Therapeutic Community Support Services
Therapeutic Community Support Services (TCSS) is mental health support that comes to you: at home, at work, or wherever the hard parts of the day happen. A support worker helps you practice coping skills in the places you need them, not in an office.









TCSS is for adults with serious mental illness who need more than outpatient therapy alone.
The work is practical: handling stress at work, talking with family, keeping a routine, getting through social situations, or dealing with triggers before they turn into a crisis.
Because the support worker sees the problem where it happens, you can work on it in the moment instead of describing it later.
You set the goals together, whether that is keeping a job, repairing a relationship or feeling steadier day to day. Your support worker coordinates with your therapist, case manager and psychiatrist.
TCSS is available throughout our seven-county area; staff travel to you.
Call (270) 689-6879 or request an appointment online. Walk-ins are welcome at our outpatient locations.

What to Expect
Sessions are usually once or twice a week, at home or in the community. Expect coaching, role-playing and working through real situations as they come up.
You and your treatment team review progress regularly and adjust the plan as skills stick.
Other Mental Health Services
Medication Management
Psychiatric evaluation and ongoing medication management from psychiatrists and psychiatric nurse practitioners, with telehealth follow-ups for established patients.
Assertive Community Treatment
Assertive Community Treatment: a full team, including a psychiatrist, nurses, therapists and peer specialists, that comes to you, with crisis support around the clock.
Case Management
A case manager helps adults and youth with serious mental illness get healthcare, housing, food assistance, transportation, employment services and benefits, and keeps all of their providers talking to each other.
Peer Support
Certified peer support specialists who have been through mental health recovery themselves, offering practical guidance and company along the way.
Therapeutic Rehabilitation
A weekday day program where adults with serious mental illness work on daily living skills, from budgeting and cooking to managing symptoms, in a group setting.
Recovery Care Coordination
One consistent coordinator who stays with you through treatment and after it, keeps you connected to services and steps in early when life changes.
Outpatient Mental Health
Individual, group and family therapy for children, teens and adults, using CBT, DBT and other approaches, in person or by telehealth.
Prescribers’ Clinic
Outpatient psychiatric evaluation and medication management for adults, from psychiatrists and psychiatric nurse practitioners, with short waits for a first appointment.
Intensive In Home Therapy
Intensive In-Home Therapy brings several hours of family therapy a week into the home, for children and teens who need more than outpatient care.