California Association of Local Behavioral Health Boards & Commissions
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​Crisis Care Continuum

Psychiatric Advance Directives
​"988" Crisis line
Picture
Crisis Care Continuum Recorded Teleconference
PictureIssue Brief (PDF)
Crisis Care Continuum Issue Brief
​PDF   HTML


Program Examples

Peer Respites

Cedar Home Peer Respite
Trinity County

Second Story
Santa Cruz County

Hacienda of Hope
Los Angeles County


Mobile Crisis

SMART
San Mateo County

Mobile Crisis Triage (MCT)
Placer County

MACRO
Alameda County

Assisted Outpatient Treatment

Assisted Outpatient Treatment
Nevada County

Assisted Outpatient Treatment
Marin County

Crisis Stabilization

Multi-Disciplinary Approach
Sonoma County
​

MH Urgent Care Center
Sacramento County
 

Crisis Stabilization Services
 
Napa County

Sobering Stations
Kern County

Emergency Department Offerings

Emergency Psychiatric Assessment, Treatment and Healing Unit (EmPath)
Alameda County

Crisis Residential

Safe Harbor
Yolo County

Momentum for Health

Santa Clara County

Crisis Residential
Orange County


Crisis Residential
Santa Barbara County

Safe Harbor
Yolo County

Reports / Resources / Articles

Medi-Cal Mobile Crisis Services Benefit Implementation. In October 2022, DHCS submitted to the Centers for Medicare and Medicaid Services (CMS) State Plan Amendment (SPA) 22-0043 that establishes mobile crisis services as a new benefit in the Medi-Cal program (SPA 22-0043 is still pending federal approval). Medi-Cal behavioral health delivery systems may begin implementing the mobile crisis services benefit as soon as January 1, 2023, and shall have the benefit fully implemented by December 31, 2023. 

Ensuring Coverage of Behavioral Health Emergency Services, The Kennedy Forum, 2022



Assessing the Continuum of Care for Behavioral Health Services in California, CA DHCS 2022

Mobile Crisis MediCal Funding
  • Behavioral Health Mobile Crisis Response Services in Medi-Cal,The 2021 American Rescue Plan Act authorizes federal Medicaid matching funds for community-based mobile crisis response services (PDF). In part to encourage states to enact these optional services, the federal match is a hefty 85%. The benefit is available starting April 1, 2022, for up to three years.CA Health Care Foundation   
  • ​California Will Expand Coverage of Medicaid Community-Based Mobile Crisis Intervention Services, National Health Law Program​
​
Contra Costa's new A3 crisis unit helps prioritize mental health call response, 2022


String of LAPD Shootings Exposes LA's Broken Mental Health System, Officials Say, LA Times, November 18, 2021

Expanding Alternative Crisis Response in Los Angeles County (Item 6, Agenda of June 8, 2021) Motion  Report Response


Settlement Reached Between Disability Rights California and San Benito County to Improve the County’s Behavioral Health System, April 2021

CA Dedicates $20 Million to Support New Mental Health "988" crisis line, CA Department of Health Care Services, September 2021

Roadmap to the Ideal Crisis System: Essential Elements, Measurable Standards, and Best Practice for Behavioral Health Crisis Response. The National Council for Behavioral Health, 2021


Peer Respites Provide an Alternative to Psychiatric Wards During Pandemic, Kaiser Health News

National Guidelines for Behavioral Health Crisis Care - Best Practice Toolkit Executive Summary (PDF | 1 MB)     Best Practice Toolkit (PDF | 2 MB)

Crisis Services: Effectiveness, Cost Effectiveness, and Funding Strategies, SAMHSA 2014

Plan for Crisis and Other Safety Net Services in the California Developmental Services System:  CA Health & Human Services 2017 

Cost Savings

GRANT MENTAL HEALTH "Since introducing the model, outcomes have been staggering: Inpatient hospitalizations among GRAND adult clients at any Oklahoma psychiatric hospital were reduced by 93.1 percent. From 2016 to 2021, this reduction saved more than $62 million. The number of adult clients served increased by 163.5 percent. And law enforcement in seven counties saved both 576 days in time spent transporting clients and over $718,000 from reductions in time and distance spent transporting clients." The Philadelphia Citizen

CAHOOTS (Crisis Assistance Helping Out On The Streets), mobile crisis intervention program in Eugene, OR - CAHOOTS, is estimated to save the city $8,500,000 in public safety spending annually. In 2019, Eugene’s CAHOOTS team answered 17 percent of the police department’s overall call volume. Out of 24,000 calls, police backup was requested only 150 times.

Crisis Now - A crisis continuum program model implemented in Phoenix, Arizona, Crisis Now, is estimated to have reduced inpatient spending by $260,000,000, preventing $37,000,000 in costs to hospital emergency departments in 2016. Phoenix saved the equivalent of 37 full-time police officers and further reduced city fire department costs.

OFFICE

717 K STREET, SUITE 427
SACRAMENTO, CA 95814

mission

cALBHB/C supports the work of california's 59 local mental/ behavioral health boards and commissions by providing resources, training, and opportunities for communication and statewide advocacy.

Local boards are responsible for reviewing community mental health needs, services, facilities and special problems, and serve in an advisory capacity to local governing bodies and local mental/behavioral health directors per CA Welfare and Institutions Code 5604.2.
Donations are welcome. CALBHB/C is a nonprofit organization.