Blue Ridge Behavioral Healthcare

What Blue Ridge Behavioral Healthcare does

Blue Ridge Behavioral Healthcare (BRBH) is a non-profit community service board established under the code of Virginia in 1969, headquartered in Roanoke, Virginia. It is a statutorily mandated behavioral healthcare provider serving the Cities of Roanoke and Salem and the Counties of Botetourt, Craig, and Roanoke, employing over 400 staff including licensed clinicians, psychiatrists, case managers, and peer recovery specialists.

BRBH operates a comprehensive clinical platform of 25+ products and services organized around six core capabilities — case management, therapy, crisis services, housing, prevention and community wellness, and medication management — supplemented by specialized programs including Project LINK (perinatal substance use), dementia and geriatric care delivered in partnership with Carrington Cottage, Coordinated Specialty Care for first-episode psychosis, Functional Family Therapy, and Parent-Child Interactive Therapy. The technology stack is non-proprietary; the organization runs standard telehealth delivery, walk-in intake at the Burrell Center, 24/7 crisis lines, and an on-site Genoa Healthcare pharmacy, with no disclosed AI/ML capabilities or custom software platform. Service delivery spans in-office, in-home, community-site, and Zoom-based channels, and crisis stabilization is supported by a dedicated 24/7 facility at 3003 Hollins Road NE.

BRBH's revenue model is a hybrid of government block-grant funding from the Virginia Department of Behavioral Health and Developmental Services, third-party reimbursement from Medicaid, Medicare, and private insurance, and grant-funded prevention programming. Services are provided regardless of ability to pay, consistent with its public-mandate role. The organization is governed by a 16-member Board of Directors (one representative per locality), led by CEO Mark Chadwick and CFO Pamela Binns, and reaches clients primarily through community partnerships, walk-in access, 24/7 crisis lines, healthcare provider referrals, and a calendar of free public trainings including REVIVE!, SafeTALK, Mental Health First Aid, and opioid awareness programs.

Name

Blue Ridge Behavioral Healthcare

Legal name

Blue Ridge Behavioral Healthcare

Website

https://brbh.org

Company type

Private

Founded year

1969

Operating status

Operating

Headcount range

251–500 employees

Short description

Blue Ridge Behavioral Healthcare is a Virginia community service board, founded in 1969, providing behavioral healthcare, developmental disability, and substance use services to over 400 staff-strong network serving the Roanoke Valley's five localities.

Ownership category

akta.pro rank

Product category

Community Behavioral Healthcare Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (623220)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA), Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL)

Keywords

• Behavioral healthcare services
• Community mental health
• Substance abuse treatment
• Crisis stabilization services
• Developmental disability support

Headquarters

HQ city

Roanoke

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Government-Funded Services: As a Virginia community service board, Blue Ridge Behavioral Healthcare receives government funding to provide behavioral healthcare services to residents of the Roanoke Valley. Services are provided regardless of ability to pay.
2. Insurance Reimbursement: The organization accepts Medicaid, Medicare, and private insurance for covered services including psychiatric services, medication management, therapy, and crisis stabilization.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Blue Ridge Behavioral Healthcare is a community service board established under Virginia state code that delivers community-based behavioral healthcare services across the Roanoke Valley. Its core offerings include mental health therapy, psychiatric and medication management, case management, 24/7 crisis stabilization and detox, permanent supportive housing, prevention and community wellness programming, and specialized services for seniors with dementia, youth and families, pregnant and parenting individuals, and people experiencing homelessness. Services are funded through state and local government appropriations along with Medicaid, Medicare, and private insurance reimbursement.

Product overview

Blue Ridge Behavioral Healthcare is a community service board offering a comprehensive portfolio of behavioral healthcare services across the Roanoke Valley. The organization operates as a platform of interconnected services including core clinical services (Case Management, Therapy, Crisis Services, Medication Management, Housing, and Prevention & Community Wellness) paired with specialized programs (Project LINK for perinatal substance use support, Dementia & Geriatric Care, and youth-focused services). The portfolio also includes community education through 8 distinct training programs (REVIVE!, SafeTALK, Mental Health First Aid, Youth Mental Health First Aid, ACEs Training, Talk Saves Lives, OpioidWISE, and Problem Gambling Prevention), delivered in-person and via Zoom. Crisis intervention is supported by a 24/7 Crisis Line and a dedicated Crisis Stabilization & Detox Center. New clients access services through walk-in intake at the Burrell Center. The organization also offers internship programs across 12 specialty areas for workforce development.

