2025 Annual Report
Horizon Behavioral Health is the premier provider of mental health, substance use and intellectual disability services in Central Virginia. Horizon's mission is to support and promote the health, independence and self-worth of individuals and families in Central Virginia by providing a continuum of communitybased treatment, prevention, early intervention, and aftercare services for persons affected by mental health, intellectual disabilities, substance use and co-occurring disorders. Our vision is to provide behavioral healthcare services that are accessible, consumercentered, cost effective, and outcome-based.
OUR VALUES
Each individual and family's right to participate in decisions affecting his or her life.
Each individual and family's right to be safe from harm.
Providing timely services in the least-restrictive setting which are accessible, affordable, efficient and adaptable to each individual's need.
Developing and retaining a well-trained and culturally diverse staff.
Evaluating our services regularly as they relate to client and community needs.
Working cooperatively with other agencies and organizations to provide our community with fully integrated services.
FROM OUR CEO, MELISSA LUCY
DearFriendsandCommunityPartners,
Today,ourcommunitytalksaboutbehavioralhealthdifferentlythanitdidevenafewyears ago.Conversationsthatoncefeltdifficultorquietarenowhappeningopenly inschools, courtrooms,workplaces,andaroundkitchentables.Morepeoplearereachingoutforhelp, morefamiliesknowwheretoturn,andmorelivesarebeingmetwithunderstandinginstead ofstigma.Thisshiftdidnothappenovernight,anditdidnothappenalone.
izonhashadtheprivilegeofwalkingalongsideCentralVirginia––listening, learning,andrespondingasneedshaveevolved.Wehavegrownwiththiscommunitybyleadingwithheart,guided bythebeliefthateverypersondeservescarethatiscompassionate,accessible,androotedindignity.Itwasheart thatcompelledustokeepourdoorsopenthroughoutapandemic.Heartthatdroveustoexpandprogramsthree-fold inthelastthreeyears.Andheartthatmovedustoexpandcrisisservicesamidamentalhealthepidemic.
Thisyear,wetookapowerfulstepforwardwiththeribboncuttingofHorizon’snewCrisisCareCenter.For individualsandfamiliesfacingmomentsofcrisis,thiscenterrepresentssomethingdeeplypersonal:aplacetobe seen,heard,andsupportedwhenitmattersmost.Byexpandingaccesstosame-daycrisisservices,wewillchange howourcommunityrespondstobehavioralhealthemergencies.
Incollaborationwithpartnersacrossthecommunity,wehavestrengthenpathwaystohealingandstabilityacross CentralVirginiathisyear.Together,webuiltuponthesuccessofLynchburg’sRecoveryCourt,expandedthe region’sfirstBehavioralHealthDocket,increasedaccesstoyouthmentalhealthandsubstanceusetreatment,found solutionstohomelessness,deployedPeerSupportSpecialists,andempoweredourcommunitywithopportunities, educationandresources.
AtHorizon,wearehonoredtoserveasbothaproviderandapartnerinthiswork,andweremaincommittedto growingalongsidethoseweserve.Ourcommitmenttothiscommunityknowsnobounds–fromthepassengerseat ofapolicecruisertotheclassroomtothecourtroom,thegroceryisleandbeyond.Horizongoeswhereyouneedus.
hrenewedpassiontoleadandservetheheartbeatofCentralVirginia.Itismy nshinesthroughallthatweaccomplishtoserveyouintheyearahead.
dBoardPresident,HorizonOpportunities,Inc.
2025 Board Directors
ofBetty Brickhouse, Chair
Chris Faraldi, Vice-Chair
Jim Sikkema, Secretary
Mary Lou Spiggle, Treasurer
Sonya Baker
Tom Lawton
Rob Merryman
Bobby Shiflett
Justin Stauder
Strongcommunitiesarebuiltoncompassion,goodwill, andservice.AtHorizonBehavioralHealth,thesevalues lieattheheartofeverydecision,fromhowresources arestewardedtohowcareisdeliveredacrossCentral Virginia.OnbehalfofHorizon’sBoardofDirectors, Iamproudoftheintegrity,professionalism,andheart withwhichHorizonhasadvanceditsmissionthisyear.
