Skip to main content
Fairfax County, Virginia
Fairfax County Virginia
Fairfax County Virginia

FFX Global Navigation

    • CSB Home
    • Careers with the CSB
    • About the CSB
      • About
      • Locations
      • News
      • Events
      • Publications
      • Newsletter
      • Contact Us
    • CSB Service Areas
      • Services Overview
      • Children, Youth & Families
      • Mental Health
      • Developmental Disabilities
      • Substance Use Disorder
      • Prevention & Wellness
      • Recovery & Peer Support
      • Suicide Prevention
      • Trainings
    • Accessing CSB Services
      • Get Help in an Emergency
      • Get Help When it's Not an Emergency
      • Locations
      • Referrals to the CSB
      • Registration Forms
      • Paying for Services
      • Online Payment Portal
      • Requesting Your Medical Record
      • Privacy Practices
    • CSB Board
    • Freedom of Information Act (FOIA) Requests
    • Your Rights & If You Have a Complaint
  • Residents
    • Animals & Pets
      • Adoptions
      • Animal Control & Regulations
      • Guide to Dogs
      • Lost & Found Pets
      • Shelter Support & Supplies
      • Wildlife
      • More
      Courts & Legal
      • Case Information
      • Circuit Court Docket
      • Jury Duty
      • Land Records
      • Magistrate
      • Public Law Library
      • Self-Help Resources
      • Traffic Court
      • Vital Records
      • More
      Environment & Energy
      • Invasive Species
      • Litter
      • Recycle, Trash & Compost
      • Sustain Fairfax
      • Trees
      • Watersheds
      • More
      Health & Human Services
      • Basic Needs & Assistance
      • Disability Services
      • Diseases & Conditions
      • Domestic & Sexual Violence
      • Health Clinics
      • Mental Health
      • Opioids
      • More
      Individuals & Families
      • Children & Youth
      • Federal Workforce
      • Immigrants
      • Military & Veterans
      • New Residents
      • Older Adults
      • Parents
      • People with Disabilities
      • Volunteers
      • More
      Land Use & Planning
      • Comprehensive Plan
      • County Capital Projects
      • Land Records
      • Parks Planning
      • Planning Projects
      • Research Tools
      • Transportation Projects
      • Urban Centers
      • More
      Library & Education
      • Adult Education
      • Early Childhood Programs
      • Library Branches
      • Library Catalog Search
      • Public Schools
      • More
      Parks & Recreation
      • Arts
      • Athletic Fields
      • Camps
      • Community Centers
      • Parktakes Classes
      • Rec Centers
      • Senior Centers
      • Teen Centers
      • Trails
      • More
      Permits & Licenses
      • Birth & Death Certificates
      • Building
      • Child Care
      • Dogs
      • Health
      • Marriage
      • Park Use
      • Solicitors
      • More
      Property & Housing
      • Affordable Housing
      • Code & Zoning
      • Neighborhoods
      • Real Estate Values
      • Recycling & Trash
      • Tenant Landlord Issues
      • Utilities
      • More
      Public Safety & Emergencies
      • 9-1-1
      • Emergency Preparedness
      • Fire & Rescue
      • Gun Violence Prevention
      • Police
      • Scams
      • Sheriff
      • Storm Center
      • More
      Roads & Commuting
      • Bike & Walk
      • Connector Bus
      • Metrobus & Metrorail
      • Park & Ride
      • Pedestrian Safety
      • Road Maintenance/VDOT
      • Street Parking
      • Toll Roads
      • Transportation Projects
      • More
      Taxes & Fees
      • Car Taxes
      • Park Fees
      • Real Estate Taxes
      • Tax Relief
      • Trash Disposal Fees
      • More
      Voting & Elections
      • Absentee Voting
      • Early Voting
      • Election Results
      • Polling Places
      • Voter Registration
      • More
      Weather & Climate
      • Air Quality
      • Climate Action Dashboard
      • Extreme Heat
      • Floods
      • Ready Fairfax
      • Resilient Fairfax
      • Snow
      • Tornadoes
      • More
  • Business
    • Business & Construction
      • Building Permits
      • Code & Zoning
      • Land Use
      • More
      Business Services
      • Business Emergency Preparedness
      • Business Taxes
      • Consumer Services
      • Employer Transportation Service
      • Green Business Partners Program
      • Home-Based Business
      • Regulation & Licensing
      • Small Business
      • Starting a Business
      • Workplace Issues
      • More
      Doing Business with Fairfax
      • Contracting and Procurement
      • Current Solicitations
      • Permits
      • Vendor Pitch Portal
      • More
  • Government
    • About
      • Codes & Standards
      • Countywide Strategic Plan
      • Facilities & Locations
      • History of Fairfax County
      • Operating Status
      • More
      Board of Supervisors
      • Auditor
      • Board Members
      • Boards, Authorities & Commissions
      • Clerk Services
      • Committees
      • Meetings & Agendas
      • More
      Budget & Finance
      • Bonds
      • Budget
      • Financial Transparency
      • Unclaimed Money
      • More
      Departments & Agencies
      Jobs & Employment
      • Full-Time Openings
      • Internships
      • Seasonal & Non-Merit
      Maps & Data
      • Countywide Data Analytics
      • Demographics
      • Geographic Information Systems
      • Interactive Data Tools
      • More
      One Fairfax
      • Digital Equity
      • Inclusive Engagement
      • Trust Policy
  • Fairfax County Virginia
  • Services
    • Find
      • Animal Services
      • Health Clinics
      • Jobs
      • Library Resources
      • Lost or Found Pet
      • Mental Health Support
      • Park Classes
      • Real Estate Values
      • Recycling & Trash
      • Volunteer Opportunities
      • More
      Pay
      • Business Taxes
      • Car Taxes
      • Dog Licenses
      • Driving & Parking Fines
      • False Alarm Fees
      • Real Estate/Property Taxes
      • SACC Payments
      • More
      Register/Apply
      • Basic Needs & Assistance
      • Building Inspections
      • Car Registration
      • Fairfax Alerts
      • Permits & Licenses
      • Tax Relief
      • Vote
      • More
      Report
      • Animal Control Issues
      • Consumer Complaints
      • Crime
      • Domestic Violence
      • Financial Crimes
      • Neighborhood Complaints
      • Road Issues to VDOT
      • Street Light Outages
      • More
  • Connect
    • Alerts, Emails & Apps
      • Email Subscriptions
      • Fairfax Alerts
      • Mobile App
      • More
      Community Engagement
      • Surveys & Projects
      Contact
      • Directory
      • Hotlines & Emergency Numbers
      • VDOT
      • VFOIA Requests
      • More
      News & Events
      • Daily Headlines
      • Emergency Information Blog
      • Events Calendar
      • NewsCenter
      • NotiCentro (Spanish)
      • Public Meetings Calendar
      • More
      Social Media
      • Comments Policy
      • Directory of Accounts
      • More
      TV, Video & Podcasts
      • Channel 16
      • Podcasts & Radio
      • YouTube
      • More
  • TRANSLATE
    • Language Selection

