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Napa County staff outline RISE initiative to reach people outside clinic walls
Summary
Napa County Behavioral Health staff described RISE (Recovery, Inclusion, Support and Engagement), a low‑threshold, community‑centered approach to reach people with substance use disorders who are not accessing traditional services, and promised program details and incentive pilots at a future meeting.
Staff from Napa County Behavioral Health presented a detailed overview of the RISE initiative — Recovery, Inclusion, Support and Engagement — as a new approach to reach people with substance use disorders who are not engaged in clinic‑based care. Zachariah Todd described RISE as “a shift away from traditional clinic‑based models toward a more community‑centered approach,” emphasizing field‑based engagement, telehealth, evening hours, satellite sites and harm‑reduction strategies.
Board members discussed practical implications for existing sober living and residential programs, including questions about policies that can result in loss of housing after relapse. Todd acknowledged that certain residential environments must maintain drug‑free rules but said the county is exploring “more harm‑reduction or outcomes‑based approaches that allow individuals to remain housed while receiving support.” He also said he will present a more detailed Recovery Incentives Program at an upcoming meeting, including incentive types, a redemption plan, evaluation metrics and an implementation timeline.
