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Four County Mental Health Center, Inc.

Community Mental Health Center - Integrated Care -  Mental and Physical Wellness

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What Services Are Available?

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Alcohol/Drug Outpatient Treatment

Community Support Services for Adults

Crisis Intervention and Diversion

Community Based Services for Children

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Outpatient Mental Health Services

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  Crisis Intervention and Diversion Services
(800) 499-1748

This number will connect you with a
Crisis Diversion Services Dispatcher

A 24-hour emergency on-call system
 for psychiatric emergencies. 
Qualified Mental Health Professionals (QMHP) is available to assess persons in crisis and determine if they need psychiatric hospitalization or if services can be safely provided in the community.

Outpatient Mental Health Services

Qualified therapists are available to provide help for problems ranging from family issues to severe mental disorders.  Individual, couple, family and group therapy are provided.   Psychological evaluation are available to individuals, agencies or courts upon request.  Four County provides a variety of group therapy options including:  Addiction Recovery, Anger Management and Aggression Replacement.


How do I get in for services? 

Same Day Access - Walk-in appointments are is the quickest way to get started with Four County Mental Health services and utilizes a first come, first serve, walk-in clinic style where an individual may come in, complete paperwork (takes about 20 minutes), and see a therapist that day (as opposed to scheduling an appointment for the future).  Walk-in appointments are available in Independence, Coffeyville and Cowley (click for schedules). 

What should I bring with me?

Patients need to bring Proof of Residence, Proof of Insurance, and Proof of Income (in order to apply for reduced fees).

What should I expect on my first appointment? 

Patients should arrive for the scheduled appointment 20-30 minutes prior to the appointment start time. Upon arrival, the patient will check in with the front desk receptionist and an Intake Specialist will complete paperwork with the patient.

Patients need to bring Proof of Residency, Proof of Insurance, and Proof of Income (in order to apply for reduced fees). Examples of Proof of Income and Residency include:

  • Proof of Household Income – paycheck stubs, previous years’ income tax return, etc.

  • Proof of Residency – document showing your current address such as Driver’s License, State I.D., utility bill, phone statement, etc.

The first appointment is about an hour long where the therapist will discuss why the patient is seeking services at Four County and what goals the patient hopes to achieve.

How do I pay for services?

Anyone is eligible to receive services through Four County.  Private fees are set by the Board of Directors.  Clients may be eligible for a discounted fee based on the family's income and the number of family members dependent on that income.  Medicare, Medicaid and most health insurances are accepted.

Individuals who reside outside the counties served (Chautauqua, Cowley, Elk, Montgomery, and Wilson counties) are not eligible to receive the discounted fees.

Specialized programs at Four County may have defined criteria for acceptance into the program.

Alcohol/Drug Outpatient Treatment

The Alcohol & Drug Treatment Program at Four County provides services on an outpatient basis to persons abusing or addicted to alcohol and/or drugs (including prescription drugs). Individualized treatment, formulating the treatment plan specifically to meet each other’s needs.  Preventive education services are also available to at risk individuals and their families.  Four County Mental Health Center's Alcohol & Drug Outpatient Treatment Services subscribes to the philosophy that alcohol and drug addiction is a disease which reduces the overall quality of life and endangers physical and mental health.  Early intervention is important by treating persons who are abusing alcohol or drugs prior to addiction. However, it is never too late to get help!

Alcohol and drug addiction is a disease which reduces the overall quality of life and endangers physical and mental health of persons of all ages. The Alcohol/Drug Abuse program believes that alcoholism/addiction is a family disease. Early intervention is important by treating persons who are abusing alcohol or drugs prior to addiction.  The program views treatment of the co-dependency of family members/significant others as an integral part of the treatment program. It is never too late to get help!

Four County Mental Health Center’s Alcohol/Drug Abuse Program is operated under the licensure of the the Kansas Department for Aging and Disability Services (KDADS). Funding is partially provided by a grant from Addiction and Prevention Services (AAPS) through KDADS.  It also is funded by fees for service, special contracts, and alcohol liquor tax funds.

There are several third party or insurance payers that do cover addiction treatment including some Medicaid cards.  If you are a Kansas resident and your income meets the Federal Poverty Guidelines, we may be able to access funds from the State of Kansas Addiction and Prevention Services that will cover the full cost of your treatment.  Informational Schools and Alcohol/Drug Evaluations are offered at a set fee.  Please call for information regarding the costs of our schools and our evaluations.

Employee Assistance Programs

This program includes mental health, alcohol/drug counseling and evaluation services for employees of a contracting business or industry, and consultation services to the business or industry.  Your Human Resource department can inform you if your company has an Employee Assistance Program and how to access services.


