Melissa DeVault

Melissa DeVault, M.S., C.P.

Manager

20 W. Bank Street, Suite 5
Petersburg, Virginia 23803

Phone: (804) 862-6082, ext. 4106
Fax: (804) 862-6158
Email: mdevault@d19csb.com

The Community Integration division includes the following services:
  • Crisis Intervention Team Training (CIT)
  • CIT Crisis Assessment Center (CAC)
  • Commonwealth Coordinated Care Project (CCCP)
  • Enhanced Care Coordination Case Management (ECC)

Crisis Intervention Team (CIT) Training

Crisis Intervention Teams (CIT) are programs that bring together local stakeholders, including law enforcement officers, emergency dispatchers, mental health treatment providers, consumers of mental health services and others (such as hospitals, emergency medical care facilities, non-law enforcement first responders, and family advocates), in order to improve multi-systems’ response to persons experiencing behavioral health crises who come into contact with law enforcement first responders. Such individuals may come to the attention of law enforcement and other first responders or corrections and jail personnel due to exhibiting symptoms or behaviors that are misinterpreted as criminal in nature, inappropriate, dangerous or violent. Additionally, law enforcement officers routinely interact with individuals with behavioral health disorders as a result of the statutory structure of Virginia’s civil commitment process. In many of these situations, it is necessary to help such persons access mental health treatment, or place such persons in custody and seek either mental health treatment referral or incarceration for criminal acts.

CIT programs enhance community collaboration, develop effective infrastructure and provide outstanding training to improve criminal justice and mental health system response to individuals with mental health issues. The CIT model was originally developed by the Memphis, Tennessee Police Department, and has subsequently spread throughout the country. The 40-hour training enabled officers to more effectively communicate with and understand the particular needs of individuals with mental illness. In so doing, officers were able to reduce the potential for misunderstanding and enhance their ability to de-escalate situations involving persons with mental illness. Additionally, with education about treatment options and development of a therapeutic assessment site to improve access to services, officers were better enabled to connect individuals with needed treatment, in lieu of incarceration, consistent with the needs of public safety and addressing the underlying issue of mental illness.

CIT Crisis Assessment Center

The CIT Crisis Assessment Center (CAC) was created to provide an assessment site for law enforcement to use as an alternative to incarceration and as a services access point. The CAC provides on-site emergency services/clinical personnel who can determine clinical status and assess treatment needs for the individual, as well as security to support the site in accepting transfer of the Emergency Custody Order (ECO), providing for the safety of all persons involved.  The CAC possesses ready access to dispositional options including TDO beds, crisis stabilization, detox, and other community based services.

The Crisis Assessment Center (CAC) will provide immediate crisis intervention for individuals who present with a mental health, substance abuse, or situational crisis. The goal of the CAC is to reduce the amount of unnecessary hospitalizations and incarcerations in the community.

  • Assessment and triage
  • Pre-admissions evaluation
  • Brief crisis counseling
  • Crisis de-escalation
  • Psycho-education and skill building
  • Linkage and referral to additional community resources

Commonwealth Coordinated Care Project

The Commonwealth Coordinated Care Project (CCCP) is a new Virginia initiative that coordinates care for individuals who are currently served by both full Medicare (entitled to benefits under Medicare Part A and enrolled under Medicare Parts B and D) and full Medicaid and meet certain eligibility requirements. The program is designed to be the single entity accountable for coordinating delivery of primary, preventive, acute, behavioral, and long-term services and supports.

The goal of this initiative is to provide Virginians with high quality, person-centered health care that focuses on their needs and preferences.

Enhanced Care Coordination Case Management

Enhanced Care Coordination (ECC) will be provided to individuals who have both Medicaid and Medicare, and therefore are considered to be “Dual Eligible” (DE), and who need an integrated/coordinated primary and behavioral health care approach due to the fact that they have a serious mental illness and/or intellectual disability with certain specific serious and chronic medical conditions.