Four Rivers Behavioral Health
Four Rivers Behavioral Health is a private, not-for-profit community mental health agency founded in 1963, providing mental health, substance use disorder, and intellectual/developmental disability services across nine western Kentucky counties through outpatient clinics, residential facilities, school-based programs, and crisis services.
- Company typePrivate
- Founded1963
- HeadquartersPaducah, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What Four Rivers Behavioral Health does
Four Rivers Behavioral Health is a private, not-for-profit community mental health agency founded in 1963 under the federal Community Mental Health Act and headquartered in Paducah, Kentucky. The organization provides a comprehensive portfolio of behavioral health, substance use disorder, and intellectual/developmental disability services across the nine westernmost counties of Kentucky (Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Livingston, Marshall, and McCracken) and, through its Inlet Health joint partnership with Communicare, Inc. of Elizabethtown, across seventeen counties in central and western Kentucky.
Service delivery is multi-modal and physical-asset-intensive. The organization operates three outpatient clinic locations (Paducah, Mayfield, Murray), two residential substance use treatment facilities (the 120-bed CenterPoint Recovery Center for Men, a six-month Recovery Kentucky program, and the 28-day William H. Fuller Center), a youth drop-in center (The Zone), two Turning Point Recovery Community Centers, crisis stabilization units for adults and individuals with I/DD, an Applied Behavior Analysis center for autism, a Creative Enterprises adult day program, and supported employment and housing supports. Embedded delivery is reinforced by in-school clinicians in more than 75 schools, a 24/7 crisis line, and mobile crisis response. Specialized programs span the lifespan, including the iHOPE early-psychosis intervention (ages 15–30), OurPlace children's day treatment, Reflective Counseling trauma care using EMDR, CBT, TF-CBT, and DBT, SilverCare for seniors, and maternal programs (Lily's House, KY Moms). Clinical approach is grounded in evidence-based modalities including Hazelden Betty Ford Foundation's Living in Balance and COR-12 curricula.
Revenue is generated through a mix of insurance-based reimbursement (including Medicaid), federal and state grants, the charitable Four Rivers Behavioral Health Foundation, and modest Family Share participation fees for the Kentucky Early Intervention program (capped at $100 per month). The organization is led by CEO Gretchen Roof, governed by a Board of Directors, employs approximately 250 dedicated staff (with a combined Inlet Health workforce of roughly 1,000) including nearly 100 licensed behavioral health clinicians, and conducts nearly 100,000 client interactions per year. Strategic partners include Communicare, Kentucky Housing Corporation, the Kentucky Department of Corrections, Hazelden Betty Ford Foundation, Genoa Healthcare, Gravity Diagnostics, and the Kentucky Community Crisis Response Board.
Four Rivers Behavioral Health firmographics
Firmographics- Name
- Four Rivers Behavioral Health
- Legal name
- Four Rivers Behavioral Health
- Website
- https://4rbh.org
- Company type
- Private
- Founded year
- 1963
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Four Rivers Behavioral Health is a private, not-for-profit community mental health agency founded in 1963, providing mental health, substance use disorder, and intellectual/developmental disability services across nine western Kentucky counties through outpatient clinics, residential facilities, school-based programs, and crisis services.
- Ownership category
- akta.pro rank
Four Rivers Behavioral Health industry classification
Industry- Product category
- Community Mental Health Services
- NAICS
- Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (623220), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232)
- SIC
- Services-Social Services (8300), Services-Health Services (8000)
- akta.pro primary industry
- Peer Support, Recovery Coaching & Sober Living Services (HLAFACAN)
Keywords
Where Four Rivers Behavioral Health is headquartered
LocationHeadquarters
- HQ city
- Paducah
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
Four Rivers Behavioral Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others
Revenue model
- Insurance-Based Services: Services are billed through insurance plans including Medicaid, with treatment for substance use disorder covered under most insurance plans. Modern era funding shifted toward insurance-based reimbursement.
- Charitable Foundation Donations: Tax-deductible donations through the Four Rivers Behavioral Health Charitable Foundation help fill gaps left after insurance and other funding runs out.
- Federal and State Grants: Historically funded through federal and state grants, with the Regional Prevention Center and other programs supported through grant funding.
