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. The CSB also provides early intervention services for infants and toddlers who have developmental delays.

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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

2018 National Nurses Week logo

May 4, 2018
Rosaline Nankam, RN, BSN, Fairfax Detox When someone she recognizes returns to the Fairfax Detoxification Center, CSB nurse Rosaline Nankam doesn’t judge. Instead she smiles encouragingly and says, “Welcome back! We’re glad you’re here!” In her 14 years working at Detox, Nankam has seen people come back again and again, year after year, struggling to overcome their opioid dependence and the terrible toll it takes on their bodies and minds. Over 80 percent of the individuals treated at Detox are homeless; many have lost contact with their loved ones. Nankam is determined not to give up on them. Nankam says one of her most memorable patients was a man who came to Detox repeatedly for over 10 years. His need for heroin was so acute that he was injecting it directly into an open wound. One day something clicked, and he agreed to enter a CSB residential treatment program. He brought others to Detox for help and stayed drug-free for the rest of his life. “Detox is the entry point for people with many complex issues,” Nankam explains. “We have to listen closely, to know who we’re dealing with. Clients we serve have many other comorbidities and do not take care of themselves out there in the community. Besides their substance abuse issues, we also deal with medical issues such as diabetes, hypertension and other issues. These need to be addressed at the same time as the substance abuse issues, to increase their chances of remaining sober.” Wanda Orr, MSN, Fairfax Detox Wanda Orr, who also works at Detox, says that nurses there teach every opioid patient how to recognize the signs of overdose, what to do, what not to do, and how to administer Narcan, the life-saving medication that reverses opioid overdose effects. Orr also gives public presentations to educate the community about opioid abuse and how to get help. Nurses throughout the CSB – at Detox, residential treatment programs, outpatient services, clinics and at the jail – provide medication assisted treatment and associated case management for individuals who have opioid dependence. CSB Nursing Director Louella Meachem explains that medications such as Suboxone and Vivitrol reduce the craving for the opioid, so that the individual can remain opioid-free and focus on other aspects of their recovery. Jennifer Hansbrough, a nurse with CSB’s Addiction Medicine clinic at the Merrifield Center, provides medical assessments and triage, case management, prescription monitoring, and follow-up treatment referrals for approximately 80 - 90 individuals receiving medication assisted treatment on an outpatient basis. Hansbrough has spent the past six years working with people with substance use disorders, a population she describes as having been historically underserved and stigmatized. “I love what I do,” explains Hansbrough. “These are remarkable, resilient people in the midst of surviving an epidemic. To be the person that someone reaches out to, after they have lost so much, experienced so much trauma… it’s a huge thing. They keep trying, keep coming back. It’s a life and death struggle.” Hansbrough continues: “The biggest thing we want people to know is that we’re here, judgment free. Whatever stigma there is, it ends at the door.” Nankam, Orr, Meachem, and Hansbrough, with nurse colleagues throughout the CSB and Fairfax County, were honored by the Board of Supervisors on April 10, with a proclamation naming the week of May 6 – 12 as Nurses’ Week in Fairfax County. This year’s proclamation emphasizes the critical role of nurses in combatting the opioid epidemic in our community. If you or someone you know is using opioids and needs help, contact the CSB at 703-383-8500. In an emergency 24/7, contact Fairfax Detox at 703-502-7000 or CSB Emergency Services at 703-573-5679. Call 911 in a life-threatening emergency. Find out about CSB careers for nursing professionals.  

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May 3, 2018
Learn about some of the CSB’s programs, meet staff and consider a career with us.

