Roadmap to the Ideal Crisis System: Essential Elements, Measurable Standards and Best Practices for Behavioral Health Crisis Response

This report describes the criteria of an ideal behavioral health crisis system as a blueprint for any community to follow to establish community crisis services for individuals and families with mental health and substance use needs that are on par with other essential community services that respond to other types of crises. This report provides an organizing framework which describes how to build an ideal crisis system that is "person-centered" and "customer-oriented." This report describes how implementation of successful systems requires interacting design elements along with measurable indicators. Fundamentals of a successful crisis system include Accountability and Finance (financing, eligibility, geographic access and network adequacy, quality metrics, performance incentives, comprehensive client tracking data system, formal assessment of customer satisfaction, and other key measures), Basic Array of Capacities and Services (Crisis Continuum including call centers and crisis line, medical triage and screening, mobile crisis, behavioral health urgent care, intensive community-based continuing crisis intervention, role of hospitals in crisis services, residential crisis continuum, transportation and transport, and other services), and Basic Clinical Practice (core competencies, screening and intervention to promote safety, practice guidelines for intervention and treatment, population specific clinical best practices, collaboration and coordination of continuity of care).