Specialized Children Services

Our Approach
to Care

The Center for Specialized Children’s Services is committed to providing quality behavioral health care services to children and their families. Four Rivers Behavioral Health is working to make quality care as accessible as possible to as many people as possible. The Center for Specialized Children’s Services has several different approaches to care. Each approach is clinically proven and is individually designed.

In-School Clinics

Four Rivers Behavioral Health in cooperation with Baptist Health Paducah provides
on-site counseling services to students and staff in the below listed schools.
Our goal is to provide convenient, accessible care to meet the needs of busy families and reduce absenteeism. Each school clinic has a certified behavioral health counselor on-site for behavioral health 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 security reasons, no money will be collected at the clinic. Be aware that all students under 18 years of age must have a signed consent form on file in the clinic. If your child requires care, we will contact the individual on the consent form before providing care.

McCracken County

McCracken County High School, Concord Elementary, Heath Elementary, Heath Middle, McCracken County Open Campus, Hendron-Lone Oak Elementary, Lone Oak Elementary, Lone Oak Intermediate, Lone Oak Middle, Reidland Elementary, Reidland Intermediate, Reidland Middle

Paducah City

Paducah Tilghman High School, Paducah Middle School, Clark Elementary School, McNabb Elementary School, Morgan Elementary School

In addition to our in-school medical clinic services, we also offer in-school counseling without medical clinics to students and staff at the below listed school systems. A certified behavioral health counselor is on-site at each school for behavioral health 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 check with your school’s guidance counselor.

Other County School Systems

Calloway County School System, Carlisle County School System, Fulton County School System, Graves County School System, Hickman County School System and Livingston County School System.

Children’s Outpatient Therapy

We offer Children’s Outpatient Therapy, which is what many would consider a ‘traditional’ therapy service. We meet with the individual and the family and even in group settings to help children and adolescents with emotional, social and behavioral problems. Our staff develops an individual plan to meet the needs of the child and family

Continuing Education

Our clinicians are constantly learning about new ways to treat young people. Some of the most recent treatment plans, which have been proven in clinical studies over time are listed below. These plans areconstantly evolving and changing based on new evidence and clinical trials.

Transitioned Aged Youth

We facilitate outreach, information and assistance for all transition age youth (16 – 25), with Intellectual/Developmental Disabilities, in the care of the Kentucky Department for Community Based Services. The transition may involve joint case planning, assistance with completing or arranging needed assessments, cooperation with other agencies such as the Office of Vocational Rehabilitation and other efforts that will enable transition to an individualized, safe, and healthy life following high school.

Learn More

Best Practices


Trauma Focused Cognitive Behavioral

Provides Children and parents skills to process the trauma, manage thoughts and feelings connected to the trauma and enhance family communication.

7 Challenges

A group treatment approach addressing adolescent behavior and drug problems focusing on assisting the youth to make thoughtful decisions.

Coping Power

Coping Power is a prevention and intervention program teaching self-control and problem solving. The parent component focuses on creating effective use of positive and negative consequences.

Social Skills

A group intervention program to assist those with an autism spectrum disorder or other emotional disorders with developing positive social skills for success in school and at home.

Adolescent Community Reinforcement Approach

A-CRA was adapted to be developmentally appropriate for adolescents, which included adding sessions for parents/caregivers.[4] The goal of A-CRA is to improve or increase access to social, familial, and educational/vocational reinforcers for adolescents to achieve and sustain recovery.

LearN More

Moral Reconation Therapy

Moral Reconation Therapy, an NREPP program, is the premiere cognitive-behavioral program for substance abuse treatment and offender populations. Developed in 1985 by Dr. Gregory Little and Dr. Kenneth Robinson, nearly published outcome studies have documented that MRT-treated offenders show significantly lower recidivism for periods as long as 20 years after treatment.

LearN More

Cognitive Behavioral Therapy

Cognitive behavioral therapy is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel. It is used to help treat a wide range of issues in a person’s life, from sleeping difficulties or relationship problems, to drug and alcohol abuse or anxiety and depression.

Severely Emotionally Disabled Case Management for Children

The Severely Emotionally Disabled Program is a voluntary children’s case management program for children with severe emotional disabilities and their families.

A child with a severe emotional disability means a child with a clinically significant disorder of thought, mood, perception, orientation, memory or behavior that is listed in the current edition of the DSM and that presents substantial limitations that have persisted for one year or are judged by a mental health professional to be at high risk of continuing for one year without professional intervention in at least two of the following five areas: self care, interpersonal relationships, family life, self direction and education, or has been given a  DSM V diagnosis; unless diagnosis is solely chemical dependency or intellectual/developmental disabilities.

They must have primary residence in the Purchase Area of Kentucky (plus Livingston County). The child must demonstrate multi-agency involvement (two or more agencies). Examples include: DCBS, Mental Health, School, Courts, DJJ, etc.

The SED Program may provide the following services: Interagency Collaboration, Resource Consultation, School Support, In-Home Services, Therapeutic Mentoring, and Intensive Family Based Support Services and funds to assist with meeting the needs of SED children and their families.

Anyone with the parent’s/guardian’s permission can refer a child for SED services. The goal of the SED Program is to help keep the child in their least restrictive environment – their home, school, and community.

Ideally, the SED Program is designed to be a short-term intervention. The desired length of involvement is one year; however, the length of involvement varies depending upon the specific need of the child/family and the recommendations made by the LIST committee.

There are no fees involved with accessing services from the SED Program. If the child has a medical card, then Medicaid is billed for SED case management services. If the child is not eligible for a medical card, then the State General Fund is billed for SED case management services.

Learn More

24 hours a day – 365 days a year

Emergency crisis intervention line at 800.592.3980.

Call Now!

Get More Information

1 Step 1
Nameyour full name
Phone Numberyour phone number
Commentsmore details
0 /
FormCraft - WordPress form builder