Emergency Services

“We passionately believe in the potential of all.”

Individuals or family members experiencing a crisis should call one of the following numbers:

Our trained team of Emergency Services clinicians provide 24/7 crisis services here on the Eastern Shore of VA, with certified and licensed staff ready to assist you and your family at anytime day or night. To access this service, please dial the numbers listed above, and we will be glad to assist you with your call.

Ambulatory Crisis Stabilization

Ambulatory Crisis Stabilization (ACS) is an intensive community-based Crisis Stabilization program that offers mental health services for non-hospitalized individuals who are experiencing an acute psychiatric crisis which may jeopardize their current community living situation. Services may be provided for up to a 15-day period per crisis episode following a thorough assessment by a licensed mental health professional. This service is available on the Eastern Shore for both adults and minors. The goal of our crisis stabilization program is to avert hospitalization or re-hospitalization, provide normative environments with a high assurance of safety and security for crisis intervention, stabilize individuals in psychiatric crisis, and mobilize the resources of the community support system and family members and others for on-going maintenance and rehabilitation.

The crisis stabilization program provides individuals, on the Eastern Shore, the required psychiatric assessments to include: medication evaluation, treatment planning, symptom and behavior management, and individual and group counseling. Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization. Criteria for this service can include symptoms such as, difficulty in establishing and maintaining normal interpersonal relationships to such a degree that the individual is at risk of psychiatric hospitalization, homelessness, or isolation from social supports; difficulty in activities of daily living such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized; they are exhibiting such inappropriate behavior that immediate interventions documented by the mental health, social services, or judicial system are or have been necessary; or they are exhibiting difficulty in cognitive ability such that the individual is unable to recognize personal danger or significantly inappropriate social behavior.

Criteria from CMHRS Manual:

Crisis stabilization services for non-hospitalized individuals shall provide direct mental health care to individuals experiencing an acute psychiatric crisis which may jeopardize their current community living situation. Services shall be provided following a face-to-face service-specific provider intake by an LMHP, LMHP-supervisee, LMHP-resident, or LMHP-RP. Only one unit of service shall be reimbursed for this intake. The provision of this service to an individual shall be registered with either DMAS or its contractor within one business day of the completion of the service-specific provider intake to avoid duplication of services and to ensure informed care coordination.
a. The goals of crisis stabilization programs shall be to avert hospitalization or re-hospitalization, provide normative environments with a high assurance of safety and security for crisis intervention, stabilize individuals in psychiatric crisis, and mobilize the resources of the community support system and family members and others for on-going maintenance and rehabilitation. The services must be documented in the individual’s records as having been provided consistent with the ISP in order to receive Medicaid reimbursement.
b. The crisis stabilization program shall provide to individuals, as appropriate, psychiatric assessment including medication evaluation, treatment planning, symptom and behavior management, and individual and group counseling.
c. This service may be provided in any of the following settings, but shall not be limited to: (i) the home of an individual who lives with family or other primary caregiver; (ii) the home of an individual who lives independently; or (iii) community-based programs licensed by DBHDS to provide residential services but which are not institutions for mental disease (IMDs).
d. This service shall not be reimbursed for (i) individuals with medical conditions that require hospital care; (ii) individuals with a primary diagnosis of substance abuse; or (iii) individuals with psychiatric conditions that cannot be managed in the community (i.e., individuals who are of imminent danger to themselves or others).

e. Services must be documented through daily progress notes and a daily log of times spent in the delivery of services. The service-specific provider intake, as defined at 12VAC30-50-130, shall document the individual’s behavior and describe how the individual meets criteria for this service. Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization. Individuals must meet at least two of the following criteria at the time of admission to the service:
(1) Experience difficulty in establishing and maintaining normal interpersonal relationships to such a degree that the individual is at risk of psychiatric hospitalization, homelessness, or isolation from social supports;
(2) Experience difficulty in activities of daily living such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized;
(3) Exhibit such inappropriate behavior that immediate interventions documented by the mental health, social services, or judicial system are or have been necessary; or
(4) Exhibit difficulty in cognitive ability such that the individual is unable to recognize personal danger or significantly inappropriate social behavior.
f. These services may only be rendered by an LMHP, LMHP-supervisee, LMHP-resident, LMHP-RP, QMHP-A, QMHP-C, QMHP-E or a certified pre-screener.

