Individuals ages 21 and older shall meet all of the following criteria in order to be eligible to receive mental health skill-building services.

  • The individual shall have one of the following as primary Axis I DSM diagnosis:​​
    • ​​​​​​Schizophrenia or other psychotic disorder as set out in the DSM
    • Major Depressive Disorder Recurrent; Bipolar I, or Bipolar II
    • Any other Axis I mental health disorder that physician has documented specific to the identified individual within the past year to include all the Following:
    1. ​Serious mental illness
    2. Results in severe and recurrent disability
    3. Produces functional limitations in the individual's major life activities which are documented in the individual's medical record
    4. ​Requires individualized training in order to achieve or maintain independent living in the community.
  • Required individualized training in acquiring basic living skills such as symptom management; adherence to psychiatric and medication treatment plans; development and appropriate use of social skills and personal support system; personal hygiene; food preparation; or money management.
  • Prior history of any of the following; psychiatric hospitalization; residential crisis stabilization; Intensive Community Treatment (ICT) or Program of Assertive Community Treatment (PACT) services; placement in a psychiatric residential treatment facility (RTC Level C); or Temporary Detention Order (TDO) pursuant to the Code of Virginia 37.2-809(B), evaluation as a result of decomposition related to serious mental illness. This criterion shall be met in order to be initially admitted to services, and not for subsequent authorizations of service. Have a prescription for anti-psychotic, mood-stabilizing, or anti-depressant medications within the 12 months prior to the assessment date. If a physician or other practitioner who is authorized by his license to prescribe medications indicates that anti-psychotic, mood-stabilizing, or antidepressants medications are medically contraindicated for the individual, the provider shall obtain medical records signed by the physician or the licensed prescriber detailing the contraindication. This documentation shall be maintained in the individual's mental health skill-building records, and the provider shall document and describe how the individual will be able to actively participate in the benefit from services without the assistance of medication. This criterion shall be met upon admission to services, and not for subsequent authorization of service. 

Does the client have difficulty due to a mental, behavioral, or emotional illness in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with the family/community?

“Out of home” is defined as: Level A or B group home, regular foster home, treatment foster care placement, level C residential facility, emergency shelter, psychiatric hospitalization, juvenile justice/incarceration placement

Does the client exhibit such inappropriate behavior due to mental, behavioral, or emotional illness that repeated interventions by the mental health, social services, or judicial system are necessary?

Does the client exhibit difficulty in cognitive ability due to mental, behavioral, or emotional illness such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior?

Demonstrated symptoms consistent with an International Statistical Classification of Diseases and Related Health Problems (ICD) diagnosis that correlates to a Diagnostic and Statistical Manual (DSM) within the last 24 hours;

Indication that the symptoms may stabilize within a 23 hour period at which time a less restrictive level of care will be appropriate OR the nature of the symptoms (e.g. intoxication is present and potentially layered with mental health crisis) require a period of observation in order to determine the appropriate level of care for the individual;

The presenting clinical problem requires a safe, contained environment wherein observation and assessment can be conducted to determine next steps in the individual’s care.

SA Intensive Outpatient Program (SAIOP)

A structured individual and group addiction activities and services that are provided as an outpatient program. The program is designed to assist adults to begin recovery and learn skills for necessary maintenance. The program is offered several times per week. Our clients must be in attendance for a minimum of three (3) hours per day on the scheduled days and times.


  • Individual counseling and support

  • Group counseling and support

  • Family counseling, training or support / Life skills

  • ​Biochemical assays to identify recent drug use (e.g. urine drug screens)

  • Strategies for relapse prevention to include community and social support systems in treatment

  • Crisis contingency planning; Disease Management

  • Treatment support activities that have been adapted or specifically designed for persons with physical disabilities or persons with co-occurring disorders 

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Intensive In-Home Services

Mental Health Skill-Building Services

Community Stabilization Program

Crisis Stabilization and Intervention Services

This service is available to any individual meeting the below criteria, regardless of diagnosis. • Individuals must meet all of the following criteria:

  • The individual must be in an active behavioral health crisis that was unable to be resolved by the crisis call center phone triage process or other community interventions;
  • Immediate intervention is necessary to stabilize the individual’s situation safely; 
    • The individual or collateral contact reports at least one of the following:
      • suicidal/assaultive/destructive ideas, threats, plans, or actions;
      • an acute loss of control over thoughts, behavior, and/or affect that could result in harm to self or others; or
      • functional impairment or escalation in mood/thought/behavior that is disruptive to home, school, or the community or impacting the individual’s ability to function in these settings; and/or;
      •  the symptoms are escalating to the extent that a higher level of care will likely be required without intervention;
    • Without immediate intervention, the individual will likely decompensate which will further interfere with their ability to function in at least one of the following life domains: family, living situation, school, social, work, or community M