►
Description
Kelly Fried, Executive Director, Chesterfield County Mental Health Support Services presented information on the Federal 988 initiative and State Marcus Alert Legislation including impacts to Chesterfield County.
A
B
This
is
a
national
awareness
campaign.
It
actually
started
in
2005
with
the
National
Suicide
Prevention
hotline
number.
That
number
is
still
active
if
someone
calls
that
number
they'll
reach
the
hotline,
but
the
movement
starting
in
2019
with
the
Federal
Communications
Commission,
as
well
as
the
Department
of
Veterans,
Administration
and
samsa,
which
is
a
substance
abuse
mental
health
services.
Administration
was
to
start
moving
towards
a
three-digit
number,
make
it
easier
for
people
to
reach
folks,
and
so
that's
how
988
started
being
developed.
B
It
was
actually
signed
into
law,
I,
think
in
2020
and
of
course,
implementation
started
this
past
July.
So
individuals
can
call
988
and
receive
a
direct
connection
to
compassion
and
accessible
care
and
support,
because
the
Veterans
Administration
was
involved
as
well.
You
can
call
9881,
if
you're
a
veteran
and
get
directly
linked
to
the
Veterans
Crisis
Hotline,
but
it
doesn't
matter
if
somebody
just
calls
988
they're
going
to
receive
the
services
that
they
need.
B
It's
a
national
network
of
about
200
crisis
call
centers
Across
the
Nation,
and
so
you
know
anybody
that
calls
any
calls.
988
is
going
to
get
connected
to
one
of
those
service
lines.
I
know
there's
been
some
concerns
about
the
lack
of
geolocation
for
988
that
exists
for
9911,
but
they're
going
to
get
served
right
at
the
number
that
they
call.
B
Just
a
little
bit
about
Virginia's.
As
I
said,
there's
two
International
centers
call
centers
across
the
the
nation.
Some
of
the
calls
are
operated
by
the
states
and
some
are
operated
by
Regional
call,
centers
and
Virginia
chose
to
operate
according
to
Regional
call
centers
the
good
news
about
that,
and
these
regions
are
set
according
to
the
Community
Services
Board
region.
So
we
are
in
region
four,
which
is
with
Henrico
District
19,
Crossroads,
Hanover,
Goochland,
Powhatan
I
think
those
were
the
main
ones
in
our
region
and
Crossroads.
B
So
if
anybody
calls
988
you're,
actually
the
call
center
that
operates.
Our
regional
call
center
is
PRS
crisis
link,
which
is
really
the
same
company
that
operates
the
National,
Suicide
Hotline,
so
Virginia
chose
we
could
do
of
our
region.
All
the
regions
in
Virginia
are
using
the
same
company
with
the
exception
of
Southwest
Virginia
they're
using
Frontier
Health,
but
they
each
back
each
other
up,
so
it
doesn't
matter
which,
which
region
you're
in.
If
you
make
a
call
you're
going
to
be
served
by
either
PRS
crisis
link
or
Frontier
Health.
B
These
call
centers
are
accredited
they're
required
to
be
accredited
by
at
least
one
organization.
Prs
crisis
link
is
accredited
by
two,
which
is
the
international
Council
of
helplines,
as
well
as
the
council
for
suicidality,
so
they
are
they're
well
versed
in
in
operating
the
call
center.
They
must
adhere
to
the
samhsa
service,
Administration
mental
health
policies
and
procedures,
and
really
their
focus
is
not
just
on
imminent
risk.
It's
really
a
focus
on
capacity
for
safety
to
remain
in
the
community,
and
so
what
they
do
is
you
know
they're.
B
A
lot
of
their
calls
are
escalated,
maybe
at
the
start,
but
their
job
is
to
de-escalate
those
calls.
They
do
risk
assessments
that
address
many
factors.
Aside
from
just
suicidality
a
lot
of
times,
individuals
are
distressed
because
of
their
housing
situation,
and
so
they
assess
them
for
a
lot
of
different
aspects
that
that
could
be
creating
their
their
challenges.
B
The
call
could
end
up
with
a
follow-up
call
within
24
hours.
It
could
end
up
in
some
type
of
care,
navigation
linking
them
to.
You
know,
like
our
department,
that
provides
same-day
access
and
can
start
helping
them
receive
services,
or
there
could
be
some
type
of
mobile
response
due
to
the
capacity
of
or
their
lack
of
capacity
where
they
need
to
be
served
in
the
community
and,
of
course,
the
call
centers
also
have
clinical
staff
that
are
behind
the
scenes.