Treatment Philosophy

At Emergency Services, we view a psychiatric or substance abuse crisis as a critical and/or opportune time to intervene. Often the crisis brings to light some patterns of thinking, feeling, or relating that are not producing desired results in a person’s life.

These patterns are often indicative of underlying pain with which the individual has difficulty coping. The successful intervention will help the individual begin the process of dealing more adaptively with the pain or problems they are experiencing.

We provide an array of services to help the individual resolve the crisis in the least restrictive, recovery-oriented method possible.

Treatment Location

Our Emergency Services team is comprised of state certified, licensed and experienced clinicians who are available on the Eastern Shore 24 hours per day, 7 days per week. We provide face to face or telephone response to individuals and families experiencing crisis, or to an involved party who is concerned about the person in crisis.

During our regular business hours of 8:30am to 5pm Monday through Friday, individuals may be scheduled for an emergency appointment at our Emergency Services office:

Tasley (Admin and Emerg. Serv)
24233 Lankford Highway
Tasley, VA 23441

For after-hours access 5pm to 8:30am, an on-call clinician will respond to the crisis call through the ESCSB Emergency Services answer service by calling our 24-Hour Crisis Services numbers:

If a face to face appointment is required after-hours, it will be set up at the Riverside Shore Memorial Emergency Department or another designated ESCSB emergency site.

Crisis Intervention Teams (CIT)

CIT are nationally recognized programs that bring together local stakeholders who are involved in the crisis continuum. These stakeholders may include law enforcement officers, emergency dispatchers, emergency room hospital staff, mental health crisis clinicians and providers, individuals who receive mental health services, family members, and other service providers.
The goal of CIT is to provide a multi-systems response to persons experiencing behavioral health crises who come into contact with law enforcement and first responders. Individuals in crisis may come to the attention of law enforcement and other first responders due to exhibiting symptoms or behaviors that are inappropriate, altered, dangerous, or violent. Additionally, law enforcement officers routinely interact with individuals with behavioral health disorders as a result of the statutory structure of Virginia’s civil commitment process. In many of these situations, it is necessary to help individuals access mental health treatment, or place such persons in custody and seek mental health treatment at the most appropriate level for their safety and the safety of others.
Effective CIT programs enhance community collaboration, develop a stable infrastructure and provide outstanding training to improve criminal justice and mental health system response to individuals with mental health issues.
Here on the Eastern Shore, our CIT program began with the vision of the CSB Executive Director Lisa “MiMi” Sedjat, LCSW, who came to the Shore intending to establish a CIT program. Our local program started in March 2015 with one CIT-trained employee working at the Eastern Shore CSB. Since that time, there are now over 200 CIT-trained officers and first responders working on the Eastern Shore.
The current Eastern Shore CIT program has expanded to a multi-faceted program, with a CIT Assessment Center at Riverside Shore Memorial Hospital in Onley, VA; a fully operational training team; an on-call Peer team; and ongoing local classes each year for officers, first responders, and dispatchers. Teamwork has been the key to the growth of our CIT program, and many local agencies have been involved in this journey. We appreciate the partnerships that we share on the Eastern Shore and look forward to many more years of serving our Eastern Shore community together.
If you would like more information or have any questions about our CIT program, please do not hesitate to contact our local CIT Coordinator John Konkel, LPC at 757-442-3636.

call
Individuals experiencing a crisis should call 911 or
ESCSB emergency services call center at 757-442-7707

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REVIVE! Naloxone Training @ ESCSB - Prevention
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