Mental Health


Region Ten Offices (Emergency Services, Child & Family Clinic, Developmental Disability Services, Medical Records) Old Lynchburg Rd
500 Old Lynchburg Rd
Charlottesville, VA 22903

Peterson Health Center (Outpatient, Case Management, Recovery Support, PACT)
800 Preston Avenue
Charlottesville, VA 22903

We have county offices in Albemarle, Fluvanna, Greene, Louisa, and Nelson Counties. View Full List of Locations

Region Ten Community Services Board is part of a statewide network of 40 Community Service Boards working to provide mental health, intellectual disability and substance use. Region Ten is an agency of local government, serves over 9,000 residents of the City of Charlottesville and the counties of Albemarle, Fluvanna, Greene, Louisa and Nelson each year. In collaboration with other local agencies, Region Ten enriches our community one life at a time. By partnering with each person to meet their individual goals, Region Ten’s nearly 800 employees work toward a better life and a better community.


Local Emergencies: If you or someone you know are experiencing a behavioral health emergency, please call (434) 972-1800. For life-threatening emergencies please call 9-1-1.

Getting Started
An intake appointment is the first step to receive Region Ten services.

For Charlottesville/Albemarle: Walk-in intakes are available for adults, M-F at the Peterson Building at 800 Preston Avenue. For children, walk-in appointments take place at the Child and Family Clinic at 500 Old Lynchburg Road. We prioritize pregnant women in need of substance use treatment.

For Rural County Offices:
• Fluvanna County: (434) 589-8276
• Greene County: (434) 985-5220
• Louisa County: (540) 967-2880
• Nelson County: (434) 263-4889

What to Expect
You will be given an assessment to determine your needs and eligibility for services. The assessment will be approximately 2 hours.

The cost of services depends on your insurance coverage, your income, and the type of service you choose. Please bring a valid form of identification and proof of income to see if you are eligible for sliding scale. For more information about Region Ten’s sliding scale and hardship policy, see our website.



Local Emergencies: If you or someone you know are experiencing a behavioral health emergency, please call (434) 972-1800. For life-threatening emergencies please call 9-1-1.

The National Suicide Prevention Lifeline is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. The Lifeline can be reached at 1-800-273-8255.

The Crisis Text Line is a national program that provides free crisis support any time of day by texting 741-741. A trained crisis counselor will respond via text to help support someone experiencing any type of mental health crisis, including suicide.

Lock & Talk Virginia is a statewide initiative to help reduce the rate of suicide in our community through lethal means safety and education. As a Lock & Talk partner, Region Ten provides free medication lock boxes, as well as trigger/cable locks for firearms. Region Ten also provides trainings such as Mental Health First Aid, Youth Mental Health First Aid, and ASIST to help citizens learn to recognize the signs of emerging mental health, crisis, and intervening with a person with thoughts of suicide.

The Suicide Prevention Awareness Resource Council (SPARC) is a group of concerned community members and partner agencies who come together with a common goal of reducing suicide in our area. SPARC hosts events and provides training to reduce the stigma of suicide, encourage people to reach out for help when they need it, and raise awareness about mental health services in our area.


Each year, more Virginians die from opioid overdoses than from automobile accidents. In our area, more than 300 people were seen in emergency rooms for opioid overdoses, and the demand for opioid treatment at Region Ten has been on the rise. Region Ten offers a range of opioid treatment and prevention services to address this growing crisis.

If you or someone you know is struggling with opioid addiction, treatment is available and recovery is possible. Region Ten offers a range of substance use services, including residential services and Medication Assisted Treatment (MAT), which are effective forms of treatment for addiction. Treatment services are provided to anyone regardless of insurance. For more information about MAT, call (434) 972-1833. For all substance use services, go to 800 Preston Ave in Charlottesville weekdays for same day access.

Services for Pregnant and Parenting Women
Region Ten prioritizes intensive services for pregnant and parenting women with substance use disorders through the PROJECT LINK program. Residential substance use disorder treatment services are also available for women and women with young children.

Opioid Overdose Prevention
Preventing overdose is also an important part of treatment work. Region Ten will begin providing monthly opioid overdose prevention training for community members. We work with the Thomas Jefferson Health District to provide free Narcan for people who register in advance for the training. To register for this training, go to the Region Ten website.

Because 80 percent of heroin addicts begin with misuse of prescriptions, raising awareness of the risk of opioid addiction and limiting the supply of opioids through safe storage and disposal of medication is another important tool to reducing opioid addiction. Region Ten’s prevention program helps to promote information about medication disposal boxes in the region, and has a supply of free medication lock boxes to help people store opioid medication safely away from children or others.

Research on effective ways to address the opioid crisis shows that coordinated community efforts are critical, Governor Ralph Northam has recently identified mobilizing community coalitions as a key focus for his opioid initiative. Region Ten and the Community Mental Health and Wellness Coalition (CMHWC) coordinate a group of multi-disciplinary partners who are working together to promote a systems approach to the local opioid crisis. Partners include local criminal justice officials, the Thomas Jefferson Health District, University of Virginia and Sentara health systems, and other community-based organizations. Information about the Coalition’s work can be found in the Coalition blog and Facebook page.


Region Ten 1969-2019