual’s person centered team and are related to goals of interventions, such as greater participation in activities, and/or enhanced coping or social skills. It is clearly based upon the information, data collected, and recommendations from the functional assessment.
  11. Transportation: Transportation services are provided on a short term basis to ensure access to services and supports to prevent or de-escalate a crisis situation. These services can be agency provided or provide funding for this to be provided by an outside source. This is only provided when transportation is not otherwise available through natural supports or a Medicaid program.
  12. Medical Care/Evaluations: Supports to address acute or long-standing medical or related conditions that are interfering with the individual’s stability in the community, to ultimately provide relief to the individual being served, and to provide additional information in the identification of the nature of supports needed.

Duration of Services:

Crisis prevention services are designed to be provided on a short term basis until the crisis is resolved and the individual has been connected to more long term supports to prevent/reduce future crisis.