4C Health expands crisis care continuum with Subacute Stabilization Certification

4C Health is proud to announce it has achieved Subacute Stabilization certification from the Indiana Division of Mental Health and Addictions (DMHA) as of December 10, 2025, marking a significant expansion in crisis services for individuals experiencing mental health and substance use emergencies.
Since 2021, 4C Health has operated a Crisis Stabilization Unit / Psychiatric Urgent Care, offering walk-in access 24 hours a day, 7 days a week, 365 days a year for individuals in crisis. This service has provided an essential alternative to emergency departments and law enforcement involvement for those in need of immediate behavioral health support.
In October 2025, 4C Health further expanded its crisis services by adding High Acuity Crisis Stabilization, allowing the organization to function as a more comprehensive crisis receiving and stabilization facility—similar to a behavioral health emergency room. This enhancement enables rapid triage and stabilization for individuals experiencing high-intensity crises, including those who are involuntary under emergency detention orders, for both mental health and substance use needs.
With the addition of Subacute Stabilization, 4C Health can now provide care beyond the initial 24 - hour crisis window for individuals who require additional time and support to safely stabilize.
Together, these services create a full continuum of crisis care under one roof, including:
• Psychiatric Urgent Care
• High Acuity Rapid Crisis Receiving & Stabilization
• Subacute Stabilization
As a Certified Community Behavioral Health Center (CCBHC), this expanded continuum strengthens 4C Health’s ability to deliver timely, accessible, and cost-effective crisis care within the community.
“In September 2025, 4C Health retired our Inpatient Psychiatric Facility in favor of a more accessible, higher quality, and lower-cost full continuum Crisis Facility,” said Dr. Carrie Cadwell, President and CEO of 4C Health. “With the addition of Subacute Stabilization certification, we can better divert individuals from inpatient psychiatric admission, reduce reliance on law enforcement detention, and potentially divert from state psychiatric hospital admissions while improving step- down care. CCBHCs are transforming what is possible in crisis care in Indiana for Hoosiers.”
Nicole Hiatt-Drang, Chief Clinical Officer states, “The expansion of 4C’s crisis continuum by adding subacute care (extended stay) to our already existing continuum of Mobile Crisis Response, 23 - hour crisis triage using a chair model, and crisis triage and treatment significantly strengthens our capacity to provide comprehensive support. The addition of subacute stabilization not only enhances our ability to stabilize individuals in crisis but also ensures that we can facilitate their recovery journey the utmost care and efficiency. There is no wrong door to care when an individual is in crisis.”
4C Health serves as the Certified Community Behavioral Health Center for Miami, Cass, Fulton, Pulaski, Howard, Tipton and White counties, ensuring residents across the region have access to comprehensive, community-based crisis and behavioral health services.
For more information about crisis services or to learn how to access care, visit www.4CHealthIN.org or call 1-800-552-3106. Immediate crisis support is also available by dialing 988.