Financial Assistance Financial Assistance for Services Thank you for choosing VCSB as your behavioral healthcare provider. There are fees for services. Valley participates in most insurance plans, including Medicare and Medicaid. If your insurance has a co-pay, that must be paid in full at each visit. If you are not insured by a plan we do business with, payment in full is expected at each visit. Some costs may be covered by Valley's fee reduction for services. If you have no medical insurance or are receiving services that are not covered by insurance, please read the Financial Assistance Directions linked in the button below, then complete the Financial Assistance Form, also linked below. Financial Assistance Directions Assessing Client Fee Policy FY2026 Fee Schedule Financial Assistance Form

Donate Valley Community Outreach Valley Community Outreach (VCO) was established to financially enhance and sustain the programs of Valley Community Services Board (VCSB) in service of persons with mental health and substance use disorders, and developmental disabilities. Donate Why? According to the Augusta Health 2022 Community Health Survey: 28.6% of adults in Augusta County have been diagnosed with depression, and the suicide rate is 22.7 per 100,000 persons - higher than both Virginia (13.4) and the United States (13.9) 39.5% of respondents reported that their lives were negatively impacted to some degree by substance abuse (either by self or someone else) How? Ten-month old Julie is not rolling over or trying to crawl. An occupational therapist visits her home and shows her parents ways to play with Julie that encourage her mobility. Educational supplies for in-home occupational therapy: $ Mary needs one-on-one counseling to deal with the recent death of her mom. She attends sessions with a licensed counselor in the VCSB office. One hour of therapy: $ Mark is a Veteran with PTSD who found permanent housing through the PATH program. One month of rental assistance: $ For whom? Citizens of Augusta and Highland counties and the cities of Staunton and Harrisonburg Persons with mental health and substance use disorders, as well as those with developmental disabilities. Youth who need outpatient counseling and their families who are best served in the child's school Infants and toddlers up to age 3 needing services in audiology, occupational, speech or physical therapies and more Adults with developmental disabilities who can live with a sponsor or an intermediate care facility Persons in a mental health crisis or considering suicide who need emergency services Persons in the Deaf, Hard of Hearing, Late Deafened or DeafBlind community in need of mental health or substance use services Persons in search of recovery from substance use disorders Individuals with mental illnesses needing assistance to transition from homelessness to permanent housing (This is not a comprehensive list.) Donate

Uninsured Individuals Uninsured Individuals No Surprises Act for uninsured individuals ... When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. You are protected from balance billing for: Emergency services If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. Certain services at an in-network hospital or ambulatory surgical center When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections. You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network. When balance billing isn’t allowed, you also have the following protections: You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly. Your health plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization). Cover emergency services by out-of-network providers. Base what you owe the provider or facility (cost-sharing) on what it would pay an in network provider or facility and show that amount in your explanation of benefits. Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit. If you believe you’ve been wrongly billed, you may call the federal agencies responsible for enforcing the federal balance billing protection law at: 1-800-985-3059 and/or file a complaint with the Virginia State Corporation Commission Bureau of Insurance at: https://scc.virginia.gov/pages/File-Complaint-Consumers or call 1-877-310-6560. Visit CMS.gov/nosurprises for more information about your rights under federal law. Consumers covered under (i) a fully-insured policy issued in Virginia, (ii) the Virginia state employee health benefit plan; or (iii) a self-funded group that opted-in to the Virginia protections are also protected from balance billing under Virginia law. Visit: scc.virginia.gov/pages/BalanceBilling-Protection for more information about your rights under Virginia law.

