DBHDS awarded funding through a request for proposals and application review process to each of the five regions. Each region was given the latitude to design a crisis response services based on the funding that was available and that met their needs at that time. Therefore, regionally variation in crisis services exists. . A map showing the primary DBHDS regional structure can be found in Appendix A. Each region has a lead CSB, which are:

• Region 1 - Horizon Behavioral Health
• Region 2 - Arlington County CSB
• Region 3 - Mount Rogers CSB
• Region 4 - Richmond Behavioral Health Authority
• Region 5 - Hampton-Newport News CSB

The regions continue to experience the most growth in the number of children served through residential crisis stabilization services and child psychiatry access from one or more of the following psychiatry services: face-to-face visits, tele-psychiatry, and consultation with pediatricians and primary care physicians. As the general fund allocation has increased from $1.5 million in FY 2013 to $8.4 million in FY 2017, there has been growth in the number of children who received mobile crisis, and crisis stabilization services. Funding remains level as there was no budget increase in FY 2018. Budget language allocates funding to regions based on the availability of services with a report on the use and impact of funding due annually.

As the funding has increased, services have grown in capacity across Virginia. Table 1 shows the increase in funding from FY 2013 to FY 2018. In the first year of funding, five proposals were received, one from each region. Three proposals were selected: Region 1, Region 3, and Region 4. In FY 2014, Regions 2 and 5 were added. This report describes the services provided by all five regions from July 1, 2017 through June 30, 2018.