►
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, Kelly Fried presented information concerning numbers served, agency highlights, initiatives and challenges.
A
B
Mr
Holland
welcome,
thank
you
so
in
the
spirit
of
volunteerism
I'm
here
as
a
member
of
the
Chesterfield
Community
Services
Board,
Mr,
chairman
members
of
the
board
and
Dr
Casey.
Thank
you
for
the
opportunity
to
present
an
annual
update
on
the
activities
of
the
Chesterfield
Community
Services
Board
I'm
Nick
Pappas,
the
chair
of
the
csb,
and
it's
a
privilege
to
be
with
you
here
today
to
bring
your
greetings
on
behalf
of
our
board.
B
B
And
Mr
Gibb,
Sloane
and
we'll
have
others
joining
us.
Some
latest
on
later
on
today
for
dinner.
Welcome
everyone.
We
continue
to
be
an
active
and
dedicated
board.
We
have
several
board
members
who
have
served
nine
years.
That's
three
terms
and
when
eligible
returned,
we
have
board
members
who
serve
on
multiple
committees,
chairing
committees,
meeting
regularly
working
with
staff
and
actively
participating.
B
As
you
know,
we
serve
among
the
most
vulnerable
members
of
this
community
during
challenging
times
that
Community
includes
all
of
us
in
one
way
or
another.
We
are
all
affected.
If
not
you
personally
than
someone
you
know,
family
friend,
neighbor
and
increasingly
children
in
a
community.
We
are
all
touched
in
some
way:
I
myself
at
one
time
received
services
for
anxiety
and
depression.
B
D
Thanks
so
much
Nick
good
afternoon,
Mr
chairman
members
of
the
board
and
Dr
Casey.
It
is
our
mission
to
always
provide
quality
services
that
lead
to
Better,
Health
and
recovery
and
staff
continue
to
fulfill
this
Mission.
As
we
continue
to
see
the
effects
of
that
covet
has
played
on
our
community,
especially
with
children
that
we
will
talk
about
or
I
will
talk
about
a
little
bit
later
in
our
presentation.
D
Just
over
the
past
year
in
FY
22,
we
served
about
a
little
over
6
500
residents,
evenly
split,
pretty
much
for
the
first
time
between
mental
health
and
those
with
intellectual
disabilities
and
then
about
another
600
in
our
substance.
Use
services.
In
addition
to
that,
our
Prevention
Services
served
another
5500
individuals,
which
was
really
a
huge
increase
from
last
year.
D
I
think
we
were
up
from
like
685,
because
we
really
weren't
able
at
that
time
to
be
out
in
the
community,
but
this
past
year
all
of
our
services
resumed
out
in
the
community,
doing
classes,
parenting
classes
and,
most
importantly,
having
our
staff
back
doing
home
visits
with
families
that
need
us
the
most.
In
addition,
through
social
media
campaigns
and
and
other
videos,
Billboards
and
so
forth,
we
had
a
reach
of
over
1.4
million
viewers
and
then,
of
course,
our
Facebook
page
had
over
80
000
impressions.
D
Our
budget
is
right
around
50
million.
Of
course,
the
majority
of
the
revenue
is
from
Medicaid
Medicare
and
insurances.
We
always
like
to
point
out
that
less
than
10
percent
of
our
budget
goes
to
administrative
services
and
all
of
our
additional
funding
requests
from
FY
23
were
funded
by
outside
Revenue.
There
was
no
direct
cost
from
the
general
fund.
Our
services
are
heavily
regulated
by
the
Department
of
Behavioral,
Health
and
developmental
services,
and
our
expectations
are
outlined
in
a
performance,
contract
and
I
know
on
the
consent
agenda.
D
Tonight
we
will
be
asking
your
approval
of
our
performance
contract
with
the
Department
just
to
highlight
a
few
of
our
key
accomplishments.
Over
the
past
year,
we
were
very
fortunate
to
be
coming
out
of
the
pandemic
when
it
was
time
for
our
50th
anniversary
celebration,
so
I
know
many
of
you
were
able
to
attend
that,
and
it
was
just
an
excellent
event.
D
Also,
within
the
past
year,
we
had
our
accreditation
or
our
reaccreditation
from
the
commission
on
accreditation
of
rehabilitative
facilities.
It
was
our
ninth
survey,
but
what's
really
important,
is
this
extended
our
24-year
history
of
full
of
accreditation
of
all
of
our
programs
and
services?
And
then
of
course,
last
month
you
recognized
our
Naco
and
Vaca
Award
winners
throughout
the
county,
and
we
were
fortunate
to
have
two
Naco
Awards
one
for
mental
health
as
a
puzzle.