      To change the language of this website, click the drop-down list and select the desired language. The Fairfax County Web site is being translated through "machine translation" powered by Google Translate. Disclaimer

Fairfax-Falls Church Community Services Board

  1. Home
  2. Community Services Board
  3. Regional Polysubstance Forum — October 19, 2026

Fairfax-Falls Church Community Services Board Alert:

CONTACT INFORMATION: Emergency - 703-573-5679 / Detox - 703-502-7000 (24/7)
703-383-8500 TTY 711
csb@fairfaxcounty.gov
8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031
FairfaxCSB
Jordan A. Scheff
Executive Director

Department Resources

  • CSB Home
  • Careers with the CSB
  • About the CSB
    • About
    • Locations
    • News
    • Events
    • Publications
    • Newsletter
    • Contact Us
  • CSB Service Areas
    • Services Overview
    • Children, Youth & Families
    • Mental Health
    • Developmental Disabilities
    • Substance Use Disorder
    • Prevention & Wellness
    • Recovery & Peer Support
    • Suicide Prevention
    • Trainings
  • Accessing CSB Services
    • Get Help in an Emergency
    • Get Help When it's Not an Emergency
    • Locations
    • Referrals to the CSB
    • Registration Forms
    • Paying for Services
    • Online Payment Portal
    • Requesting Your Medical Record
    • Privacy Practices
  • CSB Board
  • Freedom of Information Act (FOIA) Requests
  • Your Rights & If You Have a Complaint
  • facebook
  • twitter
  • linkedin

Regional Polysubstance Forum — October 19, 2026

Region 2's inaugural Regional Polysubstance Forum is an opportunity to deepen our understanding of addiction and polysubstance use, learn from experts in the field and strengthen skills that can be applied in our work. We designed the program to expand knowledge of emerging issues and evidence-based approaches to prevention, treatment and recovery; provide practical strategies for supporting individuals affected by substance use; and create opportunities to learn from and connect with colleagues across the region.

We present this forum in partnership with the Opioid Response Network (ORN). We hope that it offers new knowledge, practical skills and greater confidence to support the individuals, families and communities you serve.

Forum Program

About Region 2

The Virginia Department of Behavioral Health and Developmental Services (DBHDS) oversees statewide behavioral health services through a regional model led by Community Services Boards (CSBs), which serve as local entry points for public mental health, developmental disability, and substance use services. DBHDS Region 2 includes CSBs from the City of Alexandria, Arlington County, Fairfax-Falls Church, Loudoun County, and Prince William County.

