
A resource guide for free or low-cost mental health and substance use services in Charlottesville, Albemarle, Fluvanna, Greene, Louisa, and Nelson Counties.
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Mental health conditions, such as depression or anxiety, are real, common and treatable. Change is possible.
Using an online screening tool is one of the quickest and easiest ways to consider whether you or someone you care about is experiencing symptoms of a mental health condition.
Finding a treatment provider that is a good fit for your needs and circumstances is important.
If you are insured, your insurance company can provide you with a list of of covered practitioners in your network. Groups like Psychology Today have search engines that can help you find a therapist by insurance type, provider specialty area, geographic location, and other criteria.
Find the right help.
If you are not insured and have a low-income, you may be eligible for Medicaid or another subsidized health insurance. Find out more about eligibility by talking with a health insurance application assistant.
Primary care providers may prescribe medication for mild to moderate mental health needs. Some clinics also have integrated to behavioral health services.
If you are employed, check if you have an Employee Assistance Program that can provide short-term counseling support.
Peer recovery groups are often free and can provide support for mild to moderate concerns.
Ask providers if they have a sliding scale for services.
Find affordable care.
Do Your Part Campaign
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Lock Medications & Weapons
Since 2020, the Community Mental Health and Wellness Coalition and Region Ten have distributed over 3000 free safety devices and materials to help keep our community safe from suicide and overdose. We offer these free safety devices:
Lock boxes to store prescription medications and small firearms
Medication lock bags to store and discretely travel with medications
Trigger locks and cable locks to add extra security to firearms
Drug deactivation packets to safely dispose of unwanted prescription medication
Residents of Charlottesville, Albemarle, Fluvanna, Greene, Louisa, and Nelson Counties can request free devices and pick them up from their nearest Region Ten office.
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Help Prevent Overdose
Being trained to reverse an overdose and carrying Narcan is the most effective way to prevent an overdose. Narcan, a branded name for Naloxone, is a prescription medication that reverses opioid overdoses as they are happening. It works by temporarily blocking the effects of opioids and helps the person experiencing an overdose breathe again.
Many organizations provide free Narcan, fentanyl test strips, and overdose prevention training to community members
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Help Prevent Suicide
Recognizing signs and symptoms of suicide risk is an important way to keep your family and community safe.
If you are concerned about someone at risk of suicide, it is best to talk with the person directly. Show care, speak honestly and directly, listen without judgment, give reassurance, and be ready to offer help. Asking directly about whether a person has thoughts of suicide helps show the person you care and are prepared to help.
For immediate support and guidance, call or text the Regional Call Center at 434-230-9704 or dial 9-8-8 for the Suicide and Crisis Lifeline. Both of these resources provide free and confidential crisis intervention and support 24 hours per day, 7 days per week.

“You are the one thing in this world, above all other things, that you must never give up on. Asking for help is the first step. You are more precious to this world than you’ll ever know.”
— Lili Reinhart