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mallydobb t1_je2j0i6 wrote

Depending on insurance or funding you might consider intensive outpatient (IOP) or partial hospitalization (Tucker offers both but there is likely one in the area your brother lives in). Both require daily travel or participation in services so commuting from Portsmouth to Richmond may not be sustainable for that.

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You can also reach out to your local community services board (https://www.portsmouthva.gov/149/Behavioral-Healthcare) and inquire about services and supports. If he doesn't have medicaid or insurance he can apply but the public health emergency period is winding down and the lessened medicaid restrictions are ending, which means some people are going to stop being eligible. There may also be local non-profits that can help but I'd suggest starting with the CSB as that is in their wheelhouse. Not everyone (esp. adults) will qualify for all services though. Some, like case management, have specific requirements and funding needs. It is a painfully broken system but if you get the right person they can help you navigate it.

If he has insurance you might call to speak to a care coordinator/navigator and see if they can make recommendations or referrals. Another option is to check out https://www.hrchc.org, which is a federally qualified health center, they also seem to offer behavioral health support. FQHC programs, like this one, can often be a starting point in seeking help...esp. if there is no PCP or other health care provider linked to treatment or care.

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