The Northern Virginia Regional Projects Office (NVRPO) manages regional initiatives for these five CSBs and the Northern Virginia Mental Health Institute (NVMHI). It facilitates collaborative meetings and oversees the Northern Virginia Regional Utilization Group, a subcommittee of the Regional Management Group. This group monitors service utilization, develops regional protocols, and supports collaboration across Region 2 and the state, and frequently engages DBHDS, hospital partners, and Crisis Stabilization Units (CSUs).

About the Opioid Response Network (ORN)

The Opioid Response Network (ORN) was established in 2018 in response to a grant awarded to the American Academy of Addiction Psychiatry (AAAP) from the Substance Abuse and Mental Health Services Administration (SAMHSA). Today, ORN is funded through SAMHSA’s State Opioid Response / Tribal Opioid Response – Technical Assistance (SOR/TOR-TA) program. AAAP leads the network in collaboration an unprecedented alliance of national organizations.

ORN advances the provision of evidence-based substance use-related approaches and interventions across the country, and across the lifespan, to reduce the impacts of opioid and stimulant misuse and use disorders on individuals, families and communities. ORN provides free educational resources and technical assistance across the continuum of prevention, treatment and recovery support services.

  • 8:30 a.m. to 9:00 a.m.: Registration (Forum Entrance)
  • 9:00 a.m. to 9:15 a.m.: Welcome and Opening Remarks (Board Auditorium)
  • 9:15 a.m. to 10:15 a.m.: Morning Keynote Presentation, A Somatic Approach to Treating SUD, Dr. Shekila Melchior, PhD, LPC (Board Auditorium)
  • 10:30 a.m. to 12:00 p.m.: Morning Breakout Sessions
    • Understanding and Treating Co-Occurring Disorders, Dr. Shekila Melchoir (Room 2/3)
    • Emerging Polysubstance Use Trends in Virginia: Fentanyl, Stimulants, Kratom, and Novel Adulterants, Dr. Hector Colon-Rivera (Room 4/5)
    • Working with Adults with Intellectual & Developmental Disabilities and Substance Use Disorder, Marylou Bryan (Room 7)
    • Navigating Substance Use Assessments: A Pathway to Prevention and Recovery, Dr. Mary Darden-Robinson (Room 8)
    • Grief Matters: An Overview of Grief and its Impact on Substance Use Disorder and Recovery, Katy Maynard (Room 9)
    • A Dangerous Intersection: Social Media, Substance Use, Mental Health, and Online Exploitation, Rikki Barton (Room 10)
  • 12:00 p.m. to 1:30 p.m.: Lunch on Your Own
  • 1:30 p.m. to 2:30 p.m.: Afternoon Keynote Presentation, From Navy SEAL to Clinician: Recovery, Resilience, and the Courage to Ask for Help, Dr. Robert "Tony" Dice, CSAC, PhD (Board Auditorium)
  • 2:30 p.m. to 2:45 p.m.: Break
  • 2:45 p.m. to 4:15 p.m.: Afternoon Breakout Sessions
    • Collateral Damage: The Deadly Mix of TBI, Grief, and Addiction in Our Heroes, Dr. Robert "Tony" Dice (Room 2/3)
    • Substance Use Disorders in Older Adults, Dr. Michael Fingerhood (Room 4/5)
    • When Gambling and Stimulant Use Collide, Ben Stevenson (Room 7)
    • Enhancing Substance Use Prevention Conversations and Resources, Dr. Mary Darden-Robinson (Room 8)
    • Supporting Recovery, Strengthening Families: An Overview of Care for Pregnant and Parenting Women, Katy Maynard (Room 9)
    • Updates on Mechanism Based Medications for Opioid Use Disorder, Dr. Rob Trainer (Room 10)

Understanding and Treating Co-Occurring Disorders (Dr. Shekila Melchoir)

This session explores co-occurring substance use and mental health disorders. Participants will examine how symptoms can interact, overlap, and ultimately impact clinical assessment, treatment, and recovery. Attention will be given to the ways trauma, social determinants of health, culture, stigma, and barriers to care can shape an individual’s experience. Participants will engage in a case study to identify strategies for recognizing co-occurring disorders and treating individuals with them.

Learning Objectives

  • Describe common ways substance use and mental health disorders may interact and influence clinical assessment, treatment, and recovery.
  • Identify key considerations for recognizing and responding to co-occurring disorders through an integrated, culturally responsive approach.
  • Apply collaborative strategies that strengthen coordination among behavioral health providers, peer recovery specialists, healthcare professionals, and community-based supports.

Emerging Polysubstance Use Trends in Virginia: Fentanyl, Stimulants, Kratom, and Novel Adulterants (Dr. Hector Colon-Rivera)

Virginia has seen a notable decline in fatal drug overdoses since 2021, but opioids like fentanyl remain the leading cause of overdose deaths, often in combination with stimulants such as cocaine and methamphetamine. This presentation will review recent statewide data on overdoses, highlighting common polysubstance use patterns and practical strategies for screening, prescribing, harm reduction, and integrated treatment.

