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Provides basic health services for migrant and seasonal farmworkers and their families in Southwest Virginia. Offers many services on a sliding scale to migrant and seasonal farmworkers. Services include, but are not limited to, the following: primary care medical services, health education, outreach, health assessments, referrals, and case management. The MHN outreach workers identify health problems and assist farmworkers to obtain health care at one of our clinical partners centers.

Operates a birthing center with private labor, delivery and recovery rooms. Features rooming-in for mother and baby, liberal visiting hours; intensive care nursery; high-risk pregnancy unit; and antenatal testing.

Sentara Norfolk General Hospital Women's Health Pavilion offers a full range of services for mothers and babies - from the problem-free pregnancy to one that might be high-risk. SNGH offers private birthing rooms for labor and delivery and dedicated operating rooms for C-section deliveries. Special private post-partum rooms allow mothers the choice of having the baby with them in their room. A newborn nursery is available, as well as a 48-bed Special Care Nursery equipped with state-of-the-art medical technology and staffed around the clock by board-certified neonatologists (specialists in newborn care) to care for our sickest babies.

Provides health screening, referral, counseling and education for newly-arrived refugees and asylees.

Provides environmental and health services for area residents. This includes well and septic permits, food safety inspections, family planning, STD treatments, immunizations, communicable disease investigations, HIV/AIDS testing, care and supportive services, and women, infants and children (WIC) nutrition services.

Coordinates and facilitates initial health assessments for persons recently arrived in the United States with refugee or asylum status and residing in the City of Alexandria. Assists with referrals for follow-up of individual health-related problems.

General information about heart disease, primary prevention programs, cardiopulmonary rehabilitation programs, non-invasive cardiac testing, stress testing, monitoring, pacemaker clinic.

Provides health screenings for documented refugees and political asylees living in Fairfax County.

The following services are provided: Immunization Services TB Services Refugee Newcomer Services STI/HIV Services (walk-in services)

Provides free refugee health screening and referral for newly arrived refugees as identified by the Office of Refugee Resettlement Services. Immunization proof can be provided.

Provides medical assistance only to individuals who have been in the U.S. less than eight months, are an entrant as a refugee, a child living with a refugee parent(s), or an Amerasian.

Provides assistance to individuals who have been in the US less than 8 months, are an entrant as a refugee, a child living with refugee parents, or an Americasian

