Mental / Behavioral Health Services

At Community Health Alliance, we recognize that mental and emotional well-being are essential to your overall health. That’s why we offer integrated, trauma-informed care that supports the whole person—body, mind, and community.

Our mental health services are led by Transitional Living (TLC), providing comprehensive support including therapy, psychiatric care, and community-based programs. Whether you’re navigating anxiety, trauma, depression, or co-occurring challenges, our providers walk beside you with compassion, expertise, and respect.

If you’re not sure where to begin, we’ll help you figure it out—without pressure, and at your pace.

What It Can Look Like

Individual Counseling

Talk one-on-one with a licensed therapist in a private, judgment-free space. Together, you’ll work on what matters most to you—building coping skills, navigating tough emotions and moving toward the life you want.

Group Counseling

You’re not alone. Group sessions bring people together to share experiences, learn from one another, and build a sense of connection. A trained therapist leads each group in a supportive and safe space.

Psychiatric Care

If medication or a deeper evaluation is needed, our psychiatric providers are here to help. We work with you to understand what’s going on and support you in finding the right balance.

Medication-Assisted Treatment (MAT)

For individuals living with both substance use and mental health concerns, MAT offers a supportive bridge to healing. Though primarily offered through Sojourner, MAT is often coordinated with TLC’s behavioral health and psychiatric services.

Primary Care & Nursing Support

Physical health and mental health are deeply connected. Our integrated medical services support everything from routine care to medication monitoring—ensuring you feel well in every way.

Residential Treatment (Mental Health Focus)

Sometimes healing needs extra structure. TLC offers 24/7 residential mental health programs that provide a safe place to stabilize, build daily living skills, and work toward independence.

Case Management

Case management helps people with mental illness manage their symptoms, stay connected to care, and meet personal goals while living in the community.

Need help keeping everything organized? Our case managers assist with benefits, housing, appointments, and anything else that helps you stay on track.

Employment & Education Support

We help individuals overcome barriers to employment and schooling—offering support with training, applications, and confidence building along the way.

Forensic & Court-Based Services

TLC partners with local courts, jails, and community agencies to provide mental health support for individuals navigating the justice system, including jail-based services and discharge planning.

Recovery Housing

While primarily part of Sojourner’s recovery program, some individuals with co-occurring mental health needs may access supportive sober housing with embedded behavioral health care.

Targeted & Specialized Programs

We provide tailored care for pregnant women, people experiencing homelessness, those reentering the community after incarceration, and more. Whether your need is clinical, social, or practical—we meet you where you are.

Where is it offered?

Mental / Behavioral health services are available at multiple CHA locations, including:

Middletown – Commerce Clinic
Hamilton Clinic
Franklin Clinic
Dayton Recovery Clinic

For a complete list of locations and services, please visit our Find a Facility page.

Our Providers Can Help With

Depression

Persistent sadness, hopelessness, or loss of interest in daily life.
If signs of depression come up during your visit, we’ll talk about how it’s affecting you and explore supportive options together.

Anxiety & Stress

Constant worry, racing thoughts, or feeling overwhelmed by daily pressures.
If anxiety is part of your experience, we’ll identify what’s driving it and work together on tools to help you feel more in control.

Anger or Emotional Regulation

Struggling to manage strong emotions or reactions in a healthy way.
If this comes up in conversation, we’ll help you recognize patterns and practice new ways to respond.

Substance Use and Recovery

Using substances in ways that feel harmful or hard to stop.
If substance use is present alongside mental health concerns, we’ll coordinate care with Sojourner and offer behavioral health support that addresses the whole picture.

Bipolar Disorder

Experiencing intense mood swings that impact your functioning or relationships.
If symptoms of bipolar disorder arise, we’ll work with our psychiatric team to support mood stabilization and coping.

Obsessive-Compulsive Disorder (OCD) & Intrusive Thoughts

Recurring thoughts or compulsions that interfere with daily life.
We’ll help you explore treatment approaches that reduce distress and restore balance.

Sleep Issues & Nightmares

Difficulty falling asleep, staying asleep, or managing disruptive dreams.
We’ll explore emotional, environmental, and physical causes—then work together toward better rest.

Feeling Overwhelmed or Stuck

A sense of being frozen, disconnected, or emotionally exhausted.
If you’re feeling this way, we’ll take time to listen and help you move forward—one step at a time.

Life Transitions & Major Changes

Stress from changes like divorce, job loss, relocation, or becoming a parent.
We’ll help you adapt, cope, and stay grounded through uncertain times.

Eating Disorders & Body Image Concerns

Unhealthy thoughts or behaviors around eating or self-image.
If these concerns arise, we’ll support your healing with respect, compassion, and access to coordinated care.

Domestic Violence or Relationship Abuse

Experiencing control, fear, or harm in a relationship.
We’ll listen without judgment, prioritize your safety, and help connect you with the right supports.

Grief & Loss

Sadness or emptiness after losing someone or something important.
If you’re grieving, we’ll help you process at your own pace, in a way that feels authentic and safe.

Trauma & PTSD

Ongoing pain from past events that still affect you today.
Our trauma-informed providers will help you rebuild trust in yourself and others—with support that honors your pace.

Panic & Physical Symptoms of Stress

Racing heart, tight chest, or sudden feelings of dread.
We’ll explore both physical and emotional causes and offer calming tools that help you feel grounded and safe.

Relationship & Family Challenges

Conflict, distance, or confusion in key relationships.
We’ll help you explore communication patterns, boundaries, and tools for connection.

Smoking, Vaping & Nicotine Use

Wanting to quit tobacco or vaping but needing support to do so.
We’ll talk through motivation, withdrawal tools, and strategies that match your readiness.

Thoughts of Self-Harm or Suicide

Feeling like life is too painful or hopeless to go on.
We take these thoughts seriously—with compassion, urgency, and a plan that keeps you safe and supported.

Co-occurring Mental Health & Substance Use Conditions

Struggling with both mental illness and addiction?
We offer integrated care through coordinated services between TLC and Sojourner, ensuring you receive support for both sides of your experience.

Loneliness or Social Isolation

Feeling cut off from others or unsure where to turn.
We’ll help you reconnect—with peer support, group services, or just someone to listen.

Work, School, or Legal Stress

Overwhelmed by responsibilities or system involvement?
Our team can help you navigate barriers, build stability, and stay focused on what matters to you.