We will also discuss traditional kratom use and the rise of novel kratom-derived products, addressing changes in marketing, media coverage, and regulatory responses. The pharmacology of kratom and its key alkaloids, mitragynine and 7-hydroxymitragynine, will be explained, focusing on their implications for addiction risk and adverse effects.

Additionally, we will explore the emergence of potent synthetic opioids like nitazenes and veterinary sedatives such as xylazine and medetomidine as fentanyl adulterants. The session will cover overdose profiles, naloxone response, and associated risks, using case reports to illustrate the challenges in diagnosing and treating individuals using these substances.

We will outline next steps for enhancing epidemiologic surveillance and clinical practice, allowing time for attendee questions and discussion.

Learning Objectives

  • Describe recent trends in fatal and non‑fatal drug overdoses in Virginia, including changes in overdose rates since 2021 and the ongoing role of fentanyl and other opioids in polysubstance mortality.
  • Identify common polysubstance use patterns, such as fentanyl–cocaine, fentanyl–methamphetamine, and opioids with alcohol or sedatives. Also, note how adulterants like nitazenes, xylazine, and medetomidine increase overdose risk and impact harm-reduction strategies in Virginia.
  • Explain the pharmacology and addictive potential of kratom and its main alkaloids, mitragynine and 7-hydroxymitragynine. Summarize what is known and unknown about their harm reduction and risk profiles in people with substance use disorders, focusing on interactions with other opioids and novel adulterants.
  • Examine patient factors and motivations for kratom use, including self-management of withdrawal. Use case examples to improve assessment and treatment for individuals using kratom, fentanyl, nitazenes, xylazine, and medetomidine. Highlight the roles clinicians can play in advancing surveillance and public health initiatives.

Working with Adults with Intellectual & Developmental Disabilities and Substance Use Disorder (Marylou Bryan)

Learning Objectives

Participants will learn:

  • About intellectual disabilities including prevalence, classification and challenges.
  • The history of institutionalization and the transition to community-based services in Virginia.
  • About co-occurring SUD and IDD, including research, prevalence, impact and risks.
  • Understand the concept of diagnostic overshadowing.
  • About the development and creation of the training curriculum, Working With Adults With Intellectual Or Developmental Disabilities And Substance Use Disorders

Navigating Substance Use Assessments: A Pathway to Prevention and Recovery (Dr. Mary Darden-Robinson)

This training session is all about enhancing your assessment skills as a behavioral health professional, focusing on integrating effective strategies for addressing substance use within clinical settings.

Learning Objectives

  • Clarify Assessment Techniques: We’ll begin by mastering essential screening tools and structured interviews tailored for behavioral health environments. This foundational knowledge will help you accurately identify substance use issues in your clients.
  • Integrate Prevention Strategies: Here, we’ll discuss how to embed prevention principles into every assessment. You’ll learn to view assessments as not just diagnostic tools but as valuable opportunities for early intervention and support.
  • Enhance Communication Skills: We’ll work on developing your ability to have open, non-judgmental conversations that build trust with clients. This focus on effective communication will empower you to engage clients more deeply throughout the assessment process.
  • Utilize Evidence-Based Practices:  This segment will cover how to apply research-backed frameworks like SBIRT (Screening, Brief Intervention, and Referral to Treatment) and DSM-5 criteria. You’ll gain insights on how to integrate these practices into your assessments for better accuracy and effectiveness.
  • Encourage Client Engagement:  We’ll explore strategies to foster active client participation in assessments and treatment planning, encouraging clients to take ownership of their recovery journey.
  • Address Barriers:  You’ll learn to identify common barriers to effective assessments, such as stigma, denial, and cultural factors. We’ll discuss strategies for overcoming these challenges to ensure assessments are equitable and accessible for everyone.
  • Foster Collaborative Care: This section highlights the importance of building team-based support networks using community resources. You’ll learn how to collaborate effectively with other professionals and organizations to provide comprehensive care.
  • Evaluate and Adapt: Finally, we’ll look at how to continuously refine your assessment practices based on client outcomes. This ongoing evaluation will ensure you remain responsive to the evolving needs of your clients and communities.

Grief Matters: An Overview of Grief and its Impact on Substance Use Disorder and Recovery (Katy Maynard)

Grief and loss are universal experiences that shape the lives of individuals, families, and communities. For those impacted by substance use disorder and recovery, grief often carries unique complexities and challenges. This training provides participants with a comprehensive understanding of grief, including its types and theoretical foundations, while exploring how it manifests during active use and recovery.

Participants will learn to recognize risk factors and barriers that influence the grieving process, gain insight into the experiences of grieving parents, and examine the impact of loss on the family system. Practical, evidence-based interventions will be introduced to strengthen clinical skills and improve the quality of care for individuals and families navigating grief in the context of substance use.