VDEM Hurricanes Download the Hurricane Evacuation Guide Download the Hurricane Preparedness - Inland Impacts Guide About Hurricanes Hurricanes are severe tropical storms, massive storm systems, that form over the open water in the southern Atlantic Ocean, Caribbean Sea, Gulf of Mexico, and in the eastern Pacific Ocean. Each year, many coastal communities experience threats from hurricanes including heavy rains, strong winds, rip currents, floods, and coastal storm surges from tropical storms and hurricanes. A hurricane may spawn tornadoes. Torrential rains cause further damage by causing floods and landslides, which not only threaten coastal communities but may impact communities many miles inland. The Atlantic hurricane season runs from June 1 to November 30, with the peak occurring between mid-August and late October. Saffir-Simpson Hurricane Wind Scale 1. 74-95 MPH | Some Damage 2. 96-110 MPH | Extensive Damage 3. 111-129 MPH | Devastating 4. 130-156 MPH | Catastrophic 5. 157+ MPH | Catastrophic ADVISORY vs. WATCH vs. WARNING TROPICAL STORM/HURRICANE ADVISORY: Issued when conditions are expected to cause significant inconveniences that may be hazardous. If caution is used, these situations should not be life-threatening. TROPICAL STORM/HURRICANE WATCH: Issued when a tropical storm or hurricane is possible within 48 hours. Tune in to NOAA Weather Radio All Hazards, local radio, TV, or other news sources for more info. Monitor alerts, check your emergency supplies, and gather any items you may need if you lose power. TROPICAL STORM/HURRICANE WARNING: Issued when a tropical storm or hurricane is expected within 36 hours. During a Warning, complete your storm preparations and immediately leave the threatened area if directed to do so by local or state officials or shelter in place if no evacuation has been ordered. HAZARD MITIGATION: Planning and preparing before a hurricane strikes can help you manage the impact of high winds and floodwaters. Take the steps outlined below to keep you and your family safe while protecting your home and property. If you are a renter, talk with your landlord or property manager about additional steps you can take. Prepare Your Home • Bring loose, lightweight objects such as patio furniture, garbage cans, bicycles, and children’s toys inside. • Board up windows and close all storm shutters. Secure and reinforce the roof, doors, and garage door. • Anchor objects that would be unsafe to bring inside (e.g., gas grills and propane tanks). • Trim or remove damaged trees and limbs close enough to fall on structures. • Secure loose rain gutters and downspouts and clear any clogged areas or debris to prevent water damage to your property. • Purchase a portable generator or install a whole-house generator for use during power outages. • Keep alternative power sources, such as a portable generator, outside, at least 20 feet away from the house, and protected from moisture. • Document the condition of your home prior to the storm for insurance purposes: photos, video. Prepare Your Business • Document employee responsibilities and roles before a hurricane strikes and review with each employee. • Conduct a drill to ensure staff members comprehend their roles and test your emergency plans. Follow up with an after-action report and lessons-learned session. • Contact your vendors to understand their preparedness plans and how a disaster will impact your supply chain. • Move computers and other Information Technology (IT) systems away from large windows and doors. • Relocate valuables and IT systems to the upper level of your facility or to a more secure location if needed. • Ensure vital records are protected: analyze your off-site backup record storage, and place valuable documentation and digital storage media in a waterproof, fireproof box. • Cover all doors and windows. • Purchase a flood insurance policy to protect your financial investment. FLOOD INSURANCE: Just one inch of water in a home or office can cost thousands in cleanup costs, including replacing drywall, baseboards, floor coverings, and furniture. Buying flood insurance is the best way to protect your home, your business, and your family’s financial security from the costs associated with flood damage. Talk to your insurance agent about purchasing flood insurance and remember: • For general inquiries about the National Flood Insurance Program (NFIP), contact the FEMA Mapping and Insurance eXchange (FMIX) center at 877-336-2627 or visit www.floodsmart.gov. • There is a 30-day waiting period before a flood insurance policy takes effect. Don’t wait! • Homeowner and rental insurance do not cover flood losses, so you will need to purchase a separate flood insurance policy. • Annual premiums for a policy increase according to the level of flood risk and the amount of coverage needed. • Whether you rent or own, it’s a good idea to purchase flood insurance. The NFIP offers both building and contents coverage if you own a home or business. If you are a renter, contents-only coverage is also available. • As of 2021, people outside of high-risk areas file more than 25 percent of NFIP claims and receive one-third of disaster assistance for flooding. • Use the Virginia Flood Risk Information System (VFRIS) at www.dcr.virginia.gov/vfris to find out your property’s flood risk. For more information about flood safety and additional resources, visit www.vaemergency.gov/floods. EMERGENCY SUPPLIES: It can take several days or weeks for government services and assistance to reach you and your family depending on the severity of the storm and your geographic location. An emergency kit is vital to sustaining your family after a disaster. Use our checklist to build your emergency supply kit by adding a few items each week or month. Many emergency preparedness products are eligible for Virginia’s tax-free weekend held annually in August. Regularly replace items that go bad such as water, food, medication, and batteries, and remember to keep in mind your family’s unique needs as you build your kit. To view our emergency supply kit checklist, visit here. PLAN FOR YOUR PETS: Not all shelters and hotels accept pets. Plan ahead to stay with family, friends, or at other pet-friendly locations in case you need to evacuate your home. Pet-Friendly Checklist • ID tags on collars and microchip pets • Have sufficient food, water, and medicine for at least 3 days • Pet medication and medication schedule for caregiver, shelter, or boarding staff • Description and current photos of your pets, including a photo of you and your pet together • Immunization and medical records • Serving bowls and feeding schedule • Collar, leash, and carrier to transport pets safely • Pet toys and bedding Note that shelters must make exceptions to “no pets” or “no animals” policies to allow people with disabilities to be accompanied by their service animals. Service animals are not pets and are therefore not subject to restrictions applied to pets or other animals. EMERGENCY COMMUNICATIONS: Your emergency communication plan should include extra cellular phone charging devices as well as additional communication tools: AM/FM radio, smartphone alerts and apps, and a NOAA Weather Radio with additional batteries are recommended. Make sure your household members with phone and email accounts are signed up for alerts and warnings from their school, workplace, and local government agencies including police, fire, ambulance