Fairfax-Falls Church Community Services Board

Fairfax County, Virginia



Emergency - 703-573-5679 Detox - 703-502-7000 (24/7)

703-383-8500 | TTY 711

8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031

Daryl Washington, Executive Director

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The Fairfax-Falls Church Community Services Board provides services for people of all ages who have mental illness, substance use disorders, and/or developmental disabilities.

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Need emergency help?

Call 911 if immediately life-threatening and ask for Crisis Intervention trained officer.

Emergency mental health services 24/7
703-573-5679   TTY 711

Fairfax Detoxification Center 24/7
TTY 703-322-9080

Or come directly to the Merrifield Center

Need information & services?

For other CSB services, call CSB Entry & Referral
703-383-8500   TTY 711
Mon. – Fri., 9 a.m. to 5 p.m.

Come directly to the Merrifield Center for a screening
Mon. – Fri., 9 a.m. to 5 p.m.
(Extended youth hours until 7 p.m. on Tues.)

Learn more about services for...

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CSB News

Photo of doctor taking notes talking to patient

June 28, 2018
An analysis of overdose events at emergency departments in Fairfax County shows that opioid overdose deaths are increasing and are now the leading cause of unnatural death in the county, exceeding motor vehicle and gun deaths. The data show that the highest rates of overdose emergency visits occur in younger age groups, are equally common among men as women, and occur throughout the county and with no geography or income pattern. While more data analysis is underway, the CSB and community partners are examining new strategies to deal with the public health crisis, and to save lives. Slated to begin in July, the Fairfax-Falls Church Community Services Board (CSB) will offer expanded Medication Assisted Treatment (MAT) services to people seeking support for opioid use disorder. MAT involves the use of FDA-approved medications in combination with counseling and behavioral therapies to provide a "whole patient" approach to the treatment of substance use disorders. These new MAT services include a team of doctors, a physician assistant, nurses, counselors and peer recovery staff. According to Colton Hand, M.D., CSB Medical Director, there are multiple challenges associated with the treatment and support of individuals with opioid disorders. "This is an extraordinarily complex disease, yet we know recovery is possible. Medical and counseling staff are working side by side to best support our clients' efforts toward recovery. Our programs are making service delivery changes to help address the epidemic." In January 2018, the Fairfax County Board of Supervisors established an Opioid Task Force to provide recommendations on how the county should address opioid misuse and disorders in our community. The group has two key goals: to reduce death from opioids through prevention, treatment and harm reduction, and to use data to describe the problem, target interventions and evaluate effectiveness. As its title explains, MAT is medically based and designed to treat addiction as a disease. The primary medical component of MAT is Suboxone. This medication reduces opioid withdrawal symptoms, as well as reducing the risk of opioid overdose. Suboxone also helps individuals in recovery by binding to the opioid receptors in the brain to reduce cravings. Specialized training is required before a physician or nurse practitioner can be authorized to prescribe this medication, which includes a specific DEA waiver. In addition to Suboxone, other services provided include individual and group counseling, outreach and engagement, care coordination, pharmacy, nursing and primary care. According to Dr. Hand, historically, the goal and philosophy of some substance abuse treatment has been primarily "abstinence-only" but he is optimistic that MAT will do more to save lives and support recovery. Our CSB team has now developed more individualized treatment approaches that can accommodate the multiple challenges associated with the disease of addiction. "We are working hard to add flexibility to our treatment protocols and take into account critical issues in a person's life such as employment, housing, transportation, and family obligations. These factors influence both short-term treatment and long-term recovery." "We do as much as we can to continue to engage people in services, especially during relapses. When someone relapses, they are in a very high risk and vulnerable state. That is the time when a person needs the most support," explained Dr. Hand. Currently, a person may access MAT services in our residential programs as well as in CSB outpatient programs. There are roughly 100 individuals enrolled in MAT now; with these program enhancements, there will be room for others. "Our multidisciplinary MAT team works closely with detox, residential, and staff across the CSB to make sure we follow up and stay engaged with our clients. The crisis demands it and we know that these changes have already saved lives. Hopefully, there will be more options on the horizon as research continues on substance use disorder treatments. We'll do our best to continue collaborating, learning and adapting." Need help with a substance abuse issue? Call the Fairfax-Falls Church Community Services Board: Emergency Services (24/7) – 703-573-5679 (TTY 711) Fairfax Detoxification Center (24/7) – 703-502-7000 (TTY 703-322-9080) CSB Entry & Referral Services – 703-383-8500 Call 911 for life-threatening emergencies

