Crisis Line

1-800-592-3980

Intellectual & Developmental Disabilities

Four Rivers Behavioral Health’s Center for Integrated Supports is the hub that provides care for those with an Intellectual or Developmental Disability. This includes a variety of assistance programs for adults, children and families. Individualized treatment is based on an initial assessment and participant-specific goals. Services include programs like Supported Employment, Case Management and Creative Enterprises, our adult day program.

The Center for Integrated Supports works closely with others at Four Rivers Behavioral Health including Mental Health Treatment Care and our Center for Medical Services.

If you aren’t sure where to start, this the best place to begin.

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.

24/7 Crisis Support

Help is always available outside of business hours.

Call Crisis Line:

Intellectual & Developmental Disabilities include conditions like Autism Spectrum Disorders Cerebral Palsy Down Syndrome Fetal Alcohol Spectrum Disorders

People with an Intellectual or Developmental Disability require specialized dedicated care to ensure they are on their best life path as independently as possible.

How We Help:

In addition to evidence-based treatment models for specific conditions, our clinicians and case managers work with families to provide care assistance and help navigate the many programs and services available from local, state and federal sources. Day programs like Creative Enterprises at Four Rivers Behavioral Health and Supported Employment Services are just a few ways to get started. 

Learn more about specific services available below.

Behavior Support

A specialized service for individuals with intellectual or developmental disabilities who experience behaviors that impact health, safety, or daily functioning.

Support focuses on understanding behavior, promoting positive outcomes, and improving quality of life through individualized strategies and coordinated care.

Respite Care

Short-term support services designed to provide relief and rest for families and caregivers of individuals with a developmental disability.

Respite care helps support caregiver well-being while ensuring continued, quality care in a safe and supportive environment.

Medicaid Waiver Programs

Financial assistance programs available through the Commonwealth of Kentucky for individuals with intellectual or developmental disabilities and those with a serious mental illness.

Learn more about the Michelle P. Waiver. The Commonwealth of Kentucky also has additional financial assistance and benefits available for those with Intellectual and Developmental Disabilities.

Personal Assistance

A supportive service designed to help individuals live independently in the community while receiving assistance with daily activities as needed.

Support may include personal care, household tasks, shopping, laundry, money management, and medication support—tailored to individual needs and goals.

Complete the form at the bottom of the page for more information about these and other available support for people with an Intellectual/Developmental Disability.

Case Management

Case Management is often the first step in identifying the services and supports that are right for an individual.

Following an initial assessment, a person-centered Plan of Care is developed in collaboration with the individual and their support team. This plan reflects personal goals and outlines the steps needed to achieve those goals, while promoting choice, community involvement, employment, and personal satisfaction.

Case Management is a collaborative and coordinated process that supports individuals diagnosed with an intellectual or developmental disability.

Services focus on helping individuals access the supports they need while ensuring care is organized, responsive, and aligned with personal goals and preferences.

Case Management includes a comprehensive range of supports, such as:

  • Screening and assessment

  • Risk management

  • Development of a person-centered Plan of Care

  • Referrals to specialized service providers and adaptive equipment

  • Coordination and implementation of services

  • Ongoing monitoring to ensure quality, effective, and cost-conscious outcomes

This approach ensures services remain appropriate, meaningful, and supportive over time.

Each individual receives personalized service delivery based on a comprehensive assessment.

Plans are developed with the individual and their support team, reflecting personal choices, strengths, and preferences. Case Managers work to empower individuals by ensuring they are actively involved in every stage of planning and service delivery.

The ultimate goal of Case Management is to support independence, self-advocacy, and meaningful participation in daily life and the community.

Autism Spectrum Disorders

Applied Behavior Analysis (ABA) services designed to support children ages 2–18 diagnosed with an Autism Spectrum Disorder.

Care begins with a comprehensive functional behavior assessment conducted by a board-certified behavior analyst to better understand behavior and guide individualized treatment planning.

Center for Testing and Assessment

Comprehensive psychological evaluations designed to assess cognitive functioning, academic achievement, development, personality, behavior, and executive functioning.

Services are available for toddlers, children, adolescents, and adults to support the assessment of concerns related to intellectual disabilities, attention-deficit/hyperactivity disorders, and developmental delays.

Creative Enterprises Day Program for Adults

A structured day program supporting adults with intellectual or developmental disabilities through job training, daily living skills, and recreational activities.

The program emphasizes independence, confidence, and self-sufficiency to support meaningful participation in daily life and the community.

ACT: Assertive Community Treatment

A comprehensive, community-based service designed to support individuals diagnosed with a serious mental illness through coordinated, team-based care.

ACT focuses on delivering services in the community to promote stability, independence, and quality of life—helping individuals live fully beyond the definition of a diagnosis.

Supported
Employment

A supportive service designed to help individuals find and maintain employment in an integrated community setting.

Services include job exploration and selection, job development, assistance with obtaining employment, on-the-job support, and long-term employment services to promote stability and success.

Housing Supports

A range of housing support options designed to assist individuals with intellectual or developmental disabilities in living as independently as possible.

These services provide varying levels of support to help individuals maintain safe, stable housing while promoting independence and community involvement.

Kentucky IMPACT

A coordinated, interagency service model designed to support children and youth with serious emotional disabilities and their families.

Managed regionally by Four Rivers Behavioral Health, Kentucky IMPACT brings together multiple systems of care to provide coordinated support, planning, and services tailored to each child and family.