Wakefield High School (staff photo by Jay Westcott)

There was another possible overdose at Wakefield High School last week.

Around 1:20 p.m., medics were dispatched to Wakefield for a report of an unconscious person, according to Arlington County Fire Department spokesman Capt. Nate Hiner.

“The patient was transported to Virginia Hospital Center in stable condition,” he said.

Police were then dispatched around 2:15 p.m. to VHC Health, formerly Virginia Hospital Center, for reports of a possible overdose, Arlington County police spokeswoman Ashley Savage said.

“The preliminary investigation indicates a juvenile female was transported from Wakefield High School to the hospital for medical treatment,” she said. “The incident was investigated as an overdose and the juvenile suffered non-life-threatening injuries.”

ACPD did not provide more information, citing Virginia law, which requires law enforcement agencies to ensure juvenile records are not disclosed to unauthorized parties.

Wakefield staff also called ACPD following the medical incident, says school system spokesman Andrew Robinson, noting this is consistent with the memorandum of understanding between Arlington Public Schools and ACPD “when there might be a possibility of a potential overdose in our schools.”

Arlington Public Schools and ACPD began inking an MOU two years ago, after the Arlington School Board voted to remove School Resource Officers from school grounds. The MOU was last updated in September to enumerate the emergency situations that trigger a call to police, including potential overdose incidents. Example emergency situations were not previously included in a previous draft from the spring of 2022.

“The MOU with ACPD is reviewed annually and tweaks are often made to further enhance and strengthen the partnership with APS,” Robinson said.

As for how the incident was communicated to the Wakefield community, Robinson said families received the following message from APS on Thursday afternoon.

This message is to inform you that emergency personnel responded to Wakefield High School briefly today to assist with a medical incident involving a student. The family of the student has been notified. As some of our students observed the first responders in our building, we wanted to ensure you are aware that the incident was resolved, and everyone is safe.

Robinson says the school system has a standard medical emergency message and APS does not disclose the nature of medical emergencies for student privacy and confidentiality reasons.

Since the fatal overdose of a 14-year-old Wakefield student nearly one year ago, APS has stepped up prevention education and counseling, the Arlington School Board permitted high schoolers to carry Narcan and a private treatment facility resumed admitting teen patients.

Still, underage overdose incidents have persisted, including last fall, when two girls survived overdoses at Wakefield, after which police charged a teen and a 19-year-old man with a battery of charges.

(Separately, police were dispatched to Yorktown High School today for what was initially reported to be an overdose. It was later determined to just be a medical emergency, Savage told ARLnow.)

Last November, Gov. Glenn Youngkin signed Executive Order 28 requiring schools to notify all parents of school-involved overdoses within 24 hours. He directed the Virginia Dept. of Education to develop guidance for schools as they implement any changes to their communications with families.

Within a month, VDOE posted interim best practices interpreting the text of the executive order. VDOE did not respond to ARLnow’s request for more information about how the state will track whether schools follow the executive order.


Gavel (Flickr photo by Joe Gratz)

An Arlington doctor indicted earlier this year on charges of illicit distribution of opioid pills was found guilty by a federal jury Tuesday.

Dr. Kirsten Ball, 69, was convicted on 20 federal counts that each carry a maximum sentence of 20 years in prison. Ball’s office manager and co-conspirator was sentenced to seven years in prison last year.

“For over a decade, Dr. Ball was at the epicenter of a conspiracy to distribute oxycodone via a network of individuals posing as patients who were prescribed over a million pills,” Jessica Aber, U.S. Attorney for the Eastern District of Virginia, said in a statement. “She blatantly abused legitimate healthcare procedures, despite clear knowledge of the law and warnings from regulatory agencies of the danger her actions posed to patients.”

Arlington has been hard hit by the national opioid crisis. There were more than 70 fatal opioid overdoses here between 2015 and 2020, according to Arlington County Police Department statistics. The crisis has also infiltrated local schools, with the fatal in-school overdose of a Wakefield High School student this year helping to spur action by Arlington County and Arlington Public Schools.

More below, from a U.S. Dept. of Justice press release.

A federal jury today convicted an Arlington woman of illegally prescribing and distributing oxycodone pills, a controlled substance.