Goals:

  • Recognize the universality of grief and loss as experiences that impact individuals, families, and communities, including those affected by substance use disorders (SUD) and recovery.
  • Gain foundational knowledge of grief and loss, including types of grief and theoretical frameworks that inform the grieving process.
  • Examine how grief and loss are experienced by individuals in active substance use and in recovery, with attention to unique contexts and challenges.
  • Identify risk factors and barriers associated with experiencing and processing grief during both active use and recovery.
  • Explore the perspective of grieving parents to better understand the impact of substance use and loss on the family system.
  • Develop practical clinical skills and interventions to support individuals and families experiencing grief in the context of substance use and recovery, with the goal of improving quality of care.

Learning Objectives

By the end of this training, participants will be able to:

  • Define grief and loss as universal experiences and describe how they impact individuals, families, and communities.
  • Differentiate between types of grief (e.g., anticipatory, disenfranchised, complicated) and summarize key theoretical models of the grief process.
  • Explain how grief and loss manifest in individuals with substance use disorders during both active use and recovery.
  • Identify risk factors and barriers that influence the grieving process in the context of substance use and recovery.
  • Describe the experiences of grieving parents and analyze the impact of loss on the family system.
  • Apply practical interventions and strategies to support individuals and families experiencing grief in the context of substance use and recovery.
  • Demonstrate increased clinical skills and confidence in addressing grief-related issues within treatment and recovery settings. 

A Dangerous Intersection: Social Media, Substance Use, Mental Health, and Online Exploitation (Rikki Barton)

Social media is a permanent fixture in our world and while there are positive aspects to it, there are also negative and dangerous effects related to youth substance use, mental health challenges, and online exploitation/sextortion. Community members, parents, and trusted adults need to be aware of those effects and work to address risk and protective factors around the intersection. This presentation will discuss emerging data related to the intersection of these topics, explore the vulnerabilities that put young people at higher risk, as well as delve into ways to utilize the prevention model to address risk and protective factors and incorporate strategies to strengthen individuals and communities.

Learning Objectives

  • Explore the emerging data connecting social media, polysubstance use, mental health and online exploitation.
  • Discuss how the prevention model can make an impact around the intersection, including brainstorming what risk and protective factors are at play.
  • Identify and incorporate effective strategies and approaches for attendees to utilize personally and professionally.

PTSD & Addiction: Why Making it Worse Isn’t the Answer (Dr. Robert "Tony" Dice)

The presentation "PTSD & Addiction: Why Making it Worse Isn’t the Answer" offers an in-depth educational experience for providers, administrators, counselors, and advocates who are all too often confronted with substance abuse issues intertwined with trauma. It provides a comprehensive overview of Post Traumatic Stress Disorder (PTSD) and its subtypes, such as Auto Traumatic Stress Disorder (ATSD), Betrayal Trauma, and Moral Injury, clarifying their definitions and distinctions. The discussion extends to the barriers that impede access to treatment, addressing common misconceptions and systemic obstacles. Furthermore, the presentation explores the frontier of emerging therapies, including the controversial yet promising field of psychedelic treatment, offering a glimpse into the future of PTSD & SUD management and recovery. This presentation aims to deepen the understanding of how PTSD and addiction often work together to hinder and thwart traditional recovery efforts.

Learning Objectives

By the end of this presentation, participants will be able to:

  • Differentiate PTSD and its subtypes, including auto-traumatic stress disorder, betrayal trauma, and moral injury.
  • Explain how PTSD symptoms, substance use, avoidance, and re-exposure can interact to reinforce the cycle of trauma and addiction.
  • Identify common barriers to treatment and evidence-based approaches for supporting individuals with co-occurring PTSD and substance use disorders.
  • Apply trauma-informed and culturally responsive principles to improve treatment engagement among individuals with co-occurring PTSD and substance use disorders.

Substance Use Disorders in Older Adults (Dr. Michael Fingerhood)

The session will review the epidemiology of substance use disorders in older adults, the health impact of substance use and present treatment options. Vignettes of patients will be presented to trigger discussion.

Learning Objectives

  • Understand the epidemiology of substance use disorders in older adults
  • Increase ability to effectively diagnose substance use disorder in the older adult population
  • Be able to recommend effective treatment options for the older adult with substance use disorder

When Gambling and Stimulant Use Collide (Ben Stevenson)

This presentation explores the critical intersection of problem gambling and polysubstance use, highlighting how alcohol, stimulants, and opioids interact within the brain's reward pathway to fuel a destructive cycle of addiction. It details how mechanisms like cross-sensitization and cue-reactivity heighten relapse risks, particularly within modern digital environments that facilitate 24/7 access. Ultimately, the material underscores the absolute necessity of integrated screening and dual-treatment approaches to effectively unplug the loop of co-occurring disorders.

