Our Story
In the 1950s, families faced a difficult choice regarding loved ones with disabilities or mental illness, often leading to institutionalization. However, by the 1960s, societal attitudes began to shift. In 1968, the Virginia General Assembly passed legislation allowing local governments to create agencies to support individuals with mental health and developmental disabilities. This led to the establishment of the Rappahannock Area Community Services Board (RACSB) in 1970, initiated by the Frank C. Pratt Chapter of the Mental Health Association in Fredericksburg.
Starting with a dedicated staff of ten, RACSB has evolved over the decades to meet the growing needs of the Fredericksburg community. The agency pioneered early intervention programs and day support services long before they became standard in Virginia. In 1977, the organization rebranded to reflect its commitment to alcohol and drug prevention programs.
Throughout the years, RACSB has expanded its reach, opening satellite mental health clinics and establishing vital programs for teen parents and families in need. Notably, RACSB played a crucial role in founding the Rappahannock Regional Drug Treatment Court, the first regional drug court in the nation, which also addressed juvenile treatment.
As community needs continue to evolve, RACSB remains dedicated to providing innovative solutions. The agency has trained hundreds of first responders in mental health crisis management and established a crisis assessment center at Mary Washington Hospital. Recently, RACSB launched a Medication-Assisted Treatment program to combat the opioid epidemic, ensuring that vulnerable populations receive the support they need.