D
That
initiative
actually
was
the
one
that
received
both
a
Naco
and
a
vaco
award,
and
then,
of
course,
our
other
Naco
award
was
resilient,
Chesterfield
and
that
was
in
in
partnership
with
the
Chesterfield
suicide
awareness
and
prevention
coalition,
our
Workforce,
that
is
huge,
we've
heard
it
through
other
presentations
and
the
challenges
that
we're
seeing
in
every
you
know
realm,
but
I
just
want
to
say
a
huge
thank
you
to
you
and
County
Administration
for
the
pay
study
that
was
completed
over
the
past
year
phase.
One
implementation
had
a
profound
effect
on
our
department.
D
We
are
seeing
just
within
the
first
few
months
after
that
our
turnover
rates
are
less
than
five
percent
and
we
were
running
turnover
rates
of
24.5
percent
over
the
last
year.
In
addition
to
that,
we
have
been
extremely
successful
in
trying
to
hire
our
residential
positions,
and
so
we
stopped
our
continuous
ads
which
have
been
running
for
years
in
this
program,
and
so
that's
just
it's
just
been
tremendous
to
see
the
impacts
that
this
has
had
on
our
department.
D
There's
the
988
hotline
National
hotline
number
that
went
live
in
July
that
is
still
being
rolled
out
and
interfaced
with
9-1-1
systems.
There's
Regional
call
centers
that
are
supposed
to
come
into
play
to
assist
with
calls
and
then,
of
course,
the
mobile
crisis
response.
Once
those
pieces
are
in
place,
then
it
makes
it
easier
to
implement
the
level
one
through
level.
Four
responses
with
with
the
Marcus
alert,
which
you
know
for
the
public,
the
the
biggest
thing
that
Marcus
alert
is,
is
providing
a
behavioral
health
response
to
a
behavioral
health
situation.
D
Here
in
Chesterfield,
we
are
slated
to
implement
all
of
the
protocols
by
July
of
2023,
so
it
gives
us
you
know
eight
months
or
so
to
to
determine
what
we
need
to
be
doing
here
in
Chesterfield.
Although
there
is
a
template
about
how
all
of
the
community
all
localities
are
supposed
to
become
in
compliance,
it
really
is
up
to
the
localities
to
determine
how
we
implement
the
protocols,
and
so
we
have
a
county
task
force.
That's
already
been
in
you
know,
operating
and
looking
into
the
standards
it
involves
police.
D
It
involves
fire,
County,
Administration
County
attorneys
everybody's
at
the
table,
trying
to
make
sure
that
what
we
Implement
in
Chesterfield
is
the
best
for
Chesterfield.
There
is
600
000
that
will
be
coming
eventually
from
the
Department
of
Behavioral
Health
towards
this
effort.
We
have
not
received
those
monies,
yet
they
would
come
before
the
board
when
we
do
receive
those,
but
that's
ongoing
funding
that
all
localities
will
receive.
D
Oh
I
do
want
to
point
out
before
before
I
move
on.
We
have
a
strong
system
already
to
prepare
us
for
this.
Our
relationship,
mental
health
relationship
with
fire
police
sheriff
everybody
is
just
so
integrated.
I'll
talk
a
little
bit
later
of
how
we're
embedded
in
some
of
those
services
and
then
also
a
real
strength
to
this
is
all
of
our
Public.
Safety
officers
go
through
the
CIT
training,
and
just
this
past
year
we
conducted
another
five
trainings
with
Public
Safety
Officers
Training
it
almost
another
100
Public
Safety
responders
in
CIT.
D
So
so
we're
doing
some
great
things:
permanent
Supportive
Housing.
You
know,
we
know
housing
for
individuals
with
serious
mental
illness
and
those
with
substance.
Use
disorders
is
extremely
important
number
one
to
sustain
their
recovery,
but
also
to
prevent
homelessness,
and
we
appreciate
your
support
of
the
project.
Other
County
projects,
such
as
the
Horner
property,
the
Colebrook
property,
those
Partnerships
that
we
are
you
know
partnering
with
the
better
Housing
Coalition,
will
enable
us
to
have
approximately
25
Apartments
to
place
the
individuals
that
receive
our
services
in
FY
22.
D
In
addition
to
that,
we
applied
and
received
just
right
around
seven
hundred
thousand
dollars
in
permanent
Supportive
Housing
funds
through
the
Department
of
Behavioral
Health
and
developmental
Services,
which
will
allow
us
to
place
30
individuals
into
stable
housing.