B
They're
constantly
reviewing
the
services
and
and
the
outcomes
of
these
calls
to
ensure
that
the
services
are
provided
the
best
that
they
can
I.
Think
what's
important
to
remember,
though,
is
that
988
and
when
I
start
talking
about
the
state's
legislation
around
Marcus
alert
response.
Those
are
two
different
initiatives,
so,
regardless
of
the
state
developing
legislation,
988
APN
Federal
was
going
to
occur
anyway.
So
whether
someone
participates
and
I'll
get
to
the
Marcus
Alert
in
a
second.
B
So
this
legislation
requires
all
localities
in
the
state
of
Virginia
to
implement
within
2028,
unless
you
are
a
local,
a
locality
that
is
less
than
40
000
in
population,
and
so
those
are
not
required
to
implement.
They
can
but
they're
not
required
under
this
legislation.
Again.
This
rollout
of
this
legislation
is
also
by
Community
Services
Board
region
and
it's
by
population
within
those
region
to
determine
which
locality
will
go
in
what
order
so
Richmond.
B
Even
though
they're
less
of
a
population
than
Chesterfield,
they
were
the
first
to
implement,
mainly
because
the
situation
that
led
to
this
legislation
actually
occurred
in
Richmond
and
as
they
were
working
to
determine
what
responses
needed
to
be
appropriate
in
the
future.
They
were
sitting
at
the
table
with
with
all
the
folks
when
the
legislation
was
developed,
and
so
they
went
first
to
implement
and
they
actually
implemented
last
year,
Chesterfield
now
being
edged
a
little
bit
higher
in
population
than
Henrico
is
slated
to
to
go
this
year
and
we
have
had
a
team.
B
That's
been
working
very
hard
throughout
the
year
to
get
this
in
place.
Foreign
calls
that
you
know
there's
there's
three
protocols
that
are
required
to
be
implemented,
and
so
the
protocol
one.
This
is
really
talking
about.
If
somebody
calls
9-1-1
and
I'll
go
into
some
actual
examples
in
a
few
minutes,
but
if
it's
not
a
response
where
police
are
needed,
then,
if
it's
appropriate
to
divert
the
call
to
988,
then
we
just
need
to
have
a
protocol
that
shows
that
we're
doing
that
where
it
is
where
it's
appropriate.
B
It
is
very
clear
that
if
anybody
should
call
9-1-1
requesting
a
police
response,
they're
going
to
get
that
no
calls
are
going
to
be
diverted
to
988
if
the
caller
specifically
asks
for
9-1-1.
So
I
think
it's
very
important
to
note
that
the
second
protocol,
if
they're,
calls
that
go
directly
to
988.
They
may
bypass
our
911
to
begin
with,
and
if
crisis
teams
or
other
folks
are
deployed
because
it
doesn't
seem
like
police
is
needed
for
those
calls,
but
yet
police
they
get
out
there.
B
B
Stabilization
units
protocol
3,
that's
really
looking
at
co-response,
where
our
crisis
team
will
go
out
in
with
police
as
a
co-response
team
to
situations
and
then
the
last
part
of
the
protocols
that
we
need
to
develop
is
a
stakeholders
Group,
which
we've
already
done
that
last
year,
as
I
said,
we
have
a
county
team.
That's
been
working
for
over
a
year
we
had
our
stakeholders
meeting
back
in
November
we're
going
to
have
ongoing
meetings,
but
so
far
you
know
it
was
a
well
you
know.
Was
it
well
attended
because
we
opened
it
up
to?
B
Maybe
1500
people
and
we
had
a
much
smaller
group,
but
we
had
folks
that
attended
and
they
were
willing
to
be
part
of
our
stakeholders
group,
and
so
we
feel
very
good
about
that
and
we'll
update
them
along
the
way.
I
do
want
to
say,
while
I'm
talking
about
our
County
task
force,
I
just
have
to
say
a
special
shout
out
to
Major
Brad
badgeram
Tommy
Tucker
from
the
emergency
communications
center
Andrew
forweider
from
the
county
attorney's
office.
B
They
have
been
working
behind
the
scenes
with
me
now
for
quite
a
while
to
really
start
getting
our
protocols
in
place
and
we're
in
pretty
good
shape
with
that
speaking,
just
a
little
bit
about
I
know
it's
a
little
bit
hard
to
see,
but
the
the
green
yellow
so
forth,
green
represents
level.
One
calls
yellow
represents
level,
two
I'll
focus
on
those
first.