According to court records and evidence presented at trial, Kirsten Van Steenberg Ball, 69, issued prescriptions for over one million oxycodone pills. Ball was a primary care physician who operated a medical practice out of her home in Arlington. She conspired with her office manager, Candy Marie Calix, 41, of Front Royal, to shield from law enforcement and regulatory authorities the fact that she was dispensing vast quantities of oxycodone to her patients—contrary to ordinary standards of medical care.

“Dr. Kirsten Ball’s actions, as detailed by the evidence presented at trial and accepted by the jury, are a perversion of the role of medical practitioners in prescribing opioids,” said Jessica D. Aber, U.S. Attorney for the Eastern District of Virginia. “Medication meant to be carefully provided to people in severe pain was instead prescribed excessively – with no regard for patients’ safety or where the pills would end up. For over a decade, Dr. Ball was at the epicenter of a conspiracy to distribute oxycodone via a network of individuals posing as patients who were prescribed over a million pills. She blatantly abused legitimate healthcare procedures, despite clear knowledge of the law and warnings from regulatory agencies of the danger her actions posed to patients. I am very grateful to the EDVA trial team and the FBI for their work to hold Dr. Ball accountable.”

“Today’s verdict demonstrates the seriousness of illegal opioid distribution and the commitment of law enforcement to bring to justice those who chose to endanger the lives of others,” said David Geist, Acting Special Agent in Charge of the FBI Washington Field Office Criminal and Cyber Division. “Kirsten Ball knew her actions were illegal yet, for years, she abused her position of trust by providing individuals in chronic pain with excessive amounts of oxycodone. Ball’s conviction affirms that a medical professional’s disregard for their patient’s well-being and the law will not be tolerated. I’m grateful for those who worked tirelessly to hold her accountable.”

The Virginia Department of Health Professions (DHP) investigated Ball in 2014 and 2015, then again in 2021 for excessive and improper prescribing of oxycodone. Evidence and testimony presented at trial showed that Ball falsified records that she submitted to DHP to cover up the fact that she was prescribing oxycodone to patients for no legitimate medical purpose and outside the usual course of professional practice.

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Maritza Orihuela tells the Arlington County Board to do more for youth programming (via Arlington County)

Arlington County is doling out leftover funds from the 2024 fiscal year toward tackling youth substance abuse, public safety and behavioral health challenges it is facing.

Those are three of several buckets that will benefit from the $46.3 million in discretionary close-out funds — almost double what the county had to spend after last fiscal year, $26.9 million. The County Board approved County Manager Mark Schwartz’s spending plan last night (Tuesday).

Some of the bigger-ticket line items are as follows:

Use of discretionary balances (via Arlington County)

As for public safety, to combat staffing shortages and small recruit sizes for the Sheriff’s Department and the Police Department, deputy sheriffs would get bonuses and ACPD would get money for hiring bonuses that compete with neighboring jurisdictions.

In response to allegations of years of harassment gone unaddressed, levied by several female Arlington County Fire Department employees, the county proposes funding for an Office of Professional Standards, as well as training while an outside law firm conducts interviews about the allegations.

The Dept. of Human Services will get $150,000 for bonuses for hard-to-hire positions. For instance, it has had a hard time finding someone to handle jail diversion programs for adults with serious mental illnesses.

The jail would get an independent medical staff member, as requested by Sheriff Jose Quiroz. Schwartz said the medical staffer would be an independent voice when there are disagreements between state or local clinicians and the jail-based, private medical provider, Mediko.

Sources have previously told ARLnow that the contractor and other jail-based clinicians have disagreed over appropriate drug treatments for inmates, for instance.

Time-sensitive program needs getting closeout funds (via Arlington County)

Most discussion centered around $500,000, increased to $750,000, to augment existing teen resources and programs the county, Arlington Public Schools and community partners offer. The parks department and the schools, for instance, have long lists of programs but advocates say many are not marketed to or are unaffordable to the very families hit hardest by the drug epidemic.

The extra funding — responding to community advocacy — would fund work to review and tailor these programs to the substance use and mental health issues teens are facing. In putting forward this suggestion, Schwartz was complimentary of how the schools and the county are working together on the issue.

