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Four County Mental Health Center, Inc.

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

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  Community Support Services are designed to provide those services and supports which enable people with Severe and Persistent Mental Illness (SPMI) to remain in their home community, and to become an integral part of that community.  A range of services are available and are designed to help each individual function at the most independent level possible.  The overall goal of the program is to empower each person to become integrated into the community in such a way that hospitalization is not as likely to occur or the frequency of the occurrences is reduced.
     The services available are based on the belief that each individual has unique skills, interests, and strengths which can help them achieve personal goals.  These services are actually flexible based on each person's strengths, needs and personal goals.

Attendant Care

Attendant Care for adult consumers is a one-on-one service, to assist individuals to function more independently in natural community settings of their choice, to enhance the quality of life, and to provide services and supports that will assist with the diversion from hospitalization, out of home placement or placement in a more restrictive environment for the patient.

    Attendant Care services have proven to be a very vital and growing area of the Community Support Services department.  This program meets people where they are at and assists them to have a healthier and happier life.   Attendant Care Workers provide individualized treatment to consumers following the treatment plan, by assisting them in improving their ability to become self –sufficient in the following areas. 

  • Independent Living Skills

  • Social Skills

  • Educational Skills

  • Symptom Management

  • Medication Management

  • Meal Planning and Preparation

  • Instruction About Using Community Resources

  • Economic:  Budgeting

  • Personal Hygiene

  • Laundry

  • Cleaning

  • Transportation Planning

  • Psychosocial Activities

  • Other Individual Areas of Need

Case Management

  • Case Management services are provided to adults who experience Severe and Persistent Mental Illnesses.  Successful case management is accomplished by developing a trusting relationship with patients, empowering them to work towards recovery,  independency and rekindling hope.  Components included in case management might be:
  • Assessing the patient’s needs and strengths
  • With the patient, develop goals for their life and treatment
  • Networking with agencies both internally and externally to provide necessary services
  • Monitoring mental heath symptoms
  • Medication education
  • Focusing on day to day concerns of living in a natural setting

Intensive Case Management

  • When a patient returns to the community from hospitalization, nursing home or group home placement, case management services can be intensified. 
  • Other community services, such as attendant care, outpatient therapy, community integration, etc can be “wrapped around” the patient to ensure their successful reintegration into the community

Extended Hours Case Management

  • Extended Hours Case Management is provided to assist patients outside the traditional office hours.
  • Evenings and Weekends can be difficult times and we can assist patients in developing coping skills and learning to use them during these timeframes.

Clinical Services

There are a variety of programs within Community Support Services to assist individuals diagnosed with severe and persistent mental illness to achieve the highest level of independence possible on their road to mental health recovery.  Here are a sampling of the clinical services available.
  • Individual Therapy -  Therapists provide treatment related to coping with symptoms of mental illness as well as past and current issues.  The patient is an essential part of developing an integrated treatment plan along with the case manager and other team service providers.

     Services in Chautauqua County include:

  • Assessment of caregiver needs & coordination of community resources

  • Information services provided at community events

  • Respite care provided so caregivers can take much needed breaks

  • Breakfast Club” monthly support meetings which include guest  speakers from the community.  Breakfast is 3rd Thursday of the month from 9-10:30 a.m. and held at a local restaurant.

  • Flex Services which includes some funding for caregiver needs

  • Group Therapy -  Group therapy is available throughout the year on a variety of topics such as Anger Management and Coping with Depressive Symptoms
  • Dialectical Behavior Therapy -  This is a program designed for individuals diagnosed with Borderline Personality Disorder and consists of individual therapy appointments, skills training groups, and telephone coaching.
  • Psychosocial Groups -  Curriculum based groups are held throughout the Four Counties providing information related to developing skills as individuals work towards mental health recovery.  Groups include:
           Services in Montgomery County include:
  • “Breakfast Club” monthly support meeting held on the 2nd Thursday of the month from 9-10:30 a.m. and held at the Independence Community College Student Union in the Fireside Room.
  • WRAP (Wellness Recovery Action Plan)
    WRAP for dual diagnosis of mental illness and Alcohol/Drug Addiction

    Social Skills
    Self Esteem
    Solutions for Wellness
    Team Solutions
    Pathways to Recovery
  • Steps to Success –  This program focuses on individuals diagnosed with severe and persistent mental illness within the age range of 18-24 with specific attention to independent living skills and vocational, educational and mental health symptom management goals.  Services include case management, individual therapy, and psychosocial groups.
  • Family Caregiver Support Program -  This program is provided in Chautauqua and Montgomery Counties and is one of our programs not specific to mental health.  It is sponsored through the Area Agency on Aging to meet the needs of family caregivers.

Employment Education Support

Four County Mental Health Center has an outstanding Vocational Support program, offering client focused services to individuals who for various reasons have experienced difficulty in getting and keeping gainful employment.  Services through this program are diverse and customized to each individuals needs.  This program works in conjunction with Kansas Rehabilitation Services to help individuals assess their skills and interests and locate suitable employment situations for them.  The program services are intended for the Severely Mentally Ill, as well as others who may have less severe mental illness but just as limited work histories due to their barriers.

