►
Description
In accordance with County Charter, the CSB presents an annual report to the Board of Supervisors. On behalf of the Chesterfield Community Services Board, the Executive Director will present information concerning numbers served, agency highlights, initiatives and challenges.
A
C
Fortunately,
I
will
keep
my
comments
brief
for
those
of
you
that
know
me
that
know
that
that's
a
difficult
thing
for
me
to
do.
I
am
notorious
for
using
20
words
when
three
will
suffice,
but
I
really
I'm
going
to
keep
my
comments.
Kind
of
focused
on
two
items,
two
items
this
evening
first
or
both
in
Express
appreciation
to
the
Board
of
Supervisors.
First
and
foremost,
I,
would
actually
like
to
ask
the
members
of
the
community
services
board.
C
Thank
you,
Mr,
chair
I
would
I'd
like
to
take
this
opportunity
to
to
Really
express
my
appreciation
to
the
Board
of
Supervisors,
first
and
foremost,
and
and
their
thoughtful
their
thoughtful
due
diligence
and
appointing
members
to
the
Community
Services
Board.
As
you're
aware,
the
Community
Services
Board
system
has
been
in
the
state
of
Virginia
decades
and
it
is
a
citizen.
C
It
is
a
citizen
board
that
is,
that
is
charged
with
the
oversight
of
the
mental
health
support
services
system
in
Chesterfield
County,
and
this
is
a
hard
hard-working
group
of
people
that
show
up
every
month
for
the
board
meetings
and
do
a
lot
of
work.
Do
a
lot
of
work
in
between.
Not
only
do
the
board
members
participate
on
the
parent
board,
their
four
primary
Committees
of
the
Community
Services
Board,
which
would
be
our
Public
Relations
Committee.
C
There
are
board
members
there
that
work
very
closely
with
staff
to
put
together
materials
that
speak
to
various
of
topics
of
importance
to
the
citizens
of
the
county,
the
public
policy
committee.
This
board
works
very
closely
with
staff
and
also
the
state
organization
to
make
sure
that
we're
keeping
in
front
of
our
elected
officials,
both
at
the
county
level
state
level.
Those
items
that
the
consumers
of
the
Chesterfield
County
Mental
Health
System,
are
our
most
relevant
important
for
us
to
keep
those
issues
in
front
of
you,
the
housing
committee.
C
So
we're
very
grateful
for
that
opportunity,
and
then
last
but
not
least,
is
is
the
finance
committee.
We
we
we're
very
blessed.
Mike,
G
and
caspro
have
served
as
chair
of
that
of
of
that
committee
for
a
number
of
years.
Mike
and
I
are
the
old
luggage
of
the
group.
It
seems
like
we
debate,
on
which
one
of
us
came
first
and
it
was
like
Noah
and
the
Ark,
and
then
us
we
both
served
on
the
on
the
Community
Services
Board,
now
anywhere
between
12
and
13
years.
C
I
believe,
but
Mike
has,
as
chairman
over
the
years,
has
worked
really
closely
with
Kelly
staff
Danielle
and,
and
we
dive
into
the
numbers
every
single
month.
We
look
at
all
the
sources
of
revenue.
We
look
at
where
the
private
payers
we
look
at
our
accounts,
payable
receivables.
We
keep
track
of
the
reserve
accounts.
C
Currently,
I
want
to
say
we
have
approximately
650
employees
and
prior
to
the
pay
study
on
an
annual
basis,
this
department
and
if
we
think
about
the
context
and
the
statement
that
I'm
about
to
make
because
you've
I
know
that
you've
all
been
aware
that
over
the
past
years,
we
have
gone
through
tremendous
change
and
in
in
how
the
state
has
given
us
some
guidance
on
how
to
run
things.
We
have.
We
have
implemented
things
like
same-day
access.
We
continue
to
work
with
Crisis
Intervention
training.
C
We
continue
to
work
with
Marcus
alerts.
There
is
a
number
of
programs
that
come
down
that
the
staff
deals
with
on
a
day-to-day
basis
and
throughout
all
of
this
time,
Kelly
and
her
team
and
the
support
staff
have
continued
to
find
ways
to
get
citizens
closer
to
Services
faster,
and
they
have
dramatically
moved
that
needle
from
the
time
someone
is
identified
as
having
an
issue
to
the
time
they're
getting
in
front
of
somebody
getting
treatment.
C
There
was
a
point
in
time
when
I
first
came
on
this
board
that
date,
that
could
be
a
90
100
day
Gap
and
now
it's
almost
always
either
next
day
or
within
a
week.
So
in
the
context
of
what
I'm
about
to
say,
prior
to
the
pay
study
and
and
and
the
very
generous
allocations
from
this
board
to
this
department,
particularly,
we
saw
a
peak
of
turnover
rates
close
to
25
percent.