County Board member Takis Karantonis carried a motion 3-2 to increase the funding to $750,000 so that these activities can happen in the next six months if needed, without staff having to draw from resources somewhere else.

Arlington County Board Chair Christian Dorsey and Vice-Chair Libby Garvey dissented.

“I hate how that could be misinterpreted as not desiring to spend more money on this initiative. It’s not that at all,” Dorsey said of his vote. He noted the extra $250,000 is not earmarked for something specific and that this effort has generated a lot of ideas but no specific plan, yet, deeming the increase “more symbolic than substantive.”

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A smoke shop and 7-Eleven (right) across the street from Kenmore Middle School (via Google Maps)

Arlington Public Schools is mulling support for legislation that would allow localities to prevent vape shops from opening up near schools.

This is the first time the idea for such a bill has been considered as part of the School Board’s annual legislative package, according to Frank Bellavia, a spokesman for the school system. The package has not yet been approved by the Board.

“Lawmakers around the region have been discussing this issue recently, which drew our interest,” Bellavia said. “We’ve been speaking with Senator [Barbara] Favola and Delegate [Alfonso] Lopez about this so far but may speak with others about it as well.”

Interest in such a bill comes as APS is upping its focus on tackling youth substance use in schools through lessons on the impacts of vaping delivered to students in grades 4-12 and to their families. While fentanyl abuse has captured more community attention, vaping is a significant concern, particularly as students matriculate through high school.

For instance, exposure to and frequent vaping increased from 9th to 12th grade, according to the 2019 Youth Risk Behavior Survey. Bellavia says this is the most recent data that APS has on vaping trends, though another such survey will be conducted next year and inform the school system’s advocacy.

Vaping rates among Arlington high schoolers, broken down by grade (by ARLnow)

Notably, per the survey, nearly 200 students under 18 reported buying their own vape products at convenience stores, gas stations or vape stores.

The survey was conducted just before the state raised the minimum age for buying tobacco products from 18 to 21.

Vaping rates among Arlington high schoolers, broken down by race (by ARLnow)

That is where a law limiting where vape shops can do business could come in. As for a potential legislative push, Bellavia says APS is still early in the process of formulating possible legislative text that would inform a potential bill. The school system will have more details in a few weeks, he noted.

Lawmakers representing Arlington in Richmond tell ARLnow they are interested in sponsoring or voting for such a bill or other bills firming up requirements of vape shops to curtail underage sales. Currently, nearly 17% of sales are to minors and the state would incur a $4 million penalty if the rate were to exceed 20%, according to a state report released last week and provided to ARLnow.

“I am interested in giving localities the authority to prevent vape shops from locating near schools and look forward to discussing this idea at the legislative work session with the County Board,” said Favola.

Sen. Adam Ebbin and Del. Patrick Hope say underage vaping has concerned them for years but they are not sure preventing shops from moving near schools is enough. Moreover, such a law could not be used to boot out existing retailers near schools.

“We have a real epidemic right now — not just among high schoolers but junior high schoolers — who are vaping,” says Ebbin. “It’s highly addictive and nicotine has adverse consequences on young developing brains.”

He and Hope say the state ought to require shops or dealers who sell nicotine products to obtain licenses where they currently are only subject to a law banning the sale of nicotine products to those under 21 years old. In the 2023 legislative session, both tried to pass a licensing scheme, which would tee up the state to inspect stores and fine or ban those that repeatedly sell to minors.

“We have a problem in Virginia of underage vaping,” Hope said. “I think the solution to the underage issue is licensure… because it is ultimate death for these establishments. They would have to close their doors.”

Hope says penalties for selling to minors are weak, making it harder to enforce the law effectively. Violating this rule carries a civil penalty, applied to the business, and even a third offense only carries a $500 fine whereas a licensing scheme could carry stiffer penalties and ultimately result in banning bad actors who sell to minors from ever being able to sell nicotine products in Virginia again, he said.

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Wakefield High School entrance in February 2023 (staff photo by Jay Westcott)

A 19-year-old man and a teen boy are facing charges after two girls overdosed at Wakefield High School last week.

Police and medics responded to the school just before 11:45 a.m. on Wednesday, Sept. 27 for a report of a critical overdose. A student in the school clinic was going in and out of consciousness and Narcan was administered ahead of the arrival of first responders, according to scanner traffic.

