The Fairfax-Falls Church Community Services Board provides and coordinates a system of community-based supports for individuals and families of Fairfax County and the cities of Fairfax and Falls Church who have developmental disabilities, mental illness and/or substance use disorders or developmental delays.
Everyone in our community has the support needed to live a healthy, fulfilling life.
- Diversion First: It is imperative that we decriminalize mental illness. CSB is a key player in Fairfax County’s Diversion First initiative, which is providing alternatives to incarceration for people with mental illness and disabilities who have low-level encounters with law enforcement.
- Opioid epidemic: Prevention, intervention, treatment and diversion are a legislative priority and a funding emergency. As overdose fatalities increase, our wait lists for treatment services continue to grow.
- Housing, housing, housing: Our community simply does not have enough affordable permanent housing for people with behavioral health challenges and developmental disabilities. Having a safe, stable place to live is critical for successful recovery and life in the community.
- Integrating behavioral health and primary health care: People with serious mental illness are dying prematurely, not from their mental illness, but from other medical conditions that could be prevented if they had integrated primary health care.
- Increasing need for publicly funded youth services: The private sector does not meet the need for affordable outpatient treatment, and CSB is nearing capacity.
Implementation of Developmental Disabilities waiver redesign:
CSB has new, legally mandated responsibilities to implement a
redesigned system of services for people with developmental
disabilities, funded through Medicaid waivers. Fairfax’s CSB has also
historically provided locally funded, non-mandated employment
and day services for individuals with intellectual disability. CSB and
Fairfax County are challenged now to provide these non-mandated
services in an equitable, sustainable way to many more people,
including newly eligible individuals who have developmental
disabilities other than intellectual disability.
Important note: CSB anticipates having sufficient reserves – without needing additional funds in the FY 2018 budget – to provide employment and day services for the anticipated number of students graduating in 2017 who will need them, along with other newly eligible individuals from the community who come forward in FY 2017, per current eligibility guidelines. New program guidelines would be phased in during FY 2018 and would apply to new applicants only, not to individuals already receiving the services. Read more below about future plans for CSB developmental disabilities services.
FY 2017 Carryover Budget
On July 25, 2017, County Executive Ed Long presented recommendations to the Board of Supervisors (BOS) for the use of carryover funds from Fiscal Year 2017 which ended June 30, 2017. Carryover is the process to re-appropriate from one year to the next any unspent or unencumbered funds for goods and services.
The recommendations include funding to the CSB to help address the opioid epidemic. This includes $1.1 million to increase residential treatment and medical detoxification beds and an additional $2.5 million set aside in reserve for use as further strategies are developed to combat opioid use. Read the full proposal.
Next steps in the process include a public hearing September 12, 2017, at 10:30 a.m. during the BOS meeting, followed by a vote.
FY 2018 Budget
The FY 2018 budget for Fairfax County was approved
by the County’s Board of Supervisors on May 2, 2017. The budget
includes additional funding of $1,995,000 and 18 new staff positions
for Diversion First, including
seven CSB staff positions. This funding allows 24/7 Fairfax County
Police Department/Sheriff coverage at the Merrifield Crisis Response
Center and extends the reach of Diversion First across more Intercepts,
especially the Courts.
The FY 2018 budget also includes an additional $2.3 million for CSB to hire 22 additional Developmental Disabilities Support Coordinators, in response to growing demand for these mandated services resulting from the state's Medicaid Waiver system redesign.
As a cost-saving measure, the advertised budget had included proposals to eliminate two CSB programs: Youth Day Treatment and the Community Readiness and Support Program (CRSP). The final budget eliminated funding for Youth Day Treatment, but restored funding and staff positions to continue the second program, CRSP.
- Read the public testimony presented by CSB Board members to the Fairfax County Board of Supervisors on April 6, 2017.
- Read public testimony presented by the CSB to the Fairfax County Human Services Council on Feb. 21, 2017 by CSB Executive Director Tisha Deeghan and on March 9, 2017 by CSB Board Vice Chair Suzette Kern.
- Read the Community Services Board's portion of the Fairfax County FY 2018 Advertised Budget Plan.
- Learn more about the County budget.
CSB’s proposals for the future of its non-mandated employment and day services are described in this Feb. 21 presentation to the Housing and Human Services Committee of the Board of Supervisors. Further clarification is provided in CSB’s response to questions from the County Board of Supervisors regarding services for individuals with developmental disabilities.
Detailed information is available in the Frequently Asked Questions on CSB Priority Access Guidelines for People with Developmental Disabilities. (Updated April 3, 2017)
The FY 2018 Advertised Budget Plan fully funds 22 additional full-time equivalent CSB staff positions to provided mandated support coordination services for individuals with developmental disabilities. This is in addition to 4 new positions funded in FY 2017 for this purpose.