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Founded in 2006 as the Hepatitis B Initiative of Washington, D.C., the organization began with a focused mission to address hepatitis B disparities in underserved communities across the D.C., Maryland, and Virginia region. Over time, it became clear that testing alone was not enough to improve long-term health outcomes. Individuals needed education, navigation, and sustained support to move from diagnosis to care, and ultimately toward independence in managing their health. In response to these gaps, CEO & Architect Sandra Marrero Ashford, MPH, MPA, MA created the Health Betterment Initiative (HBI), a broader public health model designed to move beyond disease-specific testing toward sustainable access to care. Formally launched in January 2024, HBI represents the intentional redesign of the organization’s approach, integrating: -Community Health Workers in the field -Education around complex health conditions -Linkage-to-care and resource navigation -Apricot, HBI’s data-informed system and data collection with support of AI which insures follow-up and continuity. This shift reflects a move from isolated screening efforts to a structured model that connects community trust with measurable outcomes. Through the combination of field-based outreach and data-informed infrastructure, HBI works to ensure individuals are not only screened, but supported in understanding their health and navigating systems of care. The long-term goal is sustainability: equipping communities with the knowledge and confidence to engage providers and access care independently.

To ensure that each and every Alexandrian teen succeeds – physically, emotionally, socially, and academically – by collaboratively providing an easily accessible medical clinic at Alexandria High School. Services that are NON-CONFIDENTIAL and need parent/guardian consent if you are under the age of 18: NEW: COVID-19 vaccines, by appointment or available during any other visit Immunizations for HPV, Influenza (flu), TDAP and more Tuberculosis Testing Treatment of colds, acne, and other minor illnesses Physical examinations required for schools, participation in sports, employment and the Special Olympics Services that are CONFIDENTIAL and do NOT need parent/guardian consent: Pregnancy testing and prevention Diagnosis and treatment of sexually transmitted infections (Chlamydia, Gonorrhea, HIV and more) Reproductive health services (including prescribing birth control) Health education on nutrition, exercise, and stress reduction techniques Behavior change counseling Mental health and substance abuse counseling

Blue Ridge Behavioral Healthcare (BRBH) is the Community Services Board serving adults, children and families with mental health disorders, developmental disabilities, or substance use disorders in the Roanoke Valley of Virginia. We serve residents of the Cities of Roanoke and Salem, and the Counties of Botetourt, Craig, and Roanoke.