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7211 Cloverdale Rd
Roanoke, VA 24019
Phone: (540) 966-5808
Fax: (540) 966-5811

Mainstream’s Outpatient Crisis Stabilization and Outpatient Psychotherapy Services

What is Bridges to Hope?

Mainstream Outpatient Crisis Stabilization and Outpatient Psychotherapy Services, also referred to as Bridges to Hope, aims to provide quality, immediate interventions and ongoing support focused on stability with the least restrictive treatment possible. Our goals with this program are to:

• Provide temporary crisis supervision to ensure the safety of the individual and others.

• Provide support and training services to assist the individual and supports to remain in the community and receive the least restrictive treatment possible.

• Assist participants in reaching baseline functioning.

• Provide training and support in identifying risk factors related to decompensation. Individual with support will identify self-determined goals along with treatment team needs.

• Enhance and increase natural supports along with identifying providers to meet treatment needs. This will include the collateral contact to ensure individuals success in the community with the least restrictive treatment possible.

We are committed to offering an inclusive and welcoming program, with the goals of building trust and supportive relationships based upon mutual respect, voluntary engagement, respect for choice, diversity and individual lifestyle, and empowerment of individuals to make their own choices. When appropriate, family services will be included and parental/guardian consent if required.

Who is eligible?

For Outpatient Psychotherapy, the individual must have symptoms relating to a serious mental illness. Outpatient Psychotherapy will be provided for individuals age 5 and up for either individual or family counseling.

There are two programs that are age specific for Outpatient Crisis Stabilization – One is for children between the ages of 5 and 18; the other focuses on adults age 18 or older. These two programs are not integrated.

To receive Outpatient Crisis Services, the individual must meet the criteria listed below. The individual may:

• Have experienced multiple and/or long-term psychiatric hospitalization

• Be facing emergency out of home placement to include psychiatric care

• Experience a disruption in their daily functioning, including but not limited to their living arrangement, day placement/school, or have difficulty with daily living and interpersonal skills

• Have a limited support system

The individual must also meet at least one of the following criteria:

• Demonstrate a need for service due to their mental, behavioral or emotional issues that results in a marked reduction in psychiatric, adaptive, or behavioral functioning

• Be at risk for psychiatric hospitalization

• Causing harm to self or others

• Individual demonstrates continued need for intervention in order to maintain stability or the individual is experiencing extreme emotional distress

Who may not be eligible?

Individuals may not be appropriate for this service if:

• They are unwilling to participate in services as outlined in the program description

• Their symptoms have exacerbated to the point of requiring a psychiatric hospitalization or judicial intervention

• Behaviors and/or symptoms are extreme to where they repeatedly break conduct expectations specific to age appropriate behavior and their given diagnosis

• Their only diagnosis is developmental disability or substance use, though can be combined with a mental health diagnosis to include depression, bipolar, or schizophrenia

• Individuals with medical disabilities that are beyond the scope and ability of this services to safely monitor and maintain.


What Can You Expect?


Programming will vary from day to day, depending on the needs of individuals in the program. Outpatient Crisis Stabilization may be provided directly in the following settings:

• The home of an individual who lives with family or other primary caregiver or caregivers

• The home of an individual who lives independently or semi-independently to augment any current services and support

• A day program or setting to augment current services and supports

• A respite care setting to augment current services and supports

Structured program activities will be offered and may include but will not be limited to:

• Psycho-Educational Groups

• Therapeutic Art Activity

• Assistance and/or instruction on accessing community resources with a focus on reaching and maintaining emotional stability.


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