Learning Objectives

  • Explain how different substance types (e.g., stimulants, alcohol, opioids) serve distinct roles like accelerators or buffers within the gambling cycle and how cross-sensitization reinforces addictive loops.
  • Recognize modern avenues of concern for youth, including mobile sports betting and loot boxes, alongside clinical indicators of a gambling disorder such as "chasing" losses and inability to control behavior.
  • Formulate a comprehensive care approach using validated screening tools (e.g., Lie-Bet Tool, PGSI) to address both substance use and problem gambling simultaneously to prevent relapse.

Enhancing Substance Use Prevention Conversations and Resources (Dr. Mary Darden-Robinson)

This training session is designed to empower behavioral health professionals with the tools and insights needed to tackle substance use issues effectively in their communities.

Learning Objectives

  • Define Substance Use: We’ll start by breaking down key definitions and current statistics surrounding substance use, focusing on the challenges posed by opioid and stimulant use disorders. We’ll explore the real-world impact these issues have on community health and why informed discussions are crucial.
  • The Case for Prevention: Here, we’ll emphasize why prevention is essential. You’ll learn about the power of early intervention and how it fits into a broader continuum of care. This segment aims to demonstrate that proactive measures can lead to significantly better outcomes for individuals and communities alike.
  • Effective Communication: We’ll dive into practical strategies for having open and honest conversations about substance use. You’ll learn techniques that foster trust and understanding, enabling you to engage more effectively with individuals and families affected by these issues.
  • Community Engagement: This part focuses on how to mobilize coalitions, committees, and community organizations as partners in prevention. You’ll discover how to build and strengthen collaborative relationships that bolster community-wide initiatives.
  • Evaluate & Improve: Finally, we’ll discuss how to collect feedback and evaluate the effectiveness of your prevention strategies. We’ll address common challenges you might face and provide practical solutions for overcoming them, ensuring your efforts continue to evolve and improve.

Supporting Recovery, Strengthening Families: An Overview of Care for Pregnant and Parenting Women (Katy Maynard)

This training will explore the holistic, team-based model used by Project Hope for Women and Children to support women in recovery. Participants will gain insight into how a coordinated, multidisciplinary team—including counselors, social workers, case managers, peer recovery coaches, and residential assistants—works collaboratively to address complex challenges facing women with substance use disorders.

Through case examples and outcomes from the program, attendees will learn how therapeutic interventions, legal and housing support, health services, and peer support contribute to long-term recovery, personal stability, and family reunification. Special focus will be given to strategies for improving emotional wellness, facilitating reunification with children, and equipping women with independent living skills.

Participants will leave with a deeper understanding of how integrated care models can transform lives and strengthen families—offering not just hope, but tangible pathways to lasting recovery.

Learning Objectives

  • Identify key areas / stops along the continuum of care
  • Identify roles and responsibilities of the continuum of care
  • Explore barriers to the approach, and navigate ways around barriers
  • Understand the importance and ways to effectively lead and advocate for Pregnant and parenting families.

Updates on Mechanism Based Medications for Opioid Use Disorder (Dr. Rob Trainer)

We will discuss some of the neurobiological changes present in addiction and how targeted medications can help alongside behavioral and mental health interventions.

Learning Objectives

  • Understand the neurobiology of addiction
  • Name the classes of medications historically and currently used for OUD
  • Describe the effectiveness current medications in the outpatient setting

Morning Keynote Session

A Somatic Approach to Substance Use Treatment (Dr. Shekila Melchoir, PhD, LPC)

Treatment for individuals navigating substance use and recovery is often supported through approaches that focus on behaviors, diagnoses, thoughts, and risk. Body-based approaches are an equally important intervention that focuses on understanding how trauma and chronic stress live within the body.

This keynote invites participants to explore substance use and recovery through a somatic lens. Dr. Shekila Melchior will examine how trauma, chronic stress, and the lived experiences of those we serve influence the autonomic nervous system. Drawing from principles of Somatic Experiencing, participants will consider how greater awareness of the body can assist them in identifying patterns of dysregulation and utilizing body-based approaches to bring individuals back to a regulated place.  Through experiential practices, attendees will explore ways to support greater safety and a more regulated system across their various settings.  

Learning Objectives

  • By the conclusion of this keynote, participants will be able to:
  • Explain how trauma, chronic stress, and autonomic nervous system responses may influence substance use, coping behaviors, and recovery.
  • Describe foundational principles of somatic approaches to treatment.
  • Identify culturally responsive, body-based strategies that can support healing and strengthen engagement across clinical, peer recovery, healthcare, and community settings.

