RiverValley Behavioral Health has launched a new initiative aimed at improving how services support individuals experiencing both mental health and substance use challenges.
The program, called Co-Occurring Capability in Kentucky, is part of a broader statewide effort led by the Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities to advance more integrated, person-centered care.
Officials said the initiative is based on the understanding that mental health and substance use disorders often occur together, and that treatment systems should be equipped to address both at the same time rather than through separate approaches.
According to RiverValley officials, individuals with co-occurring needs often face barriers to care not because of the complexity of their conditions, but because systems have not been intentionally designed to treat both issues simultaneously.
Through the initiative, RiverValley is working to enhance its programs to ensure services are accessible, trauma-informed, culturally responsive, and recovery-oriented across all entry points.
“When we strengthen our co-occurring capability, the impact on our clients is profound,” said Cate Gaddis, RVBH vice president of operations. “They don’t have to separate parts of their story or decide which struggle matters most. They can show up as they are and be seen as a whole person, with their overall behavioral health needs addressed.”
Gaddis said this approach can help reduce frustration, build trust more quickly, and improve outcomes by making care more connected and effective.
In the coming months, RiverValley teams will participate in training and use assessment tools to evaluate current practices and identify opportunities for improvement.
“While RiverValley has long been committed to serving individuals with co-occurring mental health and substance use needs, this initiative allows us to take that commitment to the next level,” said Marsha Lowery, senior director of clinical services and training. “Our goal is to ensure co-occurring capable practices are not only embedded in our work, but clearly visible and evident to everyone we serve.”
RiverValley is also serving on the initiative’s statewide steering committee, representing behavioral health providers in Western Kentucky and working to foster collaboration across the region.
The organization is encouraging other providers to connect, share input, and explore opportunities to participate as the initiative continues to develop.



