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24-Hour Crisis Services
757-442-7707 | 1-800-764-4460

Charting a course towards a brighter future

We provide outpatient mental health, substance use counseling, peer recovery support, prevention, developmental disability services, and much more!

Experience Background

years of experience

serving Accomack & Northampton counties

Established in 1971, Eastern Shore Community Services Board is part of a statewide network of 40 Community Service Boards working to provide mental health, developmental disability, substance use, and prevention services where they are needed – in the local community.


Our Services

empowering individuals with developmental disabilities

Developmental Services

We offer a wide range of person-centered services designed to support individuals with developmental disabilities in living a safe, healthy, and productive life as independently as possible.

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A person in depression

Emergency Services

Our Emergency Services are designed to meet a person’s immediate needs, assure their safety, and connect them to appropriate and timely interventions, in the least restrictive environments.

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recovery-oriented treatment services

Outpatient Services

We provide a variety of outpatient services to meet the needs of our community. Services are provided for all age groups and are provided on an individual, group, or family basis.

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Parents teaching cycle riding to child

Prevention Services

We incorporate a spectrum of community and school-based services that promote mental wellness for youth and families to decrease the risk factors for developing a mental health or substance use disorder.

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Peer Recovery Support Available Here

Recovery Is Possible.
We Are Here To Support You.


Public Service

A white Ford F-550 with a large green mental health medical area on the back.

Mental Health Services Hit the Road

February 23, 2023

In the spring of 2019, the Eastern Shore Community Services Board launched Virginia’s first Licensed Outpatient Services and Medication Assisted Treatment Mobile Unit. Funded by the Department of Behavioral Health and Developmental Services, the Unit is intended to expand services in remote communities for underserved populations. This unit gives the ESCSB the ability to take […]

SMART Recovery Family & Friends group meetings start March 22nd.

SMART Recovery Family & Friends – Starts Mar. 22nd

March 2, 2023

Looking for support while dealing with a loved one’s addiction? We understand that it can be tough to be in a close relationship with someone who is struggling with addiction. It can feel isolating, frustrating, and painful. But you don’t have to go through it alone. Join our supportive group environment, where you can connect […]

The 2022 Virginia CIT Behavioral Health Provider of the Year is Randy Smith

Randy Smith Named 2022 Virginia CIT Behavioral Health Provider of

March 7, 2023

The 2022 Virginia Crisis Intervention Team (CIT) Behavioral Health Provider of the Year Award was presented to Randy Smith. Randy is the ESCSB’s Supervisor of Transitional Programs, Forensic Programs, & Training. His contributions to the Eastern Shore CIT program have been invaluable, and his dedication to improving the behavioral health system in his community is […]