Familiar Faces Initiative
Improving Outcomes Through Coordinated Heath & Justice Systems

Sections
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

NACo submits recommendations on the 2026 National Drug Control Strategy
On June 20, NACo submitted formal comments to the White House Office of National Drug Control Policy (ONDCP) to help shape the development of its 2026 National Drug Control Strategy. This strategy serves as the nation’s blueprint for reducing illicit drug use, and the ONDCP plays a central role in coordinating federal drug policy across government agencies. As counties remain on the frontlines of the opioid and broader substance use epidemic, ONDCP invited NACo to share the county government perspectives on federal priorities and polices that support prevention, treatment, recovery and public safety across the country.

U.S. House of Representatives introduces legislation to expand Medicaid coverage for behavioral health treatment facilities
On June 20, a bipartisan group of lawmakers introduced the Increasing Behavioral Health Treatment Act in the U.S. House of Representative. This bill aims to improve access to behavioral health care nationwide by removing long-standing Medicaid funding restrictions for behavioral health treatment in certain facilities, providing new flexibility for states and counties to meet growing behavioral health needs.

NACo Legal Advocacy: City of Buffalo et al. v. Kia/Hyundai
The question at hand in City of Seattle et al. v. Kia/Hyundai is whether or not the Federal Motor Vehicle Safety Standard preempts state tort claims brought forth by local governments alleging that Kia and Hyundai’s failure to install “reasonable” anti-theft technology constitutes negligence and public nuisance.

NACo Legal Advocacy: Perttu v. Richards
Perttu v. Richards has implications on the Prison Litigation Reform Act (PLRA) and could increase the amount of Section 1983 inmate-initiated cases against county jails that reach federal court, ultimately resulting in counties having to expend resources on frivolous lawsuits.

County Leaders Visit Washington to Share Local Perspective on Budget Reconciliation
Elected officials from five states sound alarm about administrative and funding changes to SNAP and Medicaid.
Past Events

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.

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.

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.

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.
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.

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.