Integrated Support and Recovery Services (ISRS), part of La Crosse County Human Services, provides mental health, substance use, and developmental support for thousands of county residents. Funded mainly through Medicaid, ISRS has about 100 staff working in the Crisis Unit, Outpatient Clinic, and several programs that support both youth and adults.

The Crisis Unit responds 24/7 to mental health and substance use emergencies, by phone or in person. They stabilize situations, plan for safety, and connect people to ongoing help. In 2025, they handled 5,530 crisis calls.

The Outpatient Clinic offers therapy, substance use support, and psychiatric medication services, usually getting people in within a week or two. The clinic also helps people entering or leaving residential substance use treatment. In 2025, ISRS funded 1,975 days of residential treatment for 77 people and helped 86 others secure sober or transitional housing.

Two case‑management programs help people with mental health and substance use recovery. CCS (Comprehensive Community Services) served 236 youth and adults last year. CSP (Community Support Program) supports adults with more serious needs, providing intensive, often daily help. The county contracts with Family and Children’s Center to serve 55 adults and is adding an internal program for 10 more.

ISRS also runs two programs for young children. CLTS (Children’s Long‑Term Support) helps children with disabilities or significant mental health needs stay safely at home by funding respite care, skill‑building, equipment, and home modifications. CLTS currently serves 795 youth. The county’s Birth‑to‑3 program, offered through The Parenting Place, provides speech, physical, and occupational therapy in natural settings like homes or childcare. To request a screening, call 608‑784‑8125.

Most ISRS services are voluntary. “Change doesn’t always happen on the first try, and that’s okay,” said ISRS Manager Anneliese Skoda. “ISRS is built to meet people where they are.”

While most funding comes from Medicaid, many services can also be billed to private insurance or offered on a sliding‑fee scale. If someone in La Crosse County is struggling with mental health or substance use, ISRS is an accessible first stop. Walk in or call 784‑HELP (608‑784‑4357) to get connected.