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The A3 Model

To develop a caring approach that is also culturally and clinically responsible, CCHS and the Design Team looked at the key needs of anyone facing a behavioral health crisis.

A Need for Help

Crisis calls from individuals, families, law enforcement, businesses or community agencies can all arrive through multiple pathways to get to the Miles Hall Crisis Hub. Calls from pathways such as 911 or 211 will quickly be transferred to the Hub. The direct number to call is 833-443-2672.

Someone to Talk To

Calls either come in or get transferred to the Miles Hall Crisis Hub. Once fully rolled out, the Hub will operate 24/7. A behavioral health clinician will determine the caller's needs, triage to see if they can meet the needs over the phone or if they should send a trained response team to provide appropriate in-person support.

Someone to Respond

A response team that best meets the caller's needs will be dispatched for timely, in-person support.

Level 1

This team is for calls requiring a welfare check, is low-risk for escalation and can address social needs.

  • Peer Support Specialist*
  • Emergency Medical Technician (EMT)
Level 2

This team is for calls where a person is experiencing an acute and serious behavioral health crisis or in need of further assessment.

  • Peer Support Specialist
  • Licensed Clinician
  • Substance Abuse Counselor (if needed)
Level 3

This team is for calls where a person is experiencing an acute and serious behavioral health crisis with the possibility of the situation escalating and creating safety concerns.

While we want to lessen the need for law enforcement, we recognize that is sometimes an appropriate response.

  • Peer Support Specialist
  • Licensed Clinician
  • Law Enforcement

*A peer support specialist is someone who has lived experience or may have family members with lived experience.

A Place to Go

Once a team is on scene, they may determine the person in crisis needs a place to go to get more support. We are in the process of creating alternative locations for care in addition to locations already available such as hospital emergency departments and psychiatric emergency services.