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May 1, 2018
“Stars can’t shine without darkness.” A 32-year-old Fairfax County resident, Zoey*, experienced a dark journey through mental health challenges and unemployment for many years, but she is now “shining” as she spends her days working with a team of medical professionals who collect and analyze specimens to help guide paths to treatment. Zoey’s job requires specialized training in biology, strong attention to details and a steady hand, and she couldn’t be happier or more grateful. Interested in science and lab work since childhood, she is overjoyed that she’s working in her dream job that she plans to continue for the rest of her career. “Helping people to understand their medical prognosis and next steps in their journey to healthy, successful outcomes is an awesome place to be, but without the CSB’s help and support, this chapter in my journey never would have happened,” according to Zoey. To raise awareness during May as Mental Health Awareness Month, Zoey shares her personal experiences to highlight the importance of education, supportive employment and reaching out for help. Zoey’s Story At age 11, Zoey felt she did not want to live. Throughout her adolescence, she was consumed by dark and negative thoughts. This was her “every day” and she recalls now that she never knew there was any other way of thinking. In college, she experienced mental health challenges, hospitalizations and sought help from a therapist. For a while, Zoey coped. She married, worked a professional job, gave birth to a child and lived in a beautiful home. To many, it may have seemed Zoey lived an idyllic life, but her depression and illness continued. Her depression worsened and became a growing battle, one she took seriously after divorcing and losing her job. She knew her daughter needed her. At age 28, she felt she was spiraling out of control. Through a friend who had experienced substance use challenges, she learned about the Fairfax-Falls Church Community Services Board’s (CSB) mental health support. Alone, with nowhere to turn, and experiencing suicidal thoughts that wouldn't subside, Zoey drove to CSB's Merrifield 24-hour Emergency Crisis Response Center late one night where she shared her symptoms with clinicians. “It was the best move I’ve ever made,” she recalls. “After my assessment, the therapist told me that the CSB’s Crisis Care program had an opening and it would be the best place for me. She recognized my mental state was an emergency.” For two weeks, Zoey recalls her learning and astonishment at her life’s initial transformation that began to spring forth. “I never knew that there were other feelings aside from sadness and hate. The counselors opened my eyes to the positivity in life. I learned, most importantly, that my mental state was an illness - one that I had to take seriously and learn how to manage myself.” After the two week stay, Zoey was a candidate for CSB’s Adult Partial Hospitalization program. Between 9:30 a.m. and 2:30 p.m. each day, Zoey embarked on a mental health education period. She learned coping skills, participated in individual counseling, and attended group classes involving art, nutrition, exercise, and a job club. She was prescribed medication and psychiatric treatment, and learned about the Depression Bipolar Support Alliance, a support group that made a difference for her. Zoey shared a photo of a recent hike she enjoyed in the Great Falls area. “CSB staff were outstanding, they managed our groups with compassion and sensitivity, but with firmness and holding each of us accountable for creating goals and step-by-step plans. I met some supportive individuals who, like me, were just starting to get serious about recovery. I didn’t feel so alone anymore.” Zoey experienced a relapse after graduating from the eight-week program and returned to Crisis Care briefly. While there, Zoey was introduced to a CSB case manager who offered the support she needed. “We just clicked,” Zoey recalled. Over the next few months, Zoey’s strength and confidence began to surface and the counselor addressed the possibility of looking for work. Though she did not feel ready, Zoey knew it was the right thing to do and, logically, she wanted to support her child, so she agreed. Zoey was connected with CSB Supportive Employment services staff member Lauren Unger, CSAC, Employment Specialist. After the initial meeting, Zoey couldn’t have been more excited. Lauren Unger is a CSB Employment Specialist. She and her team provide multiple levels of support. These supports may include employment services but may also include a variety of other supportive services such as social skills training, health literacy and vocational trainings. “Lauren was confident when I wasn’t. She dusted me off and helped me with my resume, and was positive that a good position would come through for me. We met weekly; she gave me homework to apply for jobs in between, counseled me on interview questions to be prepared for, suggested how to approach people and how to follow up. She helped me climb higher than I ever dreamed I would, urging me to apply for jobs at prestigious companies and agencies. Best of all, Lauren was available. She followed up with me and held me accountable in a way I never experienced with others in my life, and, in the end, she was right about everything.” Zoey stresses that her journey is not over and she will continue to pay close attention to her mental and physical health for the rest of her life. “People typically do not understand that mental health is a thing, something that each one of us must take seriously. I wish I’d taken steps earlier to address it and I’m sad that I had to get so low before I finally acted,” she said. "I’m a middle-class girl with a diagnosis of bipolar II, chronic depression and anxiety. I was born with it and it was not my fault. I will always stay on top of this disease and through the tools I learned through CSB programs and support groups such as the National Alliance on Mental Illness-Northern Virginia (NAMI), I know that I can manage this. None of this has been easy, I did the work, nothing was handed to me. But because of people who cared and who believed in me such as Lauren and so many other CSB staff, I’m able to work in a career I love, fully enjoy my daughter, music, art, nature and taking walks with my dogs. I’m excited to see what the future brings." "I urge everyone to invest in the time to learn about mental health and not to wait to seek help if you, or your loved one’s need it.” Learn more about CSB emergency services, walk-in mental health assessments, or take a brief, online, confidential mental health screening to determine if you or someone you care about should connect with a professional. CSB Emergency Services at the Merrifield Center are available 24/7 at 703-573-5679.   *Zoey is a pseudonym; name is withheld to protect client confidentiality.  