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Outpatient Services Outpatient Services Outpatient therapies include comprehensive mental health and substance use services for adults residing in the counties of Augusta and Highland, and cities of Staunton and Waynesboro. Outpatient Behavioral Health Services VCSB has trained, certified and licensed mental health care providers. Both male and female treatment providers are available. Some specialize in working with children and families, while others specialize working with adults. The purpose of outpatient services is for adults and children to become healthier and to function better in their daily life. Common categories of mental health issues: Grief and loss Depression Anxiety disorders Panic disorder Post-traumatic stress Mania/hypomania Obsessive compulsive ADHD Substance Use Disorder (more information on SA services here ) Paths to Wellbeing Individualized Counseling Family psychotherapy Group Therapy (more information here ) Medication management Crisis support Intensive Outpatient Behavioral Health Options (other than Group Therapy) Anyone 18 or older who has been diagnosed with a serious mental illness may work with a VCSB Case Manager (CM) in the planning and coordination of treatment. A CM is a trained professional who will help you get connected to the services and benefits you need to increase independence in your life. A case manager may provide some counseling-type support and some CMs are trained counselors. However, the case manager may refer you to an ongoing licensed counselor, if needed. PATH Program for Assistance in Transition from Homelessness (PATH) Serves adults experiencing homelessness who may have behavioral health concerns including co-occurring substance abuse concerns. PATH assists individuals with finding housing options, getting connected to behavioral health/substance abuse services, linking with community resources and coordinating with local agencies to assist individuals with a transition to housing. CONTACT: PATH Worker (540) 213-7347 PATH Brochure Veteran Peer Support Provides outreach, connection and support to veterans and their families as they address the challenges of military service, transition, deployments, PTS and behavioral health concerns, physical and traumatic brain injuries. The treatment is based on the principles of recovery, wellness, and resiliency by prooting self-determination, personal responsibility, and the power of self-directed recovery. CONTACT: Veteran Peer Support Specialist (540) 280-2252 Veteran Peer Support Brochure ACT SERVICES Assertive Community Treatment (ACT) The ACT team provides intensive behavioral health interventions to adults who have a frequent and/or lengthy history of psychiatric hospitalizations due to challenges controlling symptoms of Schizophrenia, Schizoaffective Disorder and Bi-Polar Disorder, and who also have a history of challenges tending to their basic needs while living in the community. Services are comprehensive in scope. CONTACT: ACT Team Supervisor (540) 886-7100 ACT Brochure S chool-based Outpatient Services Children often experience significant emotional or behavioral difficulties in the school and home settings. VCSB offers integrated school-based counseling services in area schools. Brochure Gender-Specific Services including individual and group services that have been adapted to address issues specific to women. Services may include the role of relationships, parenting, childcare, sexual and/or physical trauma. Pregnant women who are registered and enrolled in the agency, especially those in need of substance abuse treatment will receive treatment priority and be admitted into treatment within 48 hours of their request. Gender-Specific Services Click for Information on Postpartum Support Pregnant and Parenting Women Brochure

Group Therapy Options Group Therapy Options Therapy groups are onsite at VCSB 85 Sanger's Lane Staunton, VA 24401 unless otherwise indicated. Some groups are remote. Times and room locations may change unexpectedly. For most up-to-date details please contact the main office at 540 887-3200. Off-Site Meetings AA Meetings Open to Public Locations throughout Augusta County Meeting Schedule NA Meetings Open to Public Locations throughout Augusta County Meeting Schedule Substance Use Intensive Outpatient Program Early Recovery Skills Social Support Coping Skills Self Discovery Women's Groups Substance Use Cognitive Behavioral Therapy Self-Management And Recovery Training SMART More Information and SMART for Family and Friends More Information Mental Health Anger Management Cognitive Behavioral Therapy Dialectic Behavioral Therapy - Informed Loss and Transition Wellness

Confidentiality Confidentiality Confidentiality Brochure At VCSB, we understand that all the information you share is private and unique to you. We also understand that we will not be able to assist you if you do not trust us. This is why we hold such high value to confidentiality. Not only is it the law that we keep all the information you share confidential, its just the right thing to do. For more information about our confidentiality practices, please call our Client Services at 540-887-3200.