services, public health department, public works, public utilities, school system, and your local office of emergency management. Following these agencies on social media will provide you with an additional avenue to access convenient and critical information. It’s also a good idea to identify alternate caregiver options in the event of an emergency. Know Your Zone: Know Your Zone is an awareness initiative that applies to roughly 1.25 million residents in 23 localities along Coastal Virginia, the region of the state most vulnerable to hurricanes and other tropical storms. Tiered evacuation zones were developed in close coordination with local emergency managers throughout Hampton Roads, the Northern Neck, the Middle Peninsula, and the Eastern Shore based on the most up-to-date engineering data for the region. Zones are designated A through D. They provide residents with clarity on whether they should evacuate in an emergency or shelter at home, based on their physical street address and the nature of the emergency event. It is important to remember that during a Zone evacuation, you only need to evacuate to a higher non-evacuated zone. (i.e. if Zone A is the only Zone evacuated then residents would only need to go as far as Zone B). When a serious storm is expected to threaten or impact Virginia’s coastal regions, state and local emergency agencies will work with local news media outlets, as well as social media channels, that will then broadcast and publish evacuation directives to the public. Visit www.KnowYourZoneVA.org to find your evacuation zone. RETURN HOME SAFELY: Each year, a significant number of people are injured or killed in the aftermath of a hurricane. As you return home and begin the recovery phase, keep these safety tips in mind: • Wait to return to your property until local officials have declared that the area is safe. • Do not wade in floodwaters, which can contain dangerous debris including broken glass, metal, dead animals, sewage, gasoline, oil, and downed power lines. • Do not enter a building until it has been inspected for damage to the electrical system, gas lines, septic systems, and water lines or wells. • Avoid drinking tap water until you know it is safe. If uncertain, boil or purify it first. • Watch for fallen objects and downed electrical wires; Stay at least 30 feet away from downed lines – consider them energized and dangerous; report downed power lines to your local utility provider. • If you lost power, report outages directly to Dominion Energy, your local electrical provider or cooperative. o Dominion Energy | Report outages and check your status at dominionenergy.com/outages. Report downed lines and other safety hazards at 866-366-4357. • Hurricanes or the threat of hurricanes can add more stress. Try to be available for loved ones who may need someone to talk to about their feelings. • For immediate crisis counseling following a disaster, call the Disaster Distress Helpline toll-free at 1-800-985-5990. To find a health care provider or treatment for substance use disorder and mental health, contact SAMHSA’s National Helpline at 1-800-662-HELP (4357) or TTY: 1-800-487-4889 for speech or hearing impaired. Call or text 9-8-8 if you or someone you know is in crisis or suicidal. All services are multilingual. Recovery Resources - Local Contact your city or county’s department of social services, human services, community services board, public health, housing, and local emergency management office to access additional resources and assistance after a hurricane or disaster. Nonprofits and charities stand ready to mobilize and assist your community after a storm, including local food banks. Learning about the organizations that are active in your community before a storm, and supporting these organizations throughout the year, makes these organizations sustainable and successful in their efforts to support your community after a hurricane or other disaster. FEDERAL EMERGENCY MANAGEMENT (FEMA): Individuals and Households Program (IHP) After a Presidential disaster declaration is made, FEMA’s Individuals and Households Program may provide financial help or direct services to those who have necessary expenses and serious needs if they are unable to meet these needs through other means. Contact the FEMA Individuals and Households Program at 1-800-621-FEMA (3362) or TTY: 1-800-462-7585 for speech or hearing impaired. Public Assistance: Local, State, Tribal, and Private Nonprofit FEMA’s Public Assistance (PA) grant program may provide federal assistance to government organizations and certain private nonprofit (PNP) organizations following a Presidential disaster declaration. PA provides grants to state, tribal, territorial, local governments and certain types of PNP organizations so that communities can quickly respond to and recover from major disasters or emergencies. Small Business Administration (SBA) The SBA may loan money to homeowners, renters, and business owners. Homeowners may borrow up to $200,000 for disaster-related home repairs. Homeowners and renters may borrow up to $40,000 to replace disaster-damaged personal property including vehicles. The SBA may not duplicate benefits from your insurance or FEMA. You may receive an SBA referral when you apply with FEMA. Contact the SBA at 800-659-2955 from 8 a.m. – 9 p.m., Mon. – Fri., or email [email protected]. To find out how you can help after a natural disaster, visit the National Voluntary Organizations Active in Disaster website at www.nvoad.org. WHO TO CALL: 2-1-1 | 24/7, statewide trained professionals who listen to your situation and offer sources of help using one of the largest databases of health and human services in Virginia. Dial 2-1-1 OR visit www.211virginia.org. 3-1-1 | In select localities throughout the Commonwealth, 3-1-1 connects callers to their local government, non-emergency, and citizen services including information, services, key contacts, and programs. 5-1-1 | “Know Before You Go,” offers real-time traffic information throughout the Commonwealth. Anytime you need it, anywhere you are. For more information, visit www.511virginia.org. 7-1-1 | A 24/7 free public service, Virginia Relay enables people who are Deaf, Hard of Hearing, DeafBlind, sign language users, Spanish-speaking users, or those who have difficulty speaking to communicate with standard telephone users. The conversation is relayed between the two by a specially trained Virginia Relay Communication Assistant (CA). 8-1-1 | “Call Before You Dig – It’s the Law,” is a free Virginia communications center for excavators, contractors, property owners, and those planning any kind of excavation or digging. When recovering from a disaster, an individual or business may plan to excavate. Before any digging, call 8-1-1, where participating utilities will locate and mark their underground facilities and lines in advance to prevent a possible injury, damage, or monetary fine. 9-1-1 | For emergencies only, including fire, medical, reporting accidents, crimes in progress, and suspicious individuals or events. 9-1-1 is not to be used for traffic or weather updates and information requests. Please keep the lines clear for those seeking emergency support. ADDITIONAL RESOURCES: FEMA’s Ready campaign: https://www.ready.gov/hurricanes Centers for Disease Control and Prevention: https://www.cdc.gov/disasters/hurricanes National Weather Service: https://www.noaa.gov/hurricane-prep

