Crisis Stabilization Unit (CSU)

Chestnut Health Systems™ Crisis Stabilization Unit (CSU) provides 24-hour short-term supervised care for persons 18 years of age and older experiencing an acute psychiatric crisis that do not require hospitalization. The average length of stay is 14 days. Admission to our CSU is voluntary; we only accept those individuals who choose to come. The facility is not prepared to work with persons who may be actively suicidal or homicidal or who are experiencing serious medical problems or complications. The unit is staffed with nurses and behavioral health technicians and is not a hospital.

During their stay, clients spend time in groups that meet four or more times per day. The groups provide education on topics helpful to individuals in crisis and clients are expected to attend and to actively participate. Chestnut provides a safe environment that supports stability. 

Persons may refer themselves for crisis residential/stabilization services or may be referred by a hospital, police department, mental health agency, social service agency, or family member. 

For more information, please call us at 888.924.3786. For Madison and St. Clair Counties and for the Metro East area, call 618.877.4420.


FIRST.IL is comprehensive, team-based treatment aimed at improving mental health and quality of life for individuals who have experienced a first episode of a psychotic illness. FIRST.IL is intended for individuals who are between the ages of 14 to 40 and have had a treated or untreated psychotic illness for no more than 18 months.

Eligible diagnoses are schizophrenia, schizoaffective disorder, schizophreniform disorder, other specified/unspecified schizophrenia spectrum, other than psychotic disorder, bipolar disorder with psychotic features, major depressive disorder with psychotic features, and PTSD.

For more information, please call us at 888.924.3786. In Madison and St. Clair Counties and the Metro East area, please call 618.314.5561

Individual and Family Counseling 

Do you need someone to talk to? Our trained Masters-level and licensed clinicians are available to assess your needs and provide therapy services for individuals of all ages and for their families. 

Concerns addressed in counseling may include stress, anxiety, depression, relationship issues, traumatic events, grief and loss, chronic pain, school or job stresses, life changes, family conflict or abuse, and parenting issues.

For more information, please call us at 888.924.3786. For Madison and St. Clair Counties and for the Metro East area, call 618.877.4420.

Medically Monitored Detoxification

Clients experiencing withdrawal from alcohol or other mood-altering drugs and who meet our admission criteria can safely be detoxified at one of Chestnut's Crisis Residential Units. Detox is overseen by physicians and advanced practice registered nurses. Nursing care is provided around the clock.

In Madison and St. Clair Counties in Illinois, please call 618.877.4420.

In McLean County, Illinois, please call 309.827.6026

Psychiatric Services

Chestnut's psychiatrists provide expert evaluation and medical management of mental health and substance use issues.

Psychiatric consultation occurs within the context of a treatment program. The psychiatrist is a member of the treatment team; most counseling, therapy, and support is provided by trained therapists, social workers, nurses, and counselors.

Medication can be helpful in relieving symptoms including panic, confusion, obsession, tics, anger, depression, sadness, and hyperactivity. Medication may be prescribed as part of a treatment plan which typically also includes therapy, education, and community support.

For more information, please call 888.924.3786. For Madison and St. Clair Counties and for the Metro East area, call 618.877.4420.

Programs in McLean County, Illinois

Safe Equal Caring Understanding Relationships

Chestnut's Safe Equal Caring Understanding Relationships (SECURE) program helps women who have been or are currently in relationships that are threatening, controlling, or physically abusive make choices to sustain safe, mutually respectful, and violence-free relationships for themselves and their children.

SECURE helps women to identify the warning signs of an unhealthy relationship and common patterns of negative behavior in unhealthy relationships, and understand the effects of unhealthy relationships on children, resources available for those who wish to change their relationship, and healthy communication and conflict resolution skills.

For more information, please call 309.827.6026.

Invitation to Responsibility

For men or women who have committed domestic violence or abuse, Chestnut's Invitation to Responsibility (ITR) program focuses on developing and maintaining relationships that are respectful and violence-free. It is based on the idea that individuals are responsible for the consequences of their choices. ITR maintains that as a person learns to accept responsibility, their quality of life and satisfaction with relationships will improve. The men’s program complies with the Illinois Protocol for Domestic Abuse Batterers Programs and is included in the lists provided by the Illinois Department of Human Services to Illinois courts and to the State’s Attorney’s Appellate Prosecutor’s Office.

For more information, please call 309.827.6026.

Programs in Madison County and St. Clair County, Illinois


The mission of Chestnut's Opportunities program is to facilitate the overall recovery process. This is accomplished by creating an environment where hope is evident, and success is celebrated. Opportunities' core principles and activities develop empowerment through active involvement in one's own rehabilitation goal setting.

