LewisGale Behavioral Health provides an extensive range of inpatient and outpatient mental health programs—all within the LewisGale Regional Health System—for adolescents age 13 and up, adults, impaired professionals and seniors age 55 and over.

Individuals may enter our programs at any location in our Southwest Virginia network and find or continue their care and established therapeutic relationships with providers they know. In addition, all medical records remain within our system, making it easy for our providers—licensed and trained professionals, not interns—and appropriate team members to stay up to date on each person’s care.

Free Mental Health Assessment

Admission or referral for mental health care at all LewisGale facilities starts with a free mental health assessment, which can take place in one of several ways, including:

  • Walk-in or by appointment at LewisGale Medical Center Behavioral Health located in the Pavilion
  • Through the emergency department at one of our four LewisGale hospitals at Salem, Alleghany, Montgomery and Pulaski— for patients who are in crisis

Safety. Security. Experience.

In the mental health programs and facilities at LewisGale Regional Health System, safety is the guiding factor in every decision from program development, selection of providers and access for visitors to room design and furniture choices. Our skilled security staff is onsite and trained in Non-violent Crisis Intervention®. Their years of experience and dedication are unmatched in Southwest Virginia.

Mental Health Programs

Depending on patient condition and needs, LewisGale offers a variety of programs and services for mental health care, including adolescent psychiatry, and addiction psychiatry. We provide treatment for conditions such as psychosis, affective disorders, behavior management issues and dual diagnosis (chemical dependency in conjunction with a psychiatric disorder), among many others. Our professional mental health team assesses each patient and any available personal support network to determine the program where the patient is safest.

  • Inpatient Care — Addresses acute situations, such as substance abuse detoxification, with management and monitoring of potentially life-threatening withdrawal symptoms, or circumstances when someone is at risk of endangering themselves or others
  • Partial Hospitalization — Offers the opportunity to test new skills at home each evening after participating in our hospital-based program during the weekday
  • The Center for Recovery — Addiction Treatment (Intensive Outpatient and Recovery) — Delivers substance abuse treatment three days a week for those in recovery; an evening program, which allows many participants, including impaired professionals mandated into care, to continue working at their jobs
  • Senior Transitions — Provides a calming, structured environment for those 55 and older who require short-term psychiatric stabilization through an inpatient setting

If an assessment indicates a concern for the personal safety of the patient or others, the situation may become part of the legal process affecting mental health care.

Legal Process Affecting Mental Health Care

When people could endanger themselves or others but are not willing to consent to a voluntary admission, a legal process may be initiated to determine if an individual needs a temporary detention order (TDO) to admit them for additional clinical assessments. The TDO process is conducted by emergency services staff who screen the individual and request that a magistrate issue the TDO to “temporarily detain” the individual until a hearing can be held to determine appropriate actions, up to and including a commitment. Remember, this is a legal process established by the laws of each state. Although hearings are held at our facilities and we’re required by law to take certain steps, the process itself is out of our control since it is a legal process governed by the state. We’re here to assist in finding the safest and most effective programs and services for each individual in need of mental health services.

Referral Process for Adolescents

Our assessment and referral process is available 24/7, with or without an appointment. We’ll ask for information to help us evaluate the person and the situation, assess the level of crisis and make recommendations for the most appropriate next steps. During the conversation, we’ll discuss what to expect and how to prepare someone to become a mental health patient at LewisGale.


In all LewisGale mental health programs we connect with aftercare providers. Our goal is to establish a follow-up appointment within 7 days of discharge. We also reach out to our patients for regular wellness calls to see how they’re doing and to support them in their recovery process.

Learn more about emotional, behavioral and mental health and related conditions in our online Health Library.

Concerned About Yourself or a Loved One?

Review the signs of depression and the signs of chemical dependency. Contact us for information and assistance.