Developmental Services Developmental Services All individuals will be guided to the specific assistance they need through an intake meeting with our Developmental Services Department. We strive to provide a better quality of life for the individuals we serve and their families. We hope to accomplish this by offering a wide range of services tailored to each individual need and coordinated by our caring staff. For more information about our Developmental Services, please call our Client Services at (540) 887-3200 or toll free (888) 601-8686. We strive to provide a better quality of life for the individuals we serve and their families. We hope to accomplish this by offering a wide range of services tailored to each individual need and coordinated by our caring staff. Early Intervention Services For children ages birth up to three years. Anyone can make a referral for early intervention services. A staff member meets with the family to learn about their child and to develop a plan based on the child's needs. All services are provided in the home, or other location of the family’s choosing, by our Infant & Toddler Connection staff. Brochure Residential Services Sponsored Residential Services Providing adults with disabilities a home in a family-style setting that ensures health and safety needs in addition to providing a learning component. Intermediate Care Facilities: Housing designed to provide intensive assistance to reinforce independence. In-Home Services: Providing support and assistance needed for a person to live as independently as possible at home and in the community. Brochure Support Coordination A support coordinator is a trained professional who assists individuals with disabilities and their families by linking resources and monitoring services and support. Become a Residential Sponsor An individual lives in the community with a Sponsor family. Each Sponsor home has an assigned Community Living Specialist to work with the them. More Information Additional Services for Children Child & Adolescent Program Brochure Children's Crisis Brochure Children's Mental Health Case Management Brochure Some services require a waiver. Through a "waiver" individuals may receive certain services (such as residential supports, nursing supports, employment supports) while living in the community, rather than in an institutional setting. For more information, check out the My Life, My Community website (below) or call the VA Waiver Line (toll free) at 1-844-603-9248. The Department of Behavioral Health and Developmental Services (DBHDS) has partnered with disAbilityNavigator to develop a one-stop, searchable website to help you find resources in your community. You can use this site to find information about: Virginia’s waiver options for people with developmental disabilities, assistance with finding housing options in your community, information about providers who can assist with your service needs, and connections to support networks of families and individuals with developmental disabilities across Virginia. Go to website

Resources Community Resources Waynesboro, Va Staunton, Va Augusta County: Churchville, Va Highland County: Monterey, Va 1/1 Contents - December 2023 WARM Cold Weather Shelter Schedule S taunton Area Local Human Rights Committee Postpartum Support My Life, My Community Veteran resources/meeting WARM Opens Shelter Spaces Waynesboro Area Refuge Ministry (WARM) has opened emergency shelters in the following locations from now until March 2024. Please call 540-470-8648 for more information or go to https://www.warmwaynesboro.org/ . Staunton Area Local Human Rights Committee Staunton Area Local Human Rights Committee Meets quarterly in January, April, July and October 10:30 AM - 12:30 PM The regular meeting of the Staunton Area Local Human Rights Committee takes place at Western State Hospital for committee members. The public and providers are requested to join via Zoom for social distancing purposes. Contact: Riley Curran E-mail: riley.curran@dbhds.virginia.gov Phone: (804) 735-3169 Sponsored by Department Of Behavioral Health And Developmental Services http://www.dbhds.virginia.gov/ Handicap Accessible You Have Rights Social support is an important part of self-care To find a virtual support group, go to https://postpartumva.org/support-groups/ At least 1 in 5 people giving birth will struggle with anxiety or depression while pregnant or within a year after giving birth. YOU ARE NOT TO BLAME. YOU ARE NOT ALONE. The Department of Behavioral Health and Developmental Services (DBHDS) has partnered with disAbilityNavigator to develop a one-stop, searchable website to help you find resources in your community. You can use this site to find information about: Virginia’s waiver options for people with developmental disabilities, assistance with finding housing options in your community, information about providers who can assist with your service needs, and connections to support networks of families and individuals with developmental disabilities across Virginia. Go to website

