Our Services

Crossroads Behavioral Health was established to provide support, counseling, and therapeutic services to children, adolescents and adults. Crossroads offers a variety of service types including, individual, couples, family and group therapies. We strive to create services that address specific requirements for the client including concerns of substance abuse, mental health, and co-occurring disorders. Each client’s services are tailored to their unique needs by working in connection with their primary therapist to create an individualized treatment plan.

A list of our services includes:

  • Pre-Screenings for inpatient treatment evaluations
  • Mental Health Evaluation
  • Substance Abuse Evaluation
  • OWI Screenings
  • Consultation for community organization for both mental health and substance abuse treatment
  • Medication Management Services
  • Community Support Programs
  • Outpatient Therapy
  • Substance Abuse Group Therapy
  • Integrated Health Home Services


 Evaluation and referral services to facilitate appropriate inpatient treatment services.


 To evaluate individuals referred by other community agencies to determine mental health, substance abuse, co-occurring disorders, and other related problems.


 Professional expertise provided to community agencies, groups, and organizations through program and case consultations dealing with mental health, chemical dependency and co-occurring disorders.


 Our psychiatric providers come to us through Telehealth. We have an onsite nurse that meets clients in person and assists them in connecting with the providers through a video conferencing system. The nurse is also available to answer questions about medication. When clients meet with the psychiatric providers they discuss symptoms and work together with the client to make sure medications are assisting clients in alleviating mental health symptoms.


The Community Support Program (CSP) is designed for persons experiencing chronic mental health symptoms. The CSP program helps individuals reduce and manage their symptoms and limitations, and move toward stability and full participation in the community. Clients and staff work together towards these goals through supportive group therapy sessions. We currently have two groups, one designated for men’s issues and one designated for women’s issues.  We also offer these clients individual therapy sessions to address specific needs or goals unique to the particular client.

OUTPATIENT THERAPY: Available to individuals, couples, families and people who are concerned for another person’s well-being. Our therapists are versed in a variety of different counseling styles. We currently offer:

  • Play Therapy
  • Sand Tray Therapy
  • Parent Child Interaction Therapy (PCIT)
  • Person Centered Therapy
  • Psychodynamic Therapy
  • Motivational Interviewing
  • Cognitive Behavioral Therapy
  • Eye Movement Desensitization and Reprocessing (EMDR)

Two therapies that make us unique are PCIT and EMDR.


Parent-child interaction Therapy (PCIT) is an intensive treatment program that helps both parents and children.  This therapy assists parents or caregivers in learning positive and supportive ways to communicate with their child/children, thus enhancing their relationships.  It also provides parents or caregivers the tools to help manage behavioral problems. As part of this program, the therapist coaches the parent using positive, nonjudgmental language during live play sessions between the parent and child. This treatment consists of two parts, Child-Directed Interaction and Parent-Directed Interaction.

CHILD-DIRECT INTERACTION (CDI) – Parents learn specific skills designed to strengthen their bonds with their children.  Parents are taught to begin ignoring annoying behaviors while learning to prevent and /or manage destructive or dangerous behaviors. Some of the skills parents practice are praising, reflecting, embracing the joy of play, imitating, and describing.

PARENT-DIRECTED INTERACTION (PDI) – Parents learn appropriate skills to manage the child’s behavior. These skills consist of giving proper commands, utilizing research based time out procedures, and providing labeled praise and reinforcement when the child does as directed.

Who would benefit from Parent-Child Interaction Therapy?

  • Parents or caregivers who have a child between the ages of 2 and 7
  • Children with behavior problems, including:
  • Experiencing difficulty in school, preschool and/or daycare
  • Talking back to their caregivers
  • Refusing to follow directions
  • Frequent temper tantrums
  • Defiance
  • Aggression toward parents, sibling, and/or other children
  • Parents who would like to rebuild their relationship with a child after a period of separation
  • Adoptive parents who wish to strengthen their relationship with their adopted child
  • Grandparents, step-parents, or foster parents are also welcome to participate and be coached during live interactions.


