Programs & Services


Our clients are individuals having experienced difficulties within society; school, home, and/or their community. Individuals also may have had experiences in the legal system. These individuals tend to have emotional difficulties, continued problems functioning in society and with peers, anger problems, substance abuse issues, housing issues, depression and anxiety issues, etc. If this sounds like you and/or someone you know, give us a call today at (704) 283-9055 or (336) 335-9997.

Little Gerald Services, LLC focuses on quality, effective behavioral health services individualized for children and adults with a diagnosis of mental health and/or substance abuse.

Our program provides individual treatment by specially trained staff familiar and experienced in working with adults and adolescents. We provide the following services to assist our consumers:

lgs_caregiver_breakB3 Services provide a chance for the caregiver who lives with you to take a break and get rest periodically. This service is for family or guardians of children, teenagers, and young adults (ages 3-21). It expires on an individual’s 22nd birthday.

bi-lingualBi-lingual Outpatient Therapy Services provide intensive clinical therapeutic services to Spanish-speaking children, adolescents, and adults with identified mental health and/or substance abuse diagnoses.

care_lgsCase Support Services were created in response to COVID-19. This service includes activities with and/or on behalf of a member of with Mental Health (MH), Intellectual/ Development disabilities (IDD), and Substance Use Disorder (SUD) diagnosis. Case support activities are for members that do not have other services in place that provide this type of clinical support or have had services temporarily suspended due to extenuating circumstances such as a pandemic. The service is designed to meet some of the broad health care, educational, vocational, residential, financial, and social, and other non-treatment needs of the member. The service includes the arrangement, linkage, or integration of multiple services and providers involved in the member’s care. This includes making referrals to enhanced service providers and following up to ensure services are initiated. This can also include the provision of supportive contacts, skill reinforcement, and skill development through telephonic or other technical means.

Child and Adolescent Day Treatment is a structured treatment service in a licensed facility, for children or adolescents and their families, that builds on strengths and addresses identified needs. This service is designed to serve children who, as a result of their mental health or substance use disorder treatment needs, are unable to benefit from participation in academic or vocational services at a developmentally appropriate level in a traditional school or work setting. In many school districts, this service is offered in partnership with the school and located on school property, thus increasing the potential for the child to experience a positive transition back to a traditional school setting.

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counseling-lgsIntensive clinical and functional face-to-face evaluation of an individual’s present mental health, developmental, and/or substance abuse condition that results in the issuance of a written report that provides the clinical basis for the development of the beneficiary’s treatment or service plan.

lgs_care_teamThis service is designed for members living in the community who have complex needs related to mental health and/or substance use disorders. These individuals may have been in the hospital, used emergency services, and had difficulty in the community or legal issues due to their symptoms. A team of professionals led by a licensed clinician will be available and will meet regularly with you to reach your recovery goals. They are available 24/7 to meet with you in your home, school, library, courts, homeless shelter, or other settings.

lgs_mental_illnessCritical Time Intervention (CTI) is a time-limited intensive case management model designed to assist adults age 18 years and older with mental illness who are going through critical transitions with homelessness/housing, and who have functional impairments that preclude them from managing their transitional need adequately.

lgs_mental_illnessThis service is to help individuals with severe and persistent mental illness live independently in their communities. It provides support with daily activities (e.g., preparing meals, managing money, cleaning your home) as you plan to move out on your own. This is a temporary service to help individuals as they move from a licensed facility or private home into their own home.

lgs_intensive supportThis service is for children through age 20 who need a lot of support in order to stay in their homes. A clinician leads a team of experts who work with the family and the child short-term to provide the best treatment for serious problems related to mental health and/or substance use. They are available to meet with you in your home, school, library, the courts, homeless shelter, or other settings.

