Adult Services

Four Rivers Behavioral Health offers a variety of programs and services for both adults and children. Our Center for Adult Services works closely with others at Four Rivers Behavioral Health including our Center for Specialized Children’s Services, Four Rivers Medical Services, Crisis Services, and services for those with an Intellectual Disability.

In addition, we work with local hospitals to provide mental health services as needed. Further, Four Rivers Behavioral Health offers both in patient and outpatient substance abuse services at Center Point Recovery Center for Men, the William H. Fuller Memorial Center and other Chemical Dependency Treatment Centers.

Costs for services are billable to most insurance companies as well as Medicaid and Medicare. Private pay also is available for those without insurance. Four Rivers Behavioral Health will work with your insurance provider to determine what services are covered.

Four Rivers Behavioral Health’s Center for Adult services provides outpatient therapy tailored to meet individual needs. Some of the many concerns we can help with include:

Anxiety Disorder can include stress that’s out of proportion to the impact of the event, inability to set aside a worry, and restlessness. Some examples of anxiety disorders include panic attacks, obsessive-compulsive disorder, and post-traumatic stress disorder.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980. For more information about available treatments, find our contact information at the bottom of this page.

Bipolar Disorder is usually associated with episodes of mood swings ranging from depressive lows to manic highs. Manic episodes may include symptoms such as high energy, reduced need for sleep, and loss of touch with reality. Depressive episodes may include symptoms such as low energy, low motivation, and loss of interest in daily activities. Mood episodes may last days or even months and could also be associated with suicidal thoughts.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980. For more information about available treatments, find our contact information at the bottom of this page.

The persistent feeling of sadness or loss of interest that characterizes major depression can lead to a range of behavioral and physical symptoms. These may include changes in sleep, appetite, energy level, concentration, daily behavior, or self-esteem. Depression can also be associated with thoughts of suicide.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980. For more information about available treatments, find our contact information at the bottom of this page.

Counseling for family matters is available as an outpatient service in a one-on-one setting or in group therapy. In some cases, you may work with both our Center for Adult Services as well as our Center for Specialized Children’s Services. Our clinicians can design a comprehensive approach for care to ensure you get the help you need.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980. For more information about available treatments, find our contact information at the bottom of this page.

There are several different kinds of stress related disorders. Our clinicians can work with you to identify the causes of your stress and develop a plan that is right for you. Types of stress disorders can include

Acute Stress Disorder: Occurs in individuals without any other apparent psychiatric disorder, in response to exceptional physical/or psychological stress.

While severe, such reactions usually subside within hours or days.

Acute Stress Disorder can be brought on by an overwhelming traumatic experience like an accident or physical assault. It can also occur when there is an unusual or sudden change in social circumstances, such as multiple bereavement. Individual vulnerability and coping capacity plays a role in the occurrence and severity. This differs from Post Traumatic Stress Disorder in that the symptoms are usually immediate but do not necessarily last a long time.

Acute Stress Disorder usually has the following symptoms:

  • An initial state of DAZE with some constriction of the field of consciousness and narrowing of attention
  • An inability to comprehend stimuli
  • Disorientation followed either by further withdrawal from the surrounding situation to the extent of a dissociative stupor or by agitating and over activity.
  • Sweating
  • Hyperventilation

Post Traumatic Stress Disorder: PTSD arises as a delayed and/or protracted response to a stressful event or situation of an exceptionally threatening nature and likely to cause pervasive distress in almost anyone.

Causes of PTSD vary. A few examples of causes are things like Natural Disasters, War, A Serious Accident or being the victim of sexual abuse or rape. Some predisposing factors for PTSD are related to Personality Traits or perhaps a previous history of psychiatric issues. Typical symptoms may include “Flashbacks”, intense distress at exposure to events that symbolize or resemble an aspect of the traumatic event, including anniversaries of the trauma, an avoidance of activities and situations reminiscent of the trauma, emotional blunting or “numbness”, a sense of detachment from other people, suicidal thoughts and more.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980. For more information about available treatments, find our contact information at the bottom of this page.

Alcoholism and drug addiction are the physical and psychological need to continue using a substance, despite its harmful or dangerous effects. Four Rivers Behavioral Health offers several different treatment options including outpatient treatment and residential treatment in addition to individual and group therapy.

For more information about available treatments, click here to be taken to information about our Center for Specialized Addiction Services.

Psychosis is a disorder characterized by a disconnection from reality and can include delusions, hallucinations, talking incoherently, and agitation. The person with the condition usually isn’t aware of their behavior.

For more information about available treatments, click here to be taken to information about our iHOPE program for adolescents and young adults or find our contact information at the bottom of this page.

If you are considering harming yourself, please contact us. You can talk to someone 24 hours a day, 7 days a week by calling our toll-free Crisis Line at 800.592.3980.

Everyone is unique and an individualized Plan of Care will be developed for each client starting with an initial assessment. Appointments are made on a regular basis however, clients are able to be seen as a walk-in for emergencies. After hours care also is available through our 24-hour Crisis Line at 800.592.3980.

Center for Adult Services
425 Broadway
Paducah, KY 42001
270.442.7142

Fuller Center
1525 Cuba Rd.
Mayfield, KY 42066
270.247.2588

Lakes Center
1051 North 16th St.
Murray, KY 42071
270.753.6622

Fulton Co. Services
201 N. Highland Dr.
Fulton, KY 42041
270.247.2588

Ballard Co. Services
158 East 3rd St.
LaCenter, KY 42053
270.442.7121

Adult Case Management for the Mentally Ill

Case Management is the first step in determining the services that are right for a consumer. Each consumer will be assessed and a individualized, person-centered plan will be developed. The Plan of Care will take into account consumer goals and the steps needed to reach those goals. Each plan will promote choice, community experiences, employment and personal satisfaction.

