Mobile Crisis Response
MOST
The Mobile Outreach Support Team (MOST) is the latest addition to the County’s expanding network of care for people experiencing mental health and substance use issues. The MOST program is coordinated by the Department of Human Services (DHS) in partnership with the Police and Fire Departments and the Emergency Communications Center, which operates the County’s 911 system.
The MOST will provide a range of essential functions that include:
- Triage/screening, including explicit screening for suicidality
- Assessment
- De-escalation/resolution
- Peer support
- Coordination with medical and behavioral health services
- Crisis planning and follow-up
- Homeless outreach
MOST can be accessed by calling 911
Regional Crisis Response Teams
Community Regional Crisis Response (CR2)
CR2 provides 24-hour rapid mobile crisis response and mobile community stabilization services as clinically indicated to children, youth, and adults experiencing a behavioral health crisis.
These services include quality, community-based interventions at the location where the crisis is occurring. Clinicians will work with the individual in crisis and their natural support system to develop an immediate plan to maintain safety in the least restrictive appropriate setting.
Reach out if you or a loved one are experiencing:
- Aggression or self-harm
- Thoughts of suicide
- Threatening behaviors
- Dangerous decision making
- Extreme social isolation
- Property destruction
- Hallucinations or delusional thinking
- Loss of coping skills
- Substance use
These services can be accessed through 988 (Regional Crisis Call Center) at 703-527-4077.
CR2 serves residents of: City of Alexandria, Arlington County, Fairfax County, Loudoun County, and Prince William
REACH
REACH (Regional, Education, Assessment, Crisis Services, Habilitation) services are available 24/7 for individuals of all ages with documented evidence of intellectual and/or developmental disability and individuals over 18 years of age with mental health and/or at-risk behavioral challenges (qualifications described further below) who are residents of Region 2 in Northern Virginia. REACH services include mobile crisis response teams for crisis stabilization and prevention for adults and youth as well as a crisis therapeutic home for adults in need of short-term crisis stabilization and prevention outside of their home (30 days or less for crisis stays and 5 days or less for prevention stays).
REACH works with people who live in areas served by the following Community Services Boards (CSBs): Alexandria, Arlington, Fairfax-Falls Church, Loudoun, and Prince William, including:
- Individuals of all ages with documented evidence of intellectual and/or developmental disability and
- Individuals over 18 years of age with mental health and/or at-risk behavioral challenges:
- A person over 18 years of age who is not formally diagnosed with an I/DD diagnosis (for example, individuals with a previous diagnosis or current DSM-V code of “borderline intellectual functioning”) may meet criteria for REACH crisis response and concentrated mobile crisis stabilization/mobile supports if all the following criteria are met:
- There are functional limitations in three or more major life activity areas in comparison to the Code of VA DD definition.
- It is determined that the current functional limitations in three or more major life activity areas are not solely the result of an acute medical issue, acute intoxication, not actively in detox, medication related issue, dementia, or neurocognitive conditions.
- All the above and the individual has a co-occurring behavioral health disorder and/or significant behavioral challenges which currently manifests as an acute crisis which puts the individual at risk of psychiatric hospitalization or disruption to their residential stability, including incarceration.
These services can be accessed through either 988 (Regional Crisis Call Center) at 703-527-4077 or by calling the program directly at 855-897-8278.