LEARNING COMMUNITY MATERIALS
To view videos of the Learning Community’s weekly calls click here.
QUESTIONS & QUOTES
Crisis Trivia Hotseat
“While our journey is far from over, we are now talking about the preventability of suicide and not the inevitability of suicide. ”
Crisis Trivia Hotseat
“Services have been organized around your Mon through Fri, 8am to 5pm convenience, not ours, but… a crisis has no schedule.”
“Law enforcement shouldn’t be on the scene of a mental health crisis unless there’s a clear, logical reason to have the presence of an armed public servant.”
Margie's Crisis Meme
“Medical Clearance is a fallacy… the root of barriers [to access]… a shield.”
![“Medical Clearance is a fallacy… the root of barriers [to access]… a shield.”](https://i2.wp.com/talk.crisisnow.com/wp-content/uploads/2021/09/pic33-Quote-09.01.jpg?fit=300%2C169&ssl=1)
Margie's Crisis Meme
“Mobile crisis services took too long to respond.”
Margie's Crisis Meme
Margie's Crisis Meme
“We use four common stages of recovery (hope, empowerment, self-responsibility, and attaining meaningful roles) to help people live with dignity.”
Margie's Crisis Meme
“The safest communities don’t have the most cops, they have the most resources.”
Margie's Crisis Meme
“Gradatim Ferociter”
Margie's Crisis Meme
"You had me at hello."
Margie's Crisis Meme
“Critical need for connection in times of crisis.”
Margie's Crisis Meme
"We’ve got one shot to get this right."
Margie's Crisis Meme
"A movement is rooted in distributive action."
"More than a choke point, the hospital ED simply becomes a dead end for many in crisis."
"It’s not making individuals in crisis fit to a system. It’s adjusting the system to better meet the needs of those individuals they are serving in crisis."
"Mobile crisis teams are an essential component to getting services to an individual in the community where they are at."
Will 988 Yield First or Second Order Change?
"In an effective crisis system, perhaps the most potent element of all is relationships. To be human. To be compassionate."
"We must build equity and attention to the nuances of race, culture and ethnicity into the front end of 988."
What are the learnings from Arizona?
"We are moving to standardization of what people can expect [in crisis]. We don’t have best practices for heart attacks... I strongly prefer ‘effective practices’."
What is the 988 and Crisis Care Learning Community?
"We’re talking about the sanctity of all human life. [We must] support crisis services all across America"
!["We’re talking about the sanctity of all human life. [We must] support crisis services all across America"](https://i1.wp.com/talk.crisisnow.com/wp-content/uploads/2021/04/pic06-Quote-Chief-Paul.jpg?fit=300%2C168&ssl=1)
How many agents to answer the phones?
“Mobile crisis worth a million.”
Does private insurance cover crisis care?
"The opportunity of a lifetime"
Does Crisis Now work for rural?
TOOLS
Crisis Research Matrix 1.0
Financing Visual - All Numbers FY21 Enacted
Fall Congressional Outlook - Mental Health Review
Nevada 988 Crisis Card
A Bold Vision for America’s Mental Well-being: It’s Time to Redesign the U.S. Mental & Behavioral Health System
On September 9, 2021 Senators Bennet (D-CO) and Cornyn (R-TX) released a white paper titled A Bold Vision for America’s Mental Well-being: It’s Time to Redesign the U.S. Mental & Behavioral Health System. In this paper, they outline “a new framework for reimagining and redesigning how mental and behavioral health care is delivered in the United States” and call “for a bold, unified national strategy that is based on smart resource planning and funding, and addresses the country’s mental and behavioral health crisis through local community needs.”
Additionally, the Senators announce in a press release “To help inform a forthcoming legislative package, Bennet and Cornyn are seeking input from experts, community leaders, and constituents on policies to help achieve intended outcomes laid out in their white paper. Anyone may provide feedback to mentalhealth@bennet.senate.gov by October 8, 2021.”
The Senate Finance Committee also released a press release in early August launching their effort to address barriers to mental health care. A forthcoming Request for Information to the public and stakeholders is expected this month.
Washington State 988 Crisis Card
Arizona Medicaid Program - State Level Requirements and Guidance for Crisis Systems
Crisis Assessment Levels Matrix
ACR System Diagram - Future State Map
NAMI 988 and Crisis State Legislation Map
Tens of billions are available through Medicaid’s Home and Community Based Services FMAP Increases.
Looking back at a few of the pivotal moments that helped create and shape the crisis services industry
What are the federal funding opportunities that could help support 988? Is there a list?
We can predict monthly core crisis flow
Mobile crisis can safely engage in the community, the vast majority of the time without police accompaniment
Crisis Now services create cost savings through effective diversion from higher intensity care
Crisis in most communities is piecemeal or non-existent, but a common flow does exist
What’s the staffing credentials/ experience/supply needed for Crisis Now services?
Model Bill for Core State Behavioral Health Crisis Services Systems
How do we know mobile crisis outreach teams work?
Paul Galdys on the KPIs for Crisis Now services in the SAMHSA National Guidelines
What is the investment of states deploying the Crisis Now Call Center hub model?
Dr. Mike Hogan on a focus more systematic than programmatic
Dr. Margie Balfour and Connections Health Solutions CRISES framework for quality metrics
What is the total volume we might see migrate to 988 over time?
How has 911 implemented its fee structure?
PRESENTATIONS
Suicide Prevention: The Journey
Mobile Crisis Services, Maricopa County, Arizona
Serving Deaf People in Need
Defining Peer Support in Crisis Services
IDD and Crisis
Recovery Matters: Peer Support and the Crisis Continuum
Moving Toward Equitable and Effective Psychiatric Emergency Services
Integral Care
Regional Partnership Catalyst Program
All Nations Crisis Hotline
Youth Mobile Response Decriminalizing Mental Health
Mapping LA County Crisis Flow
The Arizona Model of Crisis Receiving Center
New Hampshire ED Boarding
The LOCUS Family of Service Intensity Decision Tools
CCBHCs in the Crisis Continuum
The Little Known, Racist History of the 911 Number
Improving the Child and Adolescent Crisis System: Moving from a 911 to a 988 culture
Medicaid Forward Report
MACPAC Recommendations 2021
988 Cost Briefing
988 Contact Volume Briefing
LA County Systems Engineering Snapshot
Utah Efforts Preparing for 988
Atlanta 311 and 911 Data Analysis
Philanthropy and Mental Health: Under-resourced and Misunderstood
Georgia Peer Crisis Workforce
Crosswalk of AZ Crisis System and SAMHSA National Guidelines for Behavioral Health Crisis Care
Shelley Curran at Mercy Care / Aetna on Arizona crisis reporting
Washington County, Rhode Island developed a new strategic framework and continuum with peers and family