Emergency Services Emergency Services Emergency Services offers 24/7 crisis intervention therapeutic support and assessment to individuals and families who are experiencing a psychiatric, behavioral, or substance use crisis in the counties of Augusta and Highland and the cities of Staunton and Waynesboro. If you or someone you know is currently in an emergency; please STOP and call 9-1-1, Emergency Services at 540-885-0866, or report the need to your nearest Emergency Room. If you or someone you know is experiencing a medical emergency, STOP and call 911 immediately or report to your nearest Emergency Room. WHEN SHOULD I CALL? A mental health crisis can be a frightening time for a person experiencing the crisis as well as for their family and friends. VCSB staff is able to provide information, referrals, and services that can help you or your loved one find support in the midst of the crisis. Call 540-885-0866, 24/7 , in order to speak with someone about how we can help. Other numbers to call 540-943-1590 or toll free 866-274-7475.Emergency Services are available for individuals permanently or temporarily residing in Staunton, Waynesboro, and Augusta and Highland counties. No appointment is necessary. Services include face-to-face or telephone crisis intervention, assessments to determine whether hospitalization is needed, and referrals to appropriate service providers. REFERRAL PROCESS No referral is required. You also do not have to be an existing client. Our services are open to you. We provided appointments but also have walk-in service. Individuals are referred to Emergency Services from a variety of sources, including self-referral, family and friends, hospitals, primary care doctors, schools, and other mental health providers. Walk in hours are the same as the main office hours seen directly below under "Hours of Operation". Services 24 Hour Psychiatric Service Outpatient Stabilization and Support Main Line: 54 0 887-3200 Emergency Services: 540 885-0866 Emergency Services Brochure Mobile Crisis Mental Health Response and Intervention Main Line: 540 887-3200 Emergency Services: 540 8 85-0866 Mobile Crisis Service Information Community Emergency Services Call Valley Community Services Board Emergency Services 540 885-0866 540 943-1590 866 274-7475 Staunton Fire and Rescue: 540 332-3884 Staunton-Augusta Rescue Squad 540 885-3444 Staunton Police: 540 332-3845 Waynesboro Police : 540 942-6675 Wayneboro First Aid Crew : 540 949-7118 Augusta County Fire Dept: 540 245-5370 The National Alliance on Mental Illness (NAMI) guide provides important, potentially life-saving information for people experiencing mental health crises and their loved ones. This guide outlines what can contribute to a crisis, warning signs that a crisis is emerging, strategies to help de-escalate a crisis, available resources and so much more. To download the guide, click the button below. NAMI Guide to Navigating a Mental Health Crisis PRS is a nonprofit providing behavioral health, crisis intervention and suicide prevention services. We seek to change and save lives in our community by empowering hope, safety, recovery, wellness, independence and community integration. PRS Crisis Link

EVENTS/Announcements VCSB Events and Announcements UPCOMING TRAININGS CLICK HERE VCSB Staff Donate Warmth In December 2024 and January 2025, VCSB staff collected a carload of items to help unsheltered individuals stay warm this winter. Stephanie Bortner, Developmental Services Support Coordinator, and volunteer for the Building Bridges for the Greater Good (BBGG) program coordinated this project within our agency. We delivered donations to Pastor Elaine Rose at the Promiseland Christian Fellowship Church Friday, Jan. 17. Donations included blankets, pillows, warm weather clothing and more. BBGG volunteers will give donations directly to those in need through partners at River City Breadbasket, Valley Community Services Board, Valley Mission, Virginia Department of Veterans - Staunton office, and Waynesboro Area Refugee Ministry (WARM). Everyone needs a place to call home. VCSB IS LOOKING FOR LANDLORDS TO JOIN THE PERMANENT SUPPORTIVE HOUSING PROGRAM! Call 540 887-3200 ext 7602 YOU ARE NOT ALONE Call VCSB main office: 540-887-3200 Emergency Services: 540-885-0866 Suicide Prevention and Crisis Line: 988

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