Adult Case Management for those with a Serious Mental Ilness

Four Rivers Behavioral Health’s Case Management Services for Adults with Serious Mental Illness is designed to offer support to clients and help them identify and access services that empowers them, enhances their quality of life, and enables independence.

Supported Employment Services

for those with a Serious Mental Illness or with a Developmental Disability

Supported Employment helps those with a disability secure work and maintain that employment. Program participants work with an Employment Specialist to identify appropriate job opportunities based on their interests and abilities.

Supported Employment Specialists continue to work with consumers after they are hired to assist both the consumers and the employer as much as needed to ensure success. Some types of assistance provided to consumers includes additional training, promoting effective communications between employer and employee and helping with any concerns an employer may have.

Our help begins when a program participant meets with a Supported Employment Specialist. The role of an employment specialist and the amount of involvement and assistance an employment specialist provides, is based on the comfort level of clients. We can provide a lot or a little help. Our services can include helping consumers learn how to do their job at the work site or supporting employees off the job.

A Supported Employment Specialist will meet with consumers to discuss the pros and cons and disclosing the consumer’s disability. Ultimately, participants decide and we work to ensure their requests are honored. 

Consumers choosing to work with a Supported Employment Specialist to secure a job have taken yet another step toward a more independent life. Working, and all the responsibilities that come with a job, strengthen consumers abilities and provides a sense of belonging and contribution that is sometimes lacking for people diagnosed with a disability. We help place participants in all kinds of jobs and each job plan and ultimately each job, is based on a client’s interests and abilities.

  • Access to an untapped and under-utilized labor pool.
  • Pre-screening of applicants
  • Individualized training at no expense
  • Reduced turn over rates
  • Reduced absenteeism
  • Ongoing support and follow up
  • Dedicated Employees
  • Tax Credits
Can I keep my disability and medical benefits?

Most people can work part-time and not worry about losing their benefits. We encourage you to discuss your individual situation with a Supported Employment Specialist.

What kind of job can I get?

An employment specialist can help you find work in areas that interest you. Your job search is personalized. Your preferences matter!

How will I get to work?

Ultimately, you will be responsible for getting to work. However, your employment specialist can help you find transportation and a job that is in an area convenient to you.

Who will pay me and how much will I make?

Your employer will pay you a competitive wage just like other employees.

How does it all work?

This brochure outlines the basics. Simply, you will meet with a Supported Employment Specialist to discuss your interests. Then, you will work with vocational rehabilitation for approval. After, we will work together to create a plan outlining what you want and begin looking for a good match.

About Supported Employment

Research indicates that supported employment programs are effective in helping consumers reach their goal of securing a job and maintaining employment.

In a study completed by Gary Bond, over 70% of consumers continued work for more than three years with help from a supported employment program.

Behavior Support

Services for those with a Serious Mental Illness 

A service provided to individuals with a diagnosis of intellectual disabilities or a developmental disability who present with challenging behaviors that effect their health, safety, placement or inclusion into their community. Behavior Supports use positive methods to change negative behaviors. A functional analysis is completed in an effort to identify target behaviors, determine how often and under what circumstances they occur and identify the possible communicative intent of the behaviors. Some behaviors may cease following simple environmental modifications while some may require a formal behavior support plan. The plan functions to teach new skills to the individual in an effort to eliminate target behaviors and replace them with socially acceptable behaviors. The plan is implemented by family and staff members who work with the individual on a daily basis.

In-Home Supports 

Services for those with a Serious Mental Illness

Community Living offers support to individuals needing assistance with daily living skills and community integration. Its main purpose is to provide supports to persons diagnosed with intellectual disabilities or other developmental disabilities so that they can remain in their home and community. Both services are available to persons living in their own home or with family.

Community Living Supports is a service provided through the Medicaid waiver programs. In-Home Supports are available to individuals receiving supports from the State General Fund Program. Supports include training in areas of: daily living skills, personal care, recreation and leisure, community integration and socialization. These supports are provided on a one-to-one basis.

Outreach and Education

Our Education and Outreach efforts are designed to provide information and educational opportunities to raise public awareness of intellectual and developmental disabilities and the array of services available to those with and IDD diagnoses. These services may fill an identified gap in service by providing information that may not otherwise be available to underserved populations in the community. Services are often mobile and facilitation of education services and activities can be geared towards groups, public or private agencies, associations or board.

For more information about our Education and Outreach Program regarding Intellectual and Developmental Disabilities, please complete this contact form.

Respite Care 

Services for those with Intellectual or Developmental Disability

Respite provides short-term rest or relief to families who have the responsibility of caring for a family member with a developmental disability. Respite care may be furnished in the family home, the respite provider’s home.


Kentucky IMPACT is managed in this region by Four Rivers Behavioral Health. IMPACT was created in 1990 and was established as a coordinated, interagency approach to service delivery for children/youth with serious emotional disabilities and their families.

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