Photo of sign-in kiosk

June 22, 2018
Visitors to the Fairfax-Falls Church Community Services Board's Merrifield Center will notice a new feature when they enter the walk-in screening area: a stand-up information kiosk. Part of a pilot project, with two more kiosks coming to Merrifield soon, the new feature aims to improve the customer service experience and decrease wait times for individuals who are seeking mental (behavioral) health services.   Often when people recognize that they need help, there may be a brief window of time when a person is willing to track down and receive help. If a person has to wait too long for services, the chance to help may be lost.  CSB’s Business Operations Director manager Lakeisha Flores says the new kiosks are modeled after what our clients are seeing across the community in medical other health settings. “Visit any urgent care, most doctors’ offices, and retail pharmacies and you’ll be handed an iPad to fill out your preliminary information. The new kiosk provides a similar service,” she said. “Between our business operations and clinical staff, we’re working collaboratively to find ways to streamline our processes and provide better, faster services and meet the demands of our community.” After the registration, which consists of five simple questions, the CSB’s PatientTrak software alerts staff when an individual has registered with the kiosk for a screening. Based on clinicians’ schedules and availability, as well as the needs of the client, individuals are triaged and seen by the next available staff member. Lakeisha Flores, CSB’s Business Operations Director, demonstrates the new customer service kiosk. So far the new kiosk is providing service without any problems or delays. On any given day, the CSB’s Merrifield Center is a busy place. Individuals of any age seeking help for a mental health and/or substance use concern, may walk in, without prior appointment, to the CSB’s Merrifield Center and speak with a staff member face-to-face, rather than initiating contact over the phone. Roughly an average of 250 adults and 100 youth come to the walk-in screening area of the Merrifield Center each month. Between January and May of 2018, there were 1,276 adults screened, and of those 640 (around half) moved on to receive mental health assessments and initial diagnoses by CSB staff. For youth, in the same timeframe, 577 sought screenings and 449 required additional assessment services. According to Mike Suppa, who manages the CSB’s intake area, “We’re listening to our clients’ needs and feedback; we’ll continue to do that.” He adds that the demand for CSB services is steady. “Staff reported there were eight clients at our office before we opened our doors at 9 a.m. on Monday morning, the day we implemented the new kiosk. They were glad to see that it worked without a glitch.” The CSB has approximately five licensed clinicians on duty who provide adult screening and assessment services during the CSB’s business hours. Additionally, there are other staff members who are available to assist with the walk-in services. For youth, there are two staff members and a supervisor who provide these services. If you or a loved one has questions regarding services that may be available, contact the CSB at 703-383-8500 (M-F, 9 a.m. to 5 p.m.). In an emergency 24/7, call CSB Emergency Services at 703-573-5679 or the Fairfax Detox Center at 703-502-7000 (TTY 703-322-9080.  

Photo of family in kitchen making dinner

June 19, 2018
Talk. They hear you. Summer’s here, school’s out and young people may have more downtime than usual. Why not take advantage of this time to practice talking to your kids about the dangers or risks of alcohol? Small conversations can make big impressions. Nationally, alcohol is the most commonly used and abused drug among youth in the United States. According to the U.S. Centers for Disease Control, youth who drink alcohol are more likely to experience poor grades, social and legal problems, disruption in growth and development, abuse of other drugs, memory problems and more. Youth who start drinking before age 15 years are six times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or after age. Locally, according to Fairfax County Youth 2016 Survey data, roughly 16.1 percent of eighth-grade students say they have tried alcohol. By grade 12, that number jumps to 54.3 percent. Research shows that parents are the number one reason young people decide not to drink. Fairfax-Falls Church Community Services Board's Wellness, Health Promotion & Prevention team launched a new education campaign this week, "Talk. They hear you." Residents are invited and encouraged to attend brief, free lunchtime presentations to learn about this underage drinking prevention campaign which focuses on children between ages 9-15. The campaign features an interactive mobile app involving simulations and avatars to help parents practice bringing up the topic of alcohol, learn the right questions to ask, and explore ideas on how to keep the conversation going. The app is free and easy to use. Issues covered in the CSB’s lunchtime presentations include: How to tell if your child is drinking alcohol. Consequences of underage drinking. What you can do to prevent your child from drinking. Why small conversations make a big impression. Why you should talk with your child about alcohol. Why your child might start drinking. Join CSB prevention specialists; bring a friend, and register now. Make a difference in the life of a child you care about. Lunch will be provided for those who RSVP and attend the full presentation. Available sessions Wednesday, June 20, 2018 Noon to 1 p.m. at the Merrifield Center in Fairfax Wednesday, June 27, 2018 Noon to 1 p.m. at the Gartlan Center in Alexandria Thursday, June 28, 2018 Noon to 1 p.m. at the Northwest Center in Reston  