     Over the long term, more and more of our clients are achieving their dreams of living normal, productive and self-sufficient lives.  Not only is the client winning, but the employer, and society wins when the idle talents of those written off fifteen years ago are put to use in the workplace today.

  • THE JOB MATCH  Staff work to help clients identify their own unique gifts and talents, then find suitable employment situations that are a good fit.  Sort of  "from the inside out" approach.  The EES program does not keep lists of jobs, or employers.  The critical element is what each client has to offer...then finding the environment that is the most conducive to success for both client and employer.

  • JOB SEEKING SKILLS TRAINING   Before a client begins the search for a position that matches their skills, time is spent in training the individual in proper job seeking strategies and requirements such as; resume writing, getting references, how to fill out a job application, getting I-9 employment I.D.s together, discussing the issues of disclosure and the Americans with Disabilities Act, and anticipating the issues of transportation, work clothing, and related work ethic. The intent in this phase is that individuals are not only learning the skills they need to land a job now...but also lifetime skills for the next job they may desire.
  • JOB DEVELOPMENT   Clients may choose to have their EES specialist in the background offering support, encouragement, job leads and transportation in the job search.  Others may choose to have their Specialist speak to employers for them.  If this is their choice, Specialists will contact employers, offer positive input as to the strengths of the client, but also offer the support of the program to help with any personnel issues with the client that may arise, also assist with workplace training and facilitate the acquisition of federal tax credits available for working with the potential employee.
  • MAINTAINING EMPLOYMENT   Over the years, many of our clients have found that keeping the job is the most difficult, but the EES program does not stop just because a job has been found.  When a client is offered a position, the Specialist may become a JOB COACH to help everyone in the workplace get off to a good start.  Even when things are going well on the job, the program supports continue.  The Specialist will stay in touch, monitoring and following up for an indefinite period of time, depending on the employer, and employee's needs.

Peer Support

"Peer Support services are consumer centered services with a rehabilitation and recovery focus designed to promote skills for coping with and managing psychiatric symptoms while facilitating the utilization of natural resources and the enhancement of community living skills. Peer support can be provided one-on-one or in a group setting. The services provided by peer support specialists emphasize the opportunity for consumers to support each other in the restoration and expansion of the skills and strategies necessary to move forward in recovery.

Shared Living


The purpose of Shared Living is to provide a safe, affordable environment where patients can have housing, learn independent living skills, have assistance with medication compliance, be assessed for needs with varied levels of services per their individualized Treatment Plan that is approved by our Medical Director. Each person works directly from their Treatment Plan and will receive special assistance regarding the goals by Community Support Services Case Management and 24-hour support from our Community Support Specialists.
     Shared Living is simply a living environment where space is shared and where an array of community support services can be provided. Each residence is completely furnished with cooking supplies, furniture, linens and appliances. While at Shared Living each patient is responsible for minimal rent, food, medications and personal items. With rent being low cost, this is a great opportunity for a person to save money that can be used to pay deposits and items for their own residence once they are ready to move into independent living.
  • Adults 18 and over
  • Coming out of a more restrictive environment or at risk for entering a more restrictive environment
  • Willingness to sign and comply with the Shared Living agreement
  • Acceptance of referral by the administrative team of Shared Living
  • An assessment of level of services/supervision/ support needed by the patient
  • Specific treatment plan, based on the assessment which established the need of the individual
  • Has a reliable method of paying rent
  • Has had or been seen by a medical doctor in the last 12 months or is willing to see a doctor

 Temporary Housing

      The focus of Temporary Housing is to be a housing resource for enabling adult patients to get back in the community after being hospitalized, homeless, or a lapse in service due to a crisis in daily living situations.   
     The purpose of this program is to provide and utilize Temporary Housing for patients who are Severely and Persistently Mentally Ill and in a housing crisis. Temporary Housing provides a secure living environment for patients to locate housing and re-establish services in the community when coming out of the hospital, institution or is left without any financial support or shelter. 


Clubhouse Programs

Clubhouse is a psychosocial rehabilitative model designed to help adults with a severe and persistent mental illness reintegrate into the community. The clubhouse model differs from traditional day treatment programs as participants, considered members, work alongside staff in a work-ordered day. Members are able to work on goals that they have established for themselves as they work towards their personal mental health recovery.

Four County Mental Health operates two clubhhouse programs;

Sunflower Clubhouse in Independence
Monarch Clubhouse located in Coffeyville.
Transitional Employment Program

     One of the key components of a clubhouse program is transitional employment. Transitional employment offers members an opportunity to return to paid employment.  Key aspects of a transition employment position include: 

  • Time-limited, entry-level positions owned and maintained by the clubhouse.  The placement usually lasts 6 to 9 months. At the completion of the transitional employment placement the member can choose to pursue another transitional position or move to a competitive/independent employment position.
  • Positions usually parallel typical working hours and last 15 to 20 hours a week. Members get paid directly from the employer.
  • Staff learn all aspects of the job and train the member on site until the member is comfortable on their own.
  • Coverage is guaranteed. Clubhouse staff will substitute in case of absenteeism, but the employer does not pay clubhouse staff for their time on the job.
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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