When a Crisis Occurs

Crisis Intervention and Diversion Services provides a 24-hour emergency on call system for psychiatric emergencies.  A Qualified Mental Health Professional (QMHP) is available to assess persons in crisis and determine if they need psychiatric hospitalization or if services can be safely provided in the community.  Diversion plans are developed with those individuals who can be maintained in the community with additional support (crisis stabilization services, attendant care, emergency medication evaluation, and/or family support).  If hospitalization is necessary, CDS provides the necessary screening for admission to the state hospitals in our area—Osawatomie State Hospital (for adults) and Rainbow State Hospital (for children).  Four County MHC is also the gatekeeper for admission of persons with medical cards to psychiatric units of general hospitals.
A crisis is anything that overwhelms a person to the point they are not able to adequately manage the problem on their own without outside assistance.  This may involve emotional support, assistance meeting basic needs or coping with an immediate problem.
     In more severe cases it may involve providing one-on-one support to prevent any harm to self or others and assessment of the least restrictive level of care required.

 Mental Illness

When a person has a mental illness (such as depression or anxiety) it becomes difficult to function as they normally do.   The Crisis Department can assist with temporary assistance in managing stressors, diagnosis of symptoms and referral for Outpatient Services, or if necessary an Inpatient Hospitalization. 
     Suicide is the 11th leading cause of death in the United States, and is one of the primary concerns being assessed in a crisis situation.  Additional information on symptoms of mental illness.

Crisis Intervention

When someone calls the crisis line, they can expect to talk to someone about their crisis situation.  The Crisis Staff will discuss options with them including meeting face-to-face with a Crisis Case Manager to assist them in resolving an immediate problem or to meet with a Crisis Therapist to discuss services that may be beneficial to the individual in crisis. For facts about suicide.

Afterhours Crisis Line

Four County Mental Health Center has a crisis line staffed by qualified mental health professionals who are able to manage crisis situations, assist callers with mental health needs and make appropriate referrals.  They are bilingual (Spanish/English) and if a situation requires an immediate face-to-face meeting (such as a caller being a danger to themselves or others), they contact on-call staff to meet the caller in a safe location for a screening.  Afterhours screenings may be conducted at a police station, hospital emergency room, or at the mental health center.  This will be arranged between the caller and the staff member conducting the screening.

Helping Others

If you are concerned about a family member, friend or co-worker, you may be able to help them by referring them to Four County Mental Health Center.  Encourage them to talk to someone and either make an appointment, or discuss their current circumstances with someone in the crisis department when they call.
     People have the right to consent to or refuse treatment.  If you have immediate concerns about someone’s safety and they refuse to speak with someone from the mental health center, you may need to report your concerns to the local law enforcement agency.  They may check on the individual’s safety and if they have reason to believe the individual is a danger to themselves or others, they may take tem into protective custody and require them to speak with someone from the mental health center


A screening is an assessment tool used by staff to guide the individual in crisis through sharing information about their symptoms, current medication and/or health problems, substance abuse history, and other risk factors.  This tool is then used to assist the screener and individual to determine what is needed.  Screeners offer resources provided by the mental health center including therapy, case management, and attendant care to provide the individual with as much assistance as possible without hospitalization.  This is referred to as a “Diversion Plan” since it diverts someone from hospitalization.


If hospitalization is required, the screener will discuss options of hospitals with the individual and their family if possible.  This may include one of the State Hospitals (Osawatomie State Hospital for adults; and Rainbow State Hospital for children).  The Crisis Staff will assist with making necessary admission arrangements which may include transportation to the hospital, and will work with the hospital on a discharge plan for care following the hospitalization.

Our Mission - Four County Mental Health Center is dedicated to providing  accessible, innovative services in partnership with individuals, families and our communities."
Our Vision - We envision healthier communities as we help individuals and families improve their lives.  Collaborating with community partners, we sustain a robust range of services that are accessible because we help people where they live and work.  We continue to be innovative as we identify new and special needs, develop programs, train our staff, and deliver services.  We will expand our use of state-of-the-art technology to extend our capacity and enhance the quality of service.  We will continue to develop well-trained, dedicated staff within a supportive, challenging, and personally rewarding work environment. 
Facilities and Hours of Operation
(800) 499-1748
Independence Main - 3751 W. Main, PO Box 688, Independence, KS  67301 (620) 331-1748

Coffeyville - 1601 W. 4th, Coffeyville, KS  67337
(620) 251-8180
Cowley - Strother Field 22214 "D" Street, Winfield, KS  67156 (620) 221-9664 or (620) 442-4540