Crisis Services

Anyone may request crisis or emergency services in North Carolina for mental health, substance abuse, intellectual and developmental disabilities issues. 

  • Find help for a mental health and substance use crisis in your county.
  • If this is a medical or a life-threatening emergency please call 911.
  • If you need to contact the police, request a Crisis Intervention Team officer. 

Behavioral Health Crisis Referral System

The North Carolina Behavioral Health Crisis Referral System (BH-CRSys) is a secure web-based system available to professionals serving individuals experiencing behavioral health crisis.

  • Users can search for availability at appropriate placement facilities and send select referral/screening information to the potential receiving facility.
  • By providing a single location for information, a streamlined process and mechanism to identify needs, BH-CRSys has the potential for impact at every level, from the individual seeking treatment to identifying the services needed statewide.

Behavioral Health Urgent Care

Behavioral Health Urgent Care sites provide immediate care to adults, adolescents or families in crisis.
Care may include:

  • Assessment and diagnosis for mental illness, substance abuse and intellectual and developmental disability issues
  • Planning and referral for future treatment
  • Medication management
  • Outpatient treatment
  • Short-term follow-up care

Until the consumer is established with a local clinical provider, they may return to the community from a state psychiatric hospital or alcohol and drug abuse treatment center.

Crisis Solutions Coalition

The Crisis Solutions Coalition is comprised of client advocates, along with leaders from healthcare, government, law enforcement and magistrates, schools, healthcare providers, paramedics, emergency departments, community health centers and others. They focus on identifying and implementing best known strategies for crisis care while reducing avoidable visits to emergency departments and involvement with the criminal justice system. This includes:

  • Recommending and establishing community partnerships to strengthen the continuum of care for mental health and substance abuse services.
  • Promoting education and awareness of alternative community resources to the use of emergency departments.
  • Making recommendations related to data sharing to help identify who, when and where people in crisis are served, and what the results of those services are.
  • Creating a repository of evidence-based practices and providing technical assistance to Local Management Entities-Managed Care Organizations (LME/MCOs), law enforcement and providers on how to respond to crisis scenarios.
  • Recommending legislative, policy and funding changes to help break down barriers associated with accessing care.

The Crisis Solutions Coalition meetings are public. To receive occasional informational emails and notices of the meetings, contact us at crisissolutionsnc@dhhs.nc.gov. Please note:  This email box is not monitored on a 24/7 basis and is not for emergency situations. For resources to assist you with a crisis immediately, select your county from the drop-down box on Crisis Solutions NC.

Coalition Documents

Mobile Crisis Teams

Mobile Crisis Management services are available full time for crisis prevention or if you or someone you know is experiencing a crisis related to mental health, substance abuse or developmental disabilities. Mobile Crisis teams can meet you in a safe location, including your home, school or workplace.

Professional Treatment Services in Facility-Based Crisis Program

This service provides an alternative to hospitalization for adults in crisis who have a mental illness, substance abuse disorder or intellectual/developmental disability. Services are provided in a full time residential facility.
Services include:

  • Short-term intensive evaluation
  • Treatment intervention
  • Behavioral management

Before contacting your local facility-based crisis provider, contact your current mental health, substance abuse or developmental disabilities service provider or your local management entity’s access and crisis line.
Facility-Based Crisis Programs