Buncombe County

Open Access Fridays

Every Friday from 10:00 AM to 1:00 PM, individuals with Medicaid are welcome to walk in and be scheduled for a CCA to determine which services they qualify for.

Child & Family Services

Intensive In-Home Services

Intensive In-Home (IIH) teams are available to serve children and adolescents at risk of out-of-home placement and/or need to be stabilized within the home.

School-Based Services

Our clinicians are available at Woodfin Elementary School to provide individual, group, and family therapy.

Therapeutic Foster Care

For children who need a safe and nurturing environment, Therapeutic Foster Care (TFC) can help. The goal for TFC is for each child to return to their natural home or an environment best suited for their needs after making positive behavioral changes.

Tailored Care Management

Tailored Care Management offers a personalized, holistic approach to mental health, physical health, and life challenges. With a focus on the unique needs and goals of the individual, we coordinate services to help clients thrive.

Care Haven is a 5-bed, non-leveled community respite facility located in Marion, serving children and adolescents ages 6-17 who are diagnosed with either a mental health issue or dual diagnosed (MH/DD). Community respite provides periodic relief for primary caregivers. Care Haven also offers services to children awaiting permanent placement in either foster care or a higher level of care. Care Haven is currently available to Vaya consumers and through DSS contracts. Clients can stay for 24 calendar days without prior authorization. Supervision is provided around the clock by trained paraprofessionals. Care Haven is not a crisis facility and does not provide crisis intervention services. If a child cannot maintain safety, Care Haven reserves the right to contact guardians and give a 24-hour notification of discharge.

Care Haven Referral Form

Each referral will be reviewed to determine whether Care Haven is an appropriate fit.

Adult Services

Outpatient Therapy is a service designed to meet the behavioral and psychological symptoms or patterns through therapy. This service is available through scheduled treatment sessions provided to individuals, families, or groups. This benefit includes counseling, psychotherapy, and collateral work with family (or substitute family)and members of a service recipient. Outpatient therapy offers or refers to various services based on the client's needs. Services could include education about the individual's disability/disorder, family interactions, community integration, relationships, or the importance of living skills. Services are generally provided in the office setting but may include other locations based on the needs of the individual.

Medication Management 

Medication management assessments are available for individuals dealing with behavioral health challenges stemming from symptoms caused by their behavioral health diagnosis. Psychiatric medication providers work collaboratively with therapists, peer supports, and Community Support Teams to determine the need for medications to address symptoms.

Substance Use Disorder Services

Individual and group therapy will benefit those who have experienced behavioral health issues and substance use disorders. The program used is an outpatient, effective, evidence-based practice, Cognitive Behavioral Therapy curriculum, designed to assist individuals in learning skills for managing the recovery of both types of disorders, behavioral health, and substance use. This program provides education and information regarding symptoms and treatment options for various kinds of behavioral health concerns. Individuals will learn skills for changing their thinking. Using a central construct of Cognitive Restructuring, individuals engage in activities in which they learn skills for identifying thinking styles feelings, recognizing automatic negative thoughts, and changing perceptions from negative to positive.​

Community Support Team

The Community Support Team (CST) provides a comprehensive, personalized treatment program for individuals with moderate behavioral health issues utilizing a team approach. The CST Team offers assistance in accessing resources, reducing psychiatric & addiction symptoms, and developing community living skills.

Peer Support Services

Certified Peer Support Specialists are individuals with lived experience who now, through their recovery, assist others with behavioral health and substance use disorders. Peer Support helps others seeking recovery from behavioral health and /or substance use challenges. Support is often related to needs such as housing, food, healthcare, employment, and resources for recovery activities.

Individual Support Services

Personal Care is a "hands-on" individualized assistance with everyday activities required by an individual with severe and persistent mental illness to live independently in the community. The service is to teach and assist individuals in carrying out daily living skills. The goal is for this support to fade over time as the individual performs some of these activities more independently.

Tailored Care Management

Tailored Care Management offers a personalized, holistic approach to mental health, physical health, and life challenges. With a focus on the unique needs and goals of the individual, we coordinate services to help clients thrive.