CCBHCs & Crisis Response Systems
The ideal crisis response system provides communities with a continuum of services that address increasing intensity of needs and connect individuals to care beyond the moment of crisis. CCBHCs’ required services span this continuum, making them an essential component of a crisis response system.
At a minimum, CCBHCs Provide:
- Early engagement in care
- Crisis prevention planning
- Outreach & support outside the clinic
- 24/7 mobile teams
- Crisis stabilization
- Suicide prevention
- Coordination with law enforcement & hospitals
- Discharge/release planning, support & coordination
- Comprehensive outpatient MH & SUD care
Many CCBHCs are going above and beyond these requirements with additional high-impact services and partnerships.
“Since becoming a CCBHC we’ve been able to get many mobile devices, iPads, into the communities. Law enforcement officers are able to reach out to us seven days a week, 24 hours a day. Through these partnerships, we have been able to save law enforcement officers in Northern Oklahoma 275 days of continuous driving — the equivalent of 15 trips around the world — because we can identify the best, most appropriate level of care.”Josh Cantwell, Chief Clinical Officer of Special Programs, Grand Lake Mental Health Center (Oklahoma)
“We have more than 20 care coordination agreements in place, which has led to greater than 50% diversion rate from jail when mobile response happens.”Seasons Center (Iowa)
CCBHCs & 988
988 is the new, easy to remember three-digit dialing code connecting people to the 988 Suicide & Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline), where support from trained crisis counselors is available 24/7 nationwide for anyone experiencing a mental health or substance use crisis or any other emotional distress.
The 988 Suicide & Crisis Lifeline, administered by Vibrant Emotional Health and the Substance Abuse and Mental Health Services Administration (SAMHSA), is active across the United States as of July 16, 2022.
The implementation of 988 offers states an opportunity – and an imperative – to bolster high-quality community crisis response systems that are seeing large surges in lifeline usage in the first months of 988. Through their standardized crisis response capabilities, their broad range of required crisis care, and their role in serving all individuals regardless of location or ability to pay, CCBHCs are uniquely positioned to serve as a cornerstone in our nation’s new crisis response system, decreasing the burden on 911 operators, law enforcement officials, and emergency departments.
Accommodating an Unprecedented Surge in Demand
Lifeline volume (calls, texts, chats) increased by 28% in the first month of 988 implementation. Vibrant Emotional Health estimates a 150-240% increase in call volume in the first year of implementation alone, with call volume rising to 325-455% over baseline within 5 years. As states and providers grapple with how to ensure sufficient workforce capacity amid a nationwide workforce shortage, the CCBHC model holds promise. When implemented with a prospective payment system in Medicaid, CCBHCs’ flexible funding offers flexibility in adapting to increased demand while improving clinics’ ability to recruit and retain qualified staff.
In areas where other organizations are delivering some or all elements of the ideal crisis response system, CCBHCs can play an important role in filling any gaps and in serving as a referral source for 988 call centers so that individuals are connected to a source of ongoing treatment designed to prevent future crises.
Three Roles for CCBHCs in 988 Implementation
CCBHCs as 988 Call Centers
- 75% of CCBHCs already operate a crisis call line, with 21% reporting they participate in the National Suicide Prevention Lifeline Network.
CCBHCs as Immediate Care Providers
- CCBHCs can serve as partners to 988 call centers for direct services the call centers don’t directly provide (mobile crisis response, crisis stabilization, etc.)
- 100% of CCBHCs provide the services listed above
CCBHCs as Referral Partners
- For post-crisis and/or non-urgent needs, CCBHCs can serve as referral partners to 988 call centers and other crisis responders
- CCBHCs serve all clients regardless of ability to pay
- 50% of CCBHCs can offer same-day access to care, with 93% offering access within 10 days or less
Learn more about CCBHCs’ role in 988 implementation.
988 and Funding with the CCBHC Model
Learn how states can use the CCBHC model to streamline mobile crisis response and other mental health and substance use services, including 988.
Action Needed to Expand, Sustain CCBHCs
Through the Bipartisan Safer Communities Act, states now have the opportunity to apply to join the CCBHC demonstration.
- States can apply for planning grants to help implement the CCBHC model, and then be selected to join the demonstration. Ten new states every two years until 2030 will be selected to join the demonstration. View the Notice of Grant Funding Opportunity (NOFO).
- States can implement the CCBHC model through Medicaid without waiting for Congressional action. Contact us to connect to efforts in your state or learn how to get started.
- Current CCBHCs can sign up today to participate in the National Suicide Prevention Lifeline (which will transition to 988).