Thepastyearreflectsanorganizationthatisnotonlyrespondingtothe needsofourcommunitybutplanningresponsiblyforthefuture. Horizon’scontinuedexpansionofservices,includingtheestablishment oftheCrisisCareCenter,demonstratesthoughtfulleadershipanda commitmenttoensuringaccesstocarewhenandwhereitisneeded most.Theseeffortsaretheresultofcarefulgovernance,strong partnerships,andanunwaveringfocusoncommunityimpact.
ToHorizon’sdedicatedteam,theBoardofDirectorsrecognizesthe extraordinaryresponsibilityyoucarry,andtheprofessionalismwith whichyoucarryit.Youconsistentlyrisetomeetcomplexchallenges, settingahighstandardforquality,integrity,andcompassion.
Wearegratefultoourcommunitypartnerswhosecollaboration strengthensthesystemsthatsupportbehavioralhealthacrossourregion. Thesepartnershipsareintegraltoensurethatcareiscoordinated, effective,andsustainable.Toourcommunity,yourcourageand resilienceshapethisbeautifulplacewecallhome.Yourengagement reinforcestheimportanceofaccessible,respectfulbehavioralhealthcare asacornerstoneofahealthycommunity.
TheBoardofDirectorsremainsconfidentinHorizon’sleadershipandits direction.Theworkbeingdonetodayreflectsbothprudentstewardship andboldvision layingthegroundworkforastronger,moreresilient CentralVirginia.Horizoncontinuestoleadwithheart,guidedby responsibility,purpose,andadeepcommitmenttothoseitserves.
BettyBrickhouse
BoardChair,HorizonBehavioralHealth
Number of Adults Served
Number of Children Served
12,671 9,368 3,303
Enrolled in Treatment Services
8,949 12,211
Engaged with Prevention Services
56 YEARS OF SERVING YOU
Formorethan56years,HorizonhasbeenasteadypresenceinthelivesofCentralVirginia’s individualsandfamilies.Wewerefoundedinthiscommunity,wehavegrownwithit,andwe remaindeeplycommittedtocaringforourneighborswithcompassion,dignity,andrespect.
EverypersonwhocomestoHorizonhasastory—andwebelievethosestoriesmatter.
Whethersomeoneisreachingoutforhelpforthefirsttimeorreturningduringadifficult season,ourroleistolisten,tosupport,andtowalkalongsidethemastheymovetoward healingandstability.
pregnant and postpartum women engaged in Project Link.
veterans and their families enrolled in treatment.
of students showed improved outcomes following school-based services. of children in a psychiatric emergency seen within 2 hours.
“Horizon’sstrengthhasalwayscomefromthepeopleweserve.Byleadingwith heartandgrowingalongsideourcommunity,wecontinuetogrow ensuringthatcare remainsaccessible,meaningful,andcenteredonwhatmattersmost.”
—MelissaLucy,HorizonCEO
HorizonservesallresidentsofCentralVirginia,regardlessofage,income,orinsurance status.Weprovidecareinthewaysthatworkbestforthepeopleweserve—through community-basedprograms,telehealth,andin-personservicesatoureightWellnessand TreatmentCentersacrosstheregion.Ourapproachisperson-centered,flexible,and groundedinthebeliefthataccesstobehavioralhealthcareshouldneverbeoutofreach.
Weareespeciallycommittedtothosewhofacethegreatestbarrierstocare,including childrenandadolescents,individualswithdisabilities,pregnantandpostpartumwomen, veterans,andotherunderservedpopulations.Ourservicesaredesignednotonlyto addressimmediateneeds,buttostrengthenfamilies,supportrecovery,andhelp individualsliveconfidentlyandindependentlyintheircommunities.
For Health, Independence, and Self-worth. For Health, Independence, and Self-worth.
Virginia’sbehavioralhealthsystemisinthemidstofoneofthemostsignificanttransformationsinitshistory.
