Crisis and Emergency Services

  Emergency services are accessible 24 hours a day, 365 days a year. Emergency crisis intervention is provided through Four Rivers Behavioral Health staff who are available through our 24-hour Crisis and Information Line (1-800-592-3980). Emergency services may also be provided on a face to face basis during business hours at any of our offices, or after hours if determined to be appropriate by the on-call therapist through the crisis line.

Persons using the Crisis and Information Line may receive crisis counseling, information, or referral to the appropriate community resource.  Four Rivers Behavioral Health belongs to the National Suicide Prevention Lifeline network.


Disaster Emergency Preparedness
This program provides for on-going review and assessment of the disaster and emergency preparedness of Four Rivers Behavioral Health in the event of a natural or man-made disaster, such as tornados, earthquakes, or terrorist attacks. The program works to coordinate the behavioral response of Four Rivers Behavioral Health with the Kentucky Community Crisis Response Board (KCCRB), state, regional, and local first responders and emergency management in the initial phases of the disaster, as well as, in the recovery phase.

Adult Crisis Stabilization Unit
This program operates 24/7 to provide a community based alternate and intervention program in connection with outpatient services, emergency services and hospitals.

The ACSU is an 8 bed non-medical facility to provide immediate care for individuals with increased or onset of symptoms of mental illness or increased symptoms or situational crisis that could potentially escalate. The purpose of the program is to intervene early and prevent and reduce the need for a psychiatric hospitalization or court order hospitalization.

Children’s Crisis Stabilization Program
Children’s Crisis Stabilization provides short-term care for children in crisis that need more than outpatient treatment, but do not require hospitalization. These services facilitate appropriate interventions to assist in the resolution of the immediate crisis thus allowing the child to return to a more stable level of functioning.

Access to crisis services is available 24/7 through a face to face assessment. During business hours clinical staff, as well as outside entities, make referrals; after hours this face to face assessment is obtained through the on-call system.

Children’s Crisis Services consist of admission to the Children’s Partial Hospitalization Program for an extensive evaluation over a three (3) day period. This evaluation includes; a clinical evaluation, a psychiatric evaluation including medication needs, observation in a therapeutic milieu environment and an assessment of service coordination needs with referral to the Children’s Case Management Program if appropriate.

Two levels of care are available and are determined by the nature of the crisis. Most of the children and youth referred require the three (3) day evaluation only and are able to remain in their current living arrangement. A few of those referred are unable to remain in their current environment. To meet their need, contracts are maintained with local Private Child Care entities to provide an overnight component during the evaluation period.

Disability Crisis Prevention & Response
The Crisis Prevention and Intervention Program provides short-term supports and services to adults 18 years of age and older with intellectual and developmental disabilities throughout the Commonwealth of Kentucky 24 hours a day, seven days a week.

These Regional services are provided by each of the 14 Community Mental Health Centers.

Available supports include

  • Intensive Case Management
  • Person Centered Planning
  • Mobile Crisis Response
  • Triage and Safety Planning
  • Technical Assistance

Open Access Clinics

Lakes Center
1051 North 16th Street
Murray, KY 42071


Monday & Wednesday 8a-5p

William H. Fuller Center
1525 Cuba Road
Mayfield, KY 42066


Wednesday & Thursday 10a-2p

Please Contact the Regional Crisis Coordinator

Doris VanDyke
Center for Community Supports Program
1539 Cuba Road
Mayfield, KY 42066
Phone 270-251-2924
Fax 270-251-2928

Sharon Jones
Vice President for Community Supports
Corporate Office
425 Broadway
Paducah, KY 42001


Or call the 24 hour crisis line listed below to request support: