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.

Related News

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Advocacy

NACo offers new Medicaid resources as Congress advances Budget Resolutions with major Medicaid reform implications

On April 10, the U.S. House of Representatives voted to adopt a Senate-passed budget resolution, marking the next step in the budget reconciliation process. The proposed funding levels therein represent significant potential cost shifts to counties, particularly in the area of Medicaid financing. To help county leaders understand what’s at stake, NACo has developed two new resources.

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Advocacy

County Countdown – April 21, 2025

Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features the ARPA reporting deadline, a budget reconciliation update and more

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Advocacy

U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy

Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.

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Advocacy

House E&C Committee advances SUPPORT Act reauthorization

On April 9, the U.S. House Energy and Commerce Committee marked up the SUPPORT for Patients and Communities Reauthorization Act of 2025. The bipartisan bill aims to reauthorize critical programs that target overdose prevention amid the renewal of the opioid crisis Public Health Emergency declaration.

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County News

Bird flu update: What county leaders should know

As of April 7, there have been 70 confirmed cases of bird flu in the United States, but no person-to-person spread has been detected. 

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Advocacy

FEMA halts disaster mitigation grant program

On April 4, the Federal Emergency Management Agency (FEMA) announced it will not allocate $750 million this year for the Building Resilient Infrastructure and Communities (BRIC) grant program. According to the press release, FEMA will also stop funding BRIC projects that were previously approved and are still underway.

Related Events

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Webinar

Supported Mothers, Thriving Children: Connecting Maternal Health and Child Wellbeing

Counties can significantly improve children's health and wellbeing by supporting maternal mental health through a variety of key strategies. In this webinar, speakers will explore examples of local policies and programs that bolster county efforts to holistically address child wellbeing through focusing on maternal mental health and substance use. Participants will gain insights into local options for addressing maternal mental health needs and substance misuse, learn about the challenges and triumphs experienced by county programs, and discover new opportunities to strengthen their local children’s health services.

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Webinar

Federal Reforms to Medicaid Financing: What Counties Should Know (Part 1)

This two-part webinar series will examine the vital role Medicaid plays in supporting county-administered behavioral health and primary care services.

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Webinar

Federal Reforms to Medicaid Financing: What Counties Should Know (Part 2)

This two-part webinar series will examine the vital role Medicaid plays in supporting county-administered behavioral health and primary care services.

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Webinar

Ask a Public Health Expert: The Resurgence of Measles

Join NACo on Thursday, May 15 at 2 p.m. ET for a webinar on the resurgence of measles and what county leaders need to know. As outbreaks emerge across the U.S., this session will cover the history of measles, the importance of vaccination, current trends and how counties can respond effectively. The hour-long webinar will feature a 30-minute expert presentation followed by 20 minutes of audience Q&A. Don't miss this opportunity to hear from public health experts and get your questions answered.

Past Events

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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

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

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.