Skip to content

Our Services



Our services are covered by most insurances. There is no cost for no insurance, and we will not turn anyone away.

Please see the Sliding Fee Scale to determine payment for services based on income.

Our Services
Who is appropriate for I-START Clinical Services?

Individuals with intellectual/developmental disabilities who are experiencing externalizing mental health symptoms such as aggression or self-injurious behavior. The individual may be a high utilizer of crisis services, challenging to support in the community, or have a recent or ongoing deterioration in skills and abilities.


What is I-START?

I-START is a team of professionals extensively trained in the metal health aspects of intellectual/ developmental disabilities. I-START provides community-based crisis prevention and intervention services to individuals with intellectual and/or developmental disability (IDD) and mental health needs.

I-START promotes systemic, person-centered approaches and provides outreach, training/education, clinical and systemic consultation, crisis plan development, 24/7 crisis support and follow up.

How to Access I-START Services
  1. Download and fill out I-START Referral form (.docx).
  2. Gather requested documents mentioned on the first page of the document.
  3. Email the form and the requested documentation to

To get additional information on our program, please call 641-525-0401

Elevate Drop-In Center

Peer Support Group Adults 18+


Drop-In Center is a safe place to come and spend time with people that may experience similar struggles with mental illness and substance abuse. All who have been touched by addiction and mental illness including friends and family are welcome to attend.

Individual Peer Support Counseling Available Upon Request.

604 Lafayette St, Waterloo, IA 50703
Mondays, Wednesdays and Thursdays from 4:30-8:00 pm
For more information contact Thomas Kullen, via phone or email below

Crisis Services

Mobile Crisis – no cost

What is Mobile Crisis?

Elevate Mobile Crisis Response team runs 24/7/365! We offer onsite and in-person interventions to individuals experiencing a mental health crisis. We are here to help you at your home or any other location.

Who can we help?

Youth, Adults, Families. ANYONE, ANYWHERE!

How to access services?

Call or text our partners at YOUR LIFE IOWA and they will dispatch our mobile crisis responders directly to your location.

What counties do we serve?

Black HawkButler, Grundy, Tama, Mitchell, Floyd, WinneshiekAllamakee, Chickasaw, Howard, Fayette, and Clayton counties.

  • Crisis Observation Services
  • Law Enforcement Liaisons
  • In-Home Crisis Stabilization
  • 24/7 Crisis Line
  • 23-hour Observation and Holding

Crisis Observation Services (COS)

The Crisis Observation Service (COS) is available to clients ages 5 or older who are experiencing psychiatric/psychological stress which does not require hospitalization.

The COS provides a safe, calm environment where you can meet with a crisis specialist, a nurse and a mental health professional. If appropriate, the COS staff may coordinate an assessment by a psychiatric nurse practitioner if indicated.

COS clients must be able to maintain safe behaviors while utilizing the suite, be able to provide their own basic hygiene needs, be medically stable and willing to work with staff on intake paperwork and discharge planning.

The crisis specialist may also be able to assist clients in setting up mental health appointments and services with Elevate CCBHC or their provider of choice.

604 Lafayette St, Waterloo, IA 50703
Monday-Thursday 8-7, Friday 8-5
  • Mental Health Assessments
  • Safety Screening
  • Medication Management
  • Crisis Therapy
  • Coordination and referrals to services

Crisis Care Intervention

Elevate’s Family and Youth Crisis Intervention Program
provides in-home, strength-based programming to the child
and family to reduce the risk of continued or further involvement with the Department of Human Services,
Juvenile Court Services, and/or Law Enforcement.

The Family Crisis Specialist will connect the child and family with the resources they need to be successful, while providing support and mediation services to help the family
identify strengths, needs, and goals.

The Family Crisis Specialist will work collaboratively with
the family to use identified strengths, needs, and goals to aid
in the development and execution of action plans to support
positive outcomes for the child and family.

Taking referrals from: Department of Human services (DHS),
Juvenile Court Services (JCS) & Law Enforcement (LE).

For more information please contact Kristen Johnson, Family Crisis Specialist via phone or email below

Mental Health Services

Health Services Department offers a variety of services that target medication management, monitoring of basic blood labs, venipuncture, medication set-up, basic health education on medication compliance and more. The health services team consists of a psychiatric nurse practitioner, a nurse manager, RN’s, LPN and a medical assistant. Programs under Health Services include:

Medication Management

Medication Management is available to clients 5 years of age or older. Medication Management provides psychiatric evaluation and treatment by a psychiatric mental health nurse practitioner. The provider may offer pharmacological management, psychotherapy and social services based on the diagnosis and needs of the client. The psychiatric mental health nurse practitioner and the client work together to create a patient centered treatment plan based on the clients strengths and needs.

Injection Administration

Provides clients with injectable neuroleptics by a licensed nurse or medical assistant under the supervision of the treating psychiatric mental health nurse practitioner and/or treating physician.


Venipuncture is a procedure in which a blood sample is collected by certified staff at Elevate and taken to the lab for testing. This service is offered at the Elevate clinic for your convenience.

GeneSight Testing

The GeneSight Test may have the greatest potential to help clients whose treatment resistance may be related to gene-drug interactions. This simple nasal swab test must be ordered by the psychiatric nurse practitioner. If you are interested in GeneSight testing, inquire about it with the provider at your next appointment to see if you qualify.


  • Individual
  • Family
  • Couples
  • Group

We have a strong focus on play therapy, dialectical behavioral therapy and cognitive behavioral therapy for all ages and stages of life starting at age 5.

Our Services
Our Services

Substance Abuse Disorder Treatment

Our program is tailored to clients who are encouraged to find motivation in themselves to change where their life is heading. Our Substance Abuse Disorder Program provides cutting-edge treatment in a structured environment. Our services include:

Intensive Outpatient Program (IOP)
Mondays, Wednesdays and Thursdays

Extensive Outpatient Program (EOP)
Tuesdays and Thursdays

Individual Counseling Sessions Included
Coupled with Mental Health Therapist if needed.

Veteran Support

Peer Support:  Fridays 9:00-11:00 AM at the Black Hawk County Veterans Affairs Office.

Address4300, 1407 Independence Ave # 1, Waterloo, IA 50703

  1:1 Peer support available by appointment as well.

Green Zone Training: Military transition training available for employers, community members, etc. Covers struggles facing Veterans who are returning to the civilian world after serving United States.

To book your Green Zone Training please contact Emily Meier, Veteran Support Specialist at 319-610-0473.

Outreach: Building community partnerships with other Veteran organizations and agencies.

Our Services
4300, 1407 Independence Ave # 1, Waterloo, IA 50703
Fridays 9:00-11:00 AM at the Black Hawk County Veterans Affairs Office
For more information on Veteran Support please contact Emily Meier via phone number listed below.

Need immediate assistance?

For immediate assistance please call our partners at Your Life Iowa. IF THIS IS A LIFE-THREATENING EMERGENCY PLEASE CALL 911