Office of Integrated Health

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What We Do

Mission: Supporting this life of possibilities by ensuring quality supports and a pathway to community integrated health services.To serve as a resource for information related to healthcare, wellness, healthcare providers, and health related services within the Commonwealth.

Since the opening of the first institution for “epileptics and the feeble minded”, Virginians involved in the care of persons with developmental disabilities (DD) have identified the gaps in services, living situation concerns, health care access issues, and even the terminology used to describe people with DD. There have been attempts over the years to effect change and improve access, but many were done at a regional level and failed to achieve widespread and lasting results.

The Office of Integrated Health (OIH) was established by the Department of Behavioral Health and Developmental Services (DBHDS) in response to these needs. Its purpose is to build and improve on those past efforts and find new, innovative ways to effect change, and decrease inter and intradepartmental barriers across agencies. Consistent with the strategic goals of DBHDS the OIH assesses the needs and resources available for providing needed health services and supports to persons with DD and serious mental illness (SMI) throughout the Commonwealth. The OIH currently oversees and is responsible for the Health Support Network, and Long Term Care Services:
PASRR,OBRA, and the clinical operations of Hiram W. Davis Medical Center.


What is the HSN?

HSN stands for Health Support Network. This idea is new and is the culmination of extensive research, deliberation, and strategizing with statewide stakeholders (individuals, families, advocates, community-based organizations, and state-based agencies) in an effort to support the healthcare needs of individuals moving from institutions to their preferred community. It will also serve as a resource for information related to healthcare, wellness, healthcare providers, and health related services within the state. The HSN will replace the Regional Community Support Centers in both name and function. 

The Health Support Network (HSN) is a state-based infrastructure to ensure appropriate quality supports toward barrier-free, community integrated healthcare for people with intellectual and developmental disabilities. The HSN exists to provide person-centered services to meet the needs for those who choose to access its providers, and proactively seeks to ensure that former residents of Training Centers, large Intermediate Care Facilities and Nursing Facilities (NFs) with medical issues receive the right health services, at the right time, by the right providers.

Click here to view program

Long Term Care

The Preadmission Screening and Resident Review (PASRR) process is a federal mandated process to ensure that individuals with a Serious Mental Illness (SMI), Intellectual Disability (ID), and/or a Related Condition (RC) are not inappropriately placed in nursing facilities. The PASRR process requires that all applicants to Medicaid-certified Nursing Facilities be given a preliminary assessment to determine whether they have a MI, ID, or a Related Condition that meets the criteria to be included in the PASRR process. This is called a "Level I screen". Those individuals who are identified with a SMI, ID, or RC are then evaluated through the "Level II" PASRR process to ensure that the Individual meets the criteria for Nursing Facility admission and to make recommendations for rehabilitative and Specialized Services. 

The Omnibus Budget Reconciliation Act (OBRA) dates back to 1987. It was developed to ensure individuals residing in nursing facilities receive quality care and have access to specialized services that normally are not provided in a nursing facility. OBRA provides specialized services to individuals with mental illness, intellectual disability or related condition (developmental disability) who live in nursing facilities across the Commonwealth. Specialized services are those services individuals need to maximize self-determination and independence. Community living skills, assistive technology, day support, transportation and education are some of the services provided through specialized services. 

The Community Transition team was developed in an effort to implement a post-move monitoring process for children being discharged from a nursing facility to ensure that services and supports are in place at the time of their discharge and there are no gaps in care. The process will include the frequency and intensity of monitoring as appropriate to individual circumstances and a monitoring checklist. 

Hiram W Davis Medical Center (HWDMC) is a 94-bed Long Term Care Nursing, Skilled Nursing, and General-Medical level facility specializing in the care of individuals with developmental disabilities/serious mental illness and concomitant illnesses; located near Petersburg, Virginia. It is a CMS/VDH and Joint Commission accredited facility.

Hiram Davis Medical Center

Mailing Address: PO Box 4030, Petersburg, VA  238303

Physical Address: Albermarle and 7th Streets, Petersburg, VA  23803

Facility Director: Brenda Buenvenida, (804) 524-7112




The purpose of this section is to provide individuals, families, and direct service providers ongoing health information in language that specifically lacks medical jargon. Every effort is made to be accurate, helpful and current. None of the information is a substitute for seeking appropriate medical care. The goal is to provide a mix of information in a variety of formats around medical issues and just as important, the preventative needs of individuals with intellectual and developmental disabilities. If you have suggestions for this page, please contact us by email with your ideas. Every effort will be made to address them in a timely fashion. 

Supplemental Education

The information below is specific to health prevention and education specifically targeted to non-medical professionals.

Seasonal Alerts:

Supplemental Education:

Health Curriculum

Below is a curriculum developed by the Office of Integrated Health along with the accompanying PowerPoint. Accompanying activities and documentation to follow.

Health Risks

Listed below are five common, yet serious conditions that individuals with DD may be faced with. Educational sheets have been provided on these conditions to inform you of the risk(s) and to offer recommendations for care plans you may initiate.

Aspiration: critical riskhigh riskmoderate risklow risk

Bowel Obstruction: critical riskhigh riskmoderate risklow risk

Dehydration: critical riskhigh riskmoderate risklow risk

GERD: critical riskhigh riskmoderate risklow risk

Seizures: Critical riskhigh riskmoderate risklow risk