The mission of Family Service of Roanoke Valley is to transform lives by healing trauma and restoring hope for families and individuals of all ages through mental health counseling, case management and life skills education.
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Services Offered
Adult Counseling - Counseling helps you identify your strengths and work toward a happier, healthier future.
Adult Survivors - As an adult survivor of childhood sexual abuse, you may have difficulty with relationships, trust, self-care and healthy decisions. Counseling can help you get your life back.
Couples Therapy - Power struggles, arguments and disconnection. Does this sound familiar? You are not alone. Therapy can help you and your spouse/partner get back the relationship you desire. Get help as soon as you feel unhappy or unfulfilled.
Individual Therapy - Do you feel depressed or anxious, out of control, out of place, or stressed? Therapy can help you discover skills to feel better and get back to your life.
Domestic Violence Survivors - If you are a survivor of domestic violence or your children have witnessed domestic violence, then reach out to someone who can help you.
Grief and Loss Collaborative - Have you lost a friend, family member, colleague, parent or child? Your grief is real and healing is possible. The Grief and Loss Collaborative is a partnership with Carilion Clinic Home Health and Hospice, businesses and partner organizations, to offer support groups, education and community outreach. Support groups are available for children or adults. All groups are free to the community.
Home-Based Therapy - If you, or someone you know, are physically immobile, counselors may be able to make home visits. Partnerships with local assisted living and care facilities allow older adults and incapacitated persons to access counseling without having to leave their place of residence.
Life Skills - Life Skills are needed to make the most out of day-to-day situations. Problem-solving, conflict resolution and communication are skills that make a difference for all adults.
Anger Management - If you experience anger in your daily life and personal relationships, you may benefit from group counseling to identify and change your behavior. Counseling is also available on an individual basis.
Child Parent Relationship Therapy - Parenting groups add extra support and teach skills you can use at home to connect with your children. Caregivers who participate typically experience a better understanding of how their child feels, less stress, fewer acting out behaviors from their child, and overall healthier family relationships.
Domestic Violence - Could you or someone you know benefit from group therapy for Domestic Violence Batterer's Intervention? Professional counseling is available for adults who use violence in their personal relationships.
Children and Youth Counseling - Your child or family may benefit from individual or group therapy. Especially for children who struggle with day-to-day situations, changes in the family or emotional needs, counseling can make a huge difference.
Community Counseling and Day Treatment - Your child deserves support on his own turf. Thanks to partnerships with local after-school programs, he can get just that. Therapeutic Day Treatment is a Medicaid-funded program. Community Counseling is group or individual sessions. Both are offered in after-school programs.
Intensive In-Home - The support of an in-home counselor for your child will help your family set goals so you can all get along better and be more aware of each others' needs. Counseling may deal with communication, daily routines, anger management, self-esteem or other issues. Intensive In-Home is a Medicaid funded program.
Individual Therapy - Your child will meet one-on-one with a counselor. In therapy, she will work to figure out her strengths and gain ways to better control upsetting thoughts and emotions. In-office counseling is suitable for children of all ages, but specifically for late elementary, middle and high school-aged youth.
Play Therapy - Is your child young, between the ages of 2 and 9, but already having difficulty managing daily routines or adjusting to changes in the family? Play Therapy may be just what he needs. Your child will love to come to the unique and specially created playrooms. Specific therapy for children and families experiencing challenges with attachment is also available.
Life Skills - The best chance for success comes when youth develop relationships with positive adults and get involved in the community. Youth Development Specialists work in school, after school and community settings with youth to identify strengths and build healthy decision-making skills. Positive Action and Teen Outreach Program - Positive Action is an evidence-based program offered in elementary schools. TOP is an evidence-based program for middle and high school students. Both address self-esteem, effective communication, goal setting, healthy relationships, and substance use prevention.
Case Management - Do you need support to manage day to day life? A case manager can help figure out what may be going wrong, get you connected to services and help you take care of your family.
Parent Aide - You will be able to set goals for yourself and your family and create a more peaceful home. You may work on skills to deal with your situation, anger management or self-esteem.
Fees and Payment
We accept most insurance plans and offer counseling services on a sliding-fee scale based on your family's income and ability to pay.
This is a non profit agency.
Services Offered To: Adults Teens Children
Payment: Sliding Scale Medicaid
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Qualifying for assistance from Virginia's program usually depends on the severity of your condition and financial circumstance. Read our full guide to Virginia's program.
A community counseling agency is a group therapy practice that offers affordable mental health services. Most are independent non-profit agencies, state agencies, or publicly-funded agencies. A few may restrict who is eligible for services, so it is a good idea to check when you call.
Community counseling agencies are generally more affordable than other therapy providers, but how much more affordable they are will depend on whether you qualify for a discount or sliding scale fee (or if they accept your insurance). Many, but not all, have a policy that they won't turn away anyone due to inability to pay. You should ask about their fees when you first call.
Expect to talk to kind people who want to help you find the care you need. Most community agencies strive to connect you with a live person within 24 hours, if not immediately. If you're asked to hold or leave a message, don't give up; just leave a message and wait. You should hear back pretty quickly.
Most agencies try to set up an initial assessment appointment within a week (some do within 24 hours), though the waitlist to start therapy is usually longer—about a few weeks on average. If you're not eligible or if the agency is not right for you, it's usually still worth it to call or drop in, because staff are knowledgeable about local options and can often refer you to one.