This
type
of
funding
is
really
important
because
it
not
only
pays
for
rent.
It
also
pays
for
the
wraparound
services
that
individuals
receive
and
also
any
emergency
funding
that
may
need
may
need
to
be
needed.
D
Nationally,
there
was
120
percent
increase
in
hospitalizations
due
to
eating
disorders
and
then
also
nationally,
there
were
over
2
400
child
suicides
in
2020
children
were
the
only
age
group
that
increased
nationally
in
the
number
of
suicides
between
2019
and
2020.
in
2021,
nationally
emergency
department
visits
for
suspect,
suspected
suicide.
Attempts
in
the
United
States
increased
51
percent
in
adolescent
girls
in
Chesterfield.
D
Assessing
treatment
options
for
youth,
especially
those
with
complex
and
severe
symptoms,
is
increasingly
difficult.
This
includes
hospitalizations.
We
only
have
one
Children's
Hospital
throughout
the
whole
state
and
that
was
operating
at
less
than
50
percent
capacity
for
almost
the
end.
Throughout
the
pandemic
crisis.
Stabilization
options
as
well
as
Residential
Treatment,
it
is
very
difficult
to
find
those
services,
and
very
often
children
in
Chesterfield
have
to
go
outside
of
Virginia
much
less
outside
of
Chesterfield.
D
Lauren
herschler,
who
is
our
substance,
use
Outreach
coordinator,
continues
to
do
excellent
work
out
in
our
high-risk
communities.
She
during
the
past
year
distributed
over
almost
1800
boxes
of
Narcan
out
in
the
community,
and
we
know
for
a
fact
that
over
282
residents
in
Chesterfield
were
revived
from
the
doses
that
she
distributed
out.
She
has
developed
a
really
tight
connection
with
the
community
of
trust,
and
so
they
will
reach
back
out
to
her
and
they
will
divulge
when
these
things
occur.
D
Individuals,
don't
always
seek
help
from
you
know,
Fire,
EMS
or
whatever,
when
they
do
an
overdose,
but
then
they
reach
back
out
and
and
get
in
touch
with
her
about
either
needing
additional
Narcan,
which
this
isn't
about.
Just
Distributing
Narcan
she's
out
there
also
providing
information
on
programs
and
services
and
trying
to
steer
into
individuals
towards
treatment.
D
She
also
distributed
over
two
thousand
fentanyl
strips
testing
strips
as
a
harm
reduction
strategy
and
I.
Think,
and
this
is
to
help
the
public
better
understand
what
is
in
their
supply.
One
of
the
positives
from
from
this
whole
thing
is
that
as
she's
out
there,
one
thing
she
has
noted
is:
we
are
not
seeing
an
increase
in
additional
individuals
using
substances.
What
we're
seeing
the
increase
in
is
overdoses
of
people
that
currently
use,
and
that's
because
the
supplies
are
so
tainted
right
now
that
it's
very
difficult
to
know.
D
What's
in
it,
people
are
using
it
and
then
they're
ending
up
overdosing,
and
so
that's
the
purpose
for
providing
the
fentanyl
testing
strips
to
try
to
you
know,
avert
an
overdose
occurring.
Also,
we
have
a
mobile,
integrated,
Healthcare
team
in
partnership
with
fire
and
EMS
Lieutenant
Bigelow,
as
well
as
our
peer
provider.
Lane
weatherholt
are
doing
tremendous
work
in
the
community.
They
actually
follow
up
after
an
overdose,
especially
if
fire
and
EMS
has
gone
out
to
a
call
if
somebody's
hospitalized
or
just
knowing
that
this
has
occurred.
D
Then
it's
a
peer
effort
to
go
out
talk
with
the
individuals
and
try
to
get
them
into
treatment.
Last
year
there
were
186
calls
or
referrals
that
they
responded
to
already
since
January.
There
have
been
151,
but
our
peer
provider
I
know
has
been
doing
Outreach
to
at
least
92
since
March,
which
is
when
he
was
hired,
and
he
has
a
very
high
rate
about
73
percent
effectiveness
of
the
individuals
he's
able
to
reach
to
get
them
into
intensive
recovery
programs
so
being
out
in
the
community
boots
on
the
ground.
D
Working
with
individuals
is
really
working
and
we're
seeing
the
results
of
that.
We
also
have
the
work
of
our
County
steering
substance,
use,
steering
committee
under
the
leadership
of
Melanie
Meadows
and
we're
continuing
to
develop
plans
for
the
monies
that
the
county
will
be
receiving
as
a
result
of
the
opioid
opioid
abatement
settlement.