- Family Share Participation Fees: For Kentucky Early Intervention program, families must pay a participation fee based on household income and size, ranging from $0 to maximum $100 per month.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Kentucky Early Intervention Family Share |
Go-to-market motion2 records
Distribution channels6 records
Marketing channels6 records
Four Rivers Behavioral Health product offering
Product offeringCore offering
Four Rivers Behavioral Health is a private, not-for-profit community mental health center that provides mental health care, substance use disorder treatment, and services for individuals with intellectual and developmental disabilities across nine western Kentucky counties. The organization delivers outpatient therapy, residential treatment, crisis stabilization, psychiatric/medical care, early intervention, ABA therapy, peer recovery support, and community prevention programs through multiple locations and school-based clinics.
Product overview
Four Rivers Behavioral Health is a private, not-for-profit community mental health agency offering a comprehensive portfolio of behavioral health services across western Kentucky. The organization operates as a multi-service platform providing mental health care, substance use disorder treatment, and intellectual/developmental disability services through distinct programs. Core programs include the Center for Adult Services (outpatient therapy, peer support, EMDR, CBT), Center for Specialized Children's Services (OurPlace day treatment, iHOPE early psychosis intervention, Reflective Counseling for trauma), and substance use treatment through CenterPoint Recovery Center for Men (120-bed long-term residential), William H. Fuller Center (28-day residential), and Intensive Outpatient Programs. Specialized services include medical/psychiatric care with SilverCare for seniors, crisis stabilization units, Applied Behavior Analysis for autism, Creative Enterprises adult day program, supported employment, housing supports, The Zone youth drop-in center, Turning Point Recovery Community Center, Lily's House for pregnant/parenting women, and KY Moms maternal assistance program. The organization also provides Regional Prevention Center services, RIAC family resources coordination, KY IMPACT case management, and Kentucky Early Intervention System services. Nearly 100 licensed behavioral health clinicians along with doctors, nurses, nurse-practitioners, and peer support specialists deliver services across nine western Kentucky counties.
Differentiator
Problem solved
Functional benefit
Brands
- OurPlace: Children's Day Treatment program offering intensive behavioral health treatment for children and adolescents in a structured daytime setting.
- iHOPE
- The Zone
- Lily's House
- KY Moms
- Turning Point
- CenterPoint Recovery Center for Men
- Fuller Center
- SilverCare
Products and services
- Behavioral Health Care Outpatient mental health services for adults and children including individual therapy, group therapy, EMDR, CBT, TF-CBT, and specialized trauma care for conditions such as depression, anxiety, and PTSD.
- Center for Specialized Children's Services Comprehensive therapy services for children and adolescents including individual and family outpatient therapy, in-school clinics, early childhood mental health, and specialized trauma care for youth.
- Substance Use Treatment Comprehensive substance use disorder treatment including outpatient care, residential treatment, DUI programs, court-related services, peer recovery support, and specialized programs for veterans and youth.
- CenterPoint Recovery Center for Men A 120-bed, long-term (six-month) residential substance use treatment program for men, part of the Recovery Kentucky initiative, using a 12-step model and Recovery Dynamics curriculum.
- William H. Fuller Center A 28-day residential treatment program for adults (men and women) with substance use disorders, using a 12-step recovery model incorporating Motivational Interviewing, CBT, and Recovery Dynamics curriculum.
- OurPlace Day Program A five-day-a-week intensive behavioral health day treatment program for children and adolescents offering approximately five hours of care daily as a less restrictive alternative to inpatient hospitalization.
- iHOPE Program Early-intervention program for young people ages 15-30 experiencing early signs of psychosis, focusing on early identification, coordinated care, and ongoing support for stability and long-term wellness.
- Reflective Counseling (Specialized Trauma Care) Specialized trauma-informed counseling service for individuals and families who have experienced trauma including accidents, medical trauma, natural disasters, neglect, or violence.
- Peer Support Services Evidence-based approach where individuals with lived experience of recovery from mental health or substance use challenges support others on their journey, certified through the Kentucky Department of Behavioral Health.
- The Zone Youth Drop-In Center Youth drop-in center for transition-aged youth ages 16-25 offering a drug-free environment with peer counseling support and behavioral health services including gaming, art, music, and peer-led recovery meetings.
- Turning Point Recovery Community Center Recovery community center providing no-cost peer support, recovery coaching, job searching assistance, support groups, and overdose response services for individuals in recovery, with locations in Paducah and Mayfield.
- Lily's House Supportive living environment for women recovering from substance use disorders who are pregnant or recently gave birth, providing stable housing and peer support services.
- KY Moms (Maternal Assistance Toward Recovery) Maternal Assistance Toward Recovery program helping pregnant women and new mothers reduce risks associated with substance use through education, resources, and supportive services promoting healthy outcomes.
- Applied Behavior Analysis (ABA) Center Specialized services for children ages 2-18 diagnosed with Autism Spectrum Disorders using evidence-based ABA therapy with individualized behavior change strategies.