Overthepastseveralyears,substantialinvestmentsandsystem-wideimprovementshavestrengthenedaccesstomental healthandsubstanceuseservicesacrosstheCommonwealth.Communitieshavegainednewresourcestoprovidemore responsive,community-basedcare helpingindividualsaccesssupportclosertohomewhentheyneeditmost.
Theseeffortshaveexpandedaccesstocrisisservices,strengthenedcommunity-basedtreatmentoptions,enhanced supportforindividualsexperiencingbehavioralhealthemergencies,increasedsubstanceusetreatmentresources, andhelpedbuildastrongerbehavioralhealthworkforce.
AcrosstheCommonwealthtoday,moreindividualsarereceivingtimelysupportduringmomentsofcrisis.
PORTFOLIO OF SERVICES: CARE ACROSS THE CONTINUUM
Case Management Emergency Housing Outpatient
Prevention PrimaryCare Psychiatric SchoolBased
Morepeopleareabletobeginrecoverywiththesupporttheyneedforabrightfuture,withoutcontinued involvementfromemergencyrooms,jails,orlonghospitalstays.
AsaCommunityServicesBoard,Horizonplaysavitalroleindrivinglocalactiontoaddressourcommunity’sbehavioral healthchallenges.Overthepastyear,wehavecontinuedtoexpandevidence-basedservices,supportourworkforce,and investinprogramsthatsavelivesandrestorehopeascommunitiescontinuetofacerisingmentalhealthneedsandthe ongoingopioidepidemic.
Horizonremainsfocusednotjustonimplementingnewservices,butonensuringtheyaresustainable,effective,and centeredonyou:ourcommunity.ThisreporthighlightshowourteamsarechanginglivesacrossCentralVirginiaby connectingindividualsandfamiliestothehelptheyneed.
OUTCOMES
Same Day Assessments Provided
When someone reaches out for help during a behavioral health crisis, what they need most is to be met with compassion, urgency, and understanding. At Horizon, our Same-Day Access and Emergency Services are rooted in a simple promise: no one should have to wait for care when they are struggling. In 2025, Horizon conducted 2,616 same-day assessments, ensuring individuals and families across Central Virginia can access care the moment they were ready to ask for help.
These assessments connect people quickly to services that support safety, stabilization, and a path forward. Impressively, 90% of individuals who received Same Day Services were scheduled for their first appointment with 10 business days.
Sharing Personal Stories and Insights from the Behavioral Health Community
MENTAL HEALTH MYTHBUSTERS
Available on
This year marked a milestone in how our community responds to crisis with the investment in Horizon’s new Crisis Care Center and the continued expansion of our Mobile Crisis Response and Marcus Alert Teams. Working in partnership with Virginia’s 988 Suicide & Crisis Lifeline, our mobile teams meet individuals where they are at home, in the community, or wherever help is needed—offering a compassionate alternative to emergency rooms or law enforcement involvement.
2,616 Emergency services available 24 hours a day, 365 days a year.
same day assessments provided.
3,614
Individuals provided primary care services following admission.
"Right now, there is likely no greater issue in our community and day-to-day operations for law enforcement than mental health. The Crisis Care Center is a triumph for our community that we can all celebrate.”
- Chris Faraldi, Horizon Board Member
Horizon’s new Crisis Care Center is a transformative investment in how Central Virginia responds to behavioral health emergencies. Slated to open in 2026, the center will offer same-day, community-based crisis care for adults experiencing acute mental health or substance use crises. Designed as an alternative to emergency rooms and inpatient hospitalization, the Crisis Care Center will provide walk-in mental health evaluations, 23-hour observation, residential crisis stabilization, and detox services—all in one location. By keeping individuals closer to their natural supports and connecting them quickly to ongoing care, the center will serve as a place of safety, dignity, and hope for hundreds of Central Virginians just in its first year ensuring that when crisis strikes, the right help is available, close to home.
Leading with heart means showing up calmly, quickly, and without judgment during life’s most vulnerable moments. Through same-day access, mobile response, and crisis stabilization, Horizon continues to change how Central Virginia experiences behavioral health emergencies: with dignity, humanity, and hope.