C
So
if
you
think
of
a
650
person,
Health
Care
system,
that
is
an
experiencing
a
25
at
its
peak
turnover
ratio,
the
cost
to
train
hire,
redevelop
and,
at
the
same
time
continue
to
deliver
those
excellent
services
to
the
citizens
of
the
county.
I
think
warrant,
just
a
tremendous
Accolade
to
to
that
group.
Now
here's
the
good
news
so
at
the
peak
was
25
percent
I
believe
the
regular
average
prior
to
the
pay
study
was
somewhere
between
18
and
22
percent,
with
a
peak
of
25.
C
between
the
pay
study,
pay,
study,
contributions
that
have
come
from
that
have
come
from
this
board
and
the
really
hard
work.
That's
going
on
behind
the
scenes
in
the
department
from
Human
Resources
standpoint
to
on
the
back
of
back
of
the
whole
covet
issue,
to
reinvent
kind
of
an
HR
element
to
to
create
Equity
within
the
organization.
C
That's
tremendous
and
the
cost
associated
with
that
you
know,
obviously,
are
are
tremendous.
So
those
are
the
two
things
that
I
I
really
wanted
to
mention
to
you,
both
of
those
just
a
very
sincere
appreciation
for
the
the
tremendous
relationship
you
know
the
county
has
with
the
department
and
the
support
there
are
there.
There
are
lots
of
organizations
with
the
Commonwealth
that
that
that
wish
they
had
the
kind
of
relationship
that
we
have
so
with
that
I
will
stop
talking
and
I'll
turn
things
over
to
Cali.
D
Here
in
Chesterfield,
just
to
speak
a
little
bit
about
those
that
we
served
last
year,
we
saw
served
almost
7
000
residents
here
in
Chesterfield
and
FY
23,
which
was
an
increase
in
all
of
our
service
areas
over
FY
22
and
really
sort
of
the
bouncing
back
after
the
pandemic.
We
resumed
all
of
our
in-person
classes
for
Prevention
Services,
and
so,
whereas
in
FY
22,
we
had
served
about
5
000
residents
in
the
community.
D
We
increased
that
to
over
9
000
in
the
community
and,
of
course
our
social
media
presence
is
over,
has
a
reach
of
over
1.3
million
we're
doing
Daily
Posts
in
our
intervention,
early
intervention
services
and
our
prevention,
Services,
there's
mental
health
tips
that
are
going
out
all
the
time
in
in
several
of
our
programs.
Also
recognizing
any
of
the
you
know,
Suicide
Prevention
months
or
any
of
those
things
as
well.
So
just
really
have
a
big
reach
out
into
the
community.
The
services.
D
Just
to
speak
a
little
bit
about
our
budget.
We
are
one
of
the
largest
departments
in
the
county,
and
so
we
have.
Our
revenue
is
about
56
million.
The
majority
of
that
comes
from
Medicaid,
Medicare
and
insurance
at
about
26
million,
followed
by
the
County's
contribution
of
15
million
a
little
over
15
million
and
then,
of
course,
state
and
federal
funds.
Other
Pavements
are
fee
based
and
client.
There
are
client
charges,
but
all
client
charges
are
based
on
an
ability
to
pay
scale
of
the
56
million
of
our
expenditures.
D
The
majority
of
our
expenditures
go
to
the
services
of
those
with
developmental
disabilities,
followed
by
our
Mental
Health
Services
and
then.
Lastly,
with
substance
use
disorders,
we
spend
approximately
about
5
million
of
our
budget,
roughly
10
percent
on
administrative
support,
which
is
consistent
with
prior
years
and
I,
do
want
to
point
out
that
all
of
our
additional
funding
requests
for
fy24
were
covered
with
outside
Revenue.
There
was
no
general
fund
cost
for
those
positions
moving
into
a
few
of
our
key
accomplishments.
First
of
all,
I'll
talk
about
the
emotional
health
planning
program.
D
This
actually
earned
us
a
Vaca
I
mean
a
Naco
award
in
fy23.
This
is
a
partnership
with
Robin's
hope
and
really.
The
program
was
developed
for
individuals
with
developmental
disabilities
who
have
experienced
trauma
in
their
lives.
The
emotional
health
plan
is
a
tangible
tool
utilized
to
help
individuals
and
their
caregivers
understand
the
emotional
response
to
trauma
and
how
to
better
support
them.
To
prevent
a
crisis.
D
We
received
a
lot
of
positive
feedback
on
this
program
from
families
and
individuals
who
have
participated
in
it,
and
they
continue
to
run
this
program
today,
special
accolades
here
for
Jessica
Charters
and
Stephanie
Williams,
who
are
the
staff
that
were
behind
the
program
here,
of
course,
as
I
mentioned
in
partnership
with
Robin's
hope.