Those
are
really
calls
that
do
not
involve
suicidality
and
tend
to
harm
others
either
don't
appear
to
be
weapons
in
the
house
or
anything
like
that.
B
These
are
folks
that
may
just
need
to
talk
to
somebody,
maybe
sort
of
like
a
warm
line
situation,
and
so
those
are
the
types
of
calls
that
you
know
we're
hoping
can
be
handled
by
the
988
call
center
again.
The
majority
of
those
types
of
calls
do
not
require
a
physical
response,
and
so
there's
no
sense
in
tying
up
on
police
resources
to
responding
to
those
types
of
calls,
when
police
traditionally
would
transfer
those
calls
to
our
crisis
line
anyway.
B
But
again,
if
any
of
those
situations
occur
and
police
need
to
respond,
they
will
respond.
It's
not
a
a
method
to
keep
police
out.
It's
just.
Are
they
needed
at
all
when
their
resources
could
be
used
in
other?
In
other
ways,
then,
when
you
start
getting
into
level
three
calls
it's
getting
more
urgent,
there
is
suicidality,
there's
homicidality,
perhaps,
and
then
there
may
be
weapons
involved,
and
so
at
that
time
then
police
absolutely
need
to
be
on
scene
and
where
we
can
provide
a
co-response
and
have
a
behavioral.
B
Health
provider
also
participate
in
those
response
to
again
try
to
de-escalate,
prevent
a
hospitalization
situation
and
maybe
get
some
services
in
the
community
to
stabilize
the
individual.
Then
that's
really
the
goal
for
for
that.
For
the
level
three
responses
and
then
with
level
four,
those
are
the
most
critical
again.
We
may
have
our
hostage
negotiation
teams
out
there.
We
may
have
you
know
other
types
of
of
higher
level
co-response,
but
but
definitely
police
and
fire
and
EMS
likely
are
on
scene
for
those
types
of
calls.
B
I
do
want
to
note
that
the
988
call
center
can
deploy
some
crisis
stabilization
units.
Those
are
Regional
teams
that
are
being
deployed
from
the
state,
so
988
does
not
have
the
ability
to
transfer
any
I
mean
to
deploy
any
co-response
teams
in
Chesterfield.
That
is
all
they
can
only
deploy
Regional
resources
and
then
the
same
way
when
9-1-1.
If
they
evoke
they're
the
only
ones
that
can
call
out
the
co-response
teams
between
police
and
our
crisis,
Department
988
can't
call
and
say:
hey.
B
We
want
co-response,
we
want
you
all
to
go
out
and
handle
these
calls.
Those
are
that's
how
we
sort
of
dispatch
that
separately,
so
the
lower
level
calls
can
be
dispatched
by
988
they'll,
send
out
crisis
Regional
providers,
but
the
higher
level
really
critical
calls
those
are
all
being
dispatched
by
9-1-1
and
those
would
involve
our
crisis.
Co-Response
team
for
those
types
of
calls.
A
Thank
you,
Mr
chair,
so
a
couple
things
one.
It
sounds
like
with
the
exception
of
maybe
the
level
two
where
they
might
send
somebody
out,
because
level
one
would
be
more
of
a
call.
Everything
is
pretty
much
running
the
way
it
was
previous
to
this
and
if
they
call
988
and
it's
actually
a
9-1-1
call,
how
does
988
send
that
over
to
9-1-1
so.
B
B
Because
we
have
a
lot
of
co-occurring
disorders,
and
so
they
would
triage
that
call
just
the
same
way.
They
would
really
be
looking
to
see
what
is
the
root
of
the
issues
in
those
cases
they
would
probably
be
reaching
out
to
the
local
community
services
board
so
that
we
can
start
trying
to
get
them
in
that
same
day
or
depending
on
what
the
situation
situation
is,
they
may
need
9-1-1
to
take
the
individual
to
ensure
that
they're
medically
stable
before
we
can
do
further
Services.
Thank
you.
D
B
Are
lots
of
calls
that
come
to
988
I
was
actually
surprised,
as
we
were
looking
at
this
being
implemented.
So
you
know
the
first
year
in
2005,
over
46
000
calls
went
to
the
National
prevention,
Suicide
Hotline,
so
there's
lots
of
calls
that
come
to
them
that
don't
actually
come
to
our
department.
We
receive
on
average
about
a
thousand
calls
a
month.
So
now
a
lot
of
those
end
up
response.
B
You
know
our
tdo
type
responses
and
that
would
fall
in
this
triage
about
a
level
three
to
a
level
four,
so
you
know
that's
why
co-response
is
ideal
for
us
to
be
doing
that
with
the
police,
because,
right
now,
when
police
goes
out
on
a
call,
the
first
thing
they
do
is
call
us.
