Structured Treatment Options

Our treatment methods are nationally recognized programs.

Our Comprehensive Approach

Treatment components include the following methodologies. Many of our treatment methods are nationally recognized programs. For more information about specific methodologies, you can click on the links below.

7 Challenges

The Seven Challenges is a comprehensive counseling program for young people that incorporates work on alcohol and other drug problems. It is designed to motivate youth to evaluate their lives, consider changes they may wish to make, and then succeed in implementing the desired changes. It supports them in taking power over their own lives.

Adolescent Community Reinforcement Approach (ACRA)

A-CRA was adapted to be developmentally appropriate for adolescents, which included adding sessions for parents/caregivers.[4] The goal of A-CRA is to improve or increase access to social, familial, and educational/vocational reinforcers for adolescents to achieve and sustain recovery.

Moral Reconation Therapy (MRT)

MRT-Moral Reconation Therapy, an NREPP program, is the premiere cognitive-behavioral program for substance abuse treatment and offender populations. Developed in 1985 by Dr. Gregory Little and Dr. Kenneth Robinson, nearly published outcome studies have documented that MRT-treated offenders show significantly lower recidivism for periods as long as 20 years after treatment.


COR is the acronym used for Comprehensive Opioid Response and the 12 signifies the importance of including a Twelve Step component with treatment. The program has an option for medically assisted treatment in conjunction with substance abuse counseling. After an initial assessment it may be determined that medically assisted treatment would be beneficial.


Cognitive Behavioral Therapy(CBT)

Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people’s difficulties, and so change the way they feel. It is used to help treat a wide range of issues in a person’s life, from sleeping difficulties or relationship problems, to drug and alcohol abuse or anxiety and depression.

Community Reinforcement and Family Training (CRAFT)

The CRAFT approach is a system for helping family members change the way that they interact with a drug user or someone is drinking too much. The aim of CRAFT is to help that person get into treatment and on the road to recovery from drugs and alcohol.

In addition to structured treatment options we also work with clients in more casual settings in conjunction with structured programs. Some of the additional efforts include:
Group Therapy
Individual Therapy
Family Therapy
Peer Supports
Case Management
Medication Management
Drug Testing

What to Expect from Treatment Options

Each teen, along with their family, is given an initial assessment. This will help determine the best course of action for the individual.

After the initial assessment, follow up sessions are scheduled and staff will provide orientation to the participant and their family.

During the first session treatment goals are established as part of an overall plan. The plan provides a ‘road map’ that will serve as a guide for treatment. The treatment plan is constantly revised as goals are reached and if new issues arise.

During the course of treatment an aftercare plan will be developed. Aftercare can include continued therapy, introduction to available support groups and more.

The program is six or more hours a week and is generally three days per week. While the program provides a high level of treatment components, they are scheduled to avoid (as much as possible) the typical activities of teens.

During treatment, clients remain in their own homes with their parent or guardian and continue to attend their own school. While some intense therapy programs require removal from school, home and sometimes even the community, Intensive Outpatient Programs allow teens to maintain a relatively normal life.

Teens remain in school and at home encouraging involvement with family and friends giving them the opportunity to apply the skills they learn in the program to real-world settings.

Throughout the course of treatment those who continue to have severe emotional troubles may be recommended for even more intense therapy through Four Rivers Behavioral Health’s Partial Hospitalization Program.

Corporate Office

425 Broadway Paducah, KY 42001
(270) 442-7121
(270) 442-1452
Fax 270-443-9692

Four Rivers Behavioral Health

Four Rivers Behavioral Health offers a variety of programs designed specifically for children and teens. In addition to the Adolescent Intensive Outpatient Program, Four Rivers Behavioral Health offers a Partial Hospitalization Program for adolescents, a complete Testing & Assessment Center to help determine the best course of action for children with mental health concerns as well as an entire clinical staff dedicated to children who need behavioral health treatment.

Four Rivers Behavioral Health is a private, not-for-profit agency providing comprehensive, integrated mental health, substance abuse and developmental disability services to promote the health and quality of life for consumers in Ballard, Calloway, Carlisle, Fulton, Graves, Hickman, Livingston, Marshall, and McCracken counties. Any individual in need is eligible to receive services without regard to race, religion, disability, national origin, or gender.