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Start hope this holiday season when you deck your halls using poinsettias from Rappahannock Adult Activities.

Holiday Helping

Whether you're going vintage, glam, farmhouse, or sweet, the traditional poinsettia is the powerhouse of holiday decorating. Plus, you'll help adults with disability thrive with every bloom you buy.            
Since Same Day Access launched, more individuals stay for services. They are more than twice as likely to show up for their second appointment, which helps them continue on the path to recovery.


Return on Investment

Did you know? 98% of individuals who receive RACSB services are pleased with the care they receive.   
Come on in during our Same Day Access hours to receive an assessment without an appointment. Please bring insurance cards, referral paperwork, and any court order documentation with you.


The decision to seek behavioral healthcare can be difficult. Whenever you're ready to start your journey, we're here to help.

Rappahannock Area Community Services Board

Serving the City of Fredericksburg and the counties of Caroline, King George, Spotsylvania and Stafford.

At RACSB, we are committed to helping community members lead the best lives possible. We help babies speak their first words and adults with severe mental illness take their first steps back into the community. Whether you have a brief bout of depression, a debilitating mental illness, or a crippling addiction, we have outpatient services to help. For adults with developmental disability and their families, we offer top-notch care. We have proudly served the Fredericksburg community since 1970, and we are here to help.

Close-up of people communicating while sitting in circle and gesturing

Our Services

Mental Health

Emotional well-being is the cornerstone of a full life. If you’re struggling with a mental health concern, help is here. From medication management to counseling to residential programs, RACSB offers quality, compassionate care. And we’re here whenever you need us: Emergency services and crisis intervention are offered around the clock. So when you’re ready to take the big step of asking for help, give us a call. We’ll explore your needs and connect you with outpatient therapy, group counseling, intensive care coordination, crisis services, medication management, recovery-based rehabilitation, and residential care.
Developmental Disability

At RACSB, we are passionate about helping individuals with developmental disability lead full, active lives in our community. We believe that everyone can be served right here in the community and we provide high quality care on all levels. Our developmental disability support coordinators help individuals and their families choose their future and link them to the resources necessary to fulfill their hopes and dreams. In our day support programs, adults with developmental disability enjoy activities, trips, and learning experiences. Our residential programs give adults with developmental disability a place to call home--and a support system. Our respite program offers a mini-vacation for guests and for their caregivers.
Substance Use Disorder

We’re here to help you reclaim your life, with an array of services to support you on your path to recovery. We offer help for adolescents and adults, with prioritized treatment for pregnant and parenting women. Our services include intensive outpatient group therapy, individual and family counseling, case management, drug-court treatment, detention-based treatment; and residential detoxification. When you’re ready to journey to hope and health, we will walk beside you and help you find the way.
Early Intervention

Watching your baby learn new things is one of the most rewarding aspects of parenthood. When your infant or toddler doesn’t meet developmental milestones, you can’t help but worry. We’ll help you learn if your child does have a delay. And, if there is a delay, we’ll show you how to help your child progress to their fullest potential. Our special educators, speech pathologists, service coordinators and physical and occupational therapists come to your home to work with your infant or toddler--and to teach you techniques for encouraging your child to blossom.

We seek to promote mental wellness while reducing the problems related to alcohol, tobacco, or other drug use. We inform the community about the risks associated with these behaviors in a variety of ways, including workshops, educational campaigns, evidence-based curriculums, and collaboration with community groups. We recognize that achieving comprehensive community wellness requires a collaborative approach and we are proud to partner with other agencies and organizations to strengthen the health of our region.

News & Events

  • Holiday Greenery
    For a truly festive holiday season, nothing beats the decorating power of fresh greenery. Trees, wreaths, garlands, and poinsettias fill your home with both scents and sights of merriment. And…
  • Reducing Overdose Deaths
    After a dip in overdose deaths for 2018, Virginia is expected to hit a record number of drug-related fatalities in 2019. The latest numbers from the Office of the Chief…
  • We’re Growing
    The Rappahannock Area Community Services Board has purchased the Roxbury Farm & Garden Center to expand its supports to area residents. For nearly 50 years, RACSB has served individuals in…

Recent Posts

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3 hours ago

Rappahannock Area Community Services Board

Check out these fun pictures from the photo booth at our holiday party last night! RACSB employees do amazing work--and take fabulous pictures. ... See MoreSee Less

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Residents of Churchill Drive Group Home did a spectacular job performing with the Stafford Regional Handbell Society
last night.
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2 days ago

Rappahannock Area Community Services Board

Ho! Ho! Ho! Residents of our Lafayette Boarding House met the jolly man in at Bass Pro Shops. ... See MoreSee Less

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