- Creative Enterprises Adult Day Program Adult day program for individuals with intellectual or developmental disabilities providing job training, daily living skills, and recreational activities at Four Rivers Behavioral Health's downtown Paducah office.
- Supported Employment Employment services helping individuals with serious mental illness or intellectual/developmental disabilities find and maintain meaningful work in integrated community settings.
- Housing Supports Range of housing support options for individuals with intellectual or developmental disabilities including HUD-subsidized group homes, independent living apartments, family home placements, and staffed residences.
- SilverCare Bundle of services designed for seniors including psychiatry, outpatient therapy, case management, medication management, and wellness services addressing unique geriatric mental health needs.
- Medical Services Psychiatric care including evaluations, medication management, Spravato (esketamine) administration, and weekly injection clinic for patients with behavioral health conditions, with onsite lab and pharmacy services.
- Adult Crisis Stabilization Unit 10-bed crisis stabilization unit at Fuller Center Campus providing short-term voluntary admissions for adults experiencing mental health crises in a less restrictive environment than hospitalization.
- I/DD Crisis Services Specialized crisis services for individuals with intellectual or developmental disabilities including an eight-bed Adult Crisis Stabilization Unit, mobile crisis response, and crisis prevention programs.
- Assertive Community Treatment (ACT) Comprehensive, community-based service for individuals with serious mental illness providing coordinated ongoing care through a multidisciplinary team with 24/7 availability.
- Center for Testing and Assessment Comprehensive psychological evaluations for toddlers, children, adolescents, and adults assessing autism spectrum disorders, intellectual disabilities, and neurodevelopmental concerns.
- KY IMPACT Case management program for children with serious emotional disabilities providing targeted case management and High Fidelity Wraparound services to help children receive care at home.
- Kentucky Early Intervention System (KEIS) Statewide early intervention program serving children from birth to age 3 with developmental delays or conditions known to cause delays, providing services such as occupational therapy, speech therapy, and family support.
- RIAC Family Resources Regional Interagency Council providing structure for coordination, planning, and collaboration of behavioral health services for children and transition-age youth across western Kentucky.
- Regional Prevention Center Prevention and education services including Mental Health First Aid training, QPR suicide prevention, ASIST intervention training, and community development programs for western Kentucky.
- Intensive Outpatient Treatment (IOP) Structured addiction treatment program using Hazelden Betty Ford Foundation's Living in Balance curriculum, allowing clients to continue working and living at home while receiving treatment.
- COR-12 Program Outpatient treatment program for opioid addiction combining evidence-based substance use counseling with Twelve-Step framework and medication-assisted treatment when clinically appropriate.
Companies that use Four Rivers Behavioral Health
Customer profileNamed customers3 records
Segments6 records
Ideal customer profiles5 records
Four Rivers Behavioral Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Four Rivers Behavioral Health partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core, major and minor.
- Inlet HealthcoreInlet Health is a partnership between Communicare, Inc. of Elizabethtown, Kentucky and Four Rivers Behavioral Health headquartered in Paducah. The combined agencies serve 17 counties in central and western Kentucky, providing in-school clinicians to more than 75 schools and offering more than 70 specific programs and specialized services. Jointly, they employ about 1,000 staff members including nearly 100 licensed behavioral health clinicians.
- Recovery KentuckycoreCenterPoint Recovery Center for Men is part of the Recovery Kentucky initiative, a statewide program addressing substance use disorders through peer-driven residential treatment. The initiative is supported by multiple state agencies.
- Kentucky Housing CorporationmajorKentucky Housing Corporation provides support for the CenterPoint Recovery Center for Men as part of the Recovery Kentucky initiative, helping fund long-term residential substance use treatment programs.
- Kentucky Department of CorrectionsmajorThe Kentucky Department of Corrections partners with Four Rivers Behavioral Health for the CenterPoint Recovery Center, providing support for court-related substance use treatment services.
- Hazelden Betty Ford FoundationcoreFour Rivers Behavioral Health uses Hazelden Betty Ford Foundation's evidence-based curricula including Living in Balance for Intensive Outpatient Treatment and COR-12 Program for opioid addiction treatment. Staff have received extensive training from Hazelden Betty Ford.
- West Kentucky Community and Technical College (WKCTC)minorFour Rivers Behavioral Health provides on-campus outpatient therapy services at WKCTC, helping students access mental health support in a familiar environment while balancing academic responsibilities.