The
last
three
items
that
I
have
listed
here.
D
D
They
were
I
know,
but
we
actually
have
the
real
Willy
Wonka
here
in
the
audience,
so
anyway,
I'm
not
going
to
ask
him
to
stand,
but
anyway,
we
do
have
a
great
team
here
at
mental
health
support
services
and
just
to
Echo
what
what
our
chair,
Gibb
Sloan
has
already
said.
We
can't
thank
you
enough,
our
Workforce.
B
D
B
I
mean
we
certainly
know
that
the
base
study
was
an
important
factor
in
helping
the
employees
out,
but
there's
another
Factor,
that's
really
important
too,
and
that
is
leadership
and
the
quality
of
the
work
environment.
That's
created
within
the
organization.
You
can
pay
people
a
lot
of
money,
but
if
they
don't
enjoy
what
they're
doing,
if
they
don't
enjoy
what
they're
working
for,
who
they're
working
with
and
the
way
it's
being
done,
they're
not
going
to
stay,
and
so
the
pay
I
think
has
certainly
helped
us.
B
D
I
appreciate
that
and
I'm
going
to
introduce
the
team
a
little
bit
later,
but
it
it
truly
is
a
work
of
of
a
lot
of
our
leaders
in
the
agency.
So
I
appreciate
that
speaking
a
little
bit
about
recovery
Academy.
So,
as
you
know,
we
opened
the
doors
of
the
Chesterfield
recovery
Academy
a
year
ago,
August
of
22
at
the
start
of
the
school
year.
It
really
was
sort
of
a
build
it
as
you
go.
We
were
looking
for
staff
about
this
time.
D
Last
year
we
were
looking
for
students,
you
know
at
the
same
time,
and
so
really
it
took
us
several
months
to
get
the
program
up
and
going,
but
I
am
pleased
to
say
that
by
the
end
of
the
year
we
had
11
students
who
completed
their
current
grade
level,
whatever
that
was
four
that
graduated
from
high
school
and
just
the
outcomes
of
this
program
have
really
been
great.
The
of
the
students
that
were
talking
about
over
63
course
credits
were
earned
during
that
short
time
period,
seven
of
the
students
entered
into
the
workforce.
D
There
were
over
170
hours
of
individual
therapy
and
80
hours
of
group
therapy
that
were
provided
by
the
clinical
staff,
which
then
led
to
an
outcome
of
over
44
months
of
sobriety,
with
the
students
I
think
one
of
the
biggest
highlights
of
the
program
not
the
biggest
but
but
probably
pretty
close,
is
Letty
the
therapy
dog,
and
so
our
lead
clinician,
senior
clinician,
Melissa
Mariner.
It
is.
It
is
her
her
dog
that
is
part
of
the
program
and
really
has
a
tremendous
impact
on
the
students.
That's
that's
been
a
great
part
of
the
program.
D
I
will
say
that
that,
just
again
we're
only
talking
about
a
few
short
months.
This
program
earned
the
vaco
best
large
County
Achievement
Award
this
past
year
and
is
also
receiving
national
attention.
Because
last
week,
three
of
the
students,
as
well
as
the
staff,
were
invited
to
attend
the
White
House.
They
were
holding
a
youth
recovery
event
and
they
had
learned
about
our
program
through
a
national
conference
and
invited
our
students
to
attend,
along
with
the
staff.
So
at
this
time
I
would
like
to
ask
Melissa
Mariner
and
Justin
Savoy
Melissa.
D
D
Our
enrollment
is
already
higher
this
year.
They
started
right
out
of
the
gate
with
with
13
students
and
are
still
conducting
an
additional
assessments.
They've
also
hired
a
an
additional
teacher
and
an
instructional
aide
as
part
of
the
program,
and
we
are
also
bringing
in
additional
peer
recovery
supports.
So
again,
just
can't
say
enough
of
of
how
well
this
program
has
started
off
over
the
past
year.
It's
moving
on
to
another
big
initiative.
D
In
addition,
if
there
are
calls
that
require
some
type
of
Behavioral
Health
response
in
the
community,
that
we
are
using
crisis
clinicians
as
much
as
possible
to
go
out
into
the
community
to
provide
a
behavioral
health
response
to
those
situations
again,
we
just
started
implemented
our
protocols
we
spent
the
last
year
developing
them
across
the
county
with
a
lot
of
County
department
departments
and
key
stakeholders,
but
as
of
July
1
I
have
some
really
great
outcomes
that
I'd
like
to
share.
We
have
had
224
Chesterfield
calls.
D
This
is
during
the
months
of
July
and
August
that
were
handled
by
the
regional
call
center,
which
meant
they
were
lower
level
calls
that
could
be
handled
by
the
call
center
relieving
those
calls
from
not
only
the
911
police
department,
but
also
the
Chesterfield
crisis.