OUTCOMES
STRENGTHENING EMERGENCY SUPPORT
Same Day Assessments Provided 3,189
By connecting behavioral health needs to care.
Leadingwithheartmeansrespondingtocrisisin waysthatprioritizetreatment,dignity,andrecovery especiallyduringlife’smostvulnerablemoments.
THREE DIGITS TO SAVE A LIFE
In2025,Horizonstrengthenedcommunity-basedresponsesthathelp individualsexperiencingmentalhealthandsubstanceusechallengesaccess careoutsideofthejusticesystem.Throughourco-responderpartnershipwith theLynchburgPoliceDepartment,AHorizonclinicianandCrisis InterventionTrainedofficerrespondtogethertobehavioralhealthcalls bringingclinicalexpertisedirectlytothescene.Injust6months,theteam hasserved55individualsexperiencingabehavioralhealthcrisisintheCity ofLynchburg.Thiscollaborativemodelemphasizesde-escalation,timely support,andconnectiontocare,helpingindividualsaccessservicesinthe momentratherthanenteringthelegalsystem.
Beyondemergencyresponse,Horizonalsoservesalongsidelawenforcement topreventsubstanceusebeforeitstartsandimproveofficerde-escalation skillsthroughCrisisInterventionTraining,DrugTakeBackDay,Hiddenin PlainSightCommunityTrainings,TobaccoRetailerEducation,Mental HealthFirstAidforPublicSafety,andCommunitySafetyStrolls.
first responders trained to de-escalate crisis situations with Crisis Intervention Skills Training. 112
Sharing Personal Stories and Insights from the Behavioral Health Community
100%
of cases with no reportable injuries to an officer, individual being served, or bystander after Crisis Intervention Team involvement.
99% of Horizon clients served in the jail are screened for eligibility & referred to appropriate services post-discharge.
community members trained to identify signs of substance use in youth through Hidden In Plain Sight.
Bedford Family Treatment Court graduates since program inception.
21
Horizonalsosupportsindividualswhointersectwiththejusticesystem throughjail-basedservices,reentrysupport,andtreatment-focused courtpartnerships.Byofferingcounseling,casemanagement,and coordinatedcare,wehelpindividualsstabilize,reconnectwiththeir communities,andbuildpathwaystowardlong-termrecovery.
AsatrustedtreatmentproviderfortheLynchburgAdultRecovery Court,theBedfordFamilyTreatmentCourt,andtheLynchburg BehavioralHealthDocket,Horizonworksalongsidethecourtsto pairaccountabilitywithcompassion—ensuringindividualsreceive evidence-basedtreatmentthatsupportsstability,healing,and independence.InSeptember2024,theLynchburgAdultRecovery Courtprogramwashonoredwiththeawardofa$2millionfederal grantprovidedbytheSubstanceAbuseandMentalHealthServices Administration(SAMHSA)toincreasethecapacityoftheprogram.
Throughthesepartnerships,Horizoncontinuesto strengthenacommunityresponserootedincare ratherthanconsequence—advancingoutcomes thatarehealthierforindividuals,families, andCentralVirginiaasawhole.
EXPANDING PATHWAYS TO CARE
Same Day Assessments Provided 3,189
Healing does not begin in isolation—it begins where people live, learn, and belong. At Horizon, we lead with heart by delivering care in the places that you call home. That means removing barriers and strengthening connection, ensuring individuals and families can focus on recovery with confidence and community support.
By enhancing community-based services. of Assertive Community Treatment services provided in clients homes or the community. 96%
MEETING STUDENTS WHERE THEY ARE
Youth Mental Helath Awareness Month
Sharing Personal Stories and Insights from the Behavioral Health Community Available on
"The ACT team is wonderful. They are always there with support and encouragement. Since I started with ACT in 2014, I have stayed out of jail and out of the hospital and that is amazing for me. I give them five stars!”
- Horizon Client, Assertive Community Treatment Program individuals with a Severe Mental Illness enrolled in Assertive Community Treatment.