Arlington County police said today that the overdose patient was a teen girl, who was transported to a local hospital along with a second overdose patient, also a teen girl. Both “have since recovered,” ACPD said in a press release.

An investigation into the overdose led police to arrest Walter Zelaya Padilla, a 19-year-old Fairfax resident, and a teen boy who lives in Arlington. They’re facing a battery of charges, with police saying that Padilla supplied fentanyl to the teen, who then gave or sold it to the victims.

The drug distribution happened within a school zone, APCD said.

The arrests come as Arlington County tries to combat a crisis of teen opioid abuse. While overdoses in general are trending down this year in Arlington, incidents of teen overdoses have prompted calls to action by parents and local officials.

In January, 14-year-old Sergio Flores died after overdosing in a Wakefield High School bathroom. In March, several Washington-Liberty High School students overdosed in the Ballston mall parking garage. Last month, another Wakefield student was found dead at an apartment building in what one elected official and a local advocacy group described as an overdose, though an official cause of death has yet to be determined.

If the student’s death last month is confirmed as an overdose, it would be at least the 11th reported juvenile overdose in Arlington County — fatal and non-fatal — so far this year, factoring the two last week and official numbers provided to ARLnow by the county earlier in September.

More on the drug arrests, below, via an ACPD press release.

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Friends and family gather at a memorial for Jorge Rodríguez (courtesy Janeth Valenzuela)

A Wakefield High School freshman named Jorge Chavarria Rodíguez died Thursday evening, according to several sources.

The 16-year-old attended Barcroft Elementary School and Kenmore Middle School and had just started his 9th-grade year at Wakefield, per an email from Wakefield Principal Peter Balas to the school community.

“Jorge was a beloved member of the Wakefield, Kenmore, and Barcroft families, and impacted the lives of many of our students and staff members,” Balas said in the email, which Arlington Public Schools provided to ARLnow. “He was excited and happy to join the Wakefield family, with staff recalling his genuine smile.”

This marks the second death of a Wakefield student this calendar year. APS confirmed on Monday, a school holiday, that Jorge was not on school grounds at the time of his passing.

Arlington County Police Department spokeswoman Ashley Savage said police found a deceased teen last Thursday at an apartment building in the 5100 block of Columbia Pike. Officers were dispatched just before 8:30 p.m. on Thursday for the report of an unresponsive person on the ground.

First responders reported that the person was dead upon their arrival on scene, according to scanner traffic.

Now, ACPD is conducting a death investigation and the Office of the Chief Medical Examiner will determine cause and manner of death. She noted a preliminary investigation “has not revealed an ongoing threat to the community related to this incident.”

In a GoFundMe page created by Jorge’s mother, Luz, she writes in Spanish that she is living through the worst pain a mother can experience. She says her biggest wish is to give him the final goodbye he deserves as a beloved son.

An English-language description below describes Jorge as “a happy and playful child, a good student and an excellent son.”

“My heart is broken knowing that his dreams will not come true and that his life was short,” she says. “I thank you in advance for your expressions of affection and collaboration. I wouldn’t wish this pain on anyone. May my little Jorge rest in peace.”

Over the weekend, a tribute to her son, made of flowers and saint candles, started growing around a tree across the street from the Columbia Pike Plaza shopping center. The GoFundMe, meanwhile, has circulated on social media and received some 265 donations, totaling more than $13,000 of the $25,000 goal, as of publication.

The Arlington County Board briefly discussed the 16-year-old’s passing on Saturday.

Reading from texts he received, Board member Takis Karantonis said it was possibly an overdose, amid attempts by Chair Christian Dorsey to interject.

“Whatever the circumstances, it’s a tragic thing, and I’m really devastated and heartbroken about this,” Karantonis said.

Dorsey cut the the discussion short, saying that “resources are going to be made available to the students next week [and] details are not known at this time.”

In a statement, community activist Janeth Valenzuela said adults and responsible citizens need to act quickly or risk losing more children to death and addictions.

“We want to make changes, now,” she said. “Not tomorrow, today. Let us not allow this death to be one more of others, let us use this pain that burns our soul to gain momentum and defend our children and the children of our community with our claws.”

