Child meets at least two of the following criteria on a continuing or intermittent basis:


  • Has difficulty in establishing or maintaining normal personal relationship to such a degree that he or she is at risk of hospitalization or out-of-home
  • placement because of conflicts with family or community.
  • Exhibits such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system is necessary.
  • Exhibits difficulty in cognitive ability such that he or she is unable to recognize personal danger or recognize inappropriate social behavior.


Child meets at least one of the following criteria:


  • Child requires services that are far more intensive than outpatient care to stabilize the child in the family situation.
  • The child’s residence as the setting for services is more likely to be successful than a clinic.
  • At least one parent with whom the child is living must be willing to participate in in-home services, with the goal of keeping the child with the family.
  • Child is enrolled in Medicaid.


Required documentation to be included:


  • Social History (any background/social history available)
  • Copy of Medicaid Card, if available
  • Relevant Testing/Documents, if available (i.e., IEP, psychological, etc.)


NDCOS is licensed by the Virginia Department of Behavioral Health

and Developmental Services, CARF

accredited organization, and a Virginia Medicaid Provider.


Our services are funded through Medicaid, CSA, FAPT, self pay, grants

and other sources.

© 2014 Non-Profit. All Rights Reserved. DESIGNED BY KEMET NATION MEDIA


A three-year Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation was awarded to New Directions Community Outreach Services for its Intensive Family-Base Services.

CARF accreduations demonstrates a program's quality, transparency, and commitment to the satisfaction of the persons served. CARF International is an independent, not-for-profit accreditor of human service providers, i.e., Behavioral Health, and Child and Youth Services.

To make a referral or questions please call us at:

Chase City Office: 434-372-3002

Fredericksburg Office: (540) 940-8921

Richmond Office:  (804) 447-8419