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Crisis Care and Service Systems Part 2: Crisis Services Implementation and Infrastructure

Author: SAMHSA, Will Cook, PhD

Course Created: 2023

Practice Level: Intermediate

No book to buy Duration: 5 hours
4.5 out of 5.0, Based on: 220 reviews

Course Summary

Series Overview: This course is part of a 3-course series on Crisis Care and Service Systems

Substance abuse and mental illness crisis situations occur in all communities. This series presents SAMHSA’s national guidelines and best practices for crisis care, which can be used to strengthen crisis care and reduce the impact of substance abuse, acute mental illness, and suicide in America. The courses in this Crisis Care and Service Systems series are: 
• SAMHSA’s National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit  
• Crisis Services Implementation and Infrastructure  
• Crisis Care for Various Populations  

With alarming rate increases in suicides, overdose deaths, and individuals with disabilities in the criminal system, a comprehensive and integrated crisis network is crucial. An effective crisis network is one that implements a multi-disciplinary response as well as uses brief, intermediate, and long-term approaches to crisis care. Crisis Service Papers Building on SAMHSA’s National Guidelines explores opportunities and challenges to consider when   implementing and delivering crisis services as well as strategies to enhance crises response. The purpose of this course is to support social workers, psychologists, marriage and family therapists, and counselors, working within crisis care systems in implementing and/or working collaboratively in a multi-disciplinary crisis response team.

Clinicians can use the discussions on opportunities and challenges to help inform their role in crises care. This practice-focused learning material also offers providers information on technologies and strategies that crisis teams can use to facilitate and enhance the delivery of behavioral health crisis services. Other topics covered include and are not limited to legal and regulatory issues and the role of law enforcement in crisis care. Upon completion of this course, providers will be able to respond more effectively to individuals experiencing behavior health crisis.

Course Format

This course contains downloadable online lessons (PDF) and a practice test. When you're ready, purchase the course by clicking the "Add To Cart" button. This will let you take the test, complete the course evaluation and receive your certificate for CE credits.

Learning Objectives

  • Describe core elements and services included in the crisis continuum.
  • Explain the positive effect that specialized teams, interventions, and approaches have on crisis situations.
  • Identify ways in which technology is used to improve delivery of crisis services.
  • Explain the role of legal and regulatory issues in behavioral health emergencies.
  • Recognize challenges to receiving and delivering behavioral health crisis services in rural and frontier areas.
  • Differentiate the responses of law enforcement and behavioral health crisis teams in crisis care.

Course Syllabus

Crisis Services: Meeting Needs, Saving Lives


The Crisis Continuum

Examples of Effective Crisis Services

Pathways in Crisis Services

The Evolving Role of Law Enforcement and Mobile Crisis Responses

Person-Centered Crisis Care

Supporting the Crisis Infrastructure, From Laws to Technology

Crisis Services During COVID-19 and Beyond



Using Technology to Improve the Delivery of Behavioral Health Crisis Services in the U.S.

Introduction and Methodology

Marketing Crisis Services through Digital Media

Using Technology to Improve Crisis Hotlines & Text Lines

Crisis Text Lines

Emotional Support Lines for Healthcare and Frontline Workers During COVID-19

988: The Future of the National Suicide Prevention Hotline

National Crisis Text Line

Using Technology to Improve Mobile Crisis Response

Using Technology to Improve Access to Crisis Receiving and Stabilization Facilities

The Future of Technology in the Delivery of Behavioral Health Crisis Services


Broadband Access


Privacy Concerns

Efficacy and Safety of Technological Applications


Legal Issues in Crisis Services


Emergency Involuntary Holds, Civil Commitment and Assisted Outpatient Treatment

   Orders and Crisis Services

The Role of Guardians in Crisis Services

Restraint/Seclusion in Crisis Services

Confidentiality and Duty to Protect Others in Crisis Services

Role of Crisis Service Providers in States with Red Flag or Extreme Risk Protection Orders

The Role of Law Enforcement, Legal Regulation of Crisis Services, and the Criminal

   Justice System

Crisis Centers and EMTALA

Covid-19 Related Legal Issues Relevant to Crisis Services

Risk Management and Liability with Crisis Centers



Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas  of the U.S.

Behavioral Health Crisis Workforce in Rural Areas



Distance to Travel and Transportation to Crisis Services



South Carolina

Cultural Differences and Stigma Associated with Behavioral Health


Other Effects of COVID-19 on Crisis Services in Rural & Frontier Areas

Implications for Policy Makers


Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies

Defining the Issue

Law Enforcement Responses

CIT and Training

Beyond CIT: Dedicated Specialty Teams

BH Crisis Response

Crisis Call Centers and “Care Traffic Control”

Mobile Crisis Teams

Co-Responder Teams

Specialized Crisis Facilities

Post-Crisis Care

Advanced Systems

Crisis Services vs. Crisis Systems

“One Mind” Law Enforcement Organizations

Cost Savings Across Systems

Policy Implications

Civil Commitment and Mental Health Transports

Regulations and Accreditation Standards


Data Sharing and Quality Improvement

Stakeholder Engagement and Collaboration

Disparities, Inequity, and Explicit Bias

Conclusion, provider #1115, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 07/08/21-07/08/24. Social workers completing this course receive 5 general continuing education credits.

We are committed to providing our learners with unbiased information. Ce4Less never accepts commercial support and our authors have no significant financial or other conflicts of interest pertaining to the material.


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