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Children's Mental Health Services PDF Print E-mail


KRCC maintains three child mental health day treatment programs. EXCELL (Exceptional Centers for Excellence in Learning and Living) are available in Breathitt, Knott and Perry counties. the EXCELL coordinators work in partnership with a full-time public school teacher to provide support to children and youth with emotional and/or behavioral disabilities. these day programs are available throughout the school and meet requirements of state mandates of special education.

The supporting agencies and Day Treatment staff are united in their effort to meet the needs of our students by committing to the valued outcomes through quality instruction, individual and group therapy, effective social skills training and high expectations for all students.

Hours: According to school schedules

Admission to Excell: Identified for special education services for emotional/behavioral disorders and documentation of interventions in the least restrictive educational setting through an Administrative Admissions and Release Committee (AARC).

Admission to Carousel: Assessment for appropriateness of Carousel placement is made upon referral to the Program.

Admission to the Letcher County Day Treatment Program: Youth who have been identified by the Letcher County Court System or school officials as having need for involvement in a multi-phased treatment program meet the criteria for this program.

Referral to EXCELL: Referrals are from the AARC after consultation with the Kentucky River IMPACT Regional Inter-Agency Council (RIAC).

Referral to Carousel: Teachers, parents, agencies or other concerned parties may refer students to this program.

Referral to the Letcher County Day Treatment Program: Referrals are made by the Letcher County Board of Education or the Letcher County Court System.

Service Coordination: Provided by an assigned Service Coordinator to those children who are part of the Kentucky IMPACT program.


Family network facilitators are available to all parents with children that have a disability. The facilitator provides families with individual and group support, training, information and advocacy. These services may be provided within the home, the school or other community sites convenient for the families.KY 41701

This Program provides resource development and service coordination to children with serious emotional disabilities (SED) and to their families who have been accepted into the program by the Regional Inter-Agency Council. The primary goal of this program is to enable the child to remain in the least restrictive environment possible and establish a community support system for children/youth with emotional problems. The Family Network Facilitator is available to all parents with children that have a disability. The Facilitator provides families with access to individual and group support, training, information and advocacy opportunities. these services may be provided within the home, the school or other community sites convenient for the families.

Admission Criteria: Primary consideration for IMPACT is given to children and adolescents who have a severe emotional disturbance as defined by HB 838: "Severely Emotionally Disturbed child" means a child with a clinically significant disorder of thought, mood, perception, orientation, memory, or behavior that is listed in the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM IV) and that:

A. Presents substantial limitations that have persisted for at least one year and are judged by a mental health professional to be a high risk of continuing for one year without professional intervention in at least two of the following five areas:

1. "Self-care" defined as the ability to provide, sustain and protect himself or herself at a level appropriate to his or her age;
2. "Interpersonal relationships" defined as the ability to build and maintain satisfactory relationship with peers and adults;
3. "Family Life" defined as the capacity to live in a family or family-type environment;
4. "Self Direction" defined as the child's ability to control his or her behavior and to make decisions in a manner appropriate to his or her age and
5. "education" defined as the ability to learn social an intellectual skills from teachers in available education settings; or

B. Is a Kentucky resident and is receiving residential treatment for emotional disturbance through the interstate compact; or

C. The cabinet for Families and Children has removed the child from the child's home and has been unable to maintain the child in a stable setting due to behavioral or emotional disturbance; or

D. Is under 21 years of age, meets the criteria of paragraph A above and was receiving services prior to age 18 that must be continued for therapeutic benefit.

Referral Process: An open nomination process exists where a parent or an agency may nominate any children believed to be eligible for the program. Referrals are received by the Local resource Coordinator and presented to members of the Regional Inter-Agency Council for case review and approval of any program expenditures. Those seeking the family services may contact their local outpatient office, the Local Resource Coordinator or the Family Network Facilitator (at the Perry County Outpatient listed above).

Service Coordination: Service Coordination/Management for the child is the responsibility of the assigned Service Coordinator (IMPACT Program). the original medical record is kept at the county outpatient office. A psychiatrist provides all psychiatric management. The outpatient therapist is encouraged to attend the IMPACT case planning committee meetings to ensure that mutual collaboration and planning occur between the coordinator and outpatient therapist.

Hours: Monday - Friday 8am - 4:30 pm or the Resource Coordinator at ky This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Fees: No fee assessed to the consumer. Payments covered by Medicaid and/or Department of Mental Health Contract funds.


Intensive summer day program that provides individual therapy, group therapy and effective social skills training and practice.
Services located in Knott, Breathitt, Perry and Letcher Counties.

Admission Criteria: Assessment, identification of a severe emotional/behavioral disability, ages 6-17. Priority given to Kentucky IMPACT participants.

Referral Process: referrals are made through the Kentucky IMPACT local Resource Coordinator.