Department
of
those
calls
11
calls
were
transferred
from
911
to
988.
Now
11
calls
may
seem
sort
of
low,
but
that
really
is
consistent
with
what
we're
seeing
across
the
region.
D
What
we're
finding
is,
if
someone
calls
9-1-1,
they
truly
are
looking
for
a
police
response
in
the
majority
of
the
time,
so
they
really
aren't
appropriate
calls
to
be
transferred
to
the
988
call
center.
But
for
the
most
part
you
know
the
majority
of
the
calls
have
been
handled
by
the
regional
call
center.
D
D
You
know
it's,
it's
less
cost
involved
in
in
treating
individuals
and
just
a
better
way
to
be
helping
individuals
than
to
have
to
hospitalize
them.
So
we
are
truly
seeing
great
results
in
this
area.
I
will
say
in
a
few
minutes.
I'll
talk
about
the
back
end.
You
know
the
one
problem
was
getting
individuals
into
hospitals,
but
the
other
problem
is
there:
are
lots
of
people
ready
to
be
discharged
and
there's
nowhere
for
them
to
go,
and
so
we'll
talk
about
that
in
a
minute?
D
D
Actually
there's
a
class
going
on
this
week
and
it's
a
40-hour
class
which
really
helps
all
the
officers
equip
them
with
how
to
deal
with
situations
involving
individuals
who
are
experiencing
a
serious
mental
illness.
I'll
say
to
date
over
that
I
know
it's
way
over.
A
thousand
public
safety
personnel
have
been
trained
to
provide
this
Crisis
Intervention
response,
and
so
you
know
we're
well
equipped
across
the
county
to
be
able
to
support
individuals
in
need.
D
I
do
want
to
give
one
example
of
what
happens
in
a
co-response,
because
this
is
really
a
success
story.
So,
on
July
the
13th,
our
core
co-response
team,
responded
to
a
family
that
was
in
crisis.
This
call
was
complex
in
nature,
as
it
included
a
family
of
three
needing
immediate
community
supports
and
resources.
This
family
consisted
of
a
mother,
a
father
and
a
five-year-old
daughter.
The
family
was
stated
to
have
been
evicted
from
their
home
and
now
living
in
the
woods
nearby,
where
their
previous
residents
was
located.
D
On
this
particular
day,
the
temperatures
in
Chesterfield
County
were
scorching
which
exacerbated
the
family's
medical
and
mental
health
needs
Chesterfield,
Police
or
Chesterfield
crisis
clinician.
They
were
able
to
go
out
and
collaborate
with
fellow
fellow
colleagues,
Community
providers
and
a
housing
specialist
to
provide
the
most
appropriate
means
for
the
family.
The
co-response
team
was
able
to
provide
resources
in
the
form
of
working
with
Chesterfield
Protective
Services,
who
were
providing
supports
related
to
the
five-year-old
daughter.
D
We
were
able
to
make
sure
that
one
of
the
adults
in
the
family
received
appropriate
medical
treatment
at
a
local
hospital,
not
for
a
behavioral
health
reason,
but
just
for
a
medical
reason,
and
during
this
time
they
were
also
provided
other
Crisis
Support
in
order
to
mitigate
any
type
of
Behavioral,
Health
hospitalization
and
for
the
family.
The
direct
work
with
the
community
providers,
Chesterfield
mental
health
and
the
police
department
enabled
this
family
to
be
supported
in
a
positive,
collaborative,
collaborative
and
successful
way
and
again
housing
them
when
they
were
currently
living
in
the
woods.
D
So
it
takes
a
lot
of
folks
when
we
talk
about
providing
a
lesser,
less
level
of
care
or
a
less
intensive
level
of
care
such
as
hospitalizing
somebody.
We
have
to
pull
on
the
resources
and
really
that's
what
this
co-response
team
is
about.
How
do
we
serve
this
family,
bringing
in
all
of
our
community
resources
and
averting
or
diverting
from
a
hospitalization,
and
so
this
is
one
of
the
true
success
stories
that
we
had
just
early
on
in
the
process.
D
Yes,
yes,
and
then
that's
broken
down
by
those
two,
while
the
overall
total
numbers
and
of
you
know,
an
attempted
suicides
have
fluctuated
from
year
to
year.
We
are,
you
know,
pleased
to
see
that
we're
starting
to
see
a
trend
down
in
the
number
of
suicides
which
is
really
good
and
for
2023.
The
graph
really
only
represents
seven
months,
so
that's
why
it's
a
lot
lower,
but
we
are
still
seeing
a
lower
Trend
in
2023.
