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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

Crisis Services

Do you or someone you know need help with a crisis? CALL 911 if this is a medical or life threatening emergency. If you need the police, ask for a CIT officer. They have received extra training on assisting people in crisis.

If this is NOT a medical or life threatening emergency, go to for a directory of resources in your county. The directory includes LME/MCO numbers, Mobile Crisis Team(s) and Walk-In Crisis Center(s).

Any person may receive crisis and emergency services in North Carolina for mental health,microsoft image substance abuse, and intellectual/developmental disabilities issues. Regardless of where you are in the state, you can call the 24-hour access/crisis telephone line in your county at any time.  A trained person answering the telephone will connect you with services to address your situation. You may receive crisis services regardless of your ability to pay.  If you have a service provider, you may want to contact them first.

Mobile Crisis Teams are available at all times, 24/7/365 for peoples who may need support to prevent a crisis or are experiencing a crisis related to mental health, substance abuse, or intellectual/developmental disabilities.  Mobile Crisis Teams can meet you in locations that are considered safe.  This may be at your home, school, workplace, or other places. Find services in your county:

Walk-In Crisis and Psychiatric Aftercare At these sites, an adult, adolescent, or family in crisis can receive immediate care. The care may include an assessment and diagnosis for mental illness, substance abuse, and intellectual/developmental disability issues as well as planning and referral for future treatment. Other services may include medication management, outpatient treatment, and short-term follow-up care. Psychiatric aftercare may also assist consumers returning to the community from a state psychiatric hospital or alcohol and drug abuse treatment center until they are established with a local clinical provider. Find services in your county:

Facility-Based Crisis Services (Professional treatment services in a 24-hour residential facility). This service provides an alternative to hospitalization for adults who have a mental illness,substance abuse disorder or intellectual/developmental disability and are in crisis. Services include short-term intensive evaluation, and treatment intervention or behavioral management to stabilize acute or crisis situations. Facility-Based Crisis Programs (4/14)Find services in your county:

Crisis Intervention Teams are police-based, pre-booking jail diversion teams that aim to provide people in mental health crisis the care they need instead of incarceration. Read more.

NC START (Systemic, Therapeutic, Assessment, Respite, and Treatment) provides prevention and intervention services to adults with intellectual and/or developmental disabilities (IDD) and complex behavioral health needs. Read more.

State Funded Services
Medicaid Funded Services
Reports to the Legislature on Mental Health Crisis Management 2012 - 2014
Legislation on Mobile Crisis Teams (2008)
NC Crisis Services Legislation (2008)
Legislation on Walk-In Crisis & Psychiatric Aftercare Teams (including telepsychiatry)(2007)
Medical Transfer Information (2010):
- Introduction
- Memo
- Guidelines
- Policy Ready NC Connect NC