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Parents and community members march at Wakefield High School after 14-year-old student Sergio Flores died of an overdose (staff photo by Jay Westcott)

Bucking statewide trends, Arlington County may be seeing opioid overdoses trend down this year.

So far this year, Arlington registered 44 overdoses with Narcan — a brand name for the opioid-reversal drug naloxone — deployed in 35 instances. Of the overdoses, eight involved juveniles, all of whom received Narcan.

That marks a 31% decrease this calendar year in total opioid overdoses, compared to other Virginia jurisdictions still seeing increases, says Emily Siqveland, the opioids program manager for the county.

That is the good news, to be taken with a more sobering projection that Arlington County is not seeing a similar decline in fatal overdoses. As of this time last year, Siqveland says Arlington had the same number of fatal overdoses as it does now: 15.

Arlington County has been significantly affected by the opioid epidemic wreaking havoc on the country and the region, where the Inova health system estimates some 32% of adults have a family member or friend with an addiction. In response, the county has joined lawsuits against pharmaceutical companies linked to the opioid crisis, putting settlements toward treatment.

It was the January 2023 death of 14-year-old Sergio Flores after overdosing at Wakefield High School, however, that threw a spotlight on the use of pressed pills among young people and a lack of local treatment options for them. His passing prompted a surge in activity and conversations within Arlington Public Schools, the county and the broader community.

Eight months later, some of that work is coming together.

Percent change in naloxone distribution versus overdoses over the last year (courtesy Emily Siqveland)

Works in progress

The hyperlocal focus on young people dovetails with findings from Inova that younger generations are particularly touched by addiction. It found 32% of Gen Z and 39% of Millennial survey respondents reported having a family member or friend with an addiction.

APS has hired one substance abuse counselor and is finalizing paperwork for the other, says Darrell Sampson, the school system’s executive director of student services. This would bring the total number of counselors to eight serving the division.

This year, the Dept. of Human Services and APS are preparing to station four county therapists in the high schools. To date, 320 high school students have family consent to carry Narcan in school.

“With the additional substance abuse counselors, we’re able to expand supports to middle schools,” Sampson tells ARLnow, noting insufficient support for 6-8th graders was a concern in the community. “We want to try to keep [kids who are experimenting] from blowing up into a more full-blown addiction or using even more concerning substances.”

In June, several years after closing down its juvenile treatment program, National Capital Treatment & Recovery (NCTR) — formerly Phoenix House — debuted its new adolescent intensive outpatient program this summer.

As of yesterday (Thursday), NCTR has admitted 13 patients and has had to turn away referrals from outside the county, which it cannot accept at this time, NCTR Chief Clinical Officer Pattie Schneeman tells ARLnow.

“I anticipate the referrals will increase now that school has started, because that is often where we start seeing the needs surface, i.e. when it interferes with school attendance, etc.,” Schneeman said.

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In its first month of operation, Arlington County’s mobile behavioral health response team has been busy responding to calls.

Most of these calls — which range from welfare checks to mental health emergencies and drug overdoses — involve people who are homeless, officials say. It’s a trend they attribute to the recent closures of shelters in D.C.

“There’s been a surge of homelessness in Arlington County because of the closures in D.C.,” says Grace Guerrero, senior clinical psychologist and mental health supervisor, noting many are leaving D.C. for Arlington as well as other parts of Northern Virginia and southern Maryland.

“We’ll see what unfolds,” she added. “But we have seen those upticks.”

During a media event on Thursday, Arlington County’s “Mobile Outreach Support Team” (MOST) showed off its retrofitted van, stocked with non-perishable food, water, a defibrillator, clothes, hygiene items, Narcan and fentanyl test strips.

The vehicle was funded through a 2-year, $390,000 federal grant — secured with help from Rep. Don Beyer — in an effort to divert police involvement from calls involving mental health crises, substance abuse or domestic violence.

The team comprises a licensed clinician, a peer recovery specialist and an outreach worker from the Dept. of Human Services. They will triage a situation on-site and provide peer support and conflict resolution. MOST also works with medical and behavioral health services to ensure people receive the appropriate care.

