Counties across the country are building multidisciplinary teams and using key data elements to prevent and better address mental health and substance use disorder crises outside of the criminal legal system. Building an effective care continuum targets the root causes of a behavioral health crisis by investing in comprehensive and accessible prevention, treatment, and real-time intervention. With almost one in four adults in the United States living with a mental health condition, substance use disorder or both, county leaders recognize the urgency to find innovative approaches to balance community behavioral health needs and law enforcement response in a time of crisis. This discussion will provide key resources on the importance of a continuum of care and feature lessons learned from counties working to reduce barriers to behavioral health for its residents.