Peer-to-Peer (P2P) is a 12-hour, 8-week recovery education course for adults living with a mental health condition. Some classes are targeted towards young adults (ages 18-32.) Please visit https://www.nami-northernvirginia.org/whats-new or email [email protected] for current class offerings. Registration with facilitator is required.

RODEO is an Individual Student Alternative Education Plan (ISAEP) program. It is a voluntary program designed to assist students who are between the age of 16 and 18 years of age in earning their GED while developing career and technical education skills.

The Wellness Recovery Center (WRC) is a short-term residential crisis stabilization program for adults (ages 18+) who are experiencing a mental health crisis. The primary purpose of the program is to get a person who is in a crisis help so they can avoid psychiatric hospitalization and remain in the community. The WRC onsite staff includes nurses, therapists, case managers, peer recovery specialists, and psychiatrists who provide person-centered and recovery-based support and problem-solving in a safe and comfortable environment that promotes healing and fosters community. This 24 hour/7 day-per-week program offers individual and group counseling to build and practice effective coping skills, like those related to personal safety, mental health crisis recovery, and understanding the influence of substance use on mental health. Treatment includes group therapies such as Dialectical Behavioral Therapy (DBT), which teaches skills such as mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness, as well as movement, mind-body, and skills-based groups.

Minimize negative health outcomes associated with risky social behaviors, such as unprotected sex or illicit drug use. CSHD offers several services related to Harm Reduction, including: Free condoms – Available for walk-ins. Free Naloxone – Calling ahead is preferred. Naloxone is the only medicine that can reverse an opioid overdose. There are two types of naloxone – Injectable and a nasal spray. CSHD offers free nasal naloxone for anyone who uses or anyone who knows someone who uses drugs. Free Fentanyl Test Strips at select health department locations – Calling ahead is preferred. Fentanyl Test Strips (FTS) are an easy-to-use tool that can help determine if a drug contains fentanyl. This could enable someone using drugs to make better informed decisions, and take steps to reduce overdosing. FTS are currently available at the following locations: Bath County Health Department Staunton-Augusta Health Department Lexington-Rockbridge Health Department

Sexual Assault Response - 24 hour face to face and help-line assistance to children, teens, and adults who have been sexually abused and/or assaulted. SARP is a major referral source for the criminal justice system, child protective services, forensics nurses, schools, and health care agencies. SARP offers direct victim assistance through an array of services from crisis intervention and advocacy during initial emergency room exams throughout treatment, court proceedings, support groups, and the overall recovery process. SARP also provides awareness and educational programs to area schools, businesses, allied professionals, and the general public.

