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


Our Outpatient services are comprehensive, evidence-based, recovery-oriented treatment services that address a wide variety of presenting needs. Services are provided to individuals who have substance use, mental health, and/or developmental disability concerns. Services are offered in a variety of formats that provide individualized goal setting and treatment to promote growth, skill development, health, and recovery.

recovery-oriented treatment services


Outpatient Mental Health Services

Case Management

Outpatient Substance Use Disorder Services

Psychosocial Rehabilitation


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The ESCSB 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 Parksley locations, listed 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.

SDA Schedule

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 the following on their first visit:
  • Identification cards
  • Social Security Card
  • Insurance cards or proof of income
  • Proof of residence

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.

SA Outpatient

Substance Abuse Outpatient Services provides comprehensive support to individuals and families struggling with Substance Use Disorders. With a team of licensed and certified professionals, we offer top notch person-centered recovery plans.

We offer Medication Assisted Recovery Supports (MARS), Peer Recovery Support services, case management, and various support groups, individuals are equipped with the resources to achieve their goals and maintain recovery.

For a list of local Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) meetings, please contact the Eastern Shore of Virginia Intergroup at (757) 710-8821 or

Substance Abuse Outpatient Services group discussion


Check out our FAQ page for
more information.



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