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April 30, 2018
Have you or someone you care about experienced mental health or substance use disorders? Are you interested in a learning how to create simple wellness tools that can help you cope with life’s everyday challenges? Consider signing up for the CSB’s new Wellness Recovery Action Plan (WRAP) classes starting in May and June. The WRAP process is widely used by people in all kinds of circumstances, as well as by health care and mental health systems to help address all kinds of physical, mental health and life issues. WRAP will help participants discover individualized wellness tools, develop a list of steps to take each day to understand the cycles of wellness, and identify early warning signs of stress or anxiety. Each series consists of eight 2-hour classes grounded in mental health recovery concepts. Attendees will learn self-help tools and resources that can help lower stress and feel better during difficult times. Classes are free. Classes will be held at three locations across Fairfax County. Tuesdays, beginning May 8, 2018 10 a.m. to noon Consumer Wellness Center Heritage Building, East Wing 7611 Little River Turnpike Annandale, VA 22003 Wednesdays, beginning May 30, 2018 1 to 3 p.m. Reston Northwest Center 1850 Cameron Glen Drive, Suite 600 Reston, VA 20190 Fridays, beginning June 1, 2018 1 to 3 p.m. Merrifield Peer Resource Center 8221 Willow Oaks Corporate Drive, first floor Fairfax, VA 22031 Learn how to create an individualized “wellness toolbox,” recognize anxiety triggers and early warning signs of trouble, and develop tools on what to do in a crisis. Through a combination of lecture, discussion and group exercises, course participants will learn how to implement the key concepts of recovery (hope, personal responsibility, education, self-advocacy and support) in their day-to-day lives. Building better health is key to overall psychological well-being. Being mentally healthy is more than being free of depression or anxiety; it also means having a sense of contentment, resilience and an ability to maintain balance between work and play.  

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April 4, 2018
Is your substance use becoming a concern to you or your loved ones? Do you face negative consequences stemming from your substance use? Are relationships suffering with people important to you? Are you having trouble completing responsibilities required by your job or school? Reflecting on your substance use is a matter of engaging in good self-care and overall physical and mental wellness. National Alcohol Screening Day is Thursday, April 5. Why not use this opportunity to take a brief, free, confidential online screening? Following the screening, you’ll receive referral information on how to find support in your area. You’ll also have an opportunity to seek wellness advice with a video doctor on the topic of alcohol use. This screening tool is a service provided by the Fairfax-Falls Church Community Services Board (CSB). National Alcohol Screening Day is an initiative first launched in 1999 by the National Institutes of Health. The aim of this event is to increase public awareness that alcohol abuse and alcoholism (in which a person is dependent on alcohol), are recognized disorders which can be treated. Ready for a change? Get to know the signs of alcohol use disorder early. If you would like to schedule an in-person screening or assessing, you can come to the Merrifield Center without an appointment, Monday through Friday from 9 a.m. to 5 p.m. You’ll be asked to complete a written self-assessment about alcohol use. Health care professionals will discuss the results with you, listen to your concerns and direct you to appropriate resources if necessary. Call CSB’s Entry & Referral Services at 703-383-8500 for more information. Share this information with friends and family. Learn more about the symptoms of alcohol use disorder from the National Institute of Alcohol Abuse and Alcoholism. 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  

Get Involved

CSB Board CSB EventsDiversion First Interns & volunteersOnline and in-person trainingSuicide Prevention Alliance of No. Va. Welcoming Inclusion Network Youth Council




1:00PM, REVIVE! trains individuals on what to do and not do in an overdose…



5:00PM, Meeting agenda/packet



7:00PM, What is the Youth Council? The Youth Council is a group of high…

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.