These services support the belief that recovery is possible for everyone and is a process that is strengthened by five essential recovery values: hope, empowerment, health and wellness, respect, and spirituality and connectedness.

Opportunities is based on the principles of individual choice and recovery and incorporates the active involvement of each individual in their own rehabilitation.

Skill Building

  • Interpersonal communication
  • Problem-solving
  • Coping skills development
  • Recovery plan development
  • Identifying strengths and preferences
  • Health and wellness lifestyles
  • Building natural supports

Other Group Services

  • Community involvement: Helps individuals learn to use public transportation and access to community resources
  • Recovery practice: Assists with the development of activities of daily living including cooking, cleaning, developing a routine, planning, and organization
  • Cognitive remediation: Helps individuals improve memory, attention, and problem-solving

For more information, please call 618.877.4420.

Community Support Services

The primary goal of Chestnut's Community Support Services is to help persons living with mental illness to increase independent functioning and quality of life by providing them with support, life skills development, access to local resources and treatment.

Most of our Community Support Services are provided in the community or in the person’s home. Each client is assigned a Community Support Specialist who helps with a variety of tasks, including:

  • Learning and performing activities of daily living (i.e. hygiene, money management, budgeting, laundry, and grocery shopping)
  • Representative payeeship
  • Help finding housing or shelter
  • Support and advocacy
  • Help with public assistance like Social Security and Medicaid
  • Family intervention
  • Education on psychiatric diagnosis and treatment options
  • Skill-building in natural settings
  • Medication monitoring
  • Training and linkage to other services like vocational, counseling, skill-building groups, and psychiatric services

For more information, please call 618.877.4420.

Medication Plus

Chestnut's Medication Plus program meets a growing need for persons who need medication for psychiatric concerns and who are on Medicaid.

Medication Plus is about efficiency and effectiveness. It enables adults ages 18 and older to receive multiple services in one visit, including a psychiatric evaluation, vital sign check, writing and filling prescriptions, help connecting to programs like public aid, food stamps, Social Security, transportation and housing, and crisis intervention.

We see patients on Monday through Thursday at our Belleville Illinois location and Monday through Friday at our Granite City Illinois location. 

Those on Medicaid and new referrals are welcomed. To make a referral, contact our Medication Plus Coordinator at 618.877.4420.

Senior Services Outreach

Chestnut's Senior Services Outreach program is available for any resident of Madison County, Illinois aged 60 or older. A therapist, registered nurse, and case manager work together to provide mental health services in the privacy of the person's home.

Services include:

  • Help with independent living
  • Assessment for in-home supportive services
  • Supportive counseling to help with grief and loss, stress, depression
  • Connection to community resources
  • Help with medication issues and wellness needs

The Senior Services Outreach Program is the proud recipient of the 2012 Deirdre Johnston Award for Excellence in Innovation for Geriatric Mental Health Outreach Services, presented by the American Association of Geriatric Psychiatry.

For more information, please call 618.877.4420.

Individual Placements and Support (IPS) Vocational Program for Potential Employees

Chestnut's Individual Placement and Support (IPS) vocational program for potential employees is based on the belief that every person with a severe mental illness is capable of working competitively in the community if the right kind of job and work environment can be found.

An employment specialist can:

  • Work closely with your treatment/support system
  • Provide assistance with seeing how work can impact your benefits
  • Explore different work environments
  • Identify your personal preferences with your work wants and needs
  • Begin a rapid job search
  • Identify job leads
  • Support you during the interview process
  • Support you once you get the job
  • Identify work-related challenges or conflicts on the job
  • Provide time-unlimited supports

IPS program services are based in Madison and St. Clair Counties in Illinois.

To learn more, please call the IPS Vocational Services Coordinator at 618.397.0900

Individual Placements and Support (IPS) Vocational Program for Potential Employers

Chestnut's IPS vocational program for potential employers can help you meet your diversity hiring goals. the IPS program for employers supports new employee onboarding and provides ongoing support.

Why choose us? Seventy-two percent of IPS program clients stay successfully employed for 90 days or more. Workplace longevity for IPS program participants equals or exceeds that of other employees.

Chestnut job seekers qualify for the Work Opportunity Tax Credit Program. Employers may receive a tax credit of up to $2,400 for hiring a qualified person under this program. We offer specific job matches between employees and employers. A good fit means less turnover, which results in cost savings for the employer.

IPS program services are based in Madison and St. Clair Counties in Illinois.

To learn more, please call the IPS Vocational Services Coordinator at 618.397.0900