Since 1975, Four Rivers Behavioral Health has been providing treatment for substance abuse and co-occurring disorders to residents of western Kentucky, regardless of ability to pay. Outpatient services are offered in Calloway, Marshall, Graves, and McCracken counties and the residential facility, located in Mayfield, offers inpatient treatment for adults, ages 18 and older. The goal of all substance abuse programs at Four Rivers Behavioral Health is to provide appropriate and effective treatment for addiction, based on the 12-step model of recovery.
Accommodations and Food
Four Rivers residential center in Mayfield is a 20-bed co-ed facility. Situated in a small, rural town, the house is surrounded by trees and has a backyard space for barbeques and recreation. Indoors, there is a recreation room with a TV and board games. The bedrooms are double occupancy with a shared bathroom. Clients have a twin bed, shared closet and plenty of natural light—rooms are simple but cozy. Three balanced meals are served per day, all prepared by staff. Snacks are provided after lunch and dinner.
Clients are responsible for cleaning their rooms and doing their own laundry and each person is assigned a weekly chore. No food is allowed in the bedrooms and gum chewing is strictly prohibited.
Treatment and Staff
This 30-day program emphasizes the 12-step approach to recovery; residents attend outside meetings three times per week. Days start at 6 am with breakfast at 7 am and the first group at 8 am. Some of the groups are coed, but they also have gender-specific groups when appropriate. . Group therapy topics include addiction studies, relapse prevention, CBT and relationship skills. Individual sessions are held once a week and clients with co-occurring disorders are referred to the on-call psychiatrist for evaluation. Four Rivers Behavioral Health does not offer detox, though referrals can be made.
Family involvement is limited to Sunday afternoon visits that must be approved by the treatment team. Clients are not allowed to leave the facility unless accompanied by a staff member.
The Intensive Outpatient Program (IOP) for adults meets three days per week for six months. Each group is two hours long, with morning and evening options, and has a maximum of 12 participants. Topics include relapse prevention, life skills, addiction studies and family dynamics. A licensed substance abuse counselor facilitates all groups. All clients are assigned a counselor who works with them to develop a plan of treatment designed to best suit their needs. The treatment includes individual and group therapy, as well as an introduction to self-help groups and living skills. The successful completion of the IOP is followed by an aftercare plan that may include continued outpatient treatment or individual sessions with a counselor.
The outpatient program focuses on the resolution of problems associated with addiction, the development of life skills and relapse prevention, and employs a combination of professional therapy, 12-step meetings and family support. The program meets once a week on Tuesdays from 6 pm to 8 pm. Adolescents under age 18 meet on Wednesdays from 4 pm to 6 pm. Clients in both IOP and outpatient are encouraged to attend at least two 12-step meetings per week.
There are two technicians on staff 24/7 and three substance abuse counselors work Monday through Friday. A licensed drug and alcohol counselor facilitates groups and technicians ensure that clients are in designated areas.
Four Rivers Behavioral Health offers dual diagnosis-friendly outpatient and residential treatment with a strong 12-step focus and not a lot of frills. The small residential facility could be great for people afraid of getting lost in the shuffle of a large treatment center.
Four Rivers Behavioral Health
Paducah, KY 42001
Four Rivers Behavioral Health Cost: Sliding scale. Reach Four Rivers Behavioral Health by phone at (270) 247-2588. Find Four Rivers Behavioral Health on Facebook
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Photo courtesy of Nyttend (Own work) [Public domain], via Wikimedia Commons (resized and cropped)