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

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 services are available ONLY during the times listed below. Arriving early is of no benefit.

Monday, Tuesday, & Friday (10:00 a.m. to 1:00 p.m.) and Thursday (10:00 a.m. to 2:00 p.m.) at
19056 Greenbush Road, Parksley, VA

Wednesday (10:00 a.m. to 1:00 p.m.) 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, Mental Health Skill Building, 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.

Opioid Recovery

Common Signs of Opioid Abuse:

Physical Signs:

  • Noticeable elation/euphoria
  • Marked sedation/drowsiness
  • Confusion
  • Constricted pupils
  • Slowed breathing
  • Intermittent nodding off, or loss of consciousness
  • Constipation

Behavioral Signs:

  • Doctor shopping (multiple prescriptions from different doctors)
  • Mood swings
  • Extra pill bottles turning up in the trash
  • Social withdrawal/isolation
  • Sudden financial difficulties

Withdrawal Symptoms (mimics flu symptoms):​

  • Headache
  • Nausea
  • Vomiting
  • Diarrhea
  • Sweating
  • Fatigue
  • Anxiety
  • Inability to sleep

If you or someone you know is struggling with an addiction to heroin, fentanyl, hydrocodone, oxycodone, or other opioid drugs, contact us at 757-665-1260.

If you are currently using opioids and/or a pregnant women, you are considered a priority population for services.

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

Upcoming Events

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WESR “Coffee with Kelley” Radio ... @ WESR Radio - 103.3 FM
Dec 14 @ 9:30 am – 10:00 am
This week’s topic: The Walking Classroom Each week, Kelly Bulin[...]
12:30 pm Trauma-Informed Screening, Refer... @ ZOOM
Trauma-Informed Screening, Refer... @ ZOOM
Dec 16 @ 12:30 pm – 5:00 pm
Trauma-Informed Screening, Referral & Response Protocol @ ZOOM
A virtual event designed to enhance connections among organizations. What[...]
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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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