Mental Health Counseling Services are another service which is a part of the continuum of care offered by the ESCSB. These services are largely provided in the individual’s home or the community.

Mental Health Counseling Services are offered when an individual requires assistance with activities of daily living such as:

  • Budgeting
  • Nutritional planning
  • Healthy Relaxation Activities
  • Medication Compliance


Same Day Access Services

Due to high demand for services, resulting in overwhelmingly large caseloads, our Mental Health Outpatient team is functioning at maximum capacity. Therefore, I am making the difficult clinical, but ethically appropriate, decision to stop taking new patient referrals for Mental Health Outpatient services effective Monday, May 16, 2022.
Please contact your Primary Care Physician or Care Manager with your insurance carrier to provide an appropriate referral.
~ Lisa “MiMi” Sedjat, LCSW, Executive Director

The Eastern Shore Community Services Board recognizes that the longer individuals have to wait for appointments, the less likely they are to follow through with care. Our goal is to improve engagement and expedite access to care during an individual’s time of greatest need.

We are excited to offer individuals same-day access to service enrollment by providing an initial intake. Individuals may simply walk into our two Parksley locations, as denoted below, to be seen the same day for registration and evaluation. Same Day Access (SDA) services are available ONLY during the times listed below. Arriving early is of no benefit.

The SDA schedule as of June 27, 2022. SDA begins at 10:00 a.m. EST.

Monday at 19056 Greenbush Road, Parksley, VA

Tuesday at 18469 Dunne Avenue, Parksley, VA

Wednesday at 19056 Greenbush Road, Parksley, VA

Thursday at 19056 Greenbush Road, Parksley, VA

Friday at 18469 Dunne Avenue, Parksley, VA

Upon arrival, individuals will be able to speak with a staff member, face-to-face. After screening and financial information are gathered, an individual will receive an initial comprehensive assessment that same day (please plan for this to take approximately two hours). Individuals need to bring their ID, Social Security Card, and any insurance cards or proof of income and proof of residence to these intakes.

The staff members conducting the assessments are trained to assess for mental health, substance use, and co-occurring disorders. These intakes will be used for the following services: Outpatient Therapy, Case Management, and Psychosocial Rehabilitation Services.

As a result of the Federal Block Grant, opioid users and pregnant individuals are priority populations for treatment services.

Pregnant substance users are provided priority treatment within 48 hours and opioid users are provided priority treatment services within 14 days.

Please keep in mind, any clients referred to VASAP, Court Community Corrections, or for MAT (Medication Assisted Treatment)(Suboxone) or who would require a translator, will continue to need a scheduled intake appointment. These can be scheduled by calling (757) 665-5041.

SA Outpatient

Substance Abuse Outpatient Services is staffed by one dually credentialed licensed clinician, one licensed eligible clinician and one Certified Substance Abuse Counselor (CSAC). Additional supports offered to individuals includes: Medication Assisted Recovery Supports (MARS) by two contractually waivered Nurse Practitioners, Peer Recovery Support services, and case management. Resources are available to both individuals and families. We also have several groups as an additional source of support.

Wrapping individuals struggling with Substance Use Disorders with services help to enhance and promote recovery. This has been proven more effective than when attempted unaided. There are a variety of resources to sustain individuals in their efforts to gain strength and meet their individual goals. Please contact the Eastern Shore of Virginia Intergroup at or at (757) 710-8821 for a list of local Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) meetings. The Eastern Shore CSB offers a SMART Recovery meeting on Wednesdays at 10:00 am for those who receive services at the CSB. Please call (757) 665-5041 for more information.

Further, and are both free online recovery tools that embrace multiple pathways to recovery and provide online and phone meetings to people seeking support.

Person in Pain

Safe Disposal of Medications

Do you have unused or expired over-the-counter or prescription medicine in your cabinet? Dispose of them properly to help prevent misuse and accidental poisonings and to protect the environment. Wastewater Treatment Plants and Onsite Sewage Disposal Systems are not designed to remove these chemicals. As a result, these medications can end up in the environment and eventually in our drinking water.

The U.S. Drug Enforcement Administration, as well as local organizations, host “take-back” days, when residents can bring medicines to a designated site for proper disposal. Learn more about the National Prescription Drug Take-Back Initiative.

In addition, the Exmore and Chincoteague Police Departments, the Accomac and Northampton County Sheriff’s Offices, and area pharmacies provide permanent drug disposal drop boxes where residents can safely dispose of their unused or expired medications. You also can pick up a drug disposal kit at our Prevention Services office.



Why? Because they can end up in our rivers and streams. To help protect our environment, throw unused, unwanted, or expired over-the-counter and prescription medicines in the trash. Don’t flush medicines — except when specifically instructed by the label.

Check the pill bottle for any instructions on proper disposal. If none are present, follow these steps:

  • Remove medicine from original containers. Do not crush tablets or capsules.
  • Mix medicine with an undesirable substance like kitty litter or used coffee grounds.
  • Place mixture in a tightly sealable bag or container and throw away in trash.
  • Blackout all personal information on the prescription label so that it is unreadable.


The medicine drop-off locations and drug disposal pouches cannot be used for needles and syringes. (Please note: Commercial facilities, such as nursing homes, must use a licensed disposal company to get rid of their waste.)


Learn about the Drug Enforcement Administration’s National Take-Back Initiative, which holds National Prescription Drug Take-Back Days. On these days, residents can safely dispose of unwanted, unused prescription drugs at a nearby drop-off location.

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

Upcoming Events

12:00 pm QPR Training @ Zoom
QPR Training @ Zoom
Jul 12 @ 12:00 pm – 1:00 pm
Virtual event. Register online
9:00 am Adverse Childhood Experiences (A... @ ESCSB - Prevention
Adverse Childhood Experiences (A... @ ESCSB - Prevention
Jul 14 @ 9:00 am – 3:00 pm
Register online
view all events


Check out our FAQ page for more information.

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Over 2,000

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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