President John F. Kennedy delivered a message proposing a “bold new approach” to dealing with the problems of mental illness and mental retardation. Congress responded with the passage of the Mental Retardation Facilities and Community Mental Health Center Construction Act, which was signed into law on October 31, 1963 (P.L. 88-164).  The law authorized federal grants for construction of public or nonprofit community mental health centers. Monies were allotted to states on a percentage basis of population, extent of need and financial need.  Required services included the following components: Inpatient Care, Outpatient Care, Partial Hospitalization, Emergency Care, and Consultation/Education.
The Community Mental Health Centers (CMHC) Act Amendments of 1965, (P.L. 91-211), construction and staffing grants to centers were extended and facilities that served those with alcohol and substance abuse disorders were made eligible to receive these grants. Grants were provided to support the initiation and development of mental health services in poverty-stricken areas. A new program of grants was established to support further development of children’s services.
The first Western Kentucky Regional Mental Health/Mental Retardation Advisory Board, Inc. meeting was held with Ben Humphreys serving as Chair.  Consumers in McCracken, Marshall, Graves, Calloway, and Fulton counties soon began receiving services under the direction of Marlow Harston, MD.

Livingston, Ballard, Carlisle, and Hickman counties began receiving limited services.

The Paducah Mental Health Center moves from the Guthrie Building to Lourdes.

Charles McArthur became the 2nd Executive Director.

The CMHC Act Amendments of 1975 (P.L. 94-63) mandated a more detailed community mental health center definition emphasizing comprehensiveness and accessibility to all persons regardless of ability to pay, through the creation of a community governing board and quality assurance.  Required core services expanded from the 1963 levels from 5 to 12, which included the following: Children Services, Elderly Services, Screening Services, Follow-up Care, Transitional Services, Alcohol Abuse Services, Drug Abuse Services.
The Friedman Center opens.
The Agency purchases it’s first real estate, the Benton Office.

Mental Retardation Services are expanded.

Harry Cecil becomes the third Executive Director.

Decriminalization laws were passed which revamped the involuntary commitment process.

The Mental Health Systems Act, (P.L. 96-398), restructured the federal community mental health center program by strengthening the linkages between the federal, state, and local governments.  Per the Mental Health Systems Act, a litany of grant programs were mandated for the CMHCs to assist the centers in expanding services to meet an array of priority populations including grants  for the severely mentally ill (SMI) and severely emotionally disturbed (SED) populations, expansion of education and consultation services and increased involvement of the consumer in service and treatment.

Don Fox is hired as the fourth Executive Director.

The Mental Health Systems Act was repealed. In its place, the Alcohol, Drug Abuse and Mental Health (ADMS) Block Grant was enacted as part of the Omnibus Reconciliation Act of 1981, (P.L. 97-35), which was signed into law on August 13, 1981.  This consolidated the alcohol, drug abuse, and mental health programs into a single block grant. States were given wide discretion in implementing and administering this block grant.
The ADMS block grant, the most prominent block grant that applied to CMHCs at the time, decreased federal funding levels by 30 percent.  This resulted in dramatic service reductions, and in some cases, elimination of programs within different CMHCs.
MRDD Services were expanded to include Creative Enterprises and Respite Care begins to be provided to families of MR consumers in Western Kentucky.
Congress amended Medicare by increasing outpatient mental health benefits for the first time since the program’s enactment in 1965.
Programs are created at FRBH for SMI Adults and SED Children.
Creative Enterprises, the MRDD Office, the Regional Prevention Center  and the SED Program began moving into the HIPP Building.
The William H. Fuller Center Opens for services.
Don Fox retires and Allison Ogden becomes the fifth Executive Director.
FRBH establishes it’s first computer network.

The Western Kentucky Regional Mental Health Mental Retardation Board, Inc. approved for the agency to begin doing business as Four Rivers Behavioral Health.

President Clinton signed the Children’s Health Act (P. L.106-310) into law. The law establishes national standards that restrict the use of seclusion and restraint in all psychiatric facilities that receive federal funds and in “non-medical community-based facilities for children and youth.”
An in-depth study on co-occurring disorders, mandated under the Children’s Health Act of 2000, was delivered to Congress.  President Bush increased funding for Community Health Centers that provided appropriations for the construction of additional centers and offered more services, including behavioral healthcare benefits.
Fuller Apartments and Center for Community Supports Program (CCSP) open.
FRBH Corporate Office, Center for Adult Services, and Medical Services move into the newly renovated Broadway location.

FRBH’s Annual Dinner and Christmas Luncheon are no longer hosted by area dining establishments.  They are combined and held “in-house” at the FRBH Seminar Center.

FRBH establishes a Technology Department.
The Center for Specialized Children’s Services, Regional Prevention Center, Mental Retardation/Developmental Disability Services, and Creative Enterprises move to new offices at 425 Broadway.
Allison Ogden retires and Terry Hudspeth becomes the sixth Executive Director.

The CenterPoint Recovery Center for Men opens.