D
But
what
we'd
like
to
point
out
is
that,
according
to
the
Center
for
Disease,
Control,
individuals
that
are
85
and
older
are
really
the
ones
that
are
having
the
highest
rates
of
suicide
and
that's
followed
by
the
next
age
group
down
of
those
75
to
84.
in
Virginia
in
2021,
those
in
the
age
category
of
75
to
84
had
the
highest
rates
of
suicide
even
exceeding
the
national
average.
D
So
for
this
reason
the
Chesterfield
suicide
awareness
and
prevention
Coalition
has
decided
to
focus
their
September
suicide,
Awareness
Month
campaign
on
older
adults
and
the
people
that
care
their
care
about
them.
So
key
messages
that
have
been
in
this
month's
campaign
are
depression
and
suicide
are
not
a
standard
part
of
aging.
So,
therefore,
it
is
important
to
be
aware
of
signs
of
mental
health
concerns
and
connect
to
help,
if
needed,
being
involved
in
meaningful.
D
Recreational,
creative
and
social
activities
contributes
to
positive
mental
health,
and
you
are
not
alone,
if
you
are
struggling
with
your
mental
health
reach
out.
For
help
resources
are
available,
and
so
we
have
had
information
on
our
website.
There
have
been
radio
ads.
Hopefully
you
all
have
heard
those
on
the
radio.
We
have
been
providing
information
packets
to
primary
care.
Physicians
in
the
community
there
have
been
numerous
presentations
to
organizations
that
serve
older
adults
in
our
community.
D
There's
presentations
to
older
adults
themselves,
we've
had
videos
going
throughout
the
month
and,
of
course,
the
social
media
campaign
to
speak
a
little
more
specifically
about
attempted
suicides,
as
it
relates
to
to
the
services
that
we
provide
in
the
mental
health
department.
Though
the
the
previous
slide
talked
about
county-wide
statistics.
D
We
know,
there's
a
number
of
attempted
suicides
and
suicides
that
occur
countywide,
but
only
a
subset
of
individuals
may
be
receiving
Services
through
our
department.
It
doesn't
mean
that
those
individuals
are
not
receiving
services
from
a
private
provider,
but
we
would
not
have
access
to
that
information
and
just
to
share.
D
You
know
the
areas
where
we
see
the
the
highest
number
of
attempted
suicides
are
with
children,
also
adults
with
serious
mental
illness
and
also
those
with
substance
use
disorders,
and
so
in
the
graph
there
was
a
a
spike
in
fy20,
as
we
can
expect.
During
the
pandemic.
Also,
we
saw
an
increase
in
children
in
both
fiscal
year,
21
and
22,
but
we
are
seeing
a
large
decline
in
attempted
suicides
in
in
our
current
year
or
FY
23.
D
So
we're
really
pleased
to
see
about
that
when
it
comes
to
Children,
the
majority
of
the
overdoses
have
involved
substance
use
and
what
we
don't
know
is
whether
those
were
accidental
because
they
were
dealing,
you
know
experimenting
with
drugs
and
just
didn't
realize
that
you
know
the
impacts
that
would
have
or
if
they
were
intentional,
but
this
graph
only
the
good
news
that
we
have
in
this
is
this
graph
only
reflects
attempted
suicides.
We
have
had
no
completed
suicides
of
any
children
over
the
past
five
years.
D
D
We
do
believe
that
Narcan
saturation
is
a
factor
and
that
our
harm
reduction
efforts
are
impactful
and
what
I
mean
by
saturation
is.
We
have
done
a
lot
of
work
to
work
with
other
County
departments.
We
work
with
libraries.
We
work
with
schools
to
ensure
that
folks
are
trained,
understand,
have
Narcan
available
to
them,
so
that
if
any
situation
occurs
anywhere
in
any
of
our
County
departments
and,
of
course,
we're
still
training
the
public
and
and
high-risk
neighborhoods
as
well,
but
really
getting
that
out,
there
is
really
saving
lives.
D
Now
our
concern
is
with
some
of
the
other
drugs
that
are
coming
into
play
these
days,
like
xylazine
Narcan
does
not
work
on
that
particular
drug,
and
so
that
is
a
concern
that
if
we
don't
get
control
over
some
of
that,
then
we
may
see
some
increases
in
deaths.
But
overall
collaboration
has
really
been
the
key
here
in
Chesterfield
and
all
of
us
working
together.
D
D
Because
we
were
talking
about
opioids
I
want
to
make
sure
that
we
talk
a
little
bit
about
the
opioid
abatement
Authority
and
so
really
because
of
some
of
the
settlements
with
pharmaceutical
companies
over
the
last
couple
of
years.
Localities
throughout
are
able
to
benefit
by
receiving
opioid
abatement
funding,
to
be
able
to
work
in
our
localities,
to
address
substance,
use
efforts,
and
so
for
this
past
year,
Chesterfield
County
was
actually
approved
to
be
part
of
four
different
grants.
