Coordinated Specialty Care
Coordinated specialty care is an approach to treating early psychosis. It focuses on increasing people’s access to care and shared decision-making among specialists, patients, and their families.
Targeted population for CSC
Generally, individuals between the age of 15-30
Individuals diagnosed with a psychotic disorder such as schizophrenia or schizoaffective disorder
Individuals in early stages of illness or First Episode Psychosis (FEP). FEP is generally defined as the period of up to five years after the onset of psychotic symptoms.
Coordinated Specialty Care is currently provided by eleven CSBs, to visit each CSB website, click on the name of the CSB to be directed to their website.
Alexandria Department of Community and Human Services: The TRAILS Program serves residents of the City of Alexandria. Contact Nichole Rohrer at 703-746-3550 or nichole.rohrer@alexandria.gov
Fairfax-Falls Church Community Services Board: The Turning Point Program. Turning Point serves residents of Fairfax County and the cities of Fairfax and Falls Church. Bulova Center phone number: 703-559-3000 or CSBTurningPointCSC@fairfaxcounty.gov
Henrico Area Mental Health and Developmental Services: The In S.T.R.I.D.E. Program (Step Toward, Recovery, Insight, Development, & Empowerment) serves residents of the counties of Charles City, Henrico and New Kent. Contact Tisha Parson at 804-727-8924 or par094@henrico.us
Highlands Community Services: The NAVIGATE Program serves residents of Washington County and the City of Bristol. Contact Andrew Leonard at (276) 525-1255 or aleonard@highlandscsb.org
Loudoun County Department of Mental Health, Substance Abuse and Developmental Services: The Linking Individuals and Navigating Care (LINC) Program serves Loudoun County residents. Contact Samia Salem at (571)-470-1995 or ssalem@prsinc.org
Encompass Community Supports (formerly known as Rappahannock-Rapidan Community Services): The Young Adult Coordinated Care (YACC) Program serves residents of the Counties of Culpeper, Fauquier, Madison, Orange and Rappahannock. Contact Tammy Taylor at 540-825-5656 ext. 102 or ttaylor@ecsva.org
Prince William County Community Services: GetOnTrack serves Prince William County residents. Contact Sophia Lenk at 571-209-8803 slenk@pwcgov.org
Western Tidewater Community Services Board: Serves residents of the Counties of Isle of Wight and Southampton and the Cities of Franklin and Suffolk. The Life Management Program (LMP) provides service and support for young people ages 16-25 experiencing a first episode of psychosis (FEP). The LMP Team meets with each individual and family if applicable to establish their needs, wishes and aspirations. If the client has communication difficulties, we strive to find the most effective form of communication for them. Ultimately, the LMP team strives to convey hope for recovery using a person centered approach and peer support. Individuals interested in making referrals to The Life Management Program can call the Service Access phone number at 757-758-5106 or contact Deborah Hall by phone at (757)-525-7595, or via email at dahall@wtcsb.org
Arlington County Community Services Board: Aspire Program Serves residents of Arlington County. Contact Jackie Leinberger at (703) 228-0405 or email at jleinberger@arlingtonva.us
Mount Rogers Community Services Board: Serves Smyth, Wythe, Bland, Carroll, Grayson, City of Galax. Contact – Morgan Greer, Director of Youth and Family Clinical Services at 276-239-0127 or email at morgan.greer@mountrogers.org
For more information, contact Jeff VanArnam at Jeff.VanArnam@dbhds.virginia.gov.
Virginia Prevention Works Behavioral Health Wellness Portal
Find information for people working in the field of behavioral health prevention, including CSB/BHA staff, DBHDS staff, CounterTools staff, and Coalition members. Virginia partners can log in to find information on planning, implementing and evaluating efforts in the Virginia Commonwealth.
APAL
The Adult Psychiatric Access Line (APAL) is an adult substance use training, consultation, and referral program designed for primary care providers to treat and respond to substance use disorders in adult patients.
ACT
ACT refers to a team of mental and behavioral health experts who serve people experiencing severe mental illnesses. Their goal is to promote the independence and wellbeing of their patients. Some of the services provided include:
- Helping individuals find and maintain safe, affordable housing
- Assistance with finding and maintaining meaningful, competitive employment
- Health-related education and psychiatric rehabilitation
- Assistance with harm reduction and substance use disorder recovery strategies
Contact the community services board within your city or county to get more information about accessing this service.
For more information, contact Jeff VanArnam at
Who Qualifies for ACT?
In addition to being 18 years of age or older, to qualify, you should meet one or more of the following qualifications listed below. You can find the full list of requirements in the Code of Virginia Section 12VAC35-105-1360.
- Has a documented diagnosis of a serious and persistent mental illness, such as Schizophrenia Spectrum and Other Psychotic Disorders, or Bipolar and Related Disorders, as described in the Diagnostic and Statistical Manuel of Mental Health Disorders (DSM-5)
- Has significant functional impairments in areas like employment, self-care, socialization, daily living skills, or substance use
- Has not been able to benefit from or engage with traditional outpatient programs, such as individual therapy, group therapy, or case management
- Has high utilization of crisis services, crisis stabilization, and psychiatric hospitalization
Mental Health and Substance Use Prevention, Treatment, and Recovery Services Block Grants
The Commonwealth of Virginia receives federal funds each year from the Substance Abuse and Mental Health Services Administration (SAMHSA) under the Community Mental Health Services Block Grant (MHBG) and the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRSBG) to support the delivery of treatment and supports to adults with serious mental illness and children and youth with serious emotional disturbance (MHBG), and individuals with substance use disorders (SUPTRSBG).
For Federal Fiscal Year 2024, the Commonwealth was awarded $24.7M in MHBG funds and $48M in SUPTRSBG funds. For Fiscal Year 2025, the Commonwealth was awarded $25.2M in MHBG funds and $47.6 in SUPTRSBG funds. These funds support a wide variety of services provided by Virginia’s community services boards and private providers.
As the recipient of these federal funds, DBHDS is required to send an annual plan and biennial application to SAMHSA. The Federal Fiscal Year 2026-2027 Combined Mental Health and Substance Use Prevention, Treatment, and Recovery Services Block Grants Application Draft for the Commonwealth has been posted.
For any written public comment or questions about the block grants or the application, please contact the Office of Community Operations at
communityoperations@dbhds.virginia.gov
or by letter at
DBHDS- Office of Enterprise Management Solutions
P.O. Box 1797, Richmond, VA 23218-1797