Afternoon Keynote Session

From Navy SEAL to Clinician: Recovery, Resilience, and the Courage to Ask for Help (Dr. Robert "Tony" Dice, CSAC, PhD)

From serving as a Navy SEAL to responding on the front lines as a firefighter and paramedic—and ultimately becoming a clinician—Dr. Dice’s path has been shaped by service, adversity, substance use, and recovery. In this candid and compelling plenary, he shares the defining moments that transformed both his life and his approach to caring for others. He explores how the principles and practices of recovery strengthen resilience, deepen clinical empathy, and help combat compassion fatigue. His story challenges the belief that strength means enduring hardship alone and reframes asking for help as an act of courage, connection, and professional responsibility.

Learning Objectives

  • Describe how lived experience, recovery, and service in high-stress roles can shape clinical identity, empathy, and relationships with patients.
  • Identify signs of compassion fatigue and common barriers that prevent clinicians, first responders, and other helping professionals from seeking support.
  • Explain how recovery-informed practices—including connection, self-awareness, boundaries, and help-seeking—can strengthen personal and professional resilience.
  • Identify at least two practical strategies for creating workplace cultures in which vulnerability, mutual support, and asking for help are recognized as strengths.
     

Rikki Barton, MAPS, IC&RC

Rikki Barton has a passion for communicating essential messages to move individuals and communities onward in their goals. She is the CEO/Lead Consultant of Onward Consulting and holds the Certified Prevention Specialist certification. Rikki has nearly 20 years of prevention field experience and currently serves as a consultant to assist organizations, coalitions, and state/federal agencies in the areas of substance use prevention, suicide prevention, and mental health promotion. She has extensive experience working with community coalitions, providing training, grant writing, grant evaluation, managing funding sources, and leading a team of preventionists. 

Marylou Bryan, BSN, RN

Marylou Bryan, BSN, RN is a Registered Nurse Care Consultant with the Office of Integrated Health Supports Network at the Virginia Department of Behavioral Health and Developmental Services. Marylou began her career as a certified nursing assistant, received her licensed practical nurse from Lord Fairfax Community College, then transitioned into the second year RN program where she completed her associates of Applied Science Degree. Following several years of nursing practice, she returned to school and received her bachelor’s degree in nursing from Old Dominion University in Norfolk, Virginia. Marylou has experience working in the hospital/clinical care settings, long-term care/geriatric, skilled home health, management of a personal care agency, training CNAs, PCAs, and Medication Administration, recovery/treatment detox, and with the intellectual and developmental disabilities population.

Dr. Hector Colón-Rivera, MD, MBA, MRO, FAPA

Dr. Colón-Rivera is a distinguished quadruple board-certified adolescent, adult, and addiction psychiatrist of the Pennsylvania medical community. He has broad experience in community-based programs, emphasizing those that help increase access to severe mental illness and substance use disorder treatments.

Dr. Mary Darden-Robinson, PsyD, LPC, LSATP, CSAC

Dr. Mary Darden-Robinson is a private sector therapist with 18+ years of experience serving the Hampton Roads, VA area in the mental health and substance use fields. As a clinician, Dr. Darden-Robinson emphasizes overall wellness by addressing everyday life situations while supporting adolescents and families with rediscovering their personal resilience. Additionally, her therapeutic style is eclectic with a foundation in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI). With an emphasis on entities such as healthy relationships, self-care, depression, as well as families and adolescents, she has a robust clinical background that consists of providing clinical treatment and therapeutic services. Clients have included the underserved and justice involved, the Department of Human Services, and the Family and Assessment and Planning Team(F.A.P.T.). Her experience also includes providing clinical services within residential, detention, academic, and community settings as well as the Medication-Assisted Treatment (M.A.T.) arena. Moreover, she is a Licensed Professional Counselor (L.P.C.), holds a certificate as a Certified Substance Abuse Counselor (C.S.A.C.) along with a Master Addiction Counselor certificate (M.A.C.). Dr. Darden-Robinson is a Human Services Board-Certified Practitioner (HS-BCP) and a Licensed Substance Abuse Treatment Practitioner (L.S.A.T.P.). Additionally, she is SAMHSA GAINS Center-trained as a facilitator for the "How Being Trauma-Informed Improves Criminal Justice System Responses" seminar. She is also a Master Trainer for the A.C.E. Interface Program. Lastly, Dr. Darden-Robinson is a Virginia Board of Counseling approved clinical supervisor for Residents in Counseling as well as L.S.A.T.P., L.M.F.T., C.S.A.C., and CSAC-A trainees. Dr. Darden-Robinson received a Bachelor of Science in Human Services Counseling with a minor in Psychology from Old Dominion University. Additionally, she holds a Master of Arts in Community Counseling from Norfolk State University and a Doctor of Psychology from Walden University.

Dr. Robert "Tony" Dice, CSAC, PhD

Dr. Tony Dice is a clinical therapist, nationally recognized counselor, trainer, author and presenter. As a former Firefighter, Paramedic, and U.S. Navy SEAL, he's in a unique position to understand and articulate the gap between conventional counseling and the culture of "those who serve." Dr. Dice is a subject matter expert in PTSD, TBI, suicide, and substance abuse. He previously served as Mental Health Director at EVMS's Ambulatory Care Center, and is currently an adjunct professor at Old Dominion University and CEO/Owner of Bishop & Dice Defense.