Differentiator

Problem solved

Functional benefit

Products and services

• Case Management Mental health case management that helps adults and children with mental health obstacles access care, set goals, and stay connected to services including housing, benefits, food access, doctors, medications, and community programs.
• Therapy Individual, group, and family therapy offered in-office, at home, in community settings, and via telehealth. Addresses addiction, trauma, social skills, anger management, depression, PTSD, and mental illness understanding.
• Crisis Services 24/7 crisis line and Crisis Stabilization & Detox Center offering short-term care for severe mental health or substance use concerns, including medically supervised detox. Most stays last 3 to 15 days.
• Housing Permanent Supportive Housing for adults with serious mental illness experiencing chronic homelessness, and PATH (Projects for Assistance in Transition from Homelessness) services including outreach and financial assistance.
• Prevention & Community Wellness Community education and prevention programs focusing on mental health, substance use, suicide prevention, and opioid/fentanyl misuse. Includes community partnerships, grant-funded media campaigns, and youth programming.
• Medication Management Psychiatric services for medication management, Medication-Assisted Treatment for opioid use disorder, and Youth Psychiatric Services for children ages 3-17. Includes on-site Genoa Pharmacy.
• Dementia & Geriatric Care Specialized memory care for adults age 65+ living with memory loss or dementia, using Positive Approach to Care® methodology. Provided in partnership with Carrington Cottage in Daleville, VA.
• Project LINK Family-centered services for pregnant and parenting individuals with substance use disorders, providing counseling, case management, psychiatric services, and parenting support from pregnancy through 24 months postpartum.
• Community Prevention and Mental Health Training Programs Free in-person and Zoom-based community training programs covering opioid overdose response (REVIVE!), suicide prevention (SafeTALK, Talk Saves Lives), mental health first aid for adults and youth, adverse childhood experiences, opioid and fentanyl awareness (OpioidWISE), problem gambling prevention, and an interactive Hidden in Plain Sight program for caregivers. Open to Virginia residents and community groups.
• Crisis Stabilization & Detox Center Residential crisis stabilization and medically supervised detox facility at 3003 Hollins Road NE, Roanoke, VA 24012, open 24/7 for severe mental health and substance use concerns, with stays typically lasting 3-15 days.

Named customers1 record

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Nine partnerships are on record, tiered core and minor.

• Carrington CottagecoreStrategic or Co-development PartnerPartnership with Carrington Cottage in Daleville, VA to provide specialized memory care services in a hospital-based setting. BRBH supports adults age 65+ living with memory loss or dementia, while Carrington Cottage provides the facility for care delivery.
• Genoa Healthcare & PharmacycoreTechnology or IntegrationOn-site pharmacy at The Burrell Center operated by Genoa Healthcare, able to fill prescriptions for BRBH clients. Provides convenient medication access for patients receiving services at the facility.
• Roanoke Area Youth Substance Abuse Coalition (RAYSAC)minorStrategic or Co-development PartnerBRBH fiscally supports RAYSAC, a 501c3 nonprofit focused on medication misuse prevention in the Roanoke Valley community.
• Roanoke Prevention Alliance (RPA)minorStrategic or Co-development PartnerBRBH fiscally supports RPA, a 501c3 nonprofit focused on building resilient, substance-free youth in the Roanoke Valley.
• Boys and Girls ClubminorGTM or Marketing PartnerCommunity partnership for youth substance use prevention and after school programming focused on building resilient youth.
• Roanoke City Public SchoolsminorGTM or Marketing PartnerPartnership for school-based mental health education, prevention curricula (Too Good For Drugs), and coordinated care for students.
• Roanoke Public LibrariesminorGTM or Marketing PartnerCommunity partnership for distribution of mental health resources and educational materials to the public.
• Virginia Department of Behavioral Health and Developmental ServicescoreStrategic or Co-development PartnerOversight agency for community services boards. The Senior Human Rights Advocate is located within this state department. BRBH operates under state mandates and performance contracts.
• Department of Social ServicesminorGTM or Marketing PartnerPartnership for Family Wellness parenting classes and workshops, as well as coordinated services for families involved with child welfare.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Magellan Health: National managed behavioral health and specialty healthcare company. While not a direct CSB competitor, Magellan administers behavioral health benefits for state Medicaid programs including Virginia, shaping the contracting environment BRBH operates within.
• Carelon Behavioral Health: National managed behavioral healthcare company and behavioral health arm of Elevance Health. Operates at significantly larger scale as a managed care and services platform rather than direct care provider, but meaningful competitor in Virginia Medicaid behavioral health contracting.
• Thresholds: Large nonprofit behavioral health provider serving Illinois with mental health, substance use, and housing services. Broader scale and geographic reach than BRBH but operates on a comparable community-based, publicly funded behavioral healthcare model.

Direct peers

• New River Valley Community Services: Adjacent Virginia community services board serving the New River Valley. Operates the same statutory CSB model with comparable behavioral health, developmental disability, and substance use service lines funded through Virginia DBHDS. Directly comparable in structure, funding, and service portfolio.
• Hampton-Newport News Community Services Board: Virginia CSB serving the Hampton-Newport News region with full continuum behavioral healthcare. Comparable statutory structure, service portfolio, and funding mechanism under Virginia Code.
• Cumberland Mountain Community Services Board: Virginia CSB serving the Cumberland Mountain planning district with mandated behavioral health, developmental disability, and substance use disorder services. Operates with same statutory authority, DBHDS oversight, and Medicaid/insurance reimbursement mix.
• Fairfax-Falls Church Community Services Board: Large Virginia CSB serving Fairfax County and Falls Church with comprehensive behavioral health services. Comparable statutory mandate, full continuum of care, and government funding model, though operating in a more populous jurisdiction.
• Mount Rogers Community Services Board: Regional Virginia CSB serving counties in the Mount Rogers planning district. Provides the same mandated behavioral health, developmental disability, and substance use treatment services under Virginia code with similar government funding model and regional mandate.
• Piedmont Community Services: Virginia behavioral health community services organization serving the Piedmont region. Comparable outpatient mental health, substance use, and developmental disability services under Virginia's CSB framework with similar revenue model.

Others

• National Alliance on Mental Illness (NAMI) Virginia: State-level advocacy and education organization for mental health. Not a service provider, but a key ecosystem partner in Virginia behavioral health, providing family education, peer support, and policy advocacy adjacent to BRBH's service area.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/brbhroanoke

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Blue Ridge Behavioral Healthcare