And,
of
course,
you
being
on
that
board
is
very
helpful
to
us
as
well.
Mr
Holland.
D
We
also
receive
funding
from
the
Department
of
Behavioral
Health
to
support
our
substance,
use
programs
and
tonight
there
is
also
a
consent
agenda
item
for
approval
for
us
to
be
able
to
receive
an
additional
395
thousand
dollars
in
state
opioid
response
funding
from
the
Department
of
Behavioral
Health.
This
will
be
used
to
administer
our
medication
assisted
treatment,
recovery
program,
we'll
also
be
able
to
assist
residents
with
the
cost
of
detox
transportation
and
also
some
short-term
housing
assistance.
D
We
continue
to
partner
with
Sheriff
Leonard
and
his
staff
by
providing
Mental
Health
Services
in
the
jails.
I
know
that
he
is
currently
seeking
accreditation
with
the
jails
and
a
big
component
of
that
are
the
Behavioral
Health
Services,
and
so
we're
very
much
having
conversations
with
him
and
trying
to
make
sure
that
we're
getting
a
system
in
place
to
to
really
help
in
that
area
and
then,
of
course,
just
a
couple
of
other
things.
D
We're
part
of
the
County's
team
under
the
leadership
of
Commonwealth
attorneys,
Stacy
Davenport,
as
well
as
Melanie
Meadows,
again
to
implement
a
veterans,
treatment,
docket,
yes,
veterans,
treatment,
docket
and
then,
of
course,
we're
in
the
heart
of
implementing
the
Chesterfield
recovery
Academy
in
partnership
with
the
school
system,
which
is
the
first
recovery
Academy
in
Virginia
I'm,
happy
to
report
that
we
have
10
students
who
are
already
part
of
that
program.
Nine
are
from
Chesterfield,
one
is
from
Henrico
and
we
are
getting
our
Mental
Health
Services
up
and
running
in
in
the
program
as
well.
D
Our
feature
highlight
we
always
like
to
talk
about
a
success
story,
and
this
year
we
really
would
like
to
celebrate
Larry.
We
call
him
Randy
Ward,
who
is
retiring
after
46
years
as
a
vocational
worker
with
Chesterfield
Employment
Services
Randy
started
out
in
the
sheltered
workshop
program
back
in
1976..
He
worked
in
the
study
setting
performing
production
work
for
nine
years
before
joining
a
group
cleaning
the
Wagner
building
in
the
evenings.
Randy
worked
on
the
Wagner
crew
for
its
entire
17-year
run
when
this
site
ended,
he
transitioned
to
Ingram
books,
distribution
warehouse
in
Dinwiddie.
D
For
a
couple
of
years,
when
Chesterfield
Employment
Services
initiated
a
contract
with
UPS
Freight
in
2003.
He
joined
that
group
again
with
his
considerable
cleaning
skills
and
he
worked
with
UPS
Freight
on
both
the
evening
crew,
the
midday
crew
from
2003
until
2019,
when
that
Arrangement
ended
the
last
two
years
of
his
working
career
Randy
worked
with
one
other
placement.
This
was
an
individual
placement
cleaning.
The
reach
Administration
buildings
down
in
Festival
Park
Randy
will
be
enjoying
retirement
with
his
mother
Gene
in
their
home
in
Southeastern
Chesterfield
County.
D
We
are
so
proud
around
Randy
for
showing
others
the
contributions
that
people
with
disabilities
can
make
in
their
communities.
He
was
one
of
our
pioneers
and
we
cannot
thank
him
and
his
mother
Gene
enough
for
sharing
the
past
46
years
with
us
at
Chesterfield
Employment
Services.
It
is
now
my
pleasure
to
introduce
to
you
Randy
Ward,
and
express
our
sincere
appreciation
for
his
46
years
of
dedicated
service
to
Chesterfield
County
employment
services
and
to
our
mental
health
support
services,
department,
Randy.
E
E
E
E
C
E
C
D
As
I
close
I
would
just
like
to
recognize
the
members
of
the
senior
management
team.
They
you
know
I'm
the
one
up
here,
doing
the
presentation,
but
they
are
the
backbone
of
our
organization
and
clearly
many
or
most
of
these
initiatives.
They
are
all
really
deep
in
leading
these
efforts.
So
at
this
time,
I
would
like
to
ask
them
to
stand:
Danielle
Sayre,
York,
mukowski,
Doug,
bilsky,
Mandy,
pilk,
David,
Meadows,
Dr,
Angela,
catalico
and
then,
of
course,
she's
not
here
for
our
Administrative
Assistant
Brooke
cook.
Awesome.
Thank.