lgs_substance_mental_healthThe Intensive Recovery Supports program provides an array of services and supports to pregnant women ages 18 and older or women ages 18 and older with minor children who have been diagnosed with a substance use disorder. It is a recovery-based, consumer-focused community program designed to facilitate an individual’s recovery. The focus of this service is to assist persons with substance use disorders to increase their functioning so they are successful and satisfied in the environments of their choice with the least amount of ongoing professional intervention. This service is intended to strengthen the recipient’s recovery and independence to build positive relationships and support networks through the use of interventions from a qualified professional. It is designed to assist recipients to take an active role in their path to wellness. These services are designed around the preferences and choices of each individual and will offer a focus on training and supports to include citizenship skills, communication, crisis management, relapse prevention, socially appropriate behaviors, self-advocacy, informed choice, community integration, and relationship building. The service is also designed to assist in the integration of all service providers, including the medical home, related to long-term outcomes and stabilization.

bi-lingualOutpatient Plus (OPT Plus) is a combination of best practice outpatient therapy services, monitoring, support, and management of care interventions to be provided for individuals with complex clinical needs that traditional outpatient cannot adequately address. OPT Plus is a level of care between OPT and IIH/CST.  OPT Plus is a home and community-based treatment service focused on decreasing psychiatric and behavioral symptoms in order to reduce the need for higher levels of care or increase the likelihood of a successful transition to Outpatient Therapy from higher levels of care. OPT Plus will improve the beneficiary’s ability to navigate systems and improve functioning in familial, social, educational, or occupational life domains.

individual-support-lgsIndividual Peer support services are one-on-one evidence-based mental health model of care that consists of certified peer support specialists who assist individuals with their recovery from mental illness and/or substance use disorders through their own life experience.

peer-support-lgsGroup Peer support services are evidence-based mental health model of care that consists of certified peer support specialists who assist individuals with their recovery from mental illness and/or substance use disorders through their own life experience in a group setting.

Substance Abuse SupportThis service is for adults with substance use disorders and is offered at an outpatient, licensed facility for four hours per day, at least five days per week.  The service is offered during the day and evening hours so that you can still live at home, work, or go to school. The program offers individual, group, and family counseling; drug screening; designing plans to prevent relapses, and other treatment supports.

Download Substance Abuse Support Services Brochure

Substance Abuse SupportThis service is for adults with substance use disorders and is offered at an outpatient, licensed facility for three hours per day, at least three days per week.  The service is offered during the day and evening hours so that you can still live at home, work, or go to school.  The program offers individual, group, and family counseling; drug screening; designing plans to prevent relapses; and other treatment supports.

Download Substance Abuse Support Services Brochure

addiction=lgsOutpatient Therapy Services provide intensive clinical therapeutic services to children/adolescents with identified substance abuse diagnoses.

Supported Employment (SE) Services provide assistance with choosing, acquiring, and maintaining employment for individuals ages 16 and older for whom competitive employment has not been achieved and / or has been interrupted or intermittent. The primary outcome of SE is competitive employment which is defined as a job that pays at least minimum wage, for which anyone can apply, and is not specifically set aside for people with disabilities. SE services must be provided in integrated work settings where the individual works alongside people who do not have disabilities or in a business owned by the individual.

lgs_teen_helpThis service is available to youth ages 16 to 21 with mental health and/or substance use disorders who are leaving foster care, the Department of Juvenile Justice, or the mental health system. It helps them continue to learn skills so they can live on their own.

lgs-supportTrauma-Focused Cognitive Behavioral Therapy (TF-CBT) is evidence-based psychotherapy or counseling that aims at addressing the needs of children, adolescents, and adults with post-traumatic stress disorder (PTSD) and other difficulties related to traumatic life events.

lgs_teen_transitionThe Young Adults in Transition service is a home and community-based outpatient intervention that supports transition-age members (ages 16-24) with behavioral health diagnoses of mental health disorder, with or without a co-occurring substance use disorder, in reestablishing the knowledge and skills necessary to live independently.

teens-group-lgsYouth Sexual Harm/Sexual Aggressive Therapy services are evidence-based psychotherapy or counseling that aims at addressing the needs of children, adolescents with sexual behavior problems regardless of involvement in the legal system, or the presence of specific case characteristics like violence or aggression.