Case Management for the Severely Mentally Ill is a voluntary case management program for adults with severe mental illness. Case management is the process by which adults with severe mental illness receive support in negotiating for various services that they want and need to improve their quality of life.

Adults with a serious mental illness are those over 18 years old who currently or at any time during the last year, have had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to merit diagnostic criteria specified within the Diagnostic and Statistical Manual of Mental Disorders that has resulted in functional impairment which substantially interferes with or limits one or more major life activities.

In order to qualify for services, the individual must have been hospitalized for mental illness more than once in the last two years or have clinically significant symptoms of mental illness which have persisted for a continuous period of at least two years or have a history of one or more episodes with marked disability and the mental illness is expected to continue for a two years period of time.  Finally, they must demonstrate functional impairment in two or more of the following areas:  interpersonal functioning, societal/role functioning, physical functioning, daily living/personal care functioning and cognitive/intellectual functioning.

The client must have a clinical practitioner in the Purchase Area of Kentucky (plus Livingston County) whom they see regularly. They must demonstrate a willingness to work with a Service Coordinator and to develop and work toward personal goals.

The SMI Program may provide the following services:  Interagency Collaboration, Individualized Service Planning, Resource Consultation, Illness Management and Recovery Services, or funds to assist with meeting their.

Only Western State Hospital or a clinical practitioner may refer an adult for SMI Case Management Services.  The goal of the program is to assist those with severe mental illness to remain in the community rather than experience long-term hospitalizations.

Supported Employment Services

Supported Employment helps secure work and maintain that employment. Program participants work with an Employment Specialist to identify appropriate job opportunities based on their interests and abilities.

Supported Employment Specialists continue to work with consumers after they are hired to assist both the consumers and the employer as much as needed to ensure success. Some types of assistance provided to consumers includes additional training, promoting effective communications between employer and employee and helping with any concerns an employer may have.

Our help begins when a program participant meets with a Supported Employment Specialist. The role of an employment specialist and the amount of involvement and assistance an employment specialist provides, is based on the comfort level of clients. We can provide a lot or a little help. Our services can include helping consumers learn how to do their job at the work site or supporting employees off the job.

A Supported Employment Specialist will meet with consumers to discuss the pros and cons and disclosing the consumer’s disability. Ultimately, participants decide and we work to ensure their requests are honored.

Consumers choosing to work with a Supported Employment Specialist to secure a job have taken yet another step toward a more independent life. Working, and all the responsibilities that come with a job, strengthen consumers abilities and provides a sense of belonging and contribution that is sometimes lacking for people diagnosed with a disability. We help place participants in all kinds of jobs and each job plan and ultimately each job, is based on a client’s interests and abilities.

  • Access to an untapped and under-utilized labor pool.
  • Pre-screening of applicants
  • Individualized training at no expense
  • Reduced turn over rates
  • Reduced absenteeism
  • Ongoing support and follow up
  • Dedicated Employees
  • Tax Credits

Can I keep my disability and medical benefits?

Most people can work part-time and not worry about losing their benefits. We encourage you to discuss your individual situation with a Supported Employment Specialist.

An employment specialist can help you find work in areas that interest you. Your job search is personalized. Your preferences matter!

Ultimately, you will be responsible for getting to work. However, your employment specialist can help you find transportation and a job that is in an area convenient to you.

Your employer will pay you a competitive wage just like other employees.

This brochure outlines the basics. Simply, you will meet with a Supported Employment Specialist to discuss your interests. Then, you will work with vocational rehabilitation for approval. After, we will work together to create a plan outlining what you want and begin looking for a good match.

About Supported Employment

Research indicates that supported employment programs are effective in helping consumers reach their goal of securing a job and maintaining employment.

In a study completed by Gary Bond, over 70% of consumers continued work for more than three years with help from a supported employment program.

West Kentucky Community and Technical College Clinic

We offer on-site counseling services to students and staff of West Kentucky Community and Technical College. Our goal is to provide convenient, accessible care to meet the needs of busy families and reduce absenteeism. Our clinic has a certified behavioral health counselor on-site for issues such as stress, anxiety, depression, substance abuse counseling and more. There is no appointment needed and the clinic accepts all major health insurance plans and will bill for co-payments and self-pay patients. For more information, you can call the clinic directly at 270-534-3863.

Group Therapy

In addition to individual therapy, Four rivers Behavioral Health offers Group Therapy for Grief Counseling, Adjustment Issues, CoOccurring Disorders, Moral Development and Trauma. Group Therapy is available to anyone and those clients wishing to participate will be referred by their therapist.

Types of Therapy

We offer a variety of evidence-based therapeutic treatment options in both group and individual settings. Some of our approaches include:

  • Moral Reconation Therapy Groups
  • Motivational Interviewing
  • Cognitive Behavioral Therapy
  • Eye Movement Desensitization and Reprocessing
  • Community Reform Approach
  • Solution Focused Therapy

Consumer Operated Services

These are programs that are led by our Peer Support Specialist. Peer Supports are staff members that have a “lived experience” of having been or remain a consumer of services themselves and have a history of recovery that they can share with others. People with common life experiences have a unique capacity to help each other. The programs typically operate Monday – Friday each week for 4-6 hours a day. Some transportation is available to assist consumers with getting to the program. Programs services focus on peer counseling (individual or group), referral to resources, advocacy, arts and expression, outreach and meal/meal preparation skills. Consumer-operated programs are simply health services delivered by consumers in a warm home-like envirnment.

24 hours a day – 365 days a year

Emergency crisis intervention line at 800.592.3980.

Call Now!

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