Service Coordination: May be provided by an assigned Service Coordinator through the Kentucky IMPACT program.

Hours: 9 am - 2 pm

Fees: Sliding fee scale for clinical services available to consumers. Also payment by private insurance, Medicaid, and EAP contracts. therapeutic Rehabilitation services are paid through Medicaid and Department for Mental Health contract funds.

Contact: 606-436-5761

First Steps/Point of Entry

Serving the entire eight-county region, The Point of Entry is a central referral source for children form birth through age 2 who have a suspected or known developmental delay. Provides assessment and needed linkages for families to resources which may include speech/language therapy, physical therapy, occupational therapy, respite, developmental intervention, service coordination, medical referrals and transition planning. Following the initial assessment period, service providers work with the family to develop an Individualized Family Service Plan.

Admission Criteria: Children from birth through age 2 who have a suspected or known developmental delay.

Referral Process: Anyone can call the Point of Entry Coordinator at 439-1325 or 800-328-1767

Fees: There is no fee assessed to the consumer.

First Steps Service Coordination and Developmental Intervention

Provides services to children birth through 2 years of age that have a diagnosed disability or are at risk for developmental delay. The Primary Service Coordinator links families to resources in a timely manner, provides individualized assistance to support a family's ability to make decisions concerning intervention and uses inter-agency coordination for service provision, public education and resource development.
Developmental Interventions includes services that provide families with information, skills and support related to enhancing the skill development of the child in the areas of physical, social, emotional, communicative and cognitive development.

Admission Criteria: Children who are less than 3 years old and have been identified through Point of Entry to be eligible for First Steps services. Priority is given to any child not currently receiving services from any other agency.

Case Management: Provided by Primary Service Coordinators.

Referral Process: Contact the First Steps office at 606-439-1325 or 800-328-1767.

Fees: There is no fee assessed to the consumer.


Various services provided by professionals on-site at selected schools in order to work with children who have behavioral or emotional difficulties. A team approach is taken to work with children and their families. In addition, education and consultation services concerning individual children or groups of children are available to school staff.

For additonal information on locations and services, contact the Bridges Coordinator in the Perry County Outpatient Office at 606-436-5761.

Admission Criteria: Population served is children identified as having behavioral or emotional difficulties who are accepted through a referral team at each site.

Fees: Accept private insurance and Medicaid. For others, fees are based on individual ability to pay.
Staff Include:

Intervention Specialist: Provides development of intervention and behavior modification plans on an individual or school-wide basis.

Student Service Coordinator: Provides coordination of services for students identified as in need of services from Bridges program.

Family Liaison: Provides support services to families identified as in need of services through interaction with Bridges staff.

Transition Specialist: Works with children transitioning from placements, through life phases or in school situations. A focus is on the transition from high school to adulthood.

Court Liaison: Serves as a link between the court system and the Bridges team that includes the child and the family.

Therapeutic Foster Care Specialist: Coordinates services and provides support to foster care families and children placed in foster care.


This crisis stabilization center provides a therapeutic living environment for children and adolescents who are unable to be maintained in a home setting. The program helps participants attain a mastery of daily living skills for home, school and the community enabling them to return to a home placement. The center also offer substance abuse and day treatment.

The Sewell Center provides assessment, intervention and stabilization services for families whose youth are identified with an emotional/behavioral crisis that exceeds current resources and/or are currently at risk of psychiatric hospitalization or out of home placement for the entire eight county region. Provides consultation and education to community agencies regarding specific cases, crisis intervention techniques and program planning. Provides service coordination to children and their families who are in crisis as needed.

Admission Criteria: Screening by a mental health professional and an identified emotional/behavioral crisis that exceeds current resources.

Referral Process: Referrals may be made directly to the Sewell Center, the local KRCC outpatient office or through the Crisis Line at 800-262-7491 (TDD/TTY).

Service Coordination: May qualify for service coordination through the RIAC or the Kentucky IMPACT program.

Fees: Sliding fee scale for clinical services for consumers. Also payment by Medicaid, private insurance and EAP contracts.

Hours: 24 hours a day 7 days a week.


The Sewell Family and Children's Center
3826 Hwy 15 south
Jackson, KY 41339
606-666-8820 or 800-262-7491 (TDD/TTY)


At KRCC we believe that our clients come first, so it is important to offer services to fight for the rights of our clients that are being ignored. In addition, for those who do not know the proper process in certain situations, we offer the following:

Medical Advocacy

We offer personal support through the entire medical examination at the hospital. Trained crisis counselors explain the hospital procedure to survivors and provide information to their family members and friends.

Legal Advocacy

We offer personal support through a full-time Victim Advocate who explains the legal procedures and assists with obtaining crime victim's compensation. The Victim Advocate also provides links between the survivors, their family members and friends, to community support resources.



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