D
I
I
worded
that
way,
because
the
first
two
that
you
see
listed
are
truly
ones
where
Chesterfield
county
is
the
Fiscal
Agent
and
the
leader
for
that
particular
Grant.
The
first
one
is
the
receipt
of
1.6
million
to
expand
mobile
Outreach
Services
in
the
community.
That
is
actually
a
collaborative
or
a
Cooperative
grant
that
involves
Colonial,
Heights,
Petersburg
and
Powhatan
County.
We
have
strong
mobile
Outreach
in
our
Community,
but
not
so
much
in
the
other
localities,
and
so
we're
going
to
be
working
with
them.
D
We're
going
to
expand
ours,
but
we're
going
to
be
working
with
them
as
well
to
help
them
develop
Outreach
Services
to
help
their
communities.
We
also
received
an
82
a
little
over
82
000
dollars
as
a
planning
grant,
that
is
only
specific
to
Chesterfield
County,
and
that
will
help
us
evaluate
models
for
what
type
of
behavioral
health
facility
that
we
will
need
here
in
the
county.
The
next
project
is
a
little
over
200
000
to
expand
project
recover.
D
Hanover
County
is
actually
the
Fiscal
Agent
for
that
project,
but
we
are
partnering
with
them,
along
with
the
city
of
Richmond,
to
be
able
to
benefit
in
that
effort,
and
then,
of
course,
the
last
Grant
that's
listed
here
is
a
hundred
thousand
to
assess
the
needs
of
pregnant
and
parenting
women
with
substance
use
disorders.
This
is
a
grant
where
Henrico
is
actually
the
Fiscal
Agent.
However,
we're
partnering
with
Hanover
City
of
Richmond
and
Henrico
in
that
effort
agreements
the
status
of
kind
of
where
we
are
right.
D
D
The
last
major
program
where
we
received
funding
over
the
last
year
is
permanent,
Supportive,
Housing,
and
so,
as
I
said,
we
approached
the
board
last
year
because
we
were
able
to
receive
about
700
000
from
the
Department
of
Behavioral
Health
to
provide
permanent,
Supportive
Housing
to
30
individuals.
That's
the
amount
of
slots
that
they
allowed
us
to
begin
with,
and,
of
course,
when
we
received
this
funding,
it's
really
important
because
it
not
only
covers
100
percent
of
staff
salaries.
D
It
covers
the
client's
rents
it
covers
damages
if
clients
happen
to
have
any
damages
to
their
living
arrangements.
It
provides
wrap-around
supports
and
services
to
be
able
to
help
them
help,
individuals
maintain
and
and
their
stable
housing,
as
well
as
their
recovery,
and
then
it'll
also
cover
past
debts
for
individuals
that
may
have
trouble
obtaining
housing
because
of
some
of
the
bills
that
they
have
in
arrears.
D
D
The
other
two
slots
are
slated
for
a
couple
of
individuals,
but
we're
still
trying
to
find
the
housing
for
them
at
this
time,
but
what's
most
important
if
there
there
have
been
zero
of
evictions
of
any
of
these
individuals
who
have
been
housed
over
the
last
year,
14
of
the
individuals
have
had
no
hospitalization,
so
that
speaks
to
those
services
and
supports
that
they're
receiving
we've
had
seven
that
have
gained
employment.
So
that's
the
key
too.
You
know
stable
housing
is
the
first
thing
that
individuals
need
it's
really
hard
to
obtain
employment
and
other
factors.
D
If
you
don't
have
stable
housing,
and
so
this
is
really
the
the
first
that
we'd
like
to
get
in
place.
But
we
still
work
on
helping
individuals
be
able
to
to
continue
in
their
recovery,
which
includes
becoming
employed
and
so
we're
seeing
great
progress
there,
and
it
is
not
a
requirement
of
this
program
to
receive
csb
services,
but
we
are
really
developing
the
relationships
and
and
working
with
individuals,
and
we
have
way
over
half
of
the
individuals
that
are
receiving
our
services.
D
I
like
to
show
this
picture,
because
this
represents
a
couple
who
were
one
of
the
first
to
receive
permanent
housing
and
they
were
living
in
a
tent
the
high
and
target
for
I
think
about
10
years
before
they
were
able
to
receive
this
this
housing.
So
our
goal
is
to
be
able
to
expand
this
program.
We
have
been
a
little
reserved
in
doing
that
up
to
this
point,
because
early
on,
it's
been
difficult
to
find
the
housing
stock.
That's
what
we're
really!
D
You
know
having
the
most
challenges
with
and
while
you
can
place
individuals
in
motels
for
a
short
period
of
time,
that
is
not
permanent
housing.
That
is
not
ideal
and
we
did
not
want
to
grow
a
program
if
individuals
were
not
indeed
in
stable
housing.
