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.

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.

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

6:00 pm NAMI – Family Support Group @ Northampton County Department of Social Services
NAMI – Family Support Group @ Northampton County Department of Social Services
Mar 18 @ 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[...]
3:00 pm REVIVE! Lay-Rescuer Training (Na... @ ESCSB - Prevention Office
REVIVE! Lay-Rescuer Training (Na... @ ESCSB - Prevention Office
Mar 29 @ 3:00 pm – 4:30 pm
REVIVE! Lay-Rescuer Training (Naloxone Training) @ ESCSB - Prevention Office
REVIVE! Lay-Rescuer Training REVIVE! is the Opioid Overdose and Naloxone[...]
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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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