Adult & Family Services: Adult Clinical Services
Gail Burruss, LPC, LSATP, Director

Adult Clinical Services programs provide consumers a single point of entry to the agency, crisis response, and assessment, case management, and therapeutic services designed for specific populations meeting our admission criteria. Persons with mental disabilities can receive a comprehensive assessment to determine their mental health, mental retardation, and/or substance use services needs, and be referred to the services which best meet those needs. Services are designed to aid consumers in achieving their highest possible level of functioning.

Community Support Services programs for adults consist of case management, rehabilitation services, psychiatric services, and supports to consumers with long-term mental disabilities. The goal of a community support system is to maximize each consumer’s potential for independence, improved quality of life, and optimum level of functioning.

For an initial appointment to determine which of our services may be appropriate for you, please call Assessment and Emergency Services.

Assessment and Emergency Services | Sexual Assault Response and Awareness
Blue Ridge Recovery Center | Blue Ridge Counseling Services | PHASES
Specialized Services | Alpha Jail and Community Services
Adult Resource Management | ALF Program | Program for Assertive Community Treatment
 Psychiatric Services | Mental Health Support Services | Mountain House Clubhouse

Assessment and Emergency Services provides 24 hour crisis intervention counseling and referral; pre-admission screening to determine need for hospitalization; court liaison for involuntary commitment procedure; initial contact for the SARA program. During the business day, this service provides a single source for determining placement through a variety of comprehensive assessment instruments. Individuals may access screening for services without an appointment by coming to the Burrell Center between 9 AM and 4 PM. Based on the outcome of the screening, individuals may receive a clinical assessment, short-term counseling, and/or referrals to the appropriate level and intensity of treatment, either from BRBH or other community providers.
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Emotional support and assistance to victims of sexual assault via a 24 hour crisis hotline; individual and group counseling by appointment.
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Regional Stabilization Services provides short-term (3 to 15 day) stabilization for individuals who have symptoms of mental illness that could, if not addressed, result in a need for hospitalization. This service also offers medically supervised detoxification from alcohol and other drugs. Those needing both detoxification and support for symptoms of mental illness are served. Services are provided in a recovery-oriented environment, and include skills training, psychiatric care, 12-step recovery groups on-site, and discharge planning to assure continuity of care in transitioning to outpatient services.

Residential Services provide short-term (5 to 30 day) treatment for those with serious substance dependence who need this level of care in order to respond to outpatient care following the residential treatment experience. Services are available to those with co-occurring mental illness, and are provided in a recovery-oriented environment that includes group and individual therapy, education and skills training, psychiatric care if needed, and participation in off-site 12-step recovery groups. Those completing this level of care have immediate access to outpatient groups that meet three times weekly.
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Individual and group counseling for adults admitted for outpatient drug, alcohol, mental illness, and/or these co-occurring conditions.
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A continuum of intensive outpatient and day treatment services for adults with serious substance use disorders.

Day treatment: 10 weeks, 3 hours daily, multiple days per week.

32-week cycle of Preparation Intensive Outpatient, and Continuing
Care groups.
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An array of specialized services, including therapy groups to address the impact of trauma, Dialectical Behavioral Therapy, prevention, education and case management for consumers receiving other treatment services who have, or are at risk for acquiring, infectious diseases, and Project LINK, which provides case management to meet the multiple needs of substance-abusing pregnant women, mothers and their infants, and women of childbearing age. On-site Project LINK services include specialized day treatment, case management, education, parenting skills, transportation, childcare, and support groups.
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Provides modified therapeutic communities in separated living environments for men and women with serious substance disorders in the Roanoke City jail and in the Roanoke County/Salem jails. These jail-based services are followed by immediate entry into intensive outpatient services in the community, and referrals to other needed services. Discharge planning for individuals in the local jails who have serious mental illness is also provided.
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Coordination of resources and support designed to facilitate independence and stability for adults with serious mental illness. Case management activities include assessment, planning, linking, and monitoring services; crisis prevention and intervention services; and hospital and state facility admission and discharge planning activities.
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Consultation and support to enhance linkages with area assisted living facilities (ALF). Complete wrap-around services include case management, ALF staff training, consumer education, medication monitoring, physician/nursing consultation, skills training and supportive counseling.
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Individualized community-based treatment, rehabilitation, and supports designed to meet the needs rehabilitation, and supports designed to meet the needs of adults with serious mental illness who often require 24 hour service availability to avoid hospitalization. Complete wrap-around services include intensive case management, psychiatric diagnosis and treatment, medication prescription, administration and monitoring, Substance Abuse services, counseling, vocational counseling, and life skills training.
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Psychiatric evaluation, medication management, nursing services, case management, and follow-along services provided by consulting psychiatrists and psychiatric residents under their supervision.
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A combination of training and support activities designed to enable adults with significant functional limitations to achieve and maintain community stability and independence in the most appropriate, least restrictive environment.
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Pre-vocation training, independent living skills, socialization, and recreational activities provided in a member-operated psychosocial rehabilitation program to persons who have psychiatric disabilities. Education and support to families of adults with serious mental illness is provided using the Mutual Education Support and Advocacy (MESA) curriculum.

Coordination and consultation for church-sponsored Social Clubs, which provide opportunities for fun and community integration to adults with serious mental illness and/or mental retardation.
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Blue Ridge Behavioral Healthcare
The Community Services Board Serving the Cities of Roanoke and Salem and the
Counties of Botetourt, Craig, and Roanoke in Virginia