We
work
the
case
together
and
then
a
lot
of
times.
B
So
I
really
think
that
our
calls
will
drop,
we'll
see,
I,
don't
think
our
calls
will
drop
for
the
tdos
that
we
do
and
we
do
about
35.
Our
average
was
35
or
40
a
month,
I
will
say
in
January
we
did
over
65,
so
that
has
increased.
We
are
seeing
a
real
increase
in
in
in
concerns
mental
health
concerns,
so
I
think
our
tdo
calls
will
will
level
off.
I
mean
we'll
remain
the
same
or
increase.
B
D
E
B
Won't
come
to
our
crisis
team
at
all.
It's
a
central
regional
call
center,
so
it
we're
not
cutting.
They
may
defer
costs
to
us
when
it
comes
to
triage
and
the
calls
out,
depending
on
what
the
individuals
need
likely
won't
be
sent
to,
could
be
sent
to
our
crisis
Department.
It
may
come
to
our
same-day
access
or
it
may
get
sent
to
police,
and
then
we
get
involved
that
way.
But
it's
not
we're
not
the
call
center
for
the
region.
It's
PRS!
E
Just
trying
to
understand
the
mechanics,
so
if
it
does
come
to
you,
for
instance,
and
just
as
you
were
describing
for
January,
you
know
it's
been
more
difficult
challenging
month.
So
I
have
a
couple
questions.
Just
as
far
our
staffing
I
know,
I
have
someone
who
has
received
those
phone
calls
and
if
I
get
that
and
then
all
of
a
sudden,
okay
I
need
to
dispatch.
E
9-1-1
I
need
someone
else
to
be
able
to
say
9-1-1
right,
so
that
I'm
able
to
continue
to
be
with
that
individual,
but
at
the
same
time,
someone's
on
the
way
right
so
I'm
curious
to
know
how
are
you
doing
with
the
Staffing?
Is
there
any
way?
We
can
support
you
in
that,
because
if
you
could
have
four
or
five
calls
at
the
same
time
right,
then
it
can
get.
We.
B
Are
our
goal
right
now
is
we're
planning
this
out
is
to
plan
two
co-response
teams
operating
out
of
our
in
cooperation
with
our
department
and
the
police,
and
so
at
this
point
we
are
not
making
a
recommendation
to
add
more
staff,
because
we
again
right
now,
our
staff
are
handling
those
same
calls
they're
just
handling
in
them
in
the
office
versus
actually
going
out
it's.
It
would
be
a
rare
day
for
us
to
have
four
or
five.
B
B
The
crisis
stabilization
units
that
are
going
to
go
out
they're
going
out
based
on
Regional
resources,
not
our
departments,
so
those
are
actually
additional
resources
that
are
available
to
each
of
the
csbs
in
the
region,
which
is
why
we
do
not
feel
like
we
need
to
add
staff
at
this
point.
They've
added
capacity
to
this
system
versus
all
the
capacity
coming
from
the
localities.
B
Folks,
we
well
we're
monitoring
the
peak
times,
we're
basing
that
after
Richmond
and
so
really
and
truly
the
the
hottest
times
for
these
types
of
calls
are
from
two
o'clock
in
the
afternoon
until
midnight
so
and
it's
usually
Tuesday
through
Friday,
Believe,
It
or
Not
weekends
are
not
what
you
would
think
they
are
and
Mondays
aren't
it's
usually
Tuesday
through
Friday.
So
that's
really
the
hours
that
we're
starting
with
operating
the
co-response
teams.
But
we
have
to
remember
whether
these
co-response
teams
are
going
or
not.
B
E
B
E
Good,
you
are
at
being
able
to
communicate.
So
you
know
you
have
folks
that
are
out
at
the
jails
you
have
you
mean
you
have
put
folks
out
into
the
different
silos
to
continue
to
improve
and
enhance
the
communication.
So
it's
just
a
credit
to
you
and
all
that
you're
doing.
Thank
you.
So
thank
you.
Thanks.
C
This
this
chair,
I'm
just
Holland,
if
I
may
I,
just
want
to
say
thank
you
I,
want
to
join
my
colleague
in
thanking
you
for
the
outstanding
work
that
you
have
done
and
not
doing
in
this
area.
I
have
one
question
in
regards
to
the
988
call:
there
are
no
region,
you
said
it's
a
regional
call,
but
there
are
no
Regional
resources
sent
out.
