Crisis Now | Transforming Crisis Services

The Crisis Now Library

Making better crisis care available in your area is closer than you think.

The Crisis Residential Best Practices Handbook

Published with permission of tbdSolutions.


WHITE PAPER – Crisis Now Policy Recommendations Report

View the Crisis Now Report to see implementation recommendations for the transforming crisis services.


ASSESSMENT – Framework for State/Region Self-Assessment

Use this assessment to rate your state or local regions crisis framework from minimally to fully integrated.


BUSINESS CASE – Exceptional Practices Lead to System’s Success

Quantifying Improved Crisis Continuum Outcomes.


INFOGRAPHIC – Outcomes for Expense, Hospital & Law Enforcement

In 2016, metropolitan area Phoenix law enforcement engaged nearly 22,000 individuals that they transferred directly to crisis facilities and mobile crisis without visiting a hospital ED. This is Crisis Now.


ACTION ALLIANCE – Crisis Services Task Force

CrisisNow Report: Transforming Services is Within Our Reach


Trend in Psychiatric Inpatient Capacity, United States and Each State, 1970-2014

Tenth in a Series of Ten Briefs Addressing: What Is the Inpatient Bed Need if You Have a Best Practice Continuum of Care?


The Role of Permanent Supportive Housing in Determining Psychiatric Inpatient Bed Capacity

Second in a Series of Ten Briefs Addressing: What Is the Inpatient Bed Need if You Have a Best Practice Continuum of Care?


Beyond Beds – The Vital Role of a Full Continuum of Psychiatric Care

Nearly 10 million individuals in the United States are estimated to live with a diagnosable psychiatric condition sufficiently serious to impair their personal, social, and economic functioning.


Crisis Services Role in Reducing Avoidable Hospitalization

Fourth in a Series of Ten Briefs Addressing: What Is the Inpatient Bed Need if You Have a Best Practice Continuum of Care?


About Crisis Now

It’s their worst day. And, yet, tens of thousands of people end up in the Emergency Department (ED) or jail each year because they don’t have access to the level of mental health crisis services they need. The result is the dangerous practice of warehousing patients in the ED and the criminalization of people in distress. The outcomes can be costly: people in crisis face institutional setting trauma or worse. Not matching people to their care needs is also detrimental to the healthcare system at a cost of roughly $2,264 per psychiatric patient. The Crisis Now partners believe now is the time to change crisis care across the United States and worldwide.


After reviewing approaches to crisis care in the United States, the Crisis Services Task Force of the National Action Alliance for Suicide Prevention found that crisis services are the preferred and most efficient care for people in distress. Without critical core crisis care elements, mental health reform will continue to fail to achieve mental health parity.


The Crisis Now partners have created this website to provide all communities a roadmap to safe, effective crisis care that diverts people in distress from the emergency department and jail by developing a continuum of crisis care services that match people’s clinical needs. This reduces and prevents suicides while providing more immediate and targeted help for a person in distress. Also, it cuts the costs of care by reducing the need for psychiatric hospital bed usage, emergency department visits, and law enforcement overuse.


Who are we?

Crisis Now is led by the National Association of State Mental Health Program Directors (NASMHPD) and developed with the National Action Alliance for Suicide Prevention, the National Suicide Prevention Lifeline, the National Council for Behavioral Health, and RI International.


Are you interested in adding your organization to the list supporting Crisis Now, or do you have questions? Reach out to us at