About Us

Four Rivers Behavioral Health is a private, not-for-profit agency providing comprehensive, integrated mental health, substance abuse and developmental disability services to promote the health and quality of life for consumers in Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Livingston, Marshall, and McCracken counties. Any individual in need is eligible to receive services without regard to race, religion, disability, national origin, or gender.

A Legacy of Community Care Since 1963

1963 — Four Rivers founded as a Community Mental Health Center with the signing by President Kennedy of the Community Mental Health Act.

Early Years — Funded through federal/state grants

Modern Era — Shift toward insurance-based funding

Today — Donations remain essential to fill gaps

Our Mission, Vision and Values

Four Rivers Behavioral Health has established the agency’s Mission, Vision and Values as a way to communicate to our staff and the community what we stand for and how we will deliver on these promises.

How We Support Our Community

In addition to the clinical care offered throughout our programs, Four Rivers Behavioral Health also provides services that support the broader community. These initiatives help strengthen understanding of mental health, substance use disorders, and intellectual and developmental disabilities while building partnerships with schools, businesses, healthcare providers, courts, and other community organizations. Through education, consultation, and collaborative programs, we work to promote healthier communities and improve access to support across the region.

Consultation and Education

Four Rivers Behavioral Health provides consultation and education services that help strengthen community understanding of mental health, developmental disabilities, and substance use challenges. Our team works with schools, churches, service organizations, healthcare providers, businesses, courts, jails, and community groups to offer guidance related to client care, program development, and community awareness. These services help build more informed, supportive environments that promote compassion, early intervention, and better outcomes for individuals and families throughout our region.

Employee Assistance Programs

Employee Assistance Programs offered by Four Rivers Behavioral Health support workplace well-being by providing confidential assistance to employees experiencing personal challenges that may impact job performance. Our services help organizations address concerns such as stress, mental health issues, substance use, and work-life balance in a supportive and professional manner. In addition, we provide Drug-Free Workplace training and other mental health initiatives designed to strengthen organizations and promote healthier, more productive workplaces across the region.

Court Services

Four Rivers Behavioral Health partners with local courts through contractual agreements with county governments to provide specialized behavioral health evaluations and services. These services include guardianship evaluations, involuntary commitment proceedings, and competency-to-stand-trial assessments for certain misdemeanor cases. In addition, we work with the statewide Jail Triage program to assist regional jails in assessing and managing individuals with mental illness who have been arrested, helping ensure appropriate care and risk management.

Hospital Services

Four Rivers Behavioral Health works closely with regional hospitals to provide on-site consultation for psychiatric and behavioral health concerns. Through these partnerships, our clinicians assist hospitals and patients in determining the most appropriate level of care and connecting individuals with necessary behavioral health services. When more intensive treatment is needed, individuals may be referred to specialized inpatient programs.

Our Board of Directors

Four Rivers Behavioral Health’s Board of Directors is the policy-making body of the agency. As early as 1962 surveys were conducted to assess the need for mental health services in our area.

In January 1966, the local mental health association, in consultation with the Kentucky Department of Mental Health, formed a regional board whose responsibilities in the following months would be to develop operational procedures, policies, establish project objectives and goals, expand mental health services staffing, community education, and to secure the funds required to support these efforts.

To this day, the role of the Board of Directors has not changed. You can find out more about the Board of Directors by contacting Four Rivers Behavioral Health at 270.442.7121 or by completing the form at the bottom of this page.

If you are interested in serving on the Board of Directors, you can complete the application below and the current Board will review it and contact you.

Care, Planning & Progress

How to Get Care

Accessible, mindful care — focused on long-term wellness.

Schedule an Appointment

Request a regular outpatient appointment online or by phone.

Walk-In Care Available

Walk-in appointments are welcome during regular business hours at select locations.

View Walk-in Locations

Downtown Paducah Office

Fuller Center Campus – Mayfield

Lakes Center Office – Murray

24/7 Crisis Support

Help is always available outside of business hours.

Crisis Line

Suicide &
Crisis Hotline

Behavioral Health Care

Substance Use Treatment

Intellectual/Developmental Disabilities

Medical Services

Additional Services

Adult Mental Health

Children’s Mental Health

Intellectual/Developmental Disabilities

Substance Use Disorders

Additional Crisis Response Efforts