The Energy Assistance Program (EAP)consists of three components; Fuel Assistance (FA), Coolng Assistance (CA) and Emergency Crisis Assistance (CAP). The FA component is intended to provide supplemental assistance to offset the rising costs of heating expenses. The CAP component is intended to provide assistance with heating equipment needs and emergency fuel outages. Fuel Assistance opens the second Tuesday in October. The last day for applying is the second Friday in November. Main Qualifications: Have a heating need, meet the income and resource levels, include all persons living in the household, live in an eligible living arrangement and meet the citizenship requirements. Crisis Assistance applicants must meet the following: income level, resource level. Deposits: Opens the first working day in November. May only receive once per lifetime per fuel type. (Natural gas, electric and LP gas) Heating Equipment: Opens November 1st or the first working day in November for Replacement, purchase, or repair of primary heating source. Primary Fuel: Opens the first working day in January. It is for those that did not receive fuel assistance. Requires cut off notice for electric and gas. Almost out of fuel oil, wood, coal or island purchased kerosene. Cooling Assistance: Is offered during the beginning in mid-June. Must meet eligibility requirements.

Creating Opportunities for Understanding and Resilience Amid Gaining Our Education. The Project COURAGE team is made up of the Behavioral Health Coach (BHC), the Anxiety/Depression Specialist (ADS), Stress Management Coach and the Mentor Coordinator/Parent Educator (MCPE). The BHC, ADS and MCPE carry caseloads and meet with students on a weekly basis to work on self-directed goals, reframe experiences and provide support so the student feels safe and connected. Parents/guardians are contacted at least once a month to provide an update on services and assist family with resources or other needs they may have. All students are able to work with the Stress Management Coach in order to improved stress reduction skills through using mindfulness and stretching techniques. The goal is to support students with skills that promote attention control, emotional regulation, impulse control and provide techniques to help them respond to situations versus reacting. In addition, the MCPE recruits, certifies and pairs mentors with students. A monthly parenting education class is offered as well.

The Energy Assistance Program (EAP)consists of three components; Fuel Assistance (FA), Coolng Assistance (CA) and Emergency Crisis Assistance (CAP). The FA component is intended to provide supplemental assistance to offset the rising costs of heating expenses. The CAP component is intended to provide assistance with heating equipment needs and emergency fuel outages. Fuel Assistance opens the second Tuesday in October. The last day for applying is the second Friday in November. Main Qualifications: Have a heating need, meet the income and resource levels, include all persons living in the household, live in an eligible living arrangement and meet the citizenship requirements. Crisis Assistance applicants must meet the following: income level, resource level. Deposits: Opens the first working day in November. May only receive once per lifetime per fuel type. (Natural gas, electric and LP gas) Heating Equipment: Opens November 1st or the first working day in November for Replacement, purchase, or repair of primary heating source. Primary Fuel: Opens the first working day in January. It is for those that did not receive fuel assistance. Requires cut off notice for electric and gas. Almost out of fuel oil, wood, coal or island purchased kerosene. Cooling Assistance: Is offered during the beginning in mid-June. Must meet eligibility requirements.

A 10-12 week program for male and female adolescents (age 13-18) who are experiencing difficulties with use/abuse/dependence of substances, engaging in high-risk behaviors, and/or are experiencing other addictive and maladaptive behaviors. The program incorporates the 12 Step principles and philosophy.

The CHANGE program is a state certified Domestic Violence Intervention Program designed to aid in the reduction and elimination of domestic violence in Northern Virginia. OAR will attempt to achieve this goal by increasing batterers accountability, general understanding of the impact of their behavior, and self-regulation skills.

The Energy Assistance Program (EAP)consists of three components; Fuel Assistance (FA), Cooling Assistance (CA) and Emergency Crisis Assistance (CAP). The FA component is intended to provide supplemental assistance to offset the rising costs of heating expenses. The CAP component is intended to provide assistance with heating equipment needs and emergency fuel outages. Fuel Assistance opens the second Tuesday in October. The last day for applying is the second Friday in November. Main Qualifications: Have a heating need, meet the income and resource levels, include all persons living in the household, live in an eligible living arrangement and meet the citizenship requirements. Crisis Assistance applicants must meet the following: income level, resource level. Deposits: Opens the first working day in November. May only receive once per lifetime per fuel type. (Natural gas, electric and LP gas) Heating Equipment: Opens November 1st or the first working day in November for Replacement, purchase, or repair of primary heating source. Primary Fuel: Opens the first working day in January. It is for those that did not receive fuel assistance. Requires cut off notice for electric and gas. Almost out of fuel oil, wood, coal or island purchased kerosene. Cooling Assistance: Is offered during the beginning in mid-June. Must meet eligibility requirements.

NAMI BASICS is a free, 6-session educational program for parents of children who developed the symptoms of mental illness prior to the age of 13 years.