Mental Health Services

Staff and Services

There are now two Mental Health Providers at the NRVJDH! Dr. Frieben, NRVCS child psychiatrist, also comes to the home twice monthly!

Angie Mitchell, LSW, LMHP-E is a youth clinician and case manager. She meets with clients individually, facilitates the psychological education groups, runs the Detention Home Clothing Bank, assists Dr. Frieben with psychiatric medication management, and helps set up community service opportunities for eligible clients.

Dale Margheim, EdD, QMHP is the clinician. He is the co-facilitator of MRT©, meets with clients individually, creates Individual Service Plans for long term clients, and facilitates the substance abuse groups.

Both Mental Health Providers are employees of New River Valley Community Services. Services provided are not billed.

To contact call: 540-381-0097 ext 20

Short length of stay services:

  • Intake and Orientation to Services
  • Weekly Psychological Education groups
  • Emergency Detention Home Services *

Long length of stay services:

  • Individual Sessions
  • Moral Reconation Therapy Group*
  • Anger Management/Conflict Resolution*
  • Substance Abuse Education Group or Individual Meetings*
  • Sessions with parents/guardians *
  • Transition Planning*
  • Psychiatric services*
  • Community Service Opportunities*

*Length of stay, charges, availability of services, and/or placement in the GOALS program play a role in determining which services an adolescent qualifies for. Clients in the GOALS program qualify for additional services and are given first priority for more intensive services.

Intake and Orientation to Services

The MAYSI-2 is a self-reported questionnaire completed by adolescents at intake and scored by the mental health staff for screening purposes. An orientation meeting with Mental Health providers usually takes place within 72 hours of intake. Mental Health services suited for the adolescent’s length of stay and needs are discussed. If the adolescent is a client of NRVCS, their community counselor is notified. Community based counselors can work with probation officers to arrange professional visits.

Emergency Detention Home Services

Emergency Services include individual meetings with Mental Health Providers and possible referrals for additional services when released. A client being opened for these services is based on their length of stay and level of need. Meetings with the Dr. Frieben may be available for these clients.

Weekly Psychological Education Groups

Psych-Education groups occur during school hours once a week. Topics including: self-care, family dynamics, substance abuse, conflict resolution, impulse control, skill building, and taking responsibility/self-awareness.

Individual Sessions:

Clients opened for Emergency Services or with a full-intake will meet with one or both of the Mental Health Providers weekly or bi-weekly based on level of need. Individual meetings will address issues related to family dynamics, skill building, peer interactions, stress and anxiety, anger and impulse control, substance abuse, crisis prevention, and oppositional behaviors.

Moral Reconation Therapy ©:

MRT is a cognitive behavioral treatment approach designed to be utilized for at-risk youth and prison populations. In 2008, it became a SAMSHA NREPP-registered program. (see http://www.moral-reconation-therapy.com/)

Clients in this program work through individual workbooks that contain assignments and homework, and meet as a group once a week. The group can be completed in 12 weeks. Clients can ask for individual assistance from facilitators, but they are expected to complete most of the work on their own. In order to be considered for the group, a client must be expected to stay 60+ days.

Anger Management/Conflict Resolution:

Clients in this program work to complete a Cognitive Behavioral Workbook, “Coping with Anger.” The group includes 8 or 9 group sessions supplemented with one-to-one sessions with Mental Health Providers. To be eligible for this group a client must be expected to stay more than 50 days, have legal difficulty related to anger management as documented by probation and/or Mental Health Providers, be willing to complete the assignments, and not be in MRT© (both are Correctional Counseling Inc programs and they contain some similar material).

Substance Abuse Education Groups or Individual Meetings
Clients meet either individually or in groups for substance abuse education. Subjects include effects of harmful substances, impact of substance use on clients and their families, stages of change, harm reduction/safety planning, self-assessment, temptation and confidence model, goal setting, and self-efficacy.

Sessions with parents/guardians

Parents/Guardians can call to set up appointments to meet with their child and Mental Health Providers. These sessions are solution focused and attempt to resolve conflicts, build positive relationships, and plan transitions back into the community. Spaces are limited and priority is given to clients with longer lengths of stay. Clients have the right to refuse meetings.

Transitional Planning:

Referrals for mental health and other services are made as the clients prepare to re-enter the community. Clients in the GOALS program who are sentenced to 6 months receive a 90 day transition plan meeting and a follow up meeting 30 days before release. Transition meetings can include probation officers, detention home teachers, detention home staff, parents/guardians, and the adolescent.

Psychiatric services

Dr. Frieben, NRVCS Child-Psychiatrist, comes to the detention home twice a month. Adolescents must be open for Emergency Services or Full Admission with the detention home Mental Health Providers to be eligible. Spaces are very limited and first priority is given to clients in the GOALS program and with the greatest mental health needs. Guardians/Parents are notified of Dr. Frieben’s recommendations and expected to assist medication management.

Community Service Opportunities

Eligible clients may assist with work in the Detention Home Clothing Bank when we receive donations. Ms. Miller also sets up volunteer opportunities at Feeding America of Southwest Virginia for clients in the GOALS program. Clients in GOALS and the MRT group are given first priority for these opportunities.