Effective Behavioral Health Crisis Care for Individuals Experiencing Homelessness
Executive Summary
Background
Barriers and Risk Factors Faced by Individuals Who Experience Homelessness
The Intersection of Homeless Individuals with Behavioral Health Crisis Response
Systems
Responding to Homeless Individuals in Crisis: Essential Principles and Practices
Ensure that Crisis System Components are Responsive to the Needs of Homeless
Individuals
Incorporate Interventions that Effectively Engage Homeless Individuals
Proactively Collaborate with Homeless Housing Systems and Law Enforcement
COVID-19 Considerations for Responding to Individuals Experiencing Homelessness
Conclusions
Addressing Substance Use in Behavioral Health Crisis Care: A Companion Resource to the SAMHSA Crisis Toolkit
Introduction
Person-Centered Care: Integrating Mental and Substance Use Disorders Within the
Crisis System
Core Services and Best Practices
Regional Crisis Call Centers
Mobile Crisis Team Services
Crisis Receiving and Stabilization Services
Core Principles and Essential Partnerships
Applying Core Principles to SUD: Addressing Recovery Needs
Applying Core Principles to SUD: Significant Role for Peers
Applying Core Principles to SUD: Crisis Response Partnerships
Financing Strategies
Impact and Lessons Learned from COVID-19
Crisis Services for Substance Use Disorders Examined with a Racial Equity Lens
Conclusions
Crisis Services: Addressing Unique Needs of Diverse Populations
Executive Summary
Recommendations
Crisis Services: Addressing Unique Needs of Diverse Populations
Introduction
Racially, Ethnically, and Experientially Diverse Populations in Crisis Settings
Persons with Neurodevelopmental Disorders in Crisis Settings
Medically Complex Care in Crisis Settings
Infectious Diseases in Crisis Settings with Lessons Learned from COVID-19
Criminal and Juvenile Justice System Involvement in Crisis Settings
Implications and Conclusions
Improving the Child and Adolescent Crisis System: Shifting from a 9-1-1 to a 9-8-8 Paradigm
Background
Challenges with the Current Child and Adolescent Crisis System
Limited Prevention, Early Identification and Intervention
Misuse of Emergency Departments (EDs)
Law Enforcement Involvement in Child Behavioral Health Crises
Racism and Inequity
A Paradigm Shift
Working Upstream: Prevention and Early Intervention in Child and Adolescent Crisis
Schools
Pediatric Primary Care
Community Partners
Best Practice Considerations for Child and Adolescent Crisis Systems
Regional Crisis Call Hub Services (Someone to Talk To)
Mobile Crisis Team Services (Someone to Respond)
Crisis Receiving and Stabilization Services (A Place to Go)
Examples and Outcomes of Child and Adolescent Crisis Response Systems
Arizona: Crisis Response Center (CRC)
Connecticut: Mobile Crisis Intervention Services
Nevada: Children’s Mobile Crisis Response System Rural Team
Crisis Lessons and Innovations from COVID-19
Conclusion