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.

For a description of the emergency services that are available, please click here.

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

“We passionately believe in the potential of all.”

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

Upcoming Events

Aug
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9:00 am ACE Interface Training @ ESCSB - Prevention
ACE Interface Training @ ESCSB - Prevention
Aug 17 @ 9:00 am – 3:00 pm
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Aug
19
Thu
6:00 pm NAMI – Family Support Group @ Northampton County Department of Social Services
NAMI – Family Support Group @ Northampton County Department of Social Services
Aug 19 @ 6:00 pm – 7:30 pm
NAMI - Family Support Group @ Northampton County Department of Social Services
NAMI Family Support Group is a peer-led support group for[...]
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Over 2,000
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are served annually by the ESCSB.

No one will be denied access to services due to inability to pay. There is a discounted/sliding fee schedule available.

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