The MOST team receives about 20-35 calls per week, largely between the van’s operational hours of 1-9 p.m. Once the van arrives, most of the time, people accept the team’s help, which Guerrero noted can prevent situations from escalating and resulting in injuries or death.

Guerrero says she is unsure if MOST has significantly reduced police involvement in mental health crises at this point. That is in part because emergency responders are still, typically, the first to arrive on scene, and will call the MOST team for specialized assistance.

To further reduce police involvement in these calls, she is looking to develop an enhanced “decision tree” to help police assess when their presence may not be necessary.

“I don’t know that we’ve done yet the curbing of [police] going to these [situations] unless we self-deploy… But right now, in these first five weeks, I would say that probably allowed [police] to go back into service sooner, much sooner,” she said.

Reducing law enforcement involvement in mental health crises is a goal advanced by the Police Practices Work Group, which was convened to suggest reforms to the Arlington County Police Department after the death of George Floyd.

ACPD too has noted the increased entanglement of police officers in mental health emergencies and the officer burnout to which it is contributing. Like the police department, the jail also is seeing an influx of inmates with mental health disorders as well as homeless inmates.

This includes Abonesh Woldegeorges, a 73-year-old woman who died in the jail last month. Her death prompted some in and outside local government to renew pressure on the county to address the role of law enforcement in tackling homelessness and mental health emergencies.


Wakefield High School (staff photo by Jay Westcott)

(Updated at 4:30 p.m.) Three days into the school year, Wakefield High School has logged a potential student overdose.

Medics were dispatched to the school at 11:30 a.m. and again about 45 minutes later for two students suffering possible drug overdoses — or, at least, the effects of suspected narcotics — according to scanner traffic.

Later this afternoon, ACPD spokeswoman Ashley Savage told ARLnow that a “juvenile male was transported to an area hospital in non-life threatening condition.”

Police also responded to the school to investigate and are looking into the incident “as an apparent overdose and the investigation,” she said.

In an email, Wakefield Principal Pete Balas assured families that students were safe during the ordeal, which he described as a “medical incident” involving a student.

The full email is as follows:

Dear Families,

Emergency personnel responded to Wakefield this morning to assist with a medical incident involving a student. Fortunately, everyone is safe, and they were able to work with our staff to address the situation. At no point was the safety of any students or staff compromised.

As some of our students observed the first responders in our building, I wanted to ensure you are aware that the incident was resolved, and everyone is safe.

Sincerely,
Pete Balas,
Principal

A student died earlier this year at Wakefield from an overdose, followed by more dispatches for substance-abuse related emergencies at the school and near Washington-Liberty High School.

The student’s death, followed by a parent march and outcry for more support from teachers, prompted the Arlington School Board and administrators to act.

The school system allowed students to bring the opioid-reversal drug Narcan to school and budgeted for new deans and more substance-abuse counselors. These and other measures are part of a system-wide focus on increasing student well-being, particularly at the secondary level, this year.

Wakefield’s former principal, Chris Willmore, was promoted this spring to be the director of secondary education for Arlington Public Schools. One month later, Balas, who previously led Alexandria City High School, emerged as his replacement.


Next week a new county government van will hit the streets, providing on-the-scene behavioral health services.

The van will be operated by a new “Mobile Outreach Support Team,” consisting of “a licensed behavioral health clinician, a certified peer recovery specialist, and an outreach worker” from Arlington’s Dept. of Human Services.

The team will work alongside emergency responders, providing “alternatives to incarceration for those engaged in ‘nuisance crimes/behaviors,'” while decreasing hospital emergency room and psychiatric hospital admissions.

In the wake of the killing of George Floyd in 2020, a key demand of the “defund the police” movement was reducing the police budget in order to fund additional social services. While Arlington has, in fact, increased its police budget, the new outreach team is at least a partial realization of the vision for diverting some police responses to behavioral health clinicians, as suggested by the county’s Police Practices Work Group.

More, below, from a county press release.

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 Arlington County Police Department, Arlington County Fire Department, and the Emergency Communications Center, which operates the County’s 9-1-1 call center.

MOST launches July 31, 2023, and will operate Monday through Friday, between 1 p.m. and 9 p.m.