94
654
Sweet Briar College students utilized therapeutic services and walk-in crisis clinic on campus.
71
Across Central Virginia, Horizon provides community-based treatment that meets people where they are—at home, in schools, on college campuses, and in their neighborhoods. These services are designed for individuals with complex and unique needs, offering flexible, personalized support that recognizes the essential foundation of wellness; connection.
Through intensive, team-based models, housing-focused supports, and evidence-based family and youth services, Horizon helps individuals remain in their natural environments—surrounded by the relationships and resources that foster long-term stability. From supporting individuals with serious mental illness to helping families and adolescents navigate behavioral health challenges, our approach reduces barriers and expands access to care that adapts to their everyday real life. By extending treatment beyond the clinical setting, Horizon ensures that care is not only available, but personalized, holistic, and grounded in the communities we serve.
individuals with a Severe Mental Illness connected to Permanent Supportive Housing.
27
21 of individuals maintained Permanent Supportive Housing for over 12 months. 95% students served by Horizon’s school-based team.
OUTCOMES
SUPPORTING RECOVERY AND RESILIENCE
Same Day Assessments Provided 3,189
Offering prevention, early intervention, and specialized treatment.
HSharing Personal Stories and Insights from the Behavioral Health Community
orizonleadswithheartbyaddressingsubstanceusethrougha comprehensivecontinuumthatsupportsindividualsandfamiliesateverystage, frompreventionandearlyinterventiontotreatmentandlong-termrecovery.
AcrossCentralVirginia,weempowerindividualstotakeactionearlythrough communitypreventionandeducationeffortsthatraiseawareness,reducerisk, andpromotehealthydecision-making especiallyamongyouth.Byequipping communitieswithknowledge,resources,andlife-savingtools,weworkto preventsubstanceusebeforeitbeginsandintervenebeforeitescalates.
Forthoseseekingtreatment,Horizonprovidesperson-centeredsubstanceuse servicesthatmeetindividualswheretheyare.Ourprogramsoffervariedlevels ofcare,integratedmedicalandbehavioralhealthtreatment,andspecialized supportforpopulationswithuniqueneeds includingpregnantandpostpartum women,veterans,individualsexperiencinghomelessnessandthosenavigating recoverywhilerebuildingstabilityintheirlives.
LEADING FORWARD
Substance Use Ethics, Innovation, and Clinical Excellence
Available on
Bycombiningprevention, treatment,andrecovery support,wehelpindividuals strengthenrecoveryand resilience,reunitetheir families,andmoveforward withconfidence.
1,381 699
"Whenmydaughterwasborn,Iwas isolated.Iwasinanewenvironment.Iwas anewlysinglemotherofaninfant.Iknew howbadmymentalhealthcanget.”
"Afteracoupleweeks,IrealizedIcouldnot affordtobeamotherlikethis.Icouldnot affordtospiraldownevenmore.Andthat's whenIgotreferredtoHorizon.Andthey've justbeenamazing.Theyaremybiggest cheerleaders.Icouldn'tdoitwithoutthem."
-HorizonClient,ProjectLinkProgram
289 individuals enrolled in Office Based Addiction Treatment.
21 lbs. of prescription drugs collected in partnership with local law enforcement.
In 2025, our community celebrated an impressive win. That is, securing the continued support of the federal DrugFree Communities grant of up to $625,000 over five more years to support the Central Virginia Addiction and Recovery Resources (CVARR) Coalition, who championed 5 years of service this year with partners from across Central Virginia. Together, we are collaboratively strengthening local, youthfocused substance use prevention through community partnership and evidence-based strategies.
Lynchburg City students were honored at the 2025 YADAPP Conference with the prestigious Wheeler Award, recognizing their leadership and innovation in youth substance abuse prevention. Their work through the STAN Plan also earned Horizon and the HYPE Club a Virginia ABC Mini-Grant to expand youth-led prevention initiatives across the region. residents tested for HIV.
108 schools participated in anti-vaping educational campaign.
