Crisis Services: Meeting Needs, Saving Lives
Background
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
Conclusions
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
Considerations
Broadband Access
Financing
Privacy Concerns
Efficacy and Safety of Technological Applications
Legal Issues in Crisis Services
Introduction
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
Conclusion
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
Alaska
Colorado
Distance to Travel and Transportation to Crisis Services
Alaska
Colorado
South Carolina
Cultural Differences and Stigma Associated with Behavioral Health
Sustainability
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
Financing
Data Sharing and Quality Improvement
Stakeholder Engagement and Collaboration
Disparities, Inequity, and Explicit Bias
Conclusion