We are working to ensure that all of our therapist offer Eye Movement Desensitization and Reprocessing (EMDR). This type of therapy can assist clients in accessing and processing memories of trauma and adverse life experiences. It can help these memories to move from feeling as if they are happening in the here and now into the client’s timeline of past experiences. We find that having the availability to work directly with events that change how a person responds to and views their world as a crucial part of our work.

INDIVIDUAL & GROUP SUBSTANCE ABUSE COUNSELING …………………………………………………………………………………………..
Substance abuse counselors are available to complete assessments and provide evidenced-based best practices in dealing with a variety of substances.  They utilize motivational interviewing to help individuals determine life goals and the steps to achieve them using low-risk choices.

Group treatment is an effective method for treating a variety of substance abuse diagnoses.  Groups are facilitated by skilled therapists who allow individuals to learn new approaches while giving and receiving feedback from peers in a safe and supportive environment. Groups are available for different levels of care and include relapse prevention, extended outpatient, and intensive outpatient treatment.


Integrated Health Home (IHH) is commitment to overall health and wellness

What is Integrated Health Home?

An integrated health home (IHH) is a team of professionals working together to provide whole person, patient centers, coordinates care for adults with serious mental illnesses and children with serious emotional disturbances.

Why is it important?

Behavioral health plays a critical role in an adult and child’s ability to maintain good physical and social health.  Studies show that adults and children with mental health challenges often experience worse health outcomes than their peers.

The Good News:  Many of these adverse conditions can be prevented!

Crossroads Integrated Health Home (IHH) will partner with you to help you or your child/children lead a happy healthy life.

Who is eligible for IHH services?

Individuals are eligible for IHH services if the individual is:

  • Enrolled in Medicaid /Title 19 (Iowa Health Link)
  • An adult with a Serious Mental Illness (SMI)
  • Children and youth with a Serious Emotional Disturbance (SED)

SMI diagnoses include: Schizophrenia, schizoaffective disorder, bipolar disorder, major depression or other serious mental health conditions that cause significant impairment in daily functioning.

SED includes: A diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the most current DSM manual that results in a functional impairment.

What Services Does Crossroads IHH Provide?

The Crossroads IHH provides care coordination, advocacy and support for you and/or your family.  Our team will help you and your family manage your whole health including; physical, behavioral and social health services.

Team Members Include:

Individual receiving IHH Services

Peer Support Specialist or

Family Support Specialist

Care Coordinator

Nurse Care Coordinator



 Do I have to move?

No, you choose where you live.

 Does “home” refer to a building?

No, it refers to a way of caring for your total health.

 Do I have to change providers?

No, Crossroads IHH will support your choice of providers.

 What does the program cost?

Crossroads IHH is free to those meeting the eligibility criteria.


641-278-1193 TO SET UP A MEETING.

Costs for professional services are paid through client fees, insurance and support by the county governments of the catchment areas. Individual fees are on a sliding fee schedule bases on family income and number of dependents.

Crossroads Behavioral Health Services is a private non-profit corporation and in accordance with Federal Law and U.S. Dept. of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age and disability.

Catchment area for Mental Health Services: Adams, Adair, Clarke, Taylor, Madison and Union Counties. Our substance abuse treatment services are available for the above counties, including Decatur and Ringgold counties.

Creston Office Hours
Monday-Thursday: 8:00am – 7:00pm
Fridays: 8:00am – 12:00pm
Closed weekend and holidays

Winterset Office Hours
Monday-Thursday: 8:00am – 7:00pm
Fridays: 8:00am – 4:30pm
Closed weekend and holidays

Osceola Office Hours
Monday-Thursday: 6:00 am – 6:00 pm
Friday: 6:00 am – 5:00 pm
Saturday: 7:00 am – 12:00 pm
Closed weekend and holidays

Satellite offices (Winterset, Osceola, Lenox, Corning) hours will vary.
Please contact the Creston office with questions.