How
does
that
work
then?
If
you
call
a
988
call
and
there's
no
resources
sent
out.
B
B
There
are
so
so
988
will
get
the
call
Bell
triage
or
they'll.
You
know
assess
that
call
if
they
find
that
an
individual
is
in
need
of
somebody
helping
them
in
the
community.
There
are
Regional
Crisis
mobilization
units
that
can
be
dispatched,
they're
called
Crest
and
reach.
They
have
been
in
existence
now
for
our
region
for
probably
about
two
years.
They
are
in
the
process
of
expanding
those
Services
because
they
need
to
in
order
to
accommodate
more
and
more
localities
that
go
live
with
this
initiative,
so
they
are
out
there.
B
Actually,
you
have
to
respond
within
a
certain
amount
of
time
and
so
they're
trying
to
locate
their
Regional
resources
out
into
the
various
localities,
and
we
actually
have
two
staff
that
are
using
space
in
our
department
so
that
if
a
situation
comes
up
in
chest
field
or
District,
19
Colonial
Heights,
something
like
that
now
then
they're
close
enough
that
they
can
get
to
that
call
as
soon
as
possible
and
not
be
driving
from
Richmond
Hanover
or
something
like
that
to
get
here.
Thank
you.
B
So,
yes,
those
resources
are
available
and
those
are
the
ones
that
I
was
saying.
Can
only
be
deployed
by
the
988
mobile
call
center
I
mean
not
mobile,
but
call
center,
because
they're
kind
of
controlling
those
resources
and
then
we
would
be
controlling
our
local
resources,
which
is
why
9-1-1
here
is
the
only
ones
that
can
deploy
the
co-response
teams,
which
would
be
Chesterfield
crisis
and
police,
because
we
don't
want
the
cost
center.
B
E
A
Would
probably
be
the
regional
team?
Yes,
then
I
know
red
is
the
last
one
is
it
orange
orange,
so
orange
would
be
probably
a
co-response
between
the
police
and
possibly
our
Chesterfield.
Probably
our
team,
yes
and
then
red
would
also
be
handled
by
the
police,
mostly,
but
also
our
team
could
be
responding
to
help
as
it's
brought
under
control
is.
E
That
correct,
yes,
thank
you,
Casey
can
I
just
have
one
more
thing:
Mr
chairman
Mr,
England
I
just
wanted
to
mention
that
you
know
in
a
funk
a
call
like
that.
It's
not
necessarily
it's
very
Dynamic,
so
we
could
start
out
at
one
level
and
it
is
possible
to
be
able
to
talk
The
person
down
or
it
can
be
where
it
so
that
is
the
the
professionalism
of
your
staff,
it's
a
professionalism
of
being
able
and
the
experience
to
be
able
to
identify
okay.
E
F
To
just
to
respond
back
and
and
Miss
free
could
be
more
specific
to
the
to
the
straightforward
question.
Dr
Miller
asked
what
happens
when
you
dial
988.,
so
just
as
a
reminder
when
you
dial
9-1-1
in
Chesterfield
County
from
a
landline
or
a
cell
phone
number
landlines
automatically
come
to
our
dispatching
Center.
The
the
cell
phone
works
for
the
triangulation
of
cell
towers
and
Mr.
Kyle
can
probably
remember
there's
when
you're
on
the
perimeter
of
the
county.
It
depends
what
towers
are
pinging
it
as
to
what
9-1-1
Center
gets
it,
but
our
neighboring
jurisdictions.
F
They
know
exactly
what
to
do
and
where
someone's
calling
from
so
we
work
hand
in
glove
with
that.
The
988
technology
is
not
up
to
the
same
par
GIS,
nor
triangulation
of
cell
tower.
So
if
you're
calling
988
from
a
landline
within
Chesterfield
County
by
default,
you
have
an
804
area
code.
If
you
have
an
804
cell
phone
number,
you
also
are
going
to
be
reaching
the
regional
804
call
center.
F
B
That's
the
beauty
of
the
call
centers
in
Virginia
and
I
know
it
could
be
outside
of
Virginia
too,
but
all
being
operated
by
the
same
company
that
operates
the
National
Suicide
Hotline,
because
they,
you
know
they're
all
operating
under
the
same
protocols,
they're
doing
the
same
assessments
and
again
they
have
told
us
that
the
majority
of
the
calls
do
not
involve
needing
to
go
out
and
assist
somebody.
But
if
they
do
they're
Gathering
that
information
and
getting
it
to
the
nearest
9-1-1,
so
you're
correct.