Dr. Michael Fingerhood, MD

Dr. Fingerhood is a Professor of Medicine and Public Health, and Chief of the Division of Addiction Medicine at Johns Hopkins Bayview Medical Center. Dr. Fingerhood created the Comprehensive Care Practice in 1994, a primary care practice largely devoted to providing care to individuals with substance use disorder. The practice has been innovative in integrating buprenorphine treatment into the primary care setting for over 650 individuals. He has also co-created novel buprenorphine treatment programs at a community center, at a church and in a mobile van outside the Baltimore detention center. He is the co-author of The American Society of Addiction Medicine Handbook of Addiction Medicine and the recipient of the Baltimore City Health Department 2017 Health Equity Leadership Award.

Katy Maynard, AADC, LPC, ALPS

Katy Maynard, MA, AADC, LPC, ALPS is a Licensed Professional Counselor, Approved Licensed Professional Supervisor, and Advanced Alcohol and Drug Counselor in the state of West Virginia. She obtained her undergraduate and master’s degree from Marshall University. Katy specializes in substance use disorders, working for Marshall Health, Department of Family & Community Health, Division of Addiction Science. She has worked on the front lines of substance use treatment since 2010 in several different settings including residential, detox, outpatient and medication-assisted treatment. Over the course of her professional career, Katy has seen, treated, and addressed many changes relating to substance use disorders. Through local trainings and conversations based on her professional experience and knowledge, she provides a powerful insight into substance use disorder and its impact on the community. She has trained in a wide range of topics, including basic drug trends and trauma informed care. In addition, Katy is certified to teach Mental Health First Aid and safeTALK.

Dr. Shekila Melchoir, PhD, LPC

Dr. Shekila Melchior is the Director of Strategic Initiatives and Partnerships in the Office for Diversity, Equity, and Inclusion at George Mason University, with over 10 years of experience working with diverse populations in clinical and school settings. She holds a PhD in Counselor Education and is a Licensed Professional Counselor and School Counselor in Virginia. Dr. Melchior’s research focuses on social justice identity development, undocumented students, and wellness for Black women and frontline activists. She is also the recipient of the Mary Smith Arnold Anti-Oppression Award and the owner of Mindful Legacy, a private practice in Northern Virginia.

Ben Stevenson, MS

Ben Stevenson II currently serves as the Prevention and Overdose Prevention Manager for Montgomery County, MD. He is a seasoned prevention professional who has been in the substance use prevention field for over 16 years working with thousands of youth, professionals, and parents in various communities across the country. Prior to his current role, Ben has served as Training Manager with CADCA (Community Anti-Drug Coalitions of America) as well as served as a Training and Technical Assistance Associate with the SAMHSA's CAPT (Center for the Application of Prevention Technologies) with the Southeast Resource Team working directly with states providing training and technical assistance. He has worked in various capacities across the continuum of care throughout his career working in treatment and recovery in addition to his prevention work. Ben enjoys developing and facilitating prevention programs for youth and adults. He also serves as a National Master Trainer for the Substance Abuse Prevention Skills Training (SAPST). Ben is originally from Winston-Salem, NC and graduated from North Carolina Central University in Durham, NC with a BA in Political Science and minor in History. He also holds a MS in Marriage and Family Therapy from Capella University. Ben was first certified in prevention as a Substance Abuse Prevention Consultant in North Carolina and currently is a Certified Prevention Professional in Maryland.

Dr. Rob Trainer, DO, MBA

Rob Trainer is a practicing interventional pain management physician with additional board certifications in addiction medicine and anesthesiology. He works in the community setting providing outreach services to high school students and parents in conjunction with the US attorney's office.

Recent Interactions

    Ask Fairfax

    Terms & Conditions
    Live chat available Search our site
    • facebook
    • twitter
    • linkedin
    • Translate
    • Awards
    • Site Feedback
    • PRIVACY POLICY & COPYRIGHT
    Main Address

    12000 Government Center Pkwy
    Fairfax, VA 22035

    Phone

    703-324-7329

    TTY 711

    Site Tools
    • Website Accessibility
    • Translate
    • Download Mobile App
    Support
    • ADA Accessibility
    • FOIA Requests
    • Website Administrator
    Additional Resources
    • Fairfax County Public Schools
    • Economic Development Authority
    • Visit Fairfax
    • Council of Governments
    • Commonwealth of Virginia
    • USA.gov
    • Calendar
    • Channel 16
    • Mail
    • Security
    • WIFI
    • Facebook
    • Twitter
    • Instagram
    • YouTube
    • Mobile

    The Official Site of Fairfax County