So
we
have
not
expanded
it
to
this
point,
but
as
we're
having
developing
relationships
and
land
with
landlords
and
having
better
luck
with
with
getting
more
housing
stock.
That's
our
goal
is
to
increase
the
program.
F
Chesterfield,
County
and
I
just
want
to
say
and
express
so
much
appreciation
to
you
all
for
for
this
effort,
and
also
for
the
way
that
you've
done
it,
because
it's
important
that,
whatever
help
we
offer
not
be
a
limited
hand,
but
a
full
handout
and
and
up
hopefully
over
time.
So
I
just
want
to
express
again
gratitude,
because
the
stories
that
you
hear
from
folks
in
those
tent
Villages
behind
various
places
in
in
the
county
are
often
heartbreaking.
E
That's
real,
quick
I
just
want
to
add
that,
as
we
look
at
zoning
cases,
I
know
I've
made
the
priority
to
talk
to
those
applicants
about
opportunities
for
csb
placement
and
I
believe
some
other
board.
Members
have
done
that
as
well,
so
we
are
working
to
try
to
help
you
to
increase
your
placement
ability,
if
you,
where
are
you
at
on
funding,
if
we're
able
to
increase
placement
of
building
ability
is
that
which
one
is
more.
D
D
Thank
you
yes,
I
know
we're
running
short
on
time:
I'll
try
to
kind
of
speed
up
a
little
bit
on
Partnerships.
Obviously
we
cannot
do
what
we
do
without
tremendous
partners,
and
so
it's
really
important
for
us
to
to
make
sure
that
that
we
always
thank
them
for
for
what
they
do
for
us,
but
there's
one
specific
partnership
that
I
want
to
mention
from
this
year.
This
is
not
specific
to
mental
health
support
services.
D
This
is
actually
specific
to
our
entire
County,
and
so
over
the
past
year,
Dr
Casey,
Mary,
Martin,
Selby
and
others
began
talking
about
how
can
the
county
better
support?
All
of
our
departments
when
it
comes
to
secondary
traumatic
stress,
so,
what's
secondary
traumatic
stress,
is,
if
you're
not
familiar
with
that,
it's
really
the
experience
of
people
generally
professionals
who
are
exposed
to
others
traumatic
stories
as
part
of
their
work,
and
it
may
not
just
be
stories.
You
know
fire
departments
when
they
go
out
on
very
traumatic
scenes.
D
Police
Department
are
exposed
to
situations
every
day.
Social
Services
is
exposed
every
single
day,
our
child
advocacy
center.
It
just
goes
on
and
on
and
on,
and
what
happens
is
as
a
result
of
this
exposure
professionals
can
develop
their
own
traumatic
symptoms
and
reactions,
and
so
you
know
what
we
are
really
looking
at
is:
how
do
we
better
support
our
staff
when
you
know
to
make
sure
that
we're
assisting
them
if
they're
experiencing
these
types
of
effects?
So
as
we
started
looking
at,
what
can
we
do
across
the
county?
D
What
was
even
better
was
that
they
were
under
this
grant.
They
had
never
worked
with
a
locality
before
and
it
was
free
to
the
county,
and
so
they
agreed
to
work
with
us
and
over
the
past
nine
months,
I
think
we
were
planning
for
it
about
a
year
ago,
but
really
kicked
into
gear.
As
of
January,
we
developed
teams
all
across
Human
Services
that
had
teams
within
their
own
department.
So
it's
not
just
a
few
people.
This
is
just
really
gaining
momentum.
D
Throughout
all
of
our
departments,
we
were
able
to
receive
Baseline
assessments
to
kind
of
gear.
How
are
we
doing
as
departments
as
far
as
our
staff's
level
of
how
much
stress
are
they
enduring?
What
are
some
things
that
do
we
have
in
our
departments?
What
could
we
Implement
in
our
departments
and
then
they
started
providing
day-long
learning
sessions
for
us,
and
so
we
had
training
sessions
all
throughout
the
year.
We
just
finished
our
last
one
in
September,
but
it's
not
just
training
sessions.
D
They
were
giving
us
tools
that
we
could
use
with
our
staff
across
the
county
to
really
help
them
in
addressing
secondary
traumatic.
Stress.
I
won't
go
through
these,
but
this
is
just
a
few
examples.
There's
been
all
types
of
training
going
on
the
you
learn:
Chesterfield
university
has
been
developing
all
types
of
classes
that
staff
can
tap
into
to
help
them
in
managing
stress.
There
was
an
idea
about
perhaps
adding
a
clinician
in
the
employee,
Medical
Center
to
be
able
to
have
staff
help
staff
depending
on
what's
going
on.
