Green River Regional Mental Health-Mental Retardation Board, Inc.

Green River Regional Mental Health-Mental Retardation Board, Inc., operating as River Valley Behavioral Health, is a tax-exempt nonprofit community mental health center and certified community behavioral health clinic based in Owensboro, Kentucky, that serves as a federal grant recipient (19% of recent awards as prime recipient) and predominantly as a sub-recipient under state-administered federal programs (81% of awards). River Valley does not hold federal contracts; all recent federal activity flows through the Substance Abuse and Mental Health Services Administration (SAMHSA) as grant funding.

River Valley's prime grant work centers on crisis intervention, mental health crisis follow-up, substance abuse treatment, and residential recovery housing. The organization holds a $250,000 SAMHSA project grant awarded September 2026 under the 988 and Behavioral Health Crisis Services Programs (CFDA 93.00R) for the Western Kentucky 988 Crisis Follow-Up and Care Continuum Model, running through September 2029, which will fund three full-time crisis follow-up specialists to implement standardized follow-up after crisis contact across a seven-county predominantly rural region in western Kentucky and disseminate evidence-based crisis follow-up practices across all 120 Kentucky counties through 988 text and chat services. River Valley also holds a $250,000 project grant from SAMHSA's Center for Substance Abuse Treatment awarded September 2023 for residential treatment and recovery housing expansion serving pregnant and postpartum women with substance use disorders, running through September 2028, targeting 500 unduplicated individuals and extending trauma-informed services to family members and minor children.

River Valley acts as sub-recipient under thirteen federal sub-awards, all flowing from the Kentucky Cabinet for Health Services as the prime grantee. Sub-awards include funding streams under the 988 Capacity Expansion program, mental health and substance abuse block grants, the TEAM SOAR program, Behavioral Health Services for Communities Act programs, and supportive services programs, with sub-award dates concentrated in July 2025 and July 2026. Combined federal dollars obligated across all sixteen awards total $13.5 million. The organization operates as Kentucky's statewide provider of 988 text and chat services and brings more than twenty years of crisis call center operations and established mobile crisis capacity; it operates in a medically underserved, predominantly rural catchment area marked by limited behavioral health workforce and high rates of suicide and overdose. One award reaches ultimate completion within the next twenty-four months, creating minimal recompete exposure in the near term.