Familiar faces - individuals with complex behavioral health needs who frequently cycle through jails, homeless shelters, emergency departments and other local crisis services - often do not have the support needed to ensure treatment engagement and successful outcomes. Counties and cities’ complex social services systems can be fragmented, leaving vulnerable individuals to fall through the cracks. The Familiar Faces Initiative empowered communities to share data and integrate care options between health and justice systems. While this program concluded in 2024, counties continue to pursue early intervention, improved outcomes and reduced incarceration and hospitalization rates for community members.

Resources

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Familiar Faces Initiative Case Study: Orange County, Calif.

Orange County is a Familiar Faces Initiative (FFI) Peer-Learning Site modeling effective cross-sector data sharing and familiar faces programming for the FFI community.

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Advocacy

Familiar Faces Initiative Case Study: Johnson County, Kan.

Johnson County is a Familiar Faces Initiative Peer-Learning Site that models effective cross-sector data sharing and familiar faces programming to divert residents with behavioral health conditions from jail to treatment.

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Data-Driven Justice: A Playbook for Developing a System of Diversion for Frequent Utilizers

The Playbook is designed to help guide the development of a multi-system strategy to successfully divert frequent utilizers, when appropriate, away from the criminal justice and emergency health systems and toward community-based treatment and services.

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News

Point-of-Service Information Sharing Between Criminal Justice and Behavioral Health Partners: Addressing Common Misconceptions

Information sharing across behavioral health and criminal justice systems is critical to reducing the number of people with mental and substance use disorders in jails.

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Team Planning for Data-Driven Justice

This workbook – including team exercises, worksheets and action plan template – is designed to guide communities through the development of their strategies to share data across systems.

Past Events

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Webinar

Familiar Faces Initiative: Model Jurisdictions for Improving Outcomes through Coordinated Health and Justice Systems

Join NACo to celebrate the one-year anniversary of the Familiar Faces Initiative, participate in discussions with each of the Peer Learning Sites and learn about state and county collaboration to better support familiar faces in local communities.

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Webinar

County Strategies to Provide Supportive Housing for Familiar Faces

Join NACo for a panel discussion with experts and county leaders who have developed innovative funding models to support housing programs and facilities for familiar faces within their communities.

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Webinar

County Strategies to Recruit and Retain a Strong Behavioral Health Workforce

Join NACo for a panel discussion of innovative solutions to behavioral health workforce challenges.

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Webinar

Using Public Safety Funds to Support Community Members’ Behavioral Health

From mental health clinicians to peer navigators, sheriffs and police chiefs across the country are investing funds from their own budgets in the behavioral health workforce to provide the treatment and services to people in need before they come into contact with law enforcement or jails.

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Webinar

Somewhere to Go During a Behavioral Health Emergency: Crisis Triage Centers and Behavioral Health Clinics

Counties are partnering with health care providers to establish crisis triage centers that offer in-person treatment and services to people experiencing a behavioral health emergency.

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Webinar

911 Dispatch: Innovations for Addressing Behavioral Health Crisis Calls

This webinar will feature a presentation on The Pew Charitable Trust’s recent research on 911 call centers’ capabilities to handle behavioral health crises and highlight localities that have developed innovations in 911 dispatch centers.

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Webinar

Non-Law Enforcement Responses to People Experiencing a Mental Health Crisis

Counties and cities across the country are looking for innovative ways to respond to 911 calls for service involving people experiencing a mental health crisis.

With daughter's support, worried female patient asks home nurse question

Data-Driven Justice: A Playbook for Developing a System of Diversion for Frequent Utilizers

The Playbook is designed to help guide the development of a multi-system strategy to successfully divert frequent utilizers, when appropriate, away from the criminal justice and emergency health systems and toward community-based treatment and services.

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Webinar

Coordinating a System Response to 911 Dispatch

Join NACo, in collaboration with our Stepping Up partners and Data Driven Justice network for a discussion on 911 dispatch intervention strategies with a special emphasis on data collection, screening and practical local approaches to resolving 911 calls safely without unnecessary justice system involvement.

Webinar

DDJ Virtual Panel Discussion: Lessons Learned from Pilot Projects

Join Data-Driven Justice (DDJ) for an engaging virtual panel discussion on the outcomes of the two-year DDJ pilot program with three communities: Johnson County, Iowa; Long Beach, Calif. and Middlesex County, Mass.

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Webinar

Data-Driven Justice National Listening Session: COVID-19 Impacts and Innovations Across Justice and Behavioral Health Systems

Please join Data-Driven Justice on Friday, May 22 at 2 p.m. EDT for a discussion on national and federal justice and behavioral health resources as communities continue to navigate the COVID-19 pandemic.

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Webinar

Stepping Up and Data-Driven Justice: Using Data to Identify and Serve People who Frequently Utilize Health, Human Services and Justice Systems

Counties across the country have committed to creating data-driven, systems-level plans to reduce the number of people with mental illnesses in their jails.

 

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Webinar

Stepping Up and Data-Driven Justice: Using and Sharing Data Across Health, Human Services and Justice Systems to Improve Responses for People Who Have Mental Illnesses

Counties across the country are building collaborative partnerships to reduce the number of people with mental illnesses in their jails.

Related News

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Advocacy

New Law Brings Long-Sought Transparency to FEMA Disaster Reimbursements

A new federal law requires FEMA to publish a publicly accessible, interactive dashboard tracking all Public Assistance reimbursement requests, giving counties unprecedented visibility into disaster recovery funding.

(From left:) San Joaquin County, Calif. Health Care Services Director Genevieve Valentine and Supervisor Steven Ding and David Wetmore of Capri & Clay meet during the 2026 NACo Legislative Conference with U.S. Department of Housing and Urban Development Congressional Liaison Officer Geoffrey Smith, an unidentified staffer, former U.S. Interagency Council on Homelessness Executive Director Robert Marbut and Deputy Assistant HUD Bryan Horn. Photo by Nichole Goehring
County News

Counties eye potential Medicaid reimbursement remedies

Increasing the number of beds in mental health treatment facilities eligible for Medicaid reimbursement would empower counties to do more to help their residents.

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Press Release

Counties Recognize Mental Health Awareness Month

The National Association of Counties (NACo) again this year will mark Mental Health Awareness Month throughout the month of May with counties advocating for solutions that support the wellbeing of residents and address the nation’s mental health crisis.

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Advocacy

House clears budget resolution, advancing Reconciliation 2.0 to fund DHS and CBP

On April 21, U.S. Senate Budget Committee Chairman Lindsey Graham (R-S.C.) unveiled a budget resolution to advance a party-line reconciliation package focused on immigration enforcement and funding for agencies within the U.S. Department of Homeland Security (DHS), including the Federal Emergency Management Agency (FEMA). The resolution is the first step in a two-part process aimed at producing final legislation by June 1.

Related Events

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Webinar

County Strategies to Support Mental Health and Wellbeing Across the Lifespan

Join NACo and the Healthy Counties Innovation Council for a webinar exploring how counties are supporting mental health across the lifespan.

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Webinar

Breaking the Cycle: Behavioral Health Diversion Strategies for Counties

This interactive fireside chat brings together county leaders and behavioral health experts to explore how communities are building the diversion infrastructure to change outcomes. 

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Webinar

Leveraging Opioid Settlement Funds for Housing Supports: Strategies for Counties

This webinar will highlight practical strategies for using opioid settlement funds to support housing initiatives at the local level.