- Kentucky Community Crisis Response Board (KCCRB)majorFour Rivers Behavioral Health partners with KCCRB for disaster emergency preparedness and coordinated behavioral health response efforts during natural and man-made disasters.
Scale indicators7 records
Recent moves7 records
Expansion highlights5 records
Four Rivers Behavioral Health competitors and assessment
Company assessmentBroad incumbents
- Hazelden Betty Ford Foundation: National addiction treatment leader whose evidence-based curricula (Living in Balance, COR-12) are licensed and used by Four Rivers. Comparable as a SUD treatment methodology provider rather than a direct competitor, but a relevant peer given the licensing/technology partnership.
Direct peers
- Seven Counties Services: Louisville-area community mental health center providing behavioral health, substance use, and IDD services. Comparable in service breadth and CMHC designation, with a larger urban service area.
- Lifeskills, Inc. Kentucky behavioral health nonprofit serving south-central and western Kentucky with mental health, substance use, and developmental disability services under the state CMHC framework. Comparable size, service mix, and funding structure.
- Mountain Comprehensive Care Center: Kentucky community mental health center providing integrated behavioral health, intellectual/developmental disability, and substance use services across a multi-county rural service area. Operates under the same state CMHC designation as Four Rivers.
- Cumberland River Behavioral Health: Kentucky community mental health center serving southeastern Kentucky with mental health, substance use, and IDD services under the same state CMHC framework. Comparable in rural multi-county footprint and integrated service model.
- Communicare, Inc. Direct peer and explicit joint-venture partner through the Inlet Health partnership. Communicare is a Kentucky-based community mental health center serving central Kentucky with a comparable service portfolio (mental health, SUD, IDD), and the two organizations operate as a combined entity across 17 counties.
- Pennyroyal Center: Kentucky community mental health center serving the Pennyrile region with comparable outpatient, residential SUD, crisis, and IDD services under the same state CMHC framework. Directly comparable in scope, regulatory designation, and funding model.
- New Vista (formerly Bluegrass.org): One of the largest Kentucky community mental health centers, providing mental health, substance use, and developmental disability services across central Kentucky under the same CMHC framework. Comparable service portfolio, broader geographic scale.
- Pathways, Inc. Kentucky community mental health center serving eastern Kentucky with mental health, substance use, and IDD services. Comparable in being a designated CMHC with a broad service portfolio and rural footprint.
Regional players
- Adanta Group: Community mental health center serving south-central Kentucky under the same CMHC framework with mental health, substance use, and IDD services. Comparable model but different geographic region.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Four Rivers Behavioral Health social profiles
Digital presenceFour Rivers Behavioral Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Four Rivers Behavioral Health leadership team
Management profileNumber of profiles
Profiles9 records
Four Rivers Behavioral Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Four Rivers Behavioral Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Four Rivers Behavioral Health
What does Four Rivers Behavioral Health do?
Four Rivers Behavioral Health is a private, not-for-profit community mental health center that provides mental health care, substance use disorder treatment, and services for individuals with intellectual and developmental disabilities across nine western Kentucky counties. The organization delivers outpatient therapy, residential treatment, crisis stabilization, psychiatric/medical care, early intervention, ABA therapy, peer recovery support, and community prevention programs through multiple locations and school-based clinics.
Is Four Rivers Behavioral Health a public or private company?
Four Rivers Behavioral Health is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Four Rivers Behavioral Health founded?
Four Rivers Behavioral Health was founded in 1963. It employs 251 to 500 people.
Where is Four Rivers Behavioral Health based?
Four Rivers Behavioral Health is headquartered in Paducah, United States, in the North America region.
How does Four Rivers Behavioral Health make money?
Four revenue lines are on record. Insurance-Based Services are the primary driver. The others are charitable Foundation Donations, federal and State Grants and family Share Participation Fees.
Who are Four Rivers Behavioral Health's main competitors?
Hazelden Betty Ford Foundation is listed as a broad incumbent. Direct peers are Seven Counties Services, Lifeskills, Inc., Mountain Comprehensive Care Center, Cumberland River Behavioral Health, Communicare, Inc., Pennyroyal Center, New Vista (formerly Bluegrass.org) and Pathways, Inc.. Adanta Group is listed as a regional player.
Does Four Rivers Behavioral Health have an API?
No public API is recorded for Four Rivers Behavioral Health.
What industry is Four Rivers Behavioral Health in?
Four Rivers Behavioral Health's product category is Community Mental Health Services. Its primary akta.pro industry code is HLAFACAN, Peer Support, Recovery Coaching & Sober Living Services. Its NAICS code is 621420 and its SIC code is 8300.