Photo of attendees at REVIVE training

June 13, 2018
As the opioid epidemic remains a growing concern in Fairfax County and across the U.S., the Fairfax-Falls Church Community Services Board (CSB) has expanded their REVIVE (opioid reversal) training to include the Reston area. The one-hour, free course will be held at 10 a.m. on Friday, June 29, at the CSB’s Northwest Center in Reston. The course offers a chance for residents to acquire lifesaving tools against overdoses. Residents will learn to administer naloxone, what to do and not to do in an overdose emergency, how to administer the lifesaving medication and what to do afterward during REVIVE training. Attendees also learn about safety plans to help individuals prevent overdose in the event of a relapse. Free naloxone, the drug that reverses opioid overdoses, will be available to attendees who meet eligibility requirements. The CSB has been offering community trainings across Fairfax County since 2015 and, as the epidemic has grown, has expanded the number of trainings. So far, over 1,800 people have taken the REVIVE training. Initially, many of the attendees were people whose lives had been impacted by substance use disorders or the opioid epidemic in some way. But according to Miranda Gillespie, a substance abuse counselor at CSB’s A New Beginning program, the classes are now drawing many who do not have any connection to the crisis, they simply want to help. “We are seeing people who have CPR training and who want to be prepared to help others. Like CPR, our course is one that can be used by anyone who encounters a person who is overdosing. We’ve trained parole officers, people who work in schools and the courts, and mothers and fathers from across the county. It’s very encouraging to see.” Gillespie adds that REVIVE classes are offered at A New Beginning in Chantilly once a month on Sundays at 3 p.m. and all are welcome. [See the full list of REVIVE classes.] The trainings started as our CSB partnered with the Virginia Department of Behavioral Health and Developmental Services and the Chris Atwood Foundation. Front of card. CSB has wallet-sized information cards designed for quick, easy access to CSB resources and phone numbers. Cards can be distributed to people at risk of overdose, and to all community members, upon request. Email your request to the CSB Communications Office or call 703-324-7006 (TTY 711). Residents can get assistance finding treatment options by calling CSB Entry & Referral at 703-383-8500 Monday through Friday from 9 a.m. to 5 p.m., or the Fairfax Detoxification Center at 703-502-7000, available 24/7. If you believe you or someone is overdosing, call 911 immediately.  

Photo of woman typing on smart phone

June 7, 2018
The number of people seeking help from Fairfax-Falls Church Community Services Board (CSB) partner PRS CrisisLink is rising, most notably among women help-seekers, according to recent data. PRS CrisisLink data, from May 2017-2018, shows that the number of women seeking mental health support rose 66% in the past year, from 1,838 to 3,060. The number of calls that were serious enough to require an emergency response more than tripled over the past year, from 82 to 252. Additionally, 22% of females spoken to by Crisis Link volunteers were actively suicidal and 19% of males were suicidal. The number of men and women who were at high risk for suicide increased over the past year. Additionally, of the women callers, 36% were at high risk for a suicide behavior compared to males at 29%. Last year 664 women were considered high risk, this year 1,181. Of male callers, 544 last year were considered high risk and this year that figure rose to 730. The U.S. Centers for Disease Control (CDC), reports that over 10,2000 women take their lives each year (2017) and that 28 women die by suicide every day in the U.S. Most commonly, callers to PRS CrisisLink focused on feelings of anxiety, loneliness, concern about mental illness, and life stress. Other topics included anger, depression, and relationships. Suicidal thoughts can affect anyone regardless of age, gender or background, or income; it is the third leading cause of death among young people in the Commonwealth of Virginia. If you or someone you care about may be at risk of suicide, don't hesitate to reach out for help right away. Remember: suicide is preventable. Resources available 24/7 include: Community Services Board Emergency Services at 703-573-5679. Text "CONNECT" to 855-11 to contact PRS CrisisLink. Call PRS CrisisLink at 703-527-4077. Other ways you can help prevent suicide: Learn the signs of suicide. Find out more about CSB's Mental Health First Aid courses and sign up for a Youth, Adult, or Spanish language class. Volunteer for the PRS CrisisLink hotline. Sign up for a summer training course: June 26 & 28 from 6:30 to 9:30 p.m., July 7 & 8 (Applied Suicide Intervention Skills Training) from 9 a.m. to 5 p.m., July 10 & 12 from 6:30 to 9:30 p.m., or online July 19 from 6:30 to 9:30 p.m. Contact PRS' Christina Holman, 703-625-8568. Attend the next SPAN meeting on Monday, June 25, 7 p.m., CSB’s Merrifield Center. The Suicide Prevention Alliance of Northern Virginia (SPAN) is a regional coalition of the Alexandria, Arlington, Fairfax-Falls Church, Loudoun and Prince William Community Services Boards (CSBs) and other groups in Northern Virginia, that work together to raise awareness and share resources to prevent suicide. Join the Out of the Darkness Community Walk planning efforts with the National Capital Area Chapter of the American Foundation for Suicide Prevention; contact Ellen Shannon, or Karrie Boswell to learn more.

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About the Health & Human Services System

This is agency is a part of the Fairfax County Health & Human Services System (HHS). The HHS System is a network of county agencies and community partners that support the well-being of all who live, work, and play in Fairfax County.