The goals of MOST include increasing access to mental health and substance use treatment and decreasing the role of non-clinical first responders in addressing mental health needs. The program also aims to provide alternatives to incarceration for those engaged in “nuisance crimes/behaviors,” and decrease emergency department and psychiatric hospital admissions.

“MOST is an important expansion of our efforts to ensure that people in crisis can get the right help when and where they need it,” said DHS Director Anita Friedman. “MOST team members are specialists who will be out in the community. That includes responding to 9-1-1 calls that have a behavioral health need, conducting outreach to people who are homeless, and working closely with our partners in Police and Fire to support them in the field when needed.”

About MOST

The National Guidelines for Crisis Care from the Substance Abuse and Mental Health Services Administration (SAMHSA) emphasize the importance of offering mobile, community-based intervention to individuals in need wherever they are, including at home, work, or anywhere else in the community where the person is experiencing a crisis.

The MOST team – which includes a licensed behavioral health clinician, a certified peer recovery specialist, and an outreach worker – 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

Arlington’s MOST will also be able to distribute harm reduction tools such as Narcan and fentanyl test strips, connect people who are homeless to shelters and other services, and transport people from the scene to providers where they can receive assistance.

Mobile Unit

The MOST has a specially equipped van (a County fleet vehicle modified using federal grant funds) to provide services in the community. The van is connected to the County’s computer-aided dispatch system and an on-board computer allows MOST clinicians to use DHS’s electronic health record system. The vehicle includes supplies for harm reduction, non-perishable food, water, a defibrillator, clothing, and hygiene items.


File photo

A week after announcing an arrest for a 2022 fatal overdose, Arlington County police have charged two more people in another deadly opioid overdose.

A 19-year-old Arlington man and 19-year-old Fairfax woman are facing manslaughter and other charges in connection to a March 2023 overdose in the Courthouse area. A man died after being found unresponsive in a stairwell; police say he was sold drugs containing fentanyl by the suspect, Shan Mehmood.

A LinkedIn page suggests that Mehmood was a 2021 Washington-Liberty High School graduate. He now faces manslaughter, drug, and gun charges, while the female suspect faces a charge of Accessory After the Fact to Manslaughter.

ACPD said in a press release, below, that it “remains committed to thoroughly investigating narcotics incidents and holding accountable those who traffic dangerous and deadly narcotics into our community.”

The Arlington County Police Department’s Organized Crime Section is announcing two arrests following an investigation into a fentanyl overdose death. Shan Mehmood, 19, of Arlington, VA is charged with Involuntary Manslaughter, Distribution of Fentanyl, Possession with the Intent to Distribute Fentanyl, and Possession of a Firearm while Possessing Fentanyl with the Intent to Distribute. He is currently being held in the Arlington County Detention Facility. Eliana Ayelen Mendoza, 19, of Fairfax, VA is charged with Accessory After the Fact to Manslaughter and was released from custody after posting bond.

At approximately 6:45 p.m. on March 7, 2023, police were dispatched to the 1200 block of N. Scott Street for the report of a medical emergency. Upon arrival, officers located an unresponsive adult male in the stairwell of a residential building suffering from an apparent fentanyl overdose. He was transported to an area hospital and, despite lifesaving measures, passed away on March 8, 2023. The Office of the Chief Medical Examiner determined cause of death to be acute fentanyl intoxication.

During the course of the comprehensive investigation, detectives assigned to the Organized Crime Section identified Shan Mehmood as the individual suspected of supplying the deceased with controlled substances. At the time of his arrest, narcotics and a firearm were recovered.

The Arlington County Police Department remains committed to thoroughly investigating narcotics incidents and holding accountable those who traffic dangerous and deadly narcotics into our community. This remains an active criminal investigation and anyone with information related to this incident is asked to contact the Arlington County Police Department’s tip line at 703-228-4180 or [email protected] or anonymously through the Arlington County Crime Solvers hotline at 1-866-411-TIPS (8477).

If you or someone you know is struggling with addiction, there are numerous resources available through the Arlington Addiction Recovery Initiative. For additional community resources and contact information, visit our website.

This year, Arlington County and Arlington Public Schools have been undertaking a number of measures to combat the opioid crisis after a spate of local overdose deaths.


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