ADVANCING BEHAVIORAL HEALTH
Same Day Assessments Provided
tHorizon,ourteamofover600dedicatedprofessionalsisthe heartofthecareweprovideacrossCentralVirginia.Everyday, theseproviders,cliniciansandadministrativesupportstaffbring expertise,compassion,andinnovativeideastohelpindividuals andfamiliesthrive.
AIn2025,Horizoncontinuedinvestinginworkforceexcellence throughongoingtraining,evidence-basedprograms,and professionaldevelopmentopportunities,ensuringourteamhas theskillstodeliverthehighest-qualitybehavioralhealthservices. Beyondclinicalexpertise,Horizonequipsstafftoserveas communityadvocates,providingtrustedguidancethroughmedia outreachandpubliceducation,strengtheningpublicawareness surroundingmentalhealth,substanceuse,anddevelopmental disability.BeyondthebordersoftheCentralVirginiaregion,our teamsarelendingtheirvoiceonnationalandglobalplatformsto advocateforcontinuedinvestmentinclinical-basedresearchand evidencebasedtreatment.
“I work here for what I see everyday; miracles.”
DammyOnafowokan,ProjectDirector
Selectedasa2025CommunityChampion amongtheCentralVirginiaRegionby LynchburgLivingMagazine.
SandyByrd,Administrative OperationsManager
Nameda2025Top20Under40local professionalbyLynchburgLiving Magazine.
EnhancementandExpansionof TreatmentandRecoveryServices (TREE)Team
Honoredwithselectiontopresentatthe 2025JointMeetingonYouthPrevention, Treatment,andRecovery.
GranttoBenefitHomelessIndividuals (GBHI)Team
Honoredwithselectiontoleadpanel discussionatthe2025JointMeetingon YouthPrevention,Treatment,and Recovery.
HorizonBehavioralHealthandLiberty University
Selectedjointlytodeliverkeynoteaddress atthe2025WorldConferenceon QualitativeResearch.
“One of the main reasons for my enthusiasm for Horizon has always been its focus on community mental health and supporting individuals who truly need help with improving their lives. Horizon also takes great pride in helping individuals grow their clinical skills through supervisory feedback and professional development. Coming from someone who has been with the organization for nearly a quarter century, I can honestly say it is a wonderful place to work and build your career!”
– Ethan Cooper, LPC, CSOTP Licensed Forensic Clinician
Byempoweringourworkforcetoleadwithknowledge, skill,andheart,Horizonensuresthateverypersonwho seekshelpencountersateamcapableofrespondingwith competence,empathy,andlastingimpact.
Action
ExplorecareeropportunitiesatHorizon byvisitingwww.horizonbh.org/careers.
Passion
HorizonBehavioralHealth
Rankedamongthetop5“Best CounselingService”Providerinthe regionbyLynchburgLivingMagazine.
OUTCOMES
BUILDING A STRONGER SYSTEM OF CARE
Same Day Assessments Provided 3,189
With innovative approaches and evidence-based practices.
clients enrolled in Illness Management and Recovery (IMR) since program inception. 113 community members trained in Mental health First Aid. 151 High school students participated in Too Good For Drugs program. 596 of youth enrolled in Multisystemic Therapy living at home with no new arrests.95%
At Horizon, innovation means meeting the mental health and substance use needs of our community with evidence-based care, data-driven solutions, and collaborative approaches. Leading with heart means not only treating challenges when they arise, but also preventing them before they start.
Through the TREE Program now entering its second year with SAMHSA funding Horizon provides adolescents and transitional-aged youth (ages 12–25) with comprehensive support for substance use and co-occurring mental health challenges. Using the Adolescent Community Reinforcement Approach (A-CRA), TREE equips youth with skills for long-term recovery, while offering case management, tobacco cessation education, and collaboration with schools, courts, and community partners. In 2025, 52 youth have received services, with follow-up completion rates far exceeding national benchmarks, reflecting the program’s effectiveness in fostering lasting impact.
“I do monthly check-ins with Horizon. [They] give me things that I can practice that will help me cope. For example, I tend to get angry fast when I’m listening to someone. When that happens, [they] taught me to use my 5 senses: to look around and name something I see, something I smell, something I hear, and so on. It has helped me pause and listen fully before responding. It helps me think rationally.” - TREE Program Client
with clinical expertise.
Acceptance and Commitment Therapy I Adolescent Community Reinforcement Approach/ Assertive Continuing Care
Anger Management: Keeping Your Cool I Autism Diagnostic Observation Schedule I Bridges Out of Poverty I Cognitive Behavioral Therapy (CBT) I Counter Tools Merchant Education I Early Impact Virginia I Eye Movement Desensitization and Reprocessing (EMDR)Hidden in Plain Sight I In Depth Tobacco Cessation I Illness Management & Recovery (IMR)
Lions Quest: Positive Life Skills I Matrix Model I Motivational Enhancement Therapy I Multi Systemic Therapy (MST) Nurturing Parenting I Parents As Teachers Program I Promoting Alternative Thinking Strategies I Seeking Safety Too Good For Drugs I Trauma Focused Cognitive Behavioral Therapy
"The impact our teams have in our community is profound; and it all comes down to heart. Their genuine care and enthusiasm for understanding our clients unique needs and finding solutions for barriers identified is improving access and sustaining recovery across all of our programs.”
- Sherri Walker-Thacker, Senior Clinical Director
Horizon also strengthens the community through prevention-focused initiatives, equipping youth and adults with the knowledge, skills, and resources to make healthier choices. Programs such as Mental Health First Aid and Too Good for Drugs teach life skills, reduce stigma, and promote mental wellness. In 2025, 98% of youth participating in Too Good for Drugs reported gaining valuable knowledge about substance use risks, fueling advocacy and peer-led prevention efforts across Central Virginia.
By integrating innovative treatment, prevention, and community collaboration, Horizon is advancing a model of behavioral health care that is proactive, accessible, and sustainable ensuring individuals and families can thrive today and in the future.
OUTCOMES
HORIZON HOMES
Same Day Assessments Provided 3,189
Providing intermediate care for individuals with disabilities.
Sharing Personal Stories and Insights from the Behavioral Health Community
ormorethan30years,HorizonIntermediateCareFacilities(ICFs)have beenaffectionatelycalledhometodozensofindividualswithdevelopmental andintellectualdisabilities.OurHorizonHomesareaplaceindividualscan livesafely,grow,andthrive,surroundedbycommunityandacareteamthat feelslikefamily.
Intermediate Care Homes supported by skilled interdisciplinary care teams.
OureighthomesacrossLynchburgandsurroundingcommunitiesdeliver24hourdirectcare,personalizedtreatment,andfunctionalskillssupport,ensuring residentsexperiencesafety,dignity,andmeaningfulengagementeveryday, bothintheirhomeandthroughoutthecommunity.
individuals served by Horizon’s intermediate care team.
HORIZON HOMES EMPOWER LIVES
ExpandedNightSupervisorroles:ThreenewNightSupervisorswerehired andtrainedtoensureresidentsafety,continuityofcare,andstaffguidance overnight,strengtheningcommunicationandcreatingacalm,consistent environment.
On-sitelaboratoryservices:Establishinganinternallabimprovedthespeed andaccuracyoftesting,reducingdisruptionforresidentsandenablingtimely medicalinterventions.
ElectronicMedicationAdministrationRecords(EMAR):Transitioningfrom papertoelectronicrecordshasenhancedaccuracy,efficiency,andsafety whileallowingstafftodedicatemoretimetodirectcare.
Enhancedcommunityengagement:Residentsparticipatedinover1,850 outingsandeventsthisyear,fromseasonalcelebrationstorestaurantvisit movietrips,andspecialHorizon-hostedactivities.Ourteamsstrivetoens eachresidentlivesaliferichinconnection,exploration,andjoy.
HorizonHomes24/7careto30residentsin2025,supportingawiderangeof medicalandbehavioralneeds.Ourdedicatedinterdisciplinaryteamensuresth ServiceTreatmentPlansaremeticulouslyfollowed,medicalneedsaremet,an dailylivingsupport—includingmeals,cleaning,andsocialactivities—isprov tofostergrowthandindependence.
“Wejusthavethatfeelwhereyouwalk
intoeachhomeandseetheactivities thataretakingplaceandtheattention todetailthatourstaffshowfromthe patientcaretheyproviderightdownto theholidayandseasonaldecorations. Thatiswhatsetsusapart.”
-LisaHaibach,ProgramManager
RIDE OF OUR LIVES
4TH ANNUAL
MOTORCYCLE RIDE & RALLY
3,189
OUTCOMES
RIDE OF OUR LIVES
Eliminating stigma in Central Virginia by bringing awareness to mental health and suicide.
Sharing Personal Stories and Insights from the Behavioral Health Community
YOU GOOD BRO?
Barbershop Talks: Men’s Mental Health Month
n September, Horizon proudly hosted its 4th Annual Ride of Our Lives event, bringing together community members and motorcycle enthusiasts across all walks of life to raise awareness and eliminate the stigma surrounding mental health and suicide.
The event, kicked off with a thundering roar of motorcycles, symbolized the collective power in prevention as participants rallied for a cause close to all of our hearts. Together, we celebrated the importance of early intervention open dialogue about mental illness, addiction, and suicide. A special thank you goes to our dedicated community partners the Combat Veterans Motorcycle Association, Harley Davidson of Lynchburg, the Suicide Prevention Awareness (SPA) Coalition of Central Virginia, New Freedom Farm, and the Christian Motorcycle Association—whose unwavering support helped make this event possible. Through their collaboration and the participation of everyone involved, we continue to spread the vital message that there is power in prevention, and together, we can make a difference in the lives of those affected by mental illness and suicide.
“Mental health and suicide prevention impact every community, and events like Ride of Our Lives remind people that they are not alone. At HarleyDavidson of Lynchburg, we are honored to partner with Horizon Behavior Health in helping raise awareness, meaningful conversations, and sup those who may be struggling.”
–
Amanda
Cordwell,
Marketing Man Harley Davidson of Lynchburg
CRISIS CARE CENTER ON THE HORIZON
Celebrating a milestone in community support.
Tonier Cain’s Story Sharing Personal Stories and Insights from the Behavioral Health Community
In Fall 2025, Horizon was proud to host a Ribbon Cutting Ceremony and Open House of our new Crisis Care Center, welcoming Governor Glenn Youngkin, community partners, stakeholders, and dignitaries to commemorate this milestone in community support. The event was well-supported, with every seat filled and some guests standing, reflecting the excitement and community investment in this soon-coming community asset.
Community partners across Central Virginia enjoyed tours of the state-of-the-art facility, seeing firsthand the spaces designed to provide same-day crisis care and connect individuals to long-term treatment.
Horizon’s Crisis Care Center is a short-term, specialized place for individuals experiencing emotional distress, mental health crises, or substance-related emergencies. Here, individuals can:
Be assessed quickly and efficiently by a Qualified Mental Health
Professional
Feel safe and supported
Stabilize emotionally and physically
Explore and connect to next steps for care
Services are designed to reduce unnecessary hospitalization and connect people to the ongoing support they need to maintain recovery in their natural environment.
Slated to open in 2026, the Crisis Care Center marks a transformative step for Central Virginia, ensuring that when a behavioral health crisis occurs, a nurturing environment and trusted team of professionals is prepared to provide the right help, right now for individuals during urgent situations.
RESPONDING TO CRISIS. RESTORING STABILITY. REBUILDING HOPE.
CORE SERVICES
Emergency Services & 23-Hour Observation
Residential Crisis Stabilization
Detox Services
“I had the pleasure of touring the new Horizon Crisis Center during its open house, and I’m so grateful that Horizon is giving Central Virginia something it has never had before: a place built for fast, safe, and expert crisis care. With therapeutic care, modern infrastructure, and efficient law enrichment coordination, this CRC and others like it are the future of crisis response in Virginia.”
- Commissioner Nelson Smith, Department of Behavioral Health and Developmental Services