D
D
The
reason
for
that
is
that
the
public
safety
departments
tend
to
have
very
you,
know,
detailed
peer
support
programs,
but
there's
a
lot
of
other
County
departments
that
we
want
to
reach
over
the
next
year
and
really
help
them
with
the
strategies
as
well,
and
we've
presented
the
department,
directors
meeting
and
done
other
things
to
really
start
getting
the
word
out,
but
there's
more
work
that
can
be
done
here.
So
our
success
story
for
the
year
and-
and
it
doesn't
maybe
seem
like
a
success
because
the
individual
passed
away.
D
But
what
I
would
like
to
say
about
to
say
a
special
tribute
to
to
Peggy
Hannaford
is
Peggy
was
probably
I
think
she
was
one
of
the
first
residents
that
ever
came
into
our
group
homes,
and
so
she
was
in
our
Residential
Group
home
since
1979.
So
if
you
add
that
up
that's
44
years
and
I
really
wanted
to
consider
that
as
a
success
story,
Peggy
lived
the
majority
of
her
life
in
our
group
home.
She
does
have
family
support,
strong
family
support,
but
she
did
pass
away
in
June.
D
She
actually
passed
away
on
her
actual
birthday.
Her
health
had
been
declining
and
that
picture
is
there
because
she
just
loved
Mickey
and
Minnie
Mouse,
and
one
of
her
desires
was
to
have
the
actual
characters
visit
her
on
her
birthday.
Now
she
passed
away
on
her
birthday,
but
we
were
able
to
arrange
for
the
characters
to
come
just
a
couple
of
weeks
before
her
birthday
and
she
she
knew
they
were
there,
and
she
was
really
excited
about
that.
D
And
so
again
we
just
really
appreciate
Peggy's
family
for
entrusting
her
care
to
us
for
the
past
44
years
and
just
wanted
to
make
sure
that
we
kind
of
acknowledge
that
for
them.
So
as
I
get
ready
to
close
this
afternoon,
we
will
be
requesting
the
board
to
approve
the
receipt
of
one-time
funding
of
five
hundred
thousand
dollars.
This.
Is
it
infrastructure
that
the
Department
of
Behavioral
Health
is
you
know
providing
to
us
how
this
started?
Was
they
pitched
the
community
services
boards
I?
D
Think
in
early
February,
just
saying
hey,
we
have
the
ability
to
provide
grants
to
you
in
amounts
up
to
500
000,
because
we
are
in
the
process
of
implementing
a
new
information
system,
and
that
comes
with
a
lot
of
other
ancillary
costs.
We
went
ahead
and
submitted
a
proposal
and
apparently
a
lot
of
other
community
services
boards
did
not,
and
so
they
awarded
us
the
full
500
000,
and
so
that
is
on
the
agenda
this
evening
and
again
you
know
systems
don't
come
out.
They
just
don't
come
out
of
the
box.
D
We
have
so
many
regulations.
There
are
specific
state
required
forms
that
have
to
be
built
in
these
systems
and
it
that's
really
what
we're
hoping
to
use
a
lot
of
this
funding
for
is
to
get
those
things
built
so
that
we
do
are
ready
to
go
as
we
Implement
in
July,
as
I
close
I
would
like
to
recognize
members
of
the
senior
team
and
ask
them
the
please
stand.
We
have
Danielle
Sayer
who's,
our
Assistant
Director
of
Finance.
D
We
have
Doug
bilski
our
Clinical
Director
Mandy
pilk
who's,
our
HR
Manager
David
Meadows,
who
is
our
community
director
and
then,
of
course,
we
have
Dr
Angela
catalico,
our
medical
director,
who
could
not
be
here:
Tim
Adams,
our
assistant
director
for
strategic
planning
and
quality
and
then
Brooke
cook.
Again,
these
folks
are
the
backbone
of
our
organization.
They
head
up
all
of
these
initiatives
that
I've
talked
about
today
and
just
really
deserve
a
lot
of
recognition.
G
G
I,
you
don't
know
how
much
we
appreciate
your
efforts
as
they
truly
impact
families
and
and
therefore
it
impacts
us
and
me
as
a
board
member
and
so
I'm
I'm,
very
deeply
appreciative
of
that,
and
particularly
that
housing
component,
and
certainly
what
I
would
like
to
leave
with
you
is
I.
Ask
you
if
there's
needs
that
we
can
do
or
assist
with
as
a
board
as
we
contemplate
budgeting?
G
So
I'm
deeply
appreciative
of
that,
because
I
can
tell
you,
that's
I've
seen
it
like
the
Marcus
alert,
I'm
aware
of
how
that
came
about
and
I've,
and
it
was
probably
a
missed
opportunity
for
a
jurisdiction
that
didn't
do
it,
but
I
applaud
you
all
for
doing
that
well
and
for
making
a
difference
because
it
does
matter
it
truly
matters
and
thank
you
and
you
have
my
complete
support,
as
you
continue
to
do
exceptional
work
here
in
Chesterfield
County.
Thank
you.