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District 19 CSB Outlines Services, Plans to Close Underutilized Surry Clinic and Seeks Local Match
Summary
District 19 Community Services Board (soon to be renamed) presented program overviews and said it plans to close an underutilized Surry brick-and-mortar clinic, absorb staff elsewhere and requested in-kind space or continued local support. The board was asked to continue a local annual match of roughly $112,000 for FY 2026.
A representative from District 19 Community Services Board briefed the Surry County Board of Supervisors on March 6 about behavioral-health services across nine localities, plans to reduce the CSB's physical footprint and a local funding request.
Terrell Stewart, speaking for District 19, said the agency serves a nine-locality region including Surry County and that the CSB is considered a rural board. She described a broad service continuum from early intervention for children through adult crisis and substance-use services and noted that the CSB coordinates regionally for crisis-stabilization units, mobile response teams and detox supports.
Stewart said the board plans to close the underutilized Surry brick-and-mortar clinic as part of a multi-year plan to consolidate facilities and reduce the CSB's rent burden (the agency pays more than $875,000 a year in rent systemwide). She told supervisors that staff and services would be absorbed at other District 19 locations and that no employees would lose positions as part of the planned move. District 19 said it is expanding mobile and community-based services and requested that the county consider providing in-kind office space if the locality wishes to host a point of contact.
For FY 2026, District 19 presented a local match request for Surry County of about $112,000, roughly $11,000 higher than FY 2025; Stewart said the match calculation follows the Code of Virginia and is based on the state dollars the CSB receives. For FY 2024, Stewart said District 19 recorded roughly 74 unique individuals receiving core services coded to Surry, while acknowledging additional uncoded or regional services that are not fully reflected in that total.
Stewart also said the agency is changing its name (planned roll-out later in 2025) and listed potential future projects including a regional 23-hour crisis receiving center and mobile units, and opioid abatement peer-led overdose response units if grant funding is available.
Board members asked whether local staff would lose employment and how response times would be affected; Stewart said staff would be absorbed elsewhere and that telehealth and mobile response help meet statutory response windows for emergency custody orders in rural areas.
The board did